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HomeMy WebLinkAboutPermit Fence 1994-5-24 I e- , 'e ...... ..: SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 ~ Job Location: ~'2Z S\\~ . ~ TaxLot#: ~ - <.'~/(f)\f\ ~O(\\ur-) (fh . Phone #: "'Ab. 0 \Cf1 e: ~ Zip: qf)4fJEL (\) cD Asses ors Map'#: . Owner: City: Value of Fence: Fence Permit is $5.00 Contractor/Installer: \ Address: Phone #: City: State: .Zip: Construction Contractors Registration #: Expires: ~y signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. 7~_4 /?.,~ k- ture o!!!1f A~ /22!I . , r f , I FOR OFFICE USE Date of Application: ~. fl:\ .eft Receipt # \~<J\~ - - Issued By: Total Amount Collected: ~ ~~ -- C,40111 ~ Checked for Delinquencies: Checked for Historical Status: - e e oj OAD\-rt .... Permit No: 5'dA CUll. Address: q~4 - Issued b ) - FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4}, requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7}, need not submit this statement. This statement will be filed with the permit. ?7:Y1Plicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1 . ~ /J I own, reside in, or will reside in the completed structure. 2. I \ I I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.I I My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. :.R B .l/ W be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. S-';) '/ - 9't:f Date . - CO TRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT , e . INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES .....-- - . -.. NOTE: This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with OAS 701.055(5), passed by the 1989 Oregon Legislature. If you are ac~ing as your own CV:1tV'ac~or ~o COflS~ruct a new home or make a substantial imprcvem(Dl1t ~o 8in existing structwo, you can p7mJ0:'1t mB.ny prob~3ms by Dsirlg aware 01 the following respormibmt1:D$ ;.:,:~d areas of concern. EM.Pt.OYffR RJESPONSIS@UreiE$: ~1 you ~ '1'-:" """""'so"'s "'''''~ reO';s"""-~~' 'M:"'- .,""<> ,...,,7"'~~"" ."f:".- ,.....,.""~I1''''''''''''''ts oo"'rd vo ..lo !"'bor .''7''l co""s".,.,.c,,;.t":[j 11',,, -,.,."';~^:"'''' ~ I il ~ ~"'j' w ~ . .vi 'v' ...~. vYt.1. vv~.:.~ 1 ~W '.Q ,""vI :~\.. ~v...~.... ",~'..;d ~ll.~ ~"",,\\,..,Io<~ ~~ (4. \. U tDi I~ I ..... """ .l..f ''L, -...Jt. ~,.~';:~-.;l,,~,".. .,t; ;,.., ^l""~ cc.,...S^jI"' '"~'::O"--1' n'~ t~~,'~l'I"-V~"'" ....;""':'~ ,n1 7i .7~~:'''\.e-~(>;~' '~:'-;*1 ."....i. '?~ YO", \1'\,'" j,"f\ r."..",,~o. ~'ltl~tl?,"'..t\...,.,(; I"";~t" .~/-"'r; '')kt., '~"""l ..1 ,.~ 1_ ~~,.._l. .' v. ...,.'..1.....; v...~,.I.. -.'. ~ rVu.'U.........,"'.~. ;j::".,_Vw,.i-......., t.." 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'--'- ,..~ q. ;Q"':"",,:s''': .::-...... "~\V'">."" ,:-0- :.....~\.J~__l.o,J "-": i '.:::'_"_ ':" ~__':-~~_~':::'~. v~' .~.;,,,{e C" I . '~'. ~""......; Y:J:.1 '~:.,-/,~ ~. .~..o;::""';A~^ ,~,:.,.,.....e; , ,_"'v .......,.I,....,.-'..f. I.II..V :.0 ~""~""'V:~I"~ t.;",... .. v.....yVI ,~v ~ --'..... ",-'., '{ '1 -"" ,.c"1-" ,~ . . . ~"~" " :J 'OJ, . <. E:~pattrn3: :\:'~t-1'~,(3 sUre YOJ :1E~jZ C'13 3){PST'tisc LO ac'( c?s YCl/~ own gS;1src:: ccntTacto~. to coc7d:~z\~~: ::'~~ W~}?'x 01 roug:-:--:i1 &i'10 1inish trc~dGs, 2.nd to no~i~y bui:d~r:g officials at ihe app:'opr:a~e t;;:zs so 1::'1;)l! ~:'t: ;')1:Ir:orm the required inspections. If you have additional questions, write to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244J 10/24/89