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HomeMy WebLinkAboutPermit Building 1996-1-2 (2) Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951834 225 North Fifth Street Springfield, OR 97477 " Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5335 DAISY ST 134 Assessors Map #: 17023300 Lot: Block: Tax Lot #: 01300 Subdivision: Owner: MIKE SCHNEIDER Phone #: Address: 5335 DAISY STREET, 134 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: CARPORT NEW Contractor Const. Contractor # Expires Phone General: OWNER QUAD AREA: 3RSC OCCY GROUP: M OFFICE USE -- LAND USE: 1150 CONSTR. TYPE: VN ZONING CODE: LDR SQ FOOTAGE: 360 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. FRAMING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete. Item Main Garage Total Value BUILDING PERMIT Square Feet x $/Square Feet = Value 0.00 0.00 3,636.00 Building Permit Fee Surcharge/Admin 44.50 3.57 TOTAL FEE (A) 48.07 --- MISCELLANEOUS PERMITS --- Surcharge/Admin PLAN REVIEW FEE 0.00 28.93 TOTAL MISCELLANEOUS PERMITS (E) 28.93 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 77.00 --- 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: 951834 Page 2 Received By: Plans Reviewed By: DON MOORE Date: 12/18/95 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS MINIMUM 6 FOOT SETBACK REQUIRED BETWEEN CARPORT AND NEIGHBORING MANUFACTURED 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. " \ -' !~ ..--e.... - Date Date Paid: --- VALIDATION \C\C\ CO? (. t.C\ \0 .l\1~ \ d\\JXD Receipt Number: Amount Received: Received By: