HomeMy WebLinkAboutPermit Building 1998-2-25
SPRINGFIELD
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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
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Job Number: 980179
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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,
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Signature
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Date
--- VALIDATION
Date Paid:
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Receipt Number:
Amount Received:
Received By: