HomeMy WebLinkAboutPermit Building 1999-6-11
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990444A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5998 MT VERNON ST
Assessors Map #: 18020323
Lot: Block:
Tax Lot #: 04600
Subdivision:
Owner: GREAT WESTERN
Address: P.O.BOX 5024 MAIN ST.
Phone #: 726-2171
City/State/Zip: SPLFD OR,
Describe Work: NEW
Canst.
Contractor Contractor # Expires Phone
General: GREAT WESTERN 0069030 06/15/98 867-4624
PO BOX 1316 NEWPORT OR 973650000
QUAD AREA: 5RSE
OFFICE USE
LAND USE: 1111
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.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W Lot Sq. Ft. : 6957 Lot Coverage: 35 t
Topography: 2 Setbacks
N S W E
House 9 7 00 10
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
10,564.00
10,564.00
Building Permit Fee
Surcharge/Admin
576 tv 18.34
ATTENTION:Oregon law requires you. .
," , db t\1e Oregon L1hhty
tollow rules adopte Y les a -e set forth
Notitication Cenler. Those rU\1 OAR' 952-001-
. 952-001-0010 t\1!Oug
'10 OAR btain copies 01 the rules by
0090. You may 0 Note' the telep\1one
calling tt\1etchenote:~g( on L1iility Notitication
number or e 44)
Center is 1-800-332-23 .
86.50
6.93
TOTAL FEE
(A)
93.43
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180DAYPERIOD.
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Job Number: 990444A
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--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN CHECK FEE
0.00
60.00
60.00
56.23
TOTAL MISCELLANEOUS PERMITS
IE)
176.23
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
269.66
--- 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.
ADDITIONAL COMMENTS ---
A SEPERATE ELECT. PERMIT IS REQUIRED
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
wi11~JPm~ o~ the site at all times during construction.
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Signature Date f
- -- VALIDATION
Date Paid:
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Receipt Number:
Amount Received:
Received By: