HomeMy WebLinkAboutPermit Building 1998-1-30
Page 1
RBSIDBNTIAL PBRMIT APPLICATION
CITY OF SPRINGFIBLD
COMMUNITY SBRVICBS DIVISION
BUILDING SAFBTY
Job Number: 980090A
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 579 POLTAVA ST
Assessors Map #: 17032423
Lot: 19 Block:
Tax Lot #, 01001
Subdivision, RIVER TRAILS
Owner: CHRIS/SARAH WELCH
Address, 1889 GRANT STREET
Phone #, 342-3260
City/State/Zip, EUGENE, OREGON 97405
Describe Work,
NEW
-- OFFICB USB --
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.
RBQUIRBD INSPBCTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDBRFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SANITARY SBWBR LINE - Prior to filling trench.
STORM SBWER LINB - Prior to filling trench.
WATBR LINB - Prior to filling trench.
--- MISCBLLANEOUS PBRMITS ---
Surcharge/Admin
QUICK START
0.00
150.00
TOTAL MISCBLLANBOUS PERMITS
(B)
150.00
(Bxcluding Blectrical)
unless otherwise noted
TOTAL AMOUNT DUE:
(A, B, C, D, and B combined)
150.00
--- BUILDING VALUE:, PLAN CHBCK AND BUILDING PBRMIT ---
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.
Received By:
Plans Reviewed By, TOM MARX
Building Site Reviewed By,
Date: 01/30/9B
ADDITIONAL COMMllNTS
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHOR/ZED UNDER THIS PERMIT IS NOT
COMMENCED OR /S ABANDONED FOR
A!IlY 180 DAY PERIOD.
..f
/~I'~
Page 2
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.
/. c;o hf1\J ,\OJe- t__
~sJ.gnatu:J IJJ
~te 1(30 )'1"&
--- VALIDATION
Date Paid,
-Z8~ 7D
I-~o-qt
d$ ISO,
~
Receipt Number:
Amount Received:
Received By,