HomeMy WebLinkAboutPermit Building 1997-7-9
SPAINOFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970906
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6149 MAIN ST
Assessors Map #: 17023434
Lot: Block:
Tax Lot #: 00500
Subdivision:
Owner: CHARLES/CONNIE GREEN
Address: 79524 ABBOTT LANE
Phone #: 942-9288
City/State/Zip: COTTAGE GROVE, OR 97424
Describe Work: FND FOR MOVED RESIDENCE
NEW
Contractor
Const.
Contractor II
Expires
Phone
General:
OWNER
QUAD AREA: 4RSE
ZONING CODE: MDR
OFFICE USE
LAND USE: 1134
# OF BLOGS: 1
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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
400 12
Setbk From NPL: 200
N
House 135
Item
Garage
FOUNDATION
Total Value
BUILDING PERMIT
Square Feet x
$/Square Feet
=
Value
0.00
4,500.00
4,500.00
.,;
Building Permit Fee
Surcharge/Admin
50.50
4.05
TOTAL FEE
(A)
54.55
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Fee
25.00
25.00
25.00
SPRINGFIELD
~*'
Job Number: 970906
(Excluding Electrical)
unlese otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Page 2
75.00
6.00
(Cl 81. 00
0.00
32.83
(E) 32.83
168.38
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS
--- 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:
Plans Reviewed By: DON MOORE Date: 07/09/97
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
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 wit~ 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,
'- (t 7u-v\ ~ _.
Signature
~~
7-q-97
Date
SPAINQFIELD
Job Number: 970906
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
?..L, 0('"') ('
~VS'?
//,,<Jh }f3
~ /J)?:., A
Page 3