HomeMy WebLinkAboutPermit Fence 1993-10-20,t SPRIlrlGFIELO
CITY OF SPR OREGO'U
FENCE PERHIT APPLICATION
CITY OF SPRINGFIETD
BUILDING SAFETY DIVISION
225 North fiith Street
Springfield, 0regon 97417
0ffice:
INSPECTION LINE:
726-3759
726-3769
Job Location: ?On n, )nt^tJ k^,
Assessors Map *:11?\'zL-l+rax Lot #: IYSOO
Ovner:
Address , 119 B)ao I n,.,r)Phone #: fCIt na? "7 }u,O
Ci ty:(1)au"0o,State: LCIA zin:q*
Fence Permit is $5.00
--6
'nt
Val-ue of Fence . 4
Con t rac tor/Ins taIler:
cL,
tV lt ,,, CcF-..<[^,rry-
By signing this permit/application, r agree to carl for an inspection once myfence has been constructea (zze-g769). "r arso stated that atl information onthis application/permit is correet and that r vas provided vith the SpringfieldDevelopment code requirements for fence standards.
Address z I tc vJ. f,\PJ
Ci ty:
Construction Contractors Registration *:
gnature
Date of Application: lO q2,
Receipt # i (,Z q
Total Amount Coll.ected: A
Phone #: (o ? l-]orq
State: OR Zip:efiu o<
Expires , t h,l qq
Date
JOB #: q \t t9 o
fssued By:
Checked for Delinqueneies:
oo
Check.ed for Hi s tori eal S ta tus:
FOR OFFICE USE
----
P.L,HSE GAR ACC
N
S
Lot faces
Lot sq, ftg.
Lot coverage
Topography
Total height
Lot Type _
-
lntcrlor
-
Corner
-
Panhandle
-
Cul-de-sac
tbac l(s IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
lf yes, tlris application must be signed
and approved by the Historlcal
Coordinalor prior to permit issuance.
APPROVED:E
VALUE
@o
l,S.ao
qsdMaw
(A)
5
X $/SO. FT.
/s. zS
Total Value
Bulldlng Permlt Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls grantecl on the express condltlon that the said
constructlon shall, ln all respects, conlorm to the Ordinance
adopted by the City of Sprlngfield, lnclud-ing the
Development Code, regulating lhe construction and use of
bulldlngs, and may be suspended or rovoked at any tlme
upon violation of any provisions of sald ordinances.
Plans Flevlewed By Date
Plan Check Fee:
Dato Pald:
Recelpt Numb
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are being lmproved.
ADDITIONAL COMMENTS
I
By slgnature, I slatc and agrec, that I have carefully examlned
tho completed applicatlon and do hereby certlfy thal all
lnformation hereon ls true and correct, and I f urther certify
that any and all work performed shall be done in accorUance
wlth the Ordlnances ol the City of Sprlngfield, and the Laws
ol the State of Oregon pertalnlng to the work descrilred
hercln, and tlrat NO OCCUPANCY will be made of any
slructure wltlrout permisslon of the Building Safety Dlvislon.
I furiher ccrtlfy tlral only conttactors and employeei who
are ln compllance wltlr ORS 701.055 will be used on thls
proJect.
I further agreo to ensure tlrat all required inspections are
requested at the proper tlme, that oach address ls readable
from tho street, that the permlt card is located at the front
of tlre property, and the approved set of plans will remaln
ir- 238
slto at all urlng lructlon.
Slgnr
Date
TOTAL AMOUNT DUE (excludlng etectrlcat)
(A, B, C, D, and E ComblnecJ)
f ,<,"o ca7 tq
'.-S 2
DATE PAID
AMOUNT RECEIVED
HECEIVED BY
VALIDATION:
BECEIPI NUMBEFI
PLUMBING PERMIT
ITEM
Fixtures
Resldontlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
State Surcharge
Total Charge
lero
,75
/s. )-s
l,--
I5,OO
DO
, *75
?-s.)_e
FEE
NO
FT.
(c)
MECHANICAL PERMIT
Furnace
Exhausl Hood
Vent Fan N0
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Mechanlcal Permlt
lssuance
State Surcharge
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk f t
Curlrcut
-
lt
Dcmolitlon
State Surcharge
f'e nle -$ t ,.{ zG,oo
Total Mlscellaneous Perrnits (E)
t
FT.
FT,
,' 7=9
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