HomeMy WebLinkAboutPermit Fence 1995-7-11
.
.iNGFIELD
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE:' 726-3769
Job Location:
t8~R bG~~ ~~/~
1'93 /1'
If? 8r.?;$ rr
Tax Lot
#:~'2 ~er,r)
Assessors Hap #: /fJo~
Owner: P *1U'Jt1~LL ;T,
Address: $' Jfm!!:"
City: r)1 ?d.
Phone
#: 7 'I/; - 7627
Zip: 0; 7,-/7Jf
State:
!)J2
.-
Value of Fence: ~ /1')1)
Fence Permit is $5.00
Contractor/Installer:
I)wAJ-rz;e
,
,'.
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
-
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct 4!nd that I was provided with the Springfield
::~~~f" f,." .'..d.,d..
7-1/-9s
Dati!
FOR OFFICE USE
Receipt #
/ e Z-S"')-
7//0-1
Issued By:
JOB I: CJ L;' / / C;; 2-
~/.~
Date of Application:
Total Amount Collected:
z::; ..~
Checked for Delinquencies:
Checked for Historical Status:
:~"'?:<(:.:' , .
1.. :.
..:,,\,-
'~;'.5:.~}~;t~~~
.,.'f"\l..,,,...~.
:,~:';:~j~1;
'/;~'t:~~
;- "s:' 'S]::
,
,;...::.~rj:/ J~:
,: " I'..,,;..a~
LOT 21, BLOCK B OF FIRST ,IODlT"),,, ;~:.,\':.;";o~'
TO CASCADE IfEIGIITS A~' ,I'U Tif'OI'.: !:".'.):!i'
AND RECORDED IN FILE n SLIDES i:O-12(1,,::;:;,'.
OF THE LANE COUNTY PI II r RFCORDS"'.,,:.\ ,;\
LANE COUNY, OREGON .,. ';'::nt
" ;rt';'~
, ~"'''::;'~:~~
~;,f~!i;
....l~i..'~~
:<';:k~~$f:
.~:~:~M).;;~
.1tt_
.
, 05/16/95
----. ...__.
BE~~N-BOESE - 503 726 3689
.
07:24
P.'.NOALl. J BOESE
685,5 Ct.A CIER S 1'.
EUGENE. OREGON
---
s~. -
.Y
~~ -
...c.'Y ,
r- , ~
6':/
~~Ci, '~l:'l
"//1/"""
l,Jl,1'::'
LC- S
..-
'-feAL DESCR~1N1!.
58"51'10" IV
70,00' -'--
,.r'
,/
~
~~~
)t~-
/ ~>~
0~), \
v\\{~
\ vi.
,
,
n
......
SCALE: 1"-30'
T.'Ir:i DOES NOT CONSTITUTE A BOUNDARy SURVEY AND
1$ SUBJECT TO ANY 1,'/ACCUF!IICiES TH.'. T .'. SUBSEOUENT
BOUNDARf SURVEY MI,)' DISCLOSE.
I, JON'" THAN A, O,~KES. A REGlST(;,qED PROFESSIONAl. L"'ND SURVEYOR,
DO IlcREBY CnmF( TiI.~ T II MORTG.'.GE lOAN INSPECTiON OF THE
A80\'E DESCRIBED PROPERTY WI',$ MADE BY ME nllS 24 TH OA Y OF
SEP,[,'1Gf;t? 199., MiD TriA T T/-iE SUlLO:NI;;S UPON SAID LOT DO NOT
ENCRO,~CH UPON THE STREETS NOR UPON THE IIDJOiNING PROPEiRTY
M,O Fil)\ r THE (iUILOINOS UPON THE .'.O.JOINlNG PROPERTY 00 NOT
t:/'ICIiOACH UJ>ON $....,0 Lor, EXCEPT AS SHOWN,
---
POAGE ENGINEERING AND SURVEYiNG, INC
P,O. 80)( 2527 EUGENE, OREGON ')7"02
ISOJI "85-4505 owN. I3Y: I J,~
NOV, 8, 19P4
.' ,'!.\C::;
..~ i" fS,
.,' --j~.
',f"" ~.:,~,
,.::,':, ~,.:: .,:
~:
~;;.
,
JI .:'L6,:
. . :: ,~.
. ,',,-',
:,,:.' !...~?
",' , . ....
" ',;
....:...::-
, ",'
.";::/~f~~
i~!:.~:'
. ~.~.
'. ...:)U}~:
~
"
REGIS rERED
PROFESSION A:.
_LP~N~~ Sll1~ '
.... A'd~l1.. _L
, oREGOIJ
JUL y I~, 19'.
JONA I HAN A. O^:\l5
1t- 210S ,
uXPIRi:J. OEi{GKr9f:A Ji. I&i~
.,
rl '!:I
.,~, .
(' <15/1>0/95 07, 25 BE ON-BOE"'E - ~03 '"'26 -'689 .
.. ...; -' I ....J NO. 7kH Ol'15
Bergeson-Boese & Associates, Inc. ?coiuel _.~NKJ.n~_...;z~i>.~. ,.,.... , ......
P,,,,.,, Cod" ,.6B~B G:?~g.J)f!:k.t/~__
Co.lcutllwd By: .....'. ~ n D"tll: .X..:.?i,~f1f-
65 Centennial Loop
Eugene, Oregon 97401
(503) 484-9484
Fax; (503) 484-4188
~r.t:elt'i'd 8.... _
'--1."
J,/ - c-
Scal'lf: _ - J
.._......_....__..._.... (Jilfl'"
Shul No.: _
VI _...___
-",' III
\
fa R. c.. ,./
- '/.1
_~, tl -'l
, '
}.
t/ ,-
~,
. .,' ~
S-/O
17~ Zn
)1
, . ,2 ~'B!:;<I
,
.. ,: GitrRllra'
(rl ' 1':)f~ r.,.f 'j
h..
~
"'i...
'1
'\J.
....),
~
~
~
Q
~
\J)
.. ,,".. .
Pr'It.Jt:.- wap.
I
I
i
i
'~ $"'- g"" '-i-
/7~ M"
~-r",~("e:
B~
,CJlfhlU:', .
(/~' tick})}
I ,.
6- S ~ -..
~
I
.
e:
~
f\' <6/3
~-e Y!i!I~c,~"oo ~!!~
Job No.lf.411Q-5
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
PHONE: ~.f'cfJ1
NAM .
ADDRESS: ~os S-trOO t . ~
I -
'W
LOCATION OF JilROPOSED BUILD~ITE:~~(,k.kr-:' _-I-
Street Address if Known: \ ()f?.~ '.JI J\ 0 Q...A
STATE:~IP
Q'l1]$
PI.. N,me ~ ~M'" Nom"'" \'7()~()~1I 0 Qzj){)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back'>
A. Sim;>le Familv - Detached
l Single Family home
NO OF UNITS t
Manufactured home not in a park aJ
$400. _
X $400 PER UNIT _=
.
B. Sim,le Familv. Attached
NO OF UNITS
X $370 PER UNIT =
'$
C. Multi-Familv ADartmen~
NO OF UNITS
X $277 PER UNIT =
$
D. Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
$ 40D ,rfJ
'$ ff
$1lLnocJ
WPRD SDC
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for CreditJ
~
Community Services D
City of Springfield
eJ
/
/
Date