HomeMy WebLinkAboutPermit Building 1987-3-23
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.. RESlDaTlAL"
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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SPRINGFIELD
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. Rcce;pt ~ 13 c... 79 7,f'
Bt 7171
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Job Loca.tion:
/(2~ Ta--wv~
}'70 3 ::)731
#7? .
Ta::: Lot # 0 0 to 00
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bf~ zip:
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Assessor::: Map #
Subdivision:
QJnel":
Address:
City:
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Addi tic"
Remodel.
.'-!obiZe Homa
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Data of Application
Cont:ractol'S /
GeneraZ ~..tA11Z27
Plwnbini'
Electrical
Me~har.ic;:Z.
Construction Lender
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Signed:
Date:
C&
-g-23-.Y'l
Add.~es3
Lise. #
ExPires
Phone
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It is the responsibility of the permit holder to see that aU inapeetions a:t'e made at the proper time~ tr.at each cddre88 is r>ea::itro~e
from the street, and that the permi t card is 'Located at the front of the property.
~Bu.i!di!1{J DilJi:::wr:. approved plan shalZ remain on thz Building Sit~ at atz times.
PROCEDURE FOR INSPECTION RE'OUEST:CALL 726-3769 (recorder) state your city designated job number, job add:ress, type of in:;pec-;icn
requested a~.d W.';en you ;Jill be ready for inspection, Contractors 01' Oz.me:os ncme and Fhone number. Requests received before 7: 00 c:7
:..'iZl. be made the same df:;y, requests made afta' 7:00 am T.JiZ-"L ba made the next :xJrking day.
,qp.t'nn:~I?(I r1"t:p.1ch:r:n.Q
. 0 SITE IllSPEC':'IOf!: To be rrrlde after
, excavation, but pl'ior to set up of
i forms.
. 0 . UNDERSLAB PLUMBING. ELECTRICAL &
, MECHANICAL: To be made before any
1 work is ~ovcred.
:0
FOOTING & FOUND.1TION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concret~.
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UNDERGROUND PLUl.fBING: SEWER.. W.1TE.'!,.
DRAIllAGE: To be trade prior to fil-
,lir.g trenches.
iD
UIIDEHPLOOR PLWBIIIG & MECHANICAL,
To be made prior to installation of
/1002'" insulation 01' decking.
POST AND BEAM: To be made prior to
installation of !toor insulation 01'
decking,
ROUGH PLUHBIHG_ ELECTRICAL & MFCR-
ANICAL: No :JOrK is to be covered
,ur.til these inspections have beer.
made and approved.
FIREPLACE: P1>ior to plccir..g facing
materials and before framing inspec-
tior:.
:0
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:,.0 FRAlfI!IC: Must be requeoted after
approval of rough pl~hing, electri-
cal & mechanical. AU rOOfing
bracing & chimneys, et~. nr~st be
: completed. No work is to be con-
'.. cealed until this inspection has
~be~n made and approved.
o FIliAL PWMBIIlG
o FIliAL ME~HA,'/ICAL
o FIliAL ELECTRICAL
D
o
Your City Desigr.ated Job Nwnb€1' Is:
370 IQS
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insukti:m w.d
. " required vapor barriers are in place
, but before any Lath, gypsum boGX'd 01'
wU covering is applied, and before
any inauLation is conoealed.
'DEUOLITION OR ;~fOV:;:; BUILDljjeS
:=J Sani -:ary seJel' capped =t p:.op.::rt'~' line
~ Septi~ tank p~~ed and fitle~ with gra~el
o
DRYWALL INSPECTION: To be made
after all drywall is in pLace,
but prior to any taping.
:J Final - rl'hen above ite:ns are completed
and when demolition is complete 01' st~~-
ture moved and premises ~leaned up.
O MASONRY: Steel location, bo1u:z
beama, grouting or verticaLs in
accordance T.Jith U.B.C. Section Nobile Homes
2415. ~
O WOODSTOVE: After installation is ~O Blocking and Set-up
ccmpleted. Zumb" and
tS ~ P t-ng connectt-ons -- s::zJer wa-:er
D CURB & APPROACH APRON: After forms ~ Electrical Connection - Blocking, set-up
are creC!ted but prior to pouring S:;> T"and plumbing connections nr~st 1::e approved
(JOn:;!rete. , beforc requesting elec-:rical inspec-:ioi:
O SIDEWALK & DRIVEWAY: For all CQn- --, , .
.crete paving within strect right- I(-:......J Accessory Bu-:.ld....ng
of-way, to be made after all exca-:)2) .
vating cGmt?Zet~ & fOml work & suh- --xl" Final _ Aft.::r porcr.es, skirting, decks,
base m::r.tert-aZ l,n place.. L..:'}etc. are comple-:e:d.
O YENCE: When compl~te -- Provide
gates 01' movable sections through
P.U.E. .
o
o
All project conditions~ such as the installation of s-:reet trees, co~Letion of the
required landscc:pir.g, etc., must be satisfied before the BUILDINC FI.VAL can be rzquestzd.
FIlIAL BUILDING: The Final Building Inspection must be requested after the Pinal Plwnbing
Elect'1'ical, and Mechar:.ical Inspections hava been made and app'1'ov2d.
*ALL MANHCLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJU5T!fE,'/'!' TO BE M/i.DE AT NO C:JST TO CITY f Page ! of 2
! JOB No)f'l() /15 SOLAR A.SS
I Zone: Occu.oaru:lf Grcu:1:
I Lot Sq. Ftg, ' WT TYPE
S of lot C:merag;: Interior
!i of Stories Corner
Total Height Panhandle
I
I Topography
lITEM
IMain
I Ga:l'ace
I Carvort
I
IAccessorl/
SQ.FTG
IS,D.C.
TOTAL VALUE
(vat.uc)
1.5 x
Building Permit
State Surcharge
Total Cha........gea
lITEM
IFi:r:tu:l'es
i ResidentiaL (1 bath)
I Sani tary SezJer
I Wc:tep
Plumbing Perr.:i t
State Supcr.a.rge
T~tnl Chcr>GRS
lITEM
Res. So. fta.
Nr::w/Extend Circuits
I Temporary Service
I
Ele~trical Permit
State Su:rcharae
I NO.,
I I
I I
I
I
fO.,
I I
I I
I I
Total Charces
lITEM I NO. I FEE
Furn:2ce ETU' S I I
, I I
I &haus t Hood
I Vent Fan I I
I . I I
I Woodsto".1e
I I
Pernrit Issuanca
Me::hanic::zl Permit
State Surcharoe
Tcrtnl Cha:ral'!!1
-- ENCROACHMENT --
fSe~~rit~ D2P03it
I Storage
,
I Ma.intenaru:e
I Permit
Total Char>aas
CUrbcut:
SideLJalk
Fece
Electrical Label
Mobile Home
TOTAL ANOUNT DUE:--
I
t =?>ofo 61
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REQ,-
L-COG~
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-: .....
8earoor.zs: .
T,:roe/Cor.st:
Cul-de-sac
I Lot Faces -
Setbacks
P.L.IHouse
North
E:ast
South
IWest
I Access.
I I Enernu Sources
I i Heat
I 1 Water !/p.atpr
II I Range
Fireplace
I i Wood:;tove
II
TUDe
l Carage
i
I
I
Fees
,
x
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1/..<. 7: SO 1___ J. ").
Permit
Value
Building Value &
This permit ia granted on the express condition that the sa"id constl'Uction
shall~ in all respects, conform to the Ordinar~e adopted by the City of
Springfield, incLuding the Zoning (;Irdinance, regulating the constru.ztion
and use of buildings, and may be suspended 01' revoked at c:r.y time upon vio-
lation of any provisions of said Ordinqnces.
,. -'
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Iplan Check Fee:
Date Paid:
IReodpt g,
ISi(r.:ed,
FEE
I
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I
I
I
I I
I 1'5.00 ~ $ ,
I .(,01
1/5.'--''01.
Pe r m it
CHARGE
Plumbing
'No pereon ahall construct, install, alter 01' change any new 01' e:isting
plumbing 01' drainage 8yste~ in ~hole or in part, unless such person is the
legal possessor of a valid plumber's license, except tr~t a pe~son may do
plur.:bing work to property which is cn.med~ leased 01' operated by the appli-
cant. .
FEE
I
I
I
I
I
15,00 I-s/
" (Pol
(s-,ml.
Permit
CHARGE
Electrical
Where State La1JJ requires tr.at the electrical work be done by Q7I Eleatrical
Contractor~ the electrical portion of this permit sha,ll not be valid until
the label has been signed by the Electrical. Contractor.
