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HomeMy WebLinkAboutPermit Building 1996-4-17 SPRINGFIELD ~. Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 960476 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1817 MARKET ST Assessors Map #: 17032532 Lot: Block: Tax Lot #: 13500 Subdivision: * Owner: DANA EVANS Phone #: 465-1115 Address: 1474 GOODPASTURE ISLANDCity/State/Zip: EUGENE, OR 97401 Describe Work: ADD BATHROOM ADDITION Const. Contractor Contractor # Expires Phone General: OWNER 0062470 07/02/96 465-1115 1474 Goodpasture Island Road Eugene Plumbing: ANKENY PLUMBING 0016112 01/20/97 686-2667 91585 N Coburg Rd Eugene OR 9740100 QUAD AREA: 2RNW OFFICE USE LAND USE: 1111 SQ FOOTAGE: 50 TO request an inspection, call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS --- FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. INSOLATION - Floor; prior to decking Wall/Ceiling; Prior to cover ROOGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: W Solar Approved: Y Lot Sq. Ft.: 8200 Total Height: 12 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 319.21 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT --- Item Fixtures 3 Fee 30.00 Plumbing Permit Surcharge/Admin 30.00 2.40 TOTAL CHARGE (C) 32.40 SPRINQFIELD Job Number: 960476 Page 2 Vent Fan CADET HEATER MECHANICAL PERMIT --- 1 3.00 4.50 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1.20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin PLAN REVIEW FEE 0.00 79.63 TOTAL MISCELLANEOUS PERMITS (E) 79.63 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 457.44 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings. and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: DON MOORE Plans Reviewed By: DON MOORE Date: 04/17/96 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- PATH 1 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. b_ /7: Signature (/" '2'- rr-- ~ '- Date - Job Number: 960476 -- - VALIDATION Receipt Number: 2J/~ Date Paid: 4(-//~ Amount Received: ~~. ~~ Received By: .~/.....,,_. . .v Page 3