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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 \