HomeMy WebLinkAboutPermit Building 1999-10-5
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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'
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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.
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Job Number: 991265
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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:
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Receipt Number:
Amount Received:
Received By: