HomeMy WebLinkAboutPermit Fence 1991-4-10 (2)
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SPRINGFIELD
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 533S;- ~~ ~y
Assessors Map #: /70 l. ~~D() Tax Lot
Owner: ~Q(J~ ~. Chf'\<;,J;~ f~ ~
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Address: ~3 3 ~ ~~ -:<~ S1"-
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City: S) r ;Y1<:-G lc(
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.. 1tZ' ;:-7'\ .r-"'\5\
Value of Fence:, 6u, c:c..J
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Phone #:
7 (j / - \f./ c{7
Zip::T7 ((.-7L
State:
0(2
Fence Permit is $5.00
Contractor/Installer:
J tIJ'{/\.Q/
Address:
Phone #:
City:
State:
Zip:
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'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 state that all information on
this application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
<;;~L- Iffull/ke rJ
Signature
L-/ -II) -~//
Uate
, FOR OFFICE USE
Date of Application: L-f -ttJ ~11
Receipt #: Jf7 Z3 ' Issued By:
Job #:
(1~
fJD3~-rtS
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Total Amount Collected:
G:oz)
Checked for Delinquencies:
/',/".
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Checked for Historical Status:~' ,
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I JOB NO.
Izone:>' .r
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Lot Sq. Ftg.
% of lot Coverage:
,q of Stories
J'otal Height
Topogr-aphy
I
Inm
IMain
I Ccr-aoe
'I Car-port
I ACCeS30r!/
I
I
, SQ. FTG
TOTAL VAWE
S.D.C.
Ivcl-ue)
1.5 x
Building Per-mt
State Surcharge
Total Charoges
I ITEM
Fixtures
Residential (1 bath)
I Sanitar.y Sewer-
I rlcter
I
Plwnbing Pemit
State Surcr.arge
Total Char-nes
,ll1'E'M
I Res; Sa. fto.
I Naw/Extend 'Circuits
Temporary Service
SOL A RAe C E S S R E Q,-
L -CO G~
Occupancy GrOUe
LOT TYPE
x
NO.
FEE
NO.
fEE
Eleatrical Pe1'TTlit
State Suraharqe
Total Charges
. ITSM I NO. I FEE
FurlUlce ETU'S
I &haus t Hood
Vent Fan
WQodstove
I
Perm t Issuance
Meohanical Permit I
State Surchar-ac I
Tota Z Char-oe3 I
Interior
Cor>ner
Panhandle
Cul-de-sac
Va lue
CHARGE
CHARGE'
CHARCE
Type/Cons t:
,
Bedr>ooms:
EnerfJ}/ Sour-cas -
!/eat
Water !leater
Range
Fi r>ep lace
Woodotove
Tl/ve
I Lot Faces -
I
I P.L.
N01'th
F.'ast
South
.r-le3t
Setbacks
House . Car>age
Access.
, I
Fees
Building Value & Permit
This pel"mit is gr-anted on the ezpr-ess condition that the sdid conatl'l.wt'iOll
shall, in aZZ r>espects, confol"m to the OY'dinance adopted b'y the City oj"
Spl'ingfield, incZuding the Zoning Ordinance, r>eguZating the constl'uation
and Wle of" buildings, and may be suspended 01' revoked at c.ny time upon v.ic-
lation of any pr>ovisions of said Ordinances.
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Plan Check Fee:
Date Paid:
IReceipt #:
I Signed:
Plumbing Permit
No person shall const~lct, instalZ, alter 01' change any neW or existing
plumbing or> dr>ainage syste~ in whole 01' in part, unless such person is the
legaZ possessor> of a valid plumber-'s license, except that a person may do
plumbing wor>k to pr>oper>ty which is owned, leased or operated by the appli-
cant.
.
Electrical
Perm it
Where State Law r-equir>es tr~t the electrical wor>k be done by an Electrical
Contr>actor>, the electr>ical por-tion of this pel"mit shall not be valid u'ltil
the label has be:en signed by the Electrical Contr-actor-.
.
Mechanical PermH
~
I -- ENCROACHMENT --
Isecurity Deposit
I Stor>age
I Maintenanae
I PC1'TTlit
Total Charoqes
eurbaut
I Sidewalk
Fen::e
EZectr-icaZ Label
I Mobi le Home
I
I
\rOTAL AMOUNT DUE:.