CHARGE
Mechanical Permit
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I I HAVE CAREFULLY EXAMINED the aompl.eted application for permit~ and do
I hereby certify that all i:-:fo:>mation hereon is tpue and correct, and I
, f.4.rther certify that any ar.d all work performed shall be done in acaor-
I dance ~th the Ordinances of the city of Springficld~ and th~ ~s of tho
* State of OregDn p$rtaining to the wo~k described herein, end that NO OCCV-
PI.NCY wi II be m:Ide of any structure wi thout parmission of the Building Di-
vision. I further certify that o~ly contractors ar~ enpl~yees who are in
?'1~PLiatnoe:;; 70~U;;;~fFfCjg ( (]2-
2!D - LO> c;.~ ~
..2S ,tJ/J In
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PLan EXCJ1tt.neI'
var:.e
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3-;23 -8'?
Date
~ORM 1001 @ -
A PLAIN WGUAGE
PURCHASE AGREEMENT
UCC S 2.201
IDHNfRY
."UYER(SURU.P~,L.I~/...A1'-A ~'I177?) PHONE "">em i OATE/_?J_q....
I'DDRESS u,,:!, / ,c"(!AA/I-/;,v~ AI -+'-c; z... I SALESPERSON
. - en this c:ontrIlCt the word..!. _ mY rwr... to the B~ end Co-Bu-)w Ifgnlng till, contract. The word, ~ and YOU, Nfer to the o..llIf,
...... .l>....C" .,'..." &ubfecttothe-.m.-.d.,. onboth,kMloflhls "YOU-UfMtoMClandIBgfMtopurchuelhelollOWlngdeacl1beduntt. ..
'!~'J;!!';" . -,; "';' , -i' ;:~~ ,'..'- .j ':':' l.JE~.IBD,ROOMSI f(~~/Z_E I.A HITCI-(Sllf S'OCf,,!UMBt:.I~..~;~'
':E~"ALNUMB:;-ef\.::,'!.o./CJl? -~"";'t:-...,-"...~ " -'~ ~.... 9"IC~L~R. ~J \., ,.z. ~- '-~I~eH'U"~"":' W~~~BER;:.'
Il!l-ONEW o USED ., 1;;;' '" ,
PRICE OF UNIT $ )(500 CD
~I<ett Tm~'ej Salas &. SSIVice,.' .
. 5031747.2223-4446 Franklin Blvd.
EUGENE, OREGON 97403-2493
BUVER'MAY CHOOSE PERSON FROM WHOM INSU NCE IS OBTAINED,
Insurance Coveraoe-No Coverage Except 8S Shown Below
o FIRE AND THEFT-CAC
o FIRE AND THEFT-COMPREHENSIVE
I 0 PERSONAL EFFECTS
o MOBILE HOMEOWNER'S
I 0 OTHER INSURANCE(Describe)
I~~~:;:i'=~~~=~~"":. A2
I 0 Please purchase the coverage checked above!
SIGNED X S;SNED X
o Buyer purchased required insurance through:
AGENrs
"""
AGENT'S
~r'5"'-
NMAEOF
IN'WRANr.FC'n
No oIMonlh$ $
I
II
II
II $
INSURANCE AGAINST UABIUTY FOR BODILY INJURY OR PROPERTY
DAMAGE TO OTHERS IS NOT INCLUDED IN THIS TRANSACTION.
OPTIONAL EQUIPMENT, LABOR AND ACCEssnRIES
$
j N /:.I...udp" I ~('- ~ 'L...1{p r p '^
'-r;:; hI<> ""T;.,lt"e rJ r,nl' K A,k:.
"< ;-',., .. ' J -
-'l-iM k c S'c.<...~. AI/ S;;'V' '" LL.-t.vd..u.:>'" rl.;.....
. l~,.r _~",T I-f=,., k. tIIArDI/' .
"+::::'0 I' ).41/' I"
7",'
N r> F ID"/'
I rtJl'>>-,!70 '^~'"
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fA WnV' I:::
IRE"ARKS,(~/,71 fA/p_
I ...-:J r J
-I r~t U I
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/ - Li:f'- 67
N.rt"\ U I.J.., 71 ' ..
( ) --~ V1/.;.~ _
I BALANCf/lARRIEDTO OPTIONAL EOUlPMENT
I DESCRIPTION OFTRADE...PV"--' YI:AR
I MAK~ MODEL BEDROOMS
I TITLE NO, SERIAL NO. COLOR
AMOUNT OWING TO WHOM
-
s
SIZE
ANY DEBT I OWE ON THE TRADE.IN IS TO BE P~ID BY 0 YOU
o ME
Oational Equipment
Cost of Parts and Set.uD
I
I
I Safes Tax
I
I Non- Taxable Items
I Various.fees and IriIlurance
-,-; I loP
11, S:~S'i PRICE
I TRADE.IN ALLOWANCE :;
I LESS BAL. DUE on above $
NET ALLOWANCE $
CASH DOWN PYMT. / nnn.CO
CASH AS AGREED
SEE REMAAKS
SUB. TOTAL. $
Ifl'
2. LESS TOTAL CREDITS
SALES TAX III Not Included Above)
3. Unoald Balance of Cash Sale Price
WORKS'iEET. THIS IS NOT PART OF YOUR CONTRACT. ALL,.
FIGURES ARE ESTIMATES. THEY DO NOT CONSTITUTE AN
AGREEMENT FOR (.'fIEDIT. . '
,
A. OTHER CHARGES.. j
,. ONidaIFeescsP8c;fy) .
VSI,.,.,.',:;:,JI:"."
2. lnsutanceonCoinm::ldity.
"'~
3, Credit Ute trJsUrance
"':!,',
4. Ctedit Accident' ~ ':ffia/th
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5. Taxes(NotfnCl,"abfNej .
6, Ucen'~ Fees~~~t$/
.,,~
' Regis. Fees ;~$,l
(;(Iff/f of O',IS,..l
Tit/eFees "'1:;"
,-', -. "'--'e,l
(,
TOTAL 0TtfEA aiARGES (1 +2+3+4+ 15+1)
8. UHPAlD 8AL.AHCE:luOUNT FINANCED (3+ A)
The amount of endlt provtded
to you or on your blhaiI.
C. RNAHCE CHARGE. 'fhe dollar IIITlOUnt
the Cf'edJt, wUJ cost ~ou,
D, ANNUAL PERCENTAGE RATE;,.I
The cost of your credit
...,..,tyratli. .
E, TOTALOFPAYUENTS(B+C)
The amount you wi' have paid ~r
you have IMde eJl . . aa KhedUIed.
F. T~I DehrNCI Payment PrIca (1 + A + C)
. ~ . ','" .
Payable in, ,. .,. ::;~:,': monthly installments 01 S ..
, . ,,:~ iit-) ;', ;.,~ '
endonefrna/",~_",,~...tJS...,:.. -
.
.
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$'
.' '~''',''
.;,
,)Total)
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.., 0" . :.~:<~; ""kW'1~~;:~~ ::.
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THIS AGREEMENT CONifl,INS THE ENTIRE UNDERSTANDING BETWEEN YOU AND
ME AND NO OTHER RrPRESENT A TlON OR INDUCEMENT, VEljfML OR WRITTEN,
HAS BEEN MADE WHICH IS NOT ca'JT AJNED IN THIS CONTRACT.
You and I certify that the addllionaJ terms and conclllions printed un /he olher side of /his conlract are agreed to as a >art of this agreement, the sti:re as if printed above the signalures;
I am 01 statutory age Of
have been legally emancipated, I am purchasing the above descTlood Iraller, manufactured fKYTle Of vehicle; the optional equipment and accesso,ies, lfle lfIsurance as described has been
voluntary; that my
/lade.m IS Iree Irom all claims whatsoever, except as noled You and I agree thai II any paragraph Of prOVISion vioJares the law and IS unenlorceable, me lesl of tile contract WIll be
valId
E, ACKNOWLfDG~R EIPT COpy Oil THIS ORDER
AND THA ,OR E, HAVE REA[. AND DER iD THE - ~ .;. HIS AGREEMENT
BURKETT TRAILER SALES & SERVI:::E, INC OEALER SIGNED X_ _ _ /.. BUYER
.....p ..N(lIVRI,r1I/'1I"~~Slan"dandA(;crjQIPr1h~:;~()tt,r:; nfl'lcCOmoanv ll<l_, I C/_ . 07 V
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