HomeMy WebLinkAboutPermit Fence 1986-7-9
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'IIIISPECTION LINE
726-3769 '
CITY U~ SPRINGFIELD
,COMBINATION APPLICATION/PERMIT
ENERGY SOURCES:
Heat
Hater Heater
. ~~&,
IHFORlIATION LINt
726-3753
Sq, Ftg. "'ain
~q. Ftg. Access.
Sq. Ftg. Other
flew Add Alter Rep.
Range ==Fence__Demo__Change/Use
Va 1 u" j{ Hark: Other
:PI '700, C50 --
BU11tiina/permit Info: Describe Work(i~e., Build Single
Familv nesidence IHth ,A,ttached Garaae)
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Job Address ZZB 9 Ol. 'iM~I(, S. \:
Legal Description MAF' \"7 -0 '3. -z.$". 4- c:...
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IA"1-LCT<;' 'I '3.oc. ~ \.0,00
Owner"'BILL CoM!,';,"'/ BBp., (.,ooc:>P"'''>RJe.E.
Address !:.-U&t E-NE.. q ,""I<:> I Phone
~\J\ll> SANo.i:::...Sc~/~SS ~eE<" .Pi?-. E0'?FNr:.
('SI.. j::l:>.1
Construction Lender NtA
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Fe/oJ,cr-=
Address
Ut:.~Hifl f1:N1
r,",C'10f"
(namel
Phone
(address)
M\~ r=-v.A./oJS:C MD.PCANiJrtlf: (" ,'fJ S.: 2D'l
Structural
Electrical
t1echanical
CONTRACTORS
(name)
(address)
General
Plumbina
E1 ectri ca 1
~1echanical
PLUIIBIIIG
NO. FFF rHARr.E" Nn
Each single fixture
Relocated building r
(new fix. additional) .
,
S.F. Residence I
(1 bath)
Duplex (1 bath) each /
Additional bath /
Water service /
I Sewer
iStorm sewer~
I /
I
I /
1/
I
ELECTRICAL
Residence of
SQ, FT.
New circuits alts.
or extensions
SERVICES
Temporary Construction/
Change in existing /
rP'ljqpfll"P
multifamily. comm/or
Tnduc:tri<tl
Of / amps.1
C0I1fl./lNO. F,doERS I
I Install/alter/relocate
nhtrih. fppdPrC:
IDf / amps.
/
TOTAL CHARGES
WHERE STATE LAW REQUIRES
shall not be valiJ until the
TOTAL CHARGES
that tile Electrical work be done by an Electrical Contractor. the e11!ctrica1 portion of this penilit
label has been signed by an Electrical Supervisor and returned to thl! Building Division
nics. no.l (exniresl
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o <.:r: J <;pei!:14FIE,( D
(ohane no.'}
7'Lh - 8$.('. ~
f1 ies-. nn.)
(PXI1;\"PC:)
(ohnnp I'ln
MECHANICAL
~~~ r~~ NO
I ~~~ i..cHA.R.G.E.
furnace/burner to
BTU's
FlOO'A furnace
and 'lent
/
/
I
/
/
/
Rece'ised wall /
C;n"'('I~ hp...tpr ...nlj/vpnt
/
App1 ianc.e vel)t
"poa'."'<ttp /
I 'Stat i onarYjevap.
cnnll~r I
I Vent far'!./with
",inole duct
I Vent system apart
heatina or A.C.
I Mec)1;mical exhaust
h;nd and duct
IYOOd stove/heater
/1
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/ ISSUANCF OF PFR/llT
r TOTAL CHA lGES
from
I HAVE CAREFULLY EXArllNED the completed application for permit. and do hereby certify that an information hereon is true
and correct. and I further certify that any and all work oerformed shall be done in accordance wi':h the Ordinances of the City
of Springfield and the Laws of the State of Oregon pertaining to the work described herein. and that UO OCCUPAIKY will be made
of any structure without the permission of the Building Division. I further certify that my reg;:;tration with the Builder's
Board is in full force and effect as required by ORS 701.055. that if exempt the basis for exempt"ion ;s noted hereon. and that
only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project.
SIr,t1ATUi\!\A~~ ~ f\A~
FDn OFFICE USE DIlLY
Sq. Ftg.
Sq. Ft~.
Sq. Ftg.
IlAI-lE(please print)M (CI-I-AEL ? E"^,K-:::'
Zone
Fire Zone
Flood Plain
Tvpe/Const.
Bedrooms
Stories
Units
Occy Load
Ocey Group
BUILDING PERHIT
Charges and
Surcharges
PI an Ck.
. 65%/Bldo
------------ Plan Ck.
30%/Bldo
I Fence
I 0Cfl10
I Sidewalk
lAIC Pavin9
I Curb Cut
I
$5.00
Conm/Ind
Ppr Fpp
Res
Per Fee
PLU!1BING PERMIT
Charges and
$u rcha rges
ELECTRICAL PERmT
Charges and
Surcharges
t1ECHANICAL PERMIT
Charges and
Surcharges
DATE'J,- ~ z96
t1ain
Access
Other
v
Value
Value
Value
x
x
'jOT AL V ALUA Tl ON
Systems De1/elopment
Charqe (1.!;~)
ITotal Comb, Permit
'(6,00
,
I
I TOTAL
.
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address
B. legal Description
I, example- Tax lot 100. lane County Map Reference
II oj 43
2. exam~le- lot I. Block 3. 2nd Addition to
Springtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. examele. heat/electrical ceilinq/or forced air Qas
2. examole- waterheaterjelectrlcal/or solar
E. Square footage or valuation, etc. -
\. exam~le- 1250 sq. foot house. 500 sq. foot garage
2. examyle- if new project. sheck new - if addition,
checl< add. etc.
F. Building permit information:
1. example - construct single family house with an
attached garage
2. example - remodel existing garage into family room
3. example - convert single family residence into
restaurant (Change of use) .
G. Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H. OESIGN TEAM AND CONTRACTORS
To avoid design or construction delays. Building
Division Staff must be able to contact appropriate
persons regarding design infonmation or job site
corrections, etc.
II. Abbreviated Plumbing, Mechanical, & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
full schedules
C. BUILDING DIVISION STAFF WIll FIll OUT All FEES AND
CHARGES ON THE SCHEDULES
D. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor is not authorized
to sig'n the electrical label. -
Ill. Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet only. Where possible, Building Division Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.
IV. Fees and Charges
Plan check' fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
V. FOR OFFICE USE ONLY
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
.
PERMIT VALIDATION
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Permi t Cl erk (I" .ndA J ~
Permit applicant exempt from registration with the Builder's Board because:
Additional Project Information:
"
PLANS REVIEWED BY:'
name
signature
date
.
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888 Goodpasture Island Road - Eugene. Oregon 97401 - 503/485-2070
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July 9. 1986
To whom it may concern:
As the owner of the building comprising tax lot 1400
map 17-03-25--42~: I hereby authorize Mike Evans as my agent
for a period of 30 days to make application to the city of
Springfield for those permits necessary for a changE! of use
and the construction of ,a fence. It is understood that this
change in use is temporary in nature.
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