HomeMy WebLinkAboutPermit Building 1996-5-28
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951559A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4656 BLUEBELLE WAY
Assessors Map #: 17023243
Lot: Block:
Tax Lot #: 05002
Subdivision:
Owner: ILENE HARBERT
Address: 1337 MODOC STREET
Phone #: 746-2391
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work:
NEW
-- OFFICE USE --
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.
FRAMING - Prior to cover.
STORM SEWER LINE - Prior to filling trench.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Garage
N
10
Setbacks
S W
10
E
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
5,365.00
Building Permit Fee
Surcharge/Admin
56.50
4.53
TOTAL FEE
(A)
61. 03
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REVIEW FEE
0.00
36.73
TOTAL MISCELLANEOUS PERMITS
(E)
36.73
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
97.76
Job Number: 951559A
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
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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.
Plan Check Fee: 48.43
Received By:
Plans Reviewed By:
Building Site Reviewed By:
Date Paid: 10/02/95
Receipt Number: 19166
Date: 05/15/96
--- ADDITIONAL COMMENTS
CARPORT TO REMAIN OPEN ON AT LEAST TWO SIDES.
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.
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Date
VALIDATION
Receipt Number:
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Date Paid:
Amount Received:
Received By: