HomeMy WebLinkAboutPermit Building 1996-1-24 (2)
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951867
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 205 DORRIS ST
Assessors Map #: 18032000
Lot: Block:
Tax Lot #: 00802
Subdivision:
Owner: WILLAMALANE PARKS
Address: 680 NORTH 36TH STREET
Phone #: 726-4330
City/State/zip: SPRINGFIELD, OREGON 97478
Describe Work: FND FOR PARK HOUSE
REMODEL
Contractor
Const.
Contractor #
Expires
Phone
General:
ROTHS CONSTRUCT 0075327
581 South 68th Place Springfield OR
08/29/96
744-2984
QUAD AREA: 5CSW
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.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
MASONRY - Steel location, bond beams grouting or verticals in
accordance with USC 2415.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
FDA FOR MOVED HOUSE
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
5,000.00
5,000.00
Building Permit Fee
Surcharge/Admin
56.50
4.53
TOTAL FEE
(A)
61. 03
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
SDC CHARGE
G~O
1,420.86
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(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
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~1-r4~~ ,1.161, T~~
~I/I$
TOTAL MISCELLANEOUS PERMITS
(E)
--- 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
Job Number: 951867
Page 2
Plan Check Fee: 32.83 Date Paid: 12/06/95
Received By: LORNE PLEGER
Plans Reviewed By: BOB BARNHART Date: 01/10/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 19759
--- ADDITIONAL COMMENTS ---
DRC #93-10-167, PLANNER IS LAUREN LEZELL
REQUIRES PLUMBING PERMIT AND POSSIBLE SEPTIC PERMIT FROM LANE COUNTY,
REQUIRES ELECTRICAL PERMIT
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.
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Date
--- VALIDATION
Date Paid:
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Receipt Number:
Amount Received:
Received By: