HomeMy WebLinkAboutPermit Miscellaneous 1989-3-13
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AGREEMENT TO INSTAll IMPROVEMENTS
THIS AGREEMENT TO IMPROVE, is enterecl into thi s -1F5l!1 clay of
MMe-U , 19 tp,q (the "Effective Oate") by ancl between the CITY OF
~, herelnafter""""ttty", ancl /.!:.~NE:TH- (I.LJ~
in consicleration for the issuance ot oUilclln9 permlts tor property rocatea at:
AcIc1ress: '#70 ,,:;;I~G(. f2&A-fI Assessor's Map N~mber /~.tP2.t9~/"Il!--&""''''''
" rax-tot NuI1ibe"r'-' "'~<:n>2.. for the purpose of a IloWl ng the postponement
ot the following improvements requirecl by Article 16 ancl Article 32 of the
Springfielcl Development Cocle until such time as pUJi'JLlc. 1<14141" t9F WM/
is improvecl to City Stanclarcls. /
~ paving of c1riveway
installation of street trees
IN WITNESS WHEREOF, ~~~
City of Springfielcl have executea thlS
hereinabove written.
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Agreement
ana the~
as ot the aate first ~
3/-4U tc;_
APPl~T
BY: Y1/I/i'1 -,;;tj,)
&]X
BY:
'.
~A~ ,)~.
persona I ry appearecl the above namecl K"'-Il"'d-Pv Q) JC
, who acknowleclgecl the foregoing instrument to oe
lletoreme: L~. ~t?,I,__.L?'
N'Otary r>ulilic for ord~
STATE OF OREGON, County of
J1't~C!.J..- 13 ,199-1.
tnelr vOlunt~ry act.
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My Commission expires
9- :1JJ -P9
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CITY
BY: (I, ...nJJ,'a rl 1 !.trI . /J
~, tt~",O.
uate
STATE OF OREGON, County of
19
thelr VOluntary act.
personally appearecl the above namecl
, who acknowleclgea the foregoing instrument
lletore me:
to Oe
Notary PuOlic for Oregon
My Commission expires
m,
.. RES ID E bIIi.\ A l" SPRINGFIELD
APPLICAT IO~'RMI1'
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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.Job Locatio..17/1 ~~eol
Aeeeeeo"" Map H /~ -0<' <::' 5, 1'3
Subdivision:
- C>.me":-KFk-J tlJ/J
- Addreeo:J._.( 7/'-1 J71-Sr') ec. Ref.
- City: So f2A,f\rG ~~ oJ
L
f7l
n
n
n
NPl.J
~AM+; btd
7'''/ Lot /I ~~o2.
Phone: 7 Cf 7 - '1/ tr1
Zip: q 7 Lf Ir'
DeGcr~bc r.'Ol'k:
&~T,.?"c..J <:.T ';3<:?x3"2' ~Q/,?e--
Addition
Ramo.-!.e1.
:.!obi Lc Homa
J:J... "'-/9- %' ~ Value '9'h~_ ~
Addl'C6:;
Date of AppLicaticn
Contractors
GeneM! S' c=1 ,I:
Plwnbing
I f.1.ectrica1.
r l4"char.ic"z
r COtUJtrur.tion Lender
Il'r:co:,.,t .if
.
l?") 10
..
UG~
()~p
Signed:
Date:
CG/ OM
'2,-('2.,':"Rct
Liac. H
Ex;:.ires
Phone
It iD the reoponoibi1.ity of the permit hoLder to soo that at~ inspcctionD arc made at the ppoper tim€~ that ~ach ~e8s is readabLe
from the stroet, and that the permit card is located (1.t the fl'ont of the property.
~Bui?di~1!l cn.vi:;io~ aPPl'o1..;cd plan D1u:.Z'L rcmai'l on th.::. [ju.:.ldiJl~l :;U,.; at all times.
PtWCEDURE FOR INSPECTION R~QUEST:CALL 726-3769 (reco1'der) ntate your City dcnianated job .'lw;;ber~ job adC:rcss, type of in~pec;icll
requested a:-;d lJ,l:en you wiH be ready f01' inspection, COIltl'actors Ol' OWners name end phone nw:Wcr. Requ~sts received befere 7: 00 (;':"I
:..'iZl be made th€ same day, requests mt:4de after 7:00 am will be made the next :.Jerking day.