I
I
I
Plan Examinero
uate
I HAVE CAREFULLY EXAMINED the completed application for- pel"mit, and do
hereby cer-tify that all information her-eon i8 troue and coror-ect, and I
fUr>ther certify that any ar.d all worok perfomed 8hall be done in aacor--
dance with the Ordinance8 of the City of Springfield, and the Lcr,,;s of the
~ State of Oregon pertaining to the work descr-ibed her-ein, and that NO OCCU-
PANCY will be made of any strouctur>e without pel"mission of the BuiZding Di-
vision. I fUr>thcro certify that only controaotor-8 and e~ployee8 wl:o are in
compliance with ORS 701.055 will be used on thi8 project
I
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11-10-9/
Date
. t ,if
Rcce:p
.. RESI~NTIAl"
APPLIC}ffON/PERMIT
225 North 5th Street
Springfield~ Oregon 974?7
Building Division
726-3753
Date of AppZication
Contractors
, General
: Plumbing
i Hechanical
I EJ,edrical
) SllDerv:l:'Sing Electr)ciall
lt i8 the responoibility of the permit holder to see that alZ invpections are made at the proper- time, that each ~ddress is readaoZe
from the street, and that the permit card is located at the front of the property.
'Bui!ding Divi::ion approved Flan shall l'emain on th;; Building sit:;; at all times.
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PlWCEDURE FOR INSPECTION REQUEST:CALL 726-3769 (recorder) state your City designated job number, job address, type of in:;pec;;icli
requested ar.d when you will be ready for inspcction, Contractors or Owners nGme ~nd phone number. Requests received before 7:00 ~
,.'ill be made the same day, requests made after 7:00 am will be made the next :.JOrking day.
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,Job Location:
Asvesoors Map H
Subdivision:
Owner:
Address:
City:
r-l Np.U'I
I I Addition
I I Remod.el
I I .',Iobi le lloma
Reouir-ed Tnsop.ctions
O SITE INSPECTION: To be made after
excavation, but prior to set up of
fo1'TTls.
O UNDERSLAB PLUMBING. ELECTRICAL &
'MECHANICAL: To be made before any
work is covered. "
o
FOOTING & FOUNDATIGN: To be 17l'lde
after trenches are excavated and
forms are erected, but prior to
pouring ccncret;;.
o
UNDERGROUND PLUMl3ING~ SEIfER. W,1TER,
DRAINAGE: To be made prior to fil-
lir.g trenches.
o
UNDERFLOOR PWMTJING & MECHANICAL:
To be made prior to inatallation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insklation 01'
decking .
ROUGlI PLUMBING. ELECTRICA[, & MECH-
ANICAL: No work is to be covered
until these inspections have beer.
made and approved.
FIREPLACE:. Prior to placir.g facing
mater-iaZs and before framing inspec-
tion..
FRAMINr.: Must be requeated after
approval of rough plumbing, electri-
cal & mechanical. All roofing
bracing & chimneys, eta. nr~st be
completed. No wor-k is to be con-
, cealed until this inspection has
'been made and approved.
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Address
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SPRINGFIELD
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Ta:r: Lot /I
Phone:
Zip:
Describe l,rork:
Signed:
Date:
Value
, Li s c. It
Bldrs Board Reg.
E}~pir.es
Pnnnp
Your City Deaigr~ted Job Number Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ar~
" required vapor barriers are in place
, , but before any lath, gypswn board 01'
wall covering is applied, and before
any inoulation is concealed.
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DEMOLITION OR ;~:OVE;D BUILDINGS
~ Sanitary sC'.Jer :!apped rlt property lir:.e ,
~ Septi:! tank p~ed and fil;ed with gra~eZ I
DRYWALL INSPECTION: To be made
after all drywall is in place,
but prior to any taping.
~ Final - "~en abcve items are completed
--.J and when demolition is complete 01' str!l.J-
ture moved and premises cleaned up.
MASONRY: Steel
b +'
eamo, grouv'l-ng
accordance with
2415.
location, bond
or verticals ill
U. B. C. Sect1:01l
Mobi le Hemes
~ Blocking and Set-up
~ Plumbing connections sewer and water
~ Electrical Connection - Blocking, set-up
---l and pZumbing connectioll3 nr~st be approved
before requesting electl'ical inspect'io~
WOODSTOVE: After installation is
completed.
CURB & APPROACH APRON: Afte:' forms
are erected but pr'ior to pOUl,ing
aoncre te.
SIDEr,lALK & DRIVEWAY: For all con-
crete paving within street right-
of-way, to be made after all exca-
vating complete & form Work & sub-
base material in place.
.~ Accessory Building
~ Final - After por-ches, skirting, decks,
--.J etc. are completed.
PENCE: K~er. complate -- Provide
gates 01' movable sections through
P.U.E.
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FINAL PLUMBING
All pr-o,ject conditions, ouch aG the i,nstaLZation of street tr-ees, cO-':1pletion of tite
required lG/zdscapir:g, etc., rmwt be satisfied before the BUILDING FINAL call be raquestad.
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FINAL MECHANICAL
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FINAL BUILDING: The Final Building Inspection must be r-equeated after- the Final PlumbinJ
Electrical, and Mechanical In$pectionlJ have been made and approvad.
FINAL ELECTRICAL
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'ALL MANlIGLES AND CLEANOUTS NUST BP. ACCESSTBLF., AD.TUSTNEN'!' TO BE ~MDE AT NO C[}ST TO CITY I Prl~;e 1 of 2