HomeMy WebLinkAboutPermit Building 1996-10-31
SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 961412
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed.Work: 4865 BEAVER ST
Assessors Map #: 17023241
Lot: Block:
Tax Lot #: 00221
Subdivision:
Owner: JAMES DIENSTEL
Address: 4865 BEAVER STREET
Phone #: 747-0063
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: SASH WINDOW
ADDITION
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
747-0063
QUAD AREA: 3 RNC
OFFICE USE
LAND USE: 1111
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 ---
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
ADD WINDOW IN L.R.
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
200.00
200.00
Building Permit Fee
Surcharge/Admin
15.00
1. 20
TOTAL FEE
(A)
16.20
--- MISCELLANEOUS PERMITS
Surcharge/Admin
PLAN REVIEW FEE
0.00
9.75
TOTAL MISCELLANEOUS PERMITS
(E)
9.75
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
25.95
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Job Number: 961412
Page 2
--- 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.
Received By:
Plans Reviewed By: DON MOORE Date: 10/30/96
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
VERIFY BRACE WALL REQUIREMENTS WITH THE CITY BLDG. INSPECTOR
ANY MODIFICATION TO THE ELECTRICAL WIRING SYSTEM WILL REQUIRE A SEPARATE ELECTR.
PERMIT.
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 remA~:n Qe,=: times during construction. /0-3/-'7 b
I
Date
--- VALIDATION
Date Paid:
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Receipt Number:
Amount Received:
Received By: