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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,