HomeMy WebLinkAboutPermit Building 1986-12-22
.. RESIDI.rIAL..
APPLICATION/PERIIIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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.~dd."es", 53 3_") J11~ #
c;ity/t,f-#rk. 'lluvit7h (~L)' 72h - t,?d 3
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~e ':;::::::::iO" /2 - 2 2 -tft:J Value {' 17 stJ.
.4s:;es:;:;or:: Nap #
Subdivision:
C':.mCl':
;:.:::~oors~J'Q/ ffh ~
?i~~ir~ i, I I
5:!eotrioa! (U.v fIP J'../
".:e:::;..ar.ic::1.
C~nst~~ction ~r.nder
SPRINGFlELD
Tax Lot H
7
Pr.ane:
Q l.f 7 Z7tJ~
.ooe'"" 6 bJ '''.J 'TO
lot Jd COIL
. lV VI
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7
Siar.cd:
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Date:
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"t is the I"esponGibiZity of the permit hotder to Bee that alZ inapections a:re r.:ade
Croom the street:, and that "the pcrnri t card is Zocated at the front of the property.
Eui.!.di-:".g Jr:'vidor: apFroved pLan sr.::::.U l'emain on tha Building Sit;; at all times.
':~!]CSDUPE FC:? I!,'SPEC'!'IOrJ RE'OUE7S'T:CALL 726-3769 (recorder) state your City design::r.ted job nur.:ber~
'~q--...tesr;ed