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HomeMy WebLinkAboutPermit Building 1998-2-25 SPRINGFIELD , '''''''~'''''f ,.,.... ':tl'~ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980179 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 812 BELTLINE RD Assessors Map #: 17031500 Lot: Block: Tax Lot #: 02400 Subdivision: Owner: SYCAN B CORP Address: 3405 BALDY VIEW Phone #: 746-8444 City/State/Zip: SPFD OR, 97477 Describe Work: NEW -- OFFICE USE -- To request an inspection, call the 24 hour recording at 726-3769. All inspe~tions 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 --- ROUGH ELECTRICAL - ROUGH MECHANICAL - DRYWALL - Prior to CEILING GRID FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete, FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL BUILDING - When all required inspections have been approved and the building is complete. Prior to Prior to taping, cover, cover, Item Main Garage TENANT INFILL Total Value BUILDING PERMIT Square Feet x $/Square Feet Value 0.00 0,00 20,000.00 201000.00 Building Permit Fee Surcharge/Admin 140,50 11. 25 TOTAL FEE (A) 151. 75 --- MECHANICAL PERMIT --- DUCT EXTENT IONS 4.50 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1.20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin SDC 0.00 3,333.89 SPRINGFIELD ~I'~ Job Number: 980179 Page 2 TOTAL MISCELLANEOUS PERMITS (E) 3,333.89 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,511.84 --- 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 Springfieldl 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: 02/25/98 ADDITIONAL COMMENTS --- ELECTRICAL PERMIT 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 timel 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, ~d~ Signature ~shg Date --- VALIDATION Date Paid: 2jiS,,?" /-'3 2-~~~.,g -;;;~~.;5 9' d~ '/ . . Receipt Number: Amount Received: Received By: