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HomeMy WebLinkAboutPermit Building 1999-10-5 . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991265 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3842 MAIN SDT. Assessors Map #: 17023142 Lot: Block: Tax Lot #, 00300 Subdivision: ~ ,~71' ..~'i Owner: JAMES DOBSON Address, 3842 MAIN ST. Phone #, 747-7245 City/State/Zip: SPLFD OR,97478 Describe Work: FLAG POLE NEW QUAD AREA, 3CNC OFFICE USE LAND USE: 5300 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, SPECIAL FINAL BUILDING - When all required inspections have been approved and the building is complete. N S W Setbacks E 11 Lot Faces: S Accessory Item Main Garage FTG.FOR FUT.FLAGPOLE Total Value BUILDING PERMIT Square Feet x $/Square Feet Value 0,00 0.00 1,800,00 1,800.00 Building Permit Fee Surcharge/Admin 29.50 2.96 TOTAL FEE (A) 32.46 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 32.46 --- 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. . . . , Job Number: 991265 Page 2 Plan Check Fee, Received By: Plans Reviewed By, DON Building Site Reviewed 20.15 Date Paid: 09/15/99 Receipt Number: 35564 MOORE Date: 10/05/99 By, BOB BARNHART --- ADDITIONAL COMMENTS --- THIS PERMIT FOR FOOTING ONLY. FLAGPOLE WILL REQUIRE ADDITIONAL PERMIT AND ENGINEERING SUBMITTAL. REPAIR ALL AREAS DAMAGED BY CONST. 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 ORB 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. 1(1/;; h 1 Date / / C/ --- VALIDATION Date Paid: '=?5'7@ / ~ , /O/~/:'} <?_.1~ :t/r:A;:1~ Receipt Number: Amount Received: Received By: