HomeMy WebLinkAboutPermit Building 1996-9-30
,SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 961190
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6149 MAIN ST 4
Assessors Map #: 17023434
Lot: Block:
Tax Lot #: 00500
Subdivision:
*
Owner: CHARLES/CONNIE GREEN
Address: 79524 ABBOT LANE
Phone #: 942-9288
City/State/Zip: COTTAGE GROVE, OR 97424
Describe Work: REPAIR PER HSNG LTR
REMODEL
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
942-9288
Plumbing:
FRIDLUND 0051835
85370 Dilley Ln Eugene OR 974050000
12/14/96
746-9433
QUAD AREA: 4RSE
ZONING CODE: MDR
OFFICE USE
LAND USE: 1134
# OF BLDGS: 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 ---
ROUGH PLUMBING - Prior to cover.
ROUGH ELECTR~CAL - Prior to cover.
FRAM~NG - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing 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
Topography: 2
Setbacks
S W E
E E E
House
N
E
Item
Main
Garage
MINOR REMODEL
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
500.00
500.00
Building Permit Fee
Surcharge/Admin
15.00
1.20
TOTAL FEE
(A)
16.20
SPRINGFIELD
Job Number: 961190
Page 2
PLUMBING PERMIT ---
Item
Fixtures
1
Fee
10.00
Plumbing Permit
Surcharge/Admin
15.00
1.20
TOTAL CHARGE
(C)
16.20
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
32.40
--- 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: LORNE PLEGER Date: 09/30/96
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
DUE TO THE SMALL SCALE OF THIS PROJECT, COORDINATE SPECIFIC INSPECTION
REQUIREMENTS WITH THE CITY INSPECTORS.
By signature, ~ 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.
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Date
SPRINGFIELD
Job Number: 961190
- -- VALIDATION
Receipt Number:
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Date Paid:
Amount Received:
Received By:
Page 3
SPRINGFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: CHARLES/CONNIE GREEN
Maii Address: 79524 ABBOT LANE COTTAGE GROVE, OR 97424
Tax Lot #: 1702343400500 Project Address: 6149 MAIN
Subdivision: Lot: Blk: Eng. Rev.
Job No.: 961190
Phone #: 942-9288
ST 4
No. : Book:
Street Gravel Ac Mat
6149 MAIN ST 4
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
12:1 FLAIRS 6:1 FLAIRS
Existing Curbcut: Y Width:
Comments: USE EXISTING DRIVEWAY
Ft Flairs:
Ft
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y
Stubbed Out To Property Line: Y
Depth: 4-6
Ft
Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
Make Connection: (EXISTING CONNECTION)
Comments: NO CHANGE IN CONNECTION PROPOSED
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: USE EXISTING DRAIN SYSTEM
Pipe Parking Lot Drainage To: N/A
Comments: NO ROOF CHANGES PROPOSED.
New Curbcut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
SIDEWALK AND DRIVEWAY INFORMATION
STANDARD
Comments: NO CHANGES IN DRIVEWAY OR SIDEWALK PROPOSED
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 09/09/96
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION