HomeMy WebLinkAboutPermit Building 1988-4-8
.. RESIDANTlAL"
APPLICA~/PERJ.1IT
225 North 5th Street
Springfield, Oregon 97477
BuiZding, Division
726-3753
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Job LoC::1.tior::
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Address: r 'If) fJ'L...J:1.eu t' ~'-3f-
City: 5 A nP ('\e ) DR
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Date of AppZicaticn
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Subdivision:
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Addi ticr!
Remo.=cr
,'!ob:.Za Hom~
41 / ~g
Phone: 3LfLf-40 / /
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Zip: q 7...J. t9 I
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DeJ;;~ _ M d.v
$11 -0f 00
valulf'/9rcfd"
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Siar.ed:
Date:
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lj-f( -R"1r
Genera 1.
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Phone
Plur.-.bing
Electrical
Mechar.ic::.l
ConstJ"tlcnO'Pt Lender"
Lise."
E==-t.l'{JS
It ie the 1"espon.ai.bility of the perntit holder to ass that alZ. inopections are made at the prape:r tim€, tr.at tu:.Ch .:dt.b-eBs is l"'ea.::aD:~
f1"Om the stl"eet. and that the permi t care i8 Located at the f1'07lt of the property.
.Bui!di~ D{,ui,::ior: approI;ed pl.an sh:::z.z. remain on tna Bu-:'Z.ding $it:; at aU times.
P.?Or:~u.r?E POR 'n.'SPE~IO" RECL~ST.:CALL 726-3769 (recorder) state YOLll" City desi~r..2ted J'o!; nur.:ber~ JOG a.6:..ress, type of in:;pec~iC'n
requested a;-.c tJ.=-:en you wiLl. De reaay jor ir.spcction, Contractors or Owner-s ncme cr.d phone nu::zac:r. Requcs~s received cefere 7:0tJ t::'.
:.>il.Z. be made the same day, requests mc;dc aft~ 7:00 a-n LJiZZ b~ made tne n~t :JOrx.ir..g Ca;'.
RpmJi~r.~ T~~~prt.ir.n~
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SITEI:.'S?~r::IO::: To De r.ude after
e.:t'C'av.::tion~ bu.t prier tc set u.p of
forms.
U!.'DERSLAE PLUl.."EING. ELE~'!'P.IC-1L &
. NECH......::;C:.[.,: To be made Defore any
work is ~Of)ered.
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FOOTING ~ FOUND,1TIO:,': To be rrade
after trencnes are excavated ar~
forms are erected~ but prior to
pouring concrete;.
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U.'WERG.f?OU.'.'D P[,U,'.f:JIt:c,
DRAn':.C~: To De ma.:::e
}ir.g r;rencite~.
SF;.r:;.=!. r.,r:""F::'.
prior r;o fi i,-
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U,'lDE.f?FLCQ.=! pr.Ul!3T.'lG ,P, NECYA::IC).!..,:
To be ~~e prior to in~:alLation of
11001" ir.c~~tion or decking.
POST AND BEAN: To. be made prior to
instaLL.:.::ien of floor in,3l.:kz:ior. or
deckinG.
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RO!.'G:~' ?LlF.~BJ.'.':;_ E[EC':"!'!C..~:" ;; ,'!!:CH-
A!:[C:'J.,: ;:0 :.Jork is to DC co:.:crca
.u.r.til tnese inspec:ior.s r~ve beer.
made ar~ cpprove~.
FIREPLt.CE: ~or to pleci~~ fecin:-
mcteI'iai..s and before jr~in{! incpcC!-
tior..
:J FRA.'fl::C: f1'.I:;t be recue:Jtcd af:.cr
apPl'OV';:i.. of rough pl~bing, 2.lecu.i_
cal & meciumi.::aL At! roojir.q
bracinJ ~ chimneys, et~. nr..lst be
~ camplctcd. /)0 work is to be COtl-
......cealed un:.il thiD inspection has
. b€en mad.: and apPr'Oved.
~
.=J FIliAL PLU!-fEI!:C
~ FINA.L t.fE':HA..'l1CAL
~ FINAL E:'E:':RICl.L
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.four City Decigr.a.ted o!ob Numba' 13:
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I/:SULATIOll/t'..1POR BARRIER [,'/SPECTIO,.;:
To be ~~de after all insutction ~.d
rcqui~ed vapo~ carrie~s are in place
but cefore any lath, gypsu:n beard or
waZl covering is applied, and before
any ir..3uLation is concealed.
. DEl:OLITIO!.' OR .\'Ot';:'':; B!':ILD;::t;S
=:J Sani:ary se".Jer ::apped a.t rn:.opo:rty lir.e
:J Septi.:: tank p:.J:?.:d (r."'.d f-:.1l2~ LJith :12"'a~e;
o
--, FinGl - l{hen ahCtJe ite:~:s are completed
---l and when de~olitior. is c~lete or stru.:-
~ure moved ar~ pr~3es .::leaned up.
DFfYf.'ALL I!.'SPECTrON: To be made
after alZ aoywaZZ is in pZaoe~
but prior to any tapir~.
o
lo:.!ation, bomI
or verticals in
U.B.C. Section
MASONRY: Steel
bec;;:;~~ arou.:ina
accord~lCe Lr:'th
2415.
".'obi Z-c Heme::
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After installation is ~O S Blocking and Set-up
. ~3. ~ Plwr.hir-iJ connections so::tJcr ar.d water
CURB I: APPT?CACP 4pOON: After- ,forms :vi Electrical Ccnr.ectio'l _ Blocking, set-u;
are erc;;:ted out pr1.or to pour1.ng ~ ~.p and plwnbinp conr:cctions r.r..:st te appr:n:E:';
con;;:rete. before requesting electrical inspectio~
WOODSTm'E:
ccmplet.;;d.
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SID.T~WALg I: DRn'ElI'r'.Y: For all con- ~
Acces=or~ Building
crete paving within stTect right- v_
of-wcy, to be madc aftcr all exca-
vatin(1 ccm~letc: & fom !JOrk & zub- prFin.::.l _ I.ftcr p~rcr.es~
base mcte1"1.al l.n place.. L t'"' eta _. e- l'e'-d
~ . .......-e '"',,,p .....
skirting, decks~
o
:'EI,lCE: "''her. compl::te -- Provide
gate6 or movable 8eetions througr.
P.U.E.
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All project conditions, such as the installation of street trees, c~~lction of the
required landsccpir:g~ etc., must be satisfied before tr.e BUILDIl:C FI!:AL can be rzquestcd.
FINA.L BUILDING: The Final Bu.ilding Inspection must be requested clter the Final Plwnbin;
Electrical, and Mechar.icaZ Inspectiona have been made and approv2d,
-A:'L nV:H::'ES A....:; CLEANCUTS }fU~T BE ACCES~IE!.E. ADJr..'S':.'f2:.''!' TO EE /.~1Dr t.'!' ".0 C::'S'I" TO C~Y I P:lge ! of :
I JOB No.K2>D 16 b
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REQ.-
L-COG"l'
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SOLAR ACCESS
OcCUOQnCU C.
LCT TYPE
T;.;f)eICor..st:
Lot Sq. Ft;.
S of Zot C""e""go
1 of $tories
Total Height
Topor;raphy
!':'E.'.! S~. FTC I X
I Main
lea-a" I
I Carncrt I
I Acccsso1'U I
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TOT;lC, VALUE
S.D.C.
IVC."UC;
1..5 z
Building Pc.rrrrit
State Surch:rrpe
Tota l C"n:z......gea
lITE:.! I :.'J.
I fi--ni:rcs
IResidentia! (1 beth) I
iSar.i~! Sewer I
I Wet"" I
I I
Pl:.v.'flr~ng Perr.:i t
State Surcr.arge
Tcta~ C1-..t:rocs
I "'J'.~' I ;._.
I Res. Sc. ftc. I
I NE:LJ/E---tend Cir:::ui ts I
1 Terrrp~ra:r!:l Service I
I
Ele~trical Permit
St::te Su:r::harae
Total cr.a:rces
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I f\crn.::ce ETU',Cj
! F-:haus t Hoc:!
; Vent Fan
: iI:>odsto:;c
Permit" Issu.anc::
Me::r..ar.ic::.Z Pc~t
State 5W"cr..::::r.1r.
T,,~"C:l C1-M71'('Jf','f
E.','CROACHl-.':.::."i'
Sc~~ritu D~~C3i~
St01'CWC
.'12intenar...:'r.
Pc~t
Total Lrta7'nc~
Cur!:Jcu~
Sid"""Zk
.f>'rrt:c
Electrical Label
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:"OTAL AJe)!,/..,'T DU!:-
.
Be::roOt":s:
E"er~:.t SU.lrcp.s
."ice:
IIJ'r"
lnteric,.
Corner
PanhandZe
Cul-de-sac
I Lot Faces -
I P.L.
INorth
lEast
IS""th
IWe8t
Wat"!" Yr!1!"-
kanpc
FirevLact'
Wcoa:;;tot:e
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I Access. I
I II
I II
I II
J II
Setback~
, House I Carcac
Fi!l!S
Value
Building Value & Permit
This pe1'm":'t ia groantcd em the erpress condition that the said_ construction
shalZI in all respcctsl conform to the Ordinance ~dopted by the City of
Springfield, incZuding the Zoning Crd:nance~ regulating the ccnatr~:ticn _
and u&e of buildings~ and m2y be sucpended or revoked at cr.y t~me upon vie-"
I Lotion of any pr::luisior.s nf said Ordir.ances.
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I Plan Check
ICate Paid:
IReceiPt H:
ISig>:ed:
Fef?:
FE
Cr:;"F.~~
Plumbing Permit
No percon chaZl construct, instal!, a~ter or change any r.e:.) cr e--:.sting
pl~~ing or drainage s~8t~ in ~hole or in par;, ur.less such person is the
legal possessor of a valid plumber's license, except tr~t a pe~so" may do
pZ~bing work to property which is owned~ leased or operated by the appli-
cant:. '.
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Electrical
Permi t
Where State LaJ.J reauires tr.at the electrical IJOric be done D:.i an Ele:tri.cal
Cont:ractc~~ the eLec~ricaL portion of this pe~it shall r~t~be valid until
the Label has been signed by the ELectrical ~onrra:ror.
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Permit
C.:!;';;:~
Mechanical
l"an i:.xt::m1.ner
vat.:
I H,1VE CAREFULLY EXA.~!INE:D the completed appLication for pemit~ and do
hereby certify that al.l i:-:fo:'T':".adon hereO'1 i.s t:ru.:? ar.:i corrcct~ an.:! I
f~rtr.cr certify that any ar~ all uork perforncd sr~Zl be do~e in ac~or-
ciance ~rh the Ordin~nces of the City of Springfic!d~ and th: La.s of tho
State of Orep~n p=rt~ining to the work described herein, cr~ :r~: NO CCC~-
PI.NCY will be made of anu structur2 witho~t p~rmis3ion of the 3uildinQ Di-
vision. 1 further certif:! th.::%t only contra~tors aJ';,d e:npl':'ye€:s ",ho are in
compliance with CRS 701.0St will be used on this project
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Insurance Cove'aQ~ CoverIQe E.Cf!I)t~Shown Beklw ~ '*' dM:nh
o FIRE AND THEFT-CAC . ./l
o FIRE AND THEFT-COMPREHENSIV ./ I
o PERSONAL EFFECTS . r ./ ' I
o MOBILE HOMEOWNER'S ../
o OTHER INSURANCE(Descri ./
~'AL..!r~~ _.... L
of: SIG~D X ~dQ8~=~ X
~BuY:'Pu~Sed (eq~ranc;efh(OUgh:
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~N'1 . , . t ,CASH PRICE
,1NSUIlfNCe AGAiNsT tIABIUTY FOR BODILY INJURY,OR P.ROPERTY TRADE.INALWWANCE $
.AS'AMAGE TO OTHERS IS NOT INCLUDED IN 1llISriwlsACTlON., .' :.. I LESS BIlL: DUE on above $
. . 'OPTIONAL EQUIPMENT. LABOR AND "..-...............8 1,' "1 NET Al1.0WANCE $
.. ;s6:rrJf~ (}D: CASHDOWNPYMT. .<4t!6P
. I CASH AS AGREEO
SEE RafARll'S
.. 2, L!lIS TOTAL CREDml
,. ';SALES TAX /1/ Not tncluded Above)
I 3. Unllllkl Baiance of CIuoh Sale Price,
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OplionaJEquipmenl
Cost ofPerts and Set-up
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Sales Tax.
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Non- TaXable Items
Various Fees and Insurance
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BAL.ANCE CARRIED TO OPTIONAL EQUIPMENT
, ."~~<N :/ :::~S
TITLE NO E -7 COLOR
AMOUNT OWING TO W /
THIS AGREEMENT CONTAINS THE ENTIRE UNDERSTANDING BETWEEN YOU AND
ANY DEBT I OWE ON Twf TRADE.IN IS TO BE PAID BY 0 YOU 0 ME ME AND NO on.ER REPRESENT-'O/ON OR INOUCCMENr. VERBAL OR WRITTEN.
. r- HAS BEEN MADE WHICH IS NOT CONTAINED IN THIS CONTRACT.
You arn1 I cetfity ltIal the lIaalilOMl terms anct conc1itiMS printed on the oth81 side 01 /1li3 contract me lIfF900 to 8S 8 Part 01 this agreement, the same as il printed above the
Signatures; I em 01 staMary ape Of
. have.been I~ emancipated. lam putc/rasl(lf} the above desC/ibod trailer, manufaclute<1 hOme or rehide; the optioMJ equipment and accessories, /fle insurance as described f18S been
voluntary; /hat my
~~ it /tee;,,oo, all cJBjms ~soerer. el(cept as nored. You and I agrne thai if any p81afl18ph Of provision viO/8le$ the law lUld;s unenforceable, the resl o( the contracf win be valid.
,., .',~:",,_ ' I, OR WE, ACKNOWLEDGE RECEIPT OF A COPY OF THIS ORDER
,',' AND THAT I, OR WE, HAVE READ AND UNDERSTAND THE BACK Of THIS AGREEMENT.
McKEE HOMES DEALER SIGNED X . aUYER
No! VBJkJUni... -- ""- '" '" Off"" ci "" Qxnpanf SOCIAL SECURITY N05..~ :3 ' ~~ I ~-.7..2
SIGNEOX_h. ;t?-.~~.~/7;i1:-'P.... BUYER
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FORM 1 00 3 Jeniclns &.Itin$ss FOtmS Rav, 1186
' . M...""lall,",noI$O:>2111 """~i""tlll83
DUPLICATE
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