HomeMy WebLinkAboutPermit Building 1995-9-12 (2)
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951390
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5335 DAISY ST 76
Assessors Map #: 17023300
Lot: Block:
Tax Lot #: 01300
Subdivision:
Owner: MELVIN WODA
Address: 5335 DAISY #76
Phone #: 744-3860
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: DECK & CARPORT
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
744-3860
QUAD AREA: 3RSC
ZONING CODE: LDR
VN
SQ FOOTAGE: 396
OFFICE USE --
LAND USE: 1150
OCCY GROUP: M
# OF BLDGS: 1
CONSTR. TYPE:
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.
POST AND BEAM - Prior to floor insulation or decking.
FRAMING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
DECK
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
=
Value
0.00
0.00
693.00
3,762.00
132 5.25
Building Permit Fee
Surcharge/Admin
44.50
3.57
TOTAL FEE
(A)
48.07
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
48.07
--- 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: 951390
Page 2
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
28.93
Date Paid: 08/24/95
Receipt Number: 18816
MOORE Date: 09/10/95
By: LISA HOPPER
--- ADDITIONAL COMMENTS
CARPORT & DECK TO BE A MINIMUM OF 6 FEET FROM
NEIGHBORING HOME
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
will remain on the site at all times during construction.
~~ (1, .u.)~
Signature "
,- /' ~ ' <; 5-
Date
--- VALIDATION
Date Paid:
/$99Y
?-/2..?..>
/f':E. {5?
4~~7-
Yr -
...
Receipt Number:
Amount Received:
Received By: