HomeMy WebLinkAboutPermit Building 1996-8-7
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960939A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3333 BALDY VIEW LN
Assessors Map #: 17032300
Lot: Block:
Tax Lot #: 00602
Subdivision:
Owner: SYCAN B CORP
Address: 3405 BALDY VIEW LN
Phone #: 746-8444
City/State/Zip: SPRINGFIELD, OR 97478
Describe Work: FND FOR MOVED HOUSE ADDITION
Const.
Contractor Contractor # Expires Phone
General: SYCAN B 0072619 03/25/97 746-8444
3405 Baldy View Lane Springfield OR
QUAD AREA: 5RNW
OFFICE USE
LAND USE: 1111
ZONING CODE: MDR
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.
FOUNDATION - After forms are erected but prior to concrete placement.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
LINE TO SEPTIC TANK - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: SW
N
Lot Type: INTERIOR
Setbacks
S W E
18
Garage
Item
Main
Garage
FDN.FOR MOVED BLDG.
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
50.50
4.05
TOTAL FEE
(A)
54.55
Job Number: 960939A
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--- SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
927.17
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Fee
25.00
25.00
25.00
Plumbing Permit
Surcharge/Admin
75.00
6.00
TOTAL CHARGE
(C)
81. 00
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
TEMP. POWER
WILLAMALANE SDC
LANE CO. SEPTIC
PLAN REVIEW
0.00
43,20
1,000.00
320.00
32.83
TOTAL MISCELLANEOUS PERMITS
(E)
1,396.03
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
2,458.75
--- 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.
--- ADDITIONAL COMMENTS ---
NO OCCUPANCY UNTIL EASEMENT BY LANE CO. IS SIGNED AND RECORDED
FLOODPLAIN-ELEVATION CERT. REQ'D BEFORE OCCUPANCY APP'VL.; ENGINEERING REQ'D FOR
STRUCT. FILLS OVER 1 FT. AND FDN.OR RET. WALLS OVER 4 FT. HIGH.
6 STREET TREES REQUIRED
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.
C::l~!;-~~iAn ~
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Date
SPRINGFIELD
Job Number: 960939A
--- VALIDATION
Receipt Number:
?-7'7 5' ~
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Date Paid:
Amount Received:
Received By:
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