,r?t?nuir>t>n rn.nn~f!t1:r.n!t
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SITE INSPECTION: To be made after
excavation, but prior to set up of
[oms. <'I" .6>$1<V~ /"/~~
UND.':RSLAB PWI.fI3ING. ELECTRICAL &
MF:CHA.YICAL: To be made before any
wol'k is covered.
[Z]
FOOTING & FOUNDATION: To bo made
after trenches are excauated and
forms are erected, but prior to
pouring cencret~.
: v I U,VDERGr?OUND PLUM."JING;o SEWER, W.1TEH,
l",^ (1!Hlll f14f@ To be nnde prior to fi~-
!ir.!J t"enehes. //'- #47'
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lINDE.7F'WOR PLUMBING & MECHANICAL:
To be made prior to instalz.ation of
floor inGulc.tion or decking.
POST AND BEAM: To be made prior to
i11Sta~lation of floor insklation 01'
decki"fj .
RO!JGl/ PLUMBI!lG. ELECTRTCAf. t MECH-
ANICAL: No :Jerk is to be cOL.-cred
ur.til these in3pectior.s have beer.
made and appl'Oued.
Fr.r?EPLACE: Prior to pl.c.eir.IJ facing
materials and before framing inspec-
tior:.
FRN:JlIr.: MUGt be requcGted after
approva.l. of rough plwr.bing~ "tectri-
cal & mechanical. AU roofintJ
bracing t chinmcYG~ etc. nr.J.st be
. completed. No work is to be COM-
. cealed until thin inspection has
'been made and approued.
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YOU" City Dceigr.ated Job Numb"" Ie: $E/ /1"2.
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IN[;Uf,AT.TON/VIIPOR BllRRIER INSpeCTION:
To be made after aU insulatwn a~.d
required vapor barriers are in place
but bafore any lath~ gypaUffl board or
LXl'LZ. covcl'ing is applied, and before
any insuZation is concealed.
I DE/.!Or.ITION OR ;~:OVE:; BUILDIilCS
~ Sani tal'Y SC'.Jel' ~apped ~t p~opo:;rtii lir.e
:=J Septic tank p:,<,,"?ed a~ fi.ll~d with gra:J.el.
:J Pinal - r{her: a.bcve ite~s are cc::rpleted
ar:d when .:ierxEtior: is complete Ol' st::-u-=-
ture moued ani pre~i3es cleaned up.
Nobile Hemee
=:J Blocking and Sct-~p
=:J Plumbing connections SDWer ar~ Water
---, Electrical Ccnr:ection - Blocki1~J set-uF
--1 a11d plumbing conr.cctions rrr..;st te approved
before request:ng eZectrical inspectio~
=:J AcceS$o1"d Sui ld-:.ng
:J Fina.l - After p:Jrcr.cs~
etc. arc c~ple;ed.
skirting, decks~
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DRyr"ADr. IIl8P!XT!ON: To be made
after aU drywaU is in pZaea,
but prior to any taping.
MASONRY: Steal location, bond
beams~ grouting 01' verticals in
accordance' with U.8.C. Section
2415.
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AU project conditions, such as the 1.',nstall.at-:.on of street trees, c:o.",rpletion of the
required landncc.pi':g, etc., must' be satisfied before the BUILDINC FINAL 'can be r:zqucst:zd.
D FIlIAL PLUMBIIIG
D FIlI,lr. MECflANICAl.
o FINAL ELECTRICAL
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FINAL BU/DrJING: The Pinal Buildina I1lGpection must be requ.ested cttel' till! Final Plwnbin.:J
Elo(Jtr'lcalJ alld Nar:h(1r.i.c(.~t Dwpactiona }!Q))Q bacn made and approu.:d.
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WOODSTOV~: After installation iG
comp~etcd.
'~AIJ, f.f.1NIICU,'S AN/) CU.'/+lIOU']':', 1f11!;T 111-: 11CCI-.:';/;IBU:J AIJ,llJST.'U::NT TO rn; !.:ArW ;'7' /:0 :-'~'S';' TO cr:'~Y 1 [':1::,' of :;
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CURB ~ APPROACH APRON: Aftczo forms
are erected but pJ'ior to poul'ing
.:!oncre te.
SIDEr"ALK ,I; DRIt'Er"AY: For all con-
crete paui11{l within street right-
of-fiJCY.. to be made after all exca-
vating complete & fo~ work & $ub-
base material in place.
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:'F.NCF.: WIler. compl.ztc -- Prouide
gates or mouablc sections through
P.II.E.
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IJOB NO,AX/llr?--.
Zone: I ,fW./ l) V I ()
Lot Sq. Ftg.
t ~f lot Couerag~
,II of StOM.CS
Total Ueight
Topography
SOLAR ACCESS REQ,-
OccuvanCl/ era
WT TYP"
Interior
Corner
Panhandle
cut-dc-sac
ITEM
Ij\hi~
I CaPaGp.
I Carport
I AccessorII
SQ,FTG
x Value
q~o
/t::!- 9~--
TOTAL VAWE
~~~-
Is.o.c.
flJC:'UC)
1.5 .r
Bui Zding Parmi t
~S-O
~. t:) '?
&r, S'3 .
State SU1'charge
Total, Cha:oges
lITEM
I Fixtures
I Residential (1 bath)
I Sanitarlf Sewer
I NO. I
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FEE
CHARGE
Water
Plumbing Pend t
State Swochal'ge
Total Char"fleS
111'f.'M
'Res. Sa.
I NO.,
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PEg
CJlAUG6'
fta.
Haw/Extend Circuits
Temporary Service
I
Ele~t1'ical Permit
State Sur~hal'qe
Total Chal'cen
lITEM INC. FSl::
Furnace .f!TU'S I
E=haus t lIood I
I Vent Fan I
I wXxisto:J~ I
I
CIIARCE
Pel'1Tri t IS8uanc2
Mechanic:::l Permit
State SurchaMC
Total Charaes
-- KNCROACllfoIt,:....'T -.
. SB~Hrit~ D8po~it
, Storage
I Maintenance
I Permit
I Total ChaMcs
ICUrbcuo
I SideiJa lk
I :::::rica 1 wbel
I Mob1. le Home
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81.(,53 I,
1 'roT/i~ ,1,".!OUtlT DUE: ~
L-COC""
Type/Cor.3t: .
Setbacks
House Caragc Access.
Bedro0ln3:
Enerq,u Sourcco
Heat
Water !lrmt,.T'
Range
Fireplace
Wood.;;tot.:e
I Lot Faces -
I
I P.L,
INorth
lEast
ISoz.:th
IWeDt
Tima
F3es
Building Value & Permit
This pcrnr;t io granted on the express condition that the sa"id constl'Uction
shall~ in all respccts, conform to the Ordinance adopted by the City of
Springfield, including the Zoning ()Pdinance~ regul.c.til1g the construction
and use of buildings, and m=:.y be suspended 01' revoked at cr.y tima upon vic-
lation of any pr~vision3 of said Ordir~ces.
Plan Check Fee: 5"2.3"':S
Date Paid: /2 -/'3'~
Recdpt #: /:2. 9:;;r;>
Signed: /2~, .---:-'
:;: ;-4 ,
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Plumbing Permit
No percon shall construct, install, alter 01' change any r~W 01' e=isting
plumbing 01' drainage systa:n in i.Jhole or in part~ udess such perGon is the
legal possessor of a valid plumber's license~ except trAt a person may do
plumbing work to property which is owned, leaDed 01' operated by the appli-
cant.
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Electrical Permi t
Where State Law requires tr4t the electrical work be done by an Ele~tl'ical
Contractor, the electrical portion of this permit shall r~t be valid until
the labe~ '~G b~en signed by the Electrical Contractor.
Ve/?/pt /r cc..EZ:7- :;;-C?1V/C,;, c.5
//;1 rz==- ;;.,;>EO
Mechanical Permit
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~er.-~
/2-22-:F?.s>,
wte
I H.1VE CAREFULLY EXAMINED t,w completed application for permit, and do
hereby certify that all i~formation hereon is true and correct, and I
further ccr:ify that any ar..d aU work pcrfor:ned shall be do:1e in. ac~or-
dance with the Ordinances of the City of Springfield, and th~ L<r...:s of tha
~ State of Oreg~n p~rt~ining to the work described herein, end that NO OCCU-
PANCY will be nrl,ie of any structur2 without parm1.ssio:1 of the Building 01..
vision. I further certify that o:1ly contra~tors and e.'npl.:Jyecn who are in
ca~pliance with ens ?Ol.05E will be used on this project
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Dafa I
SigOnad
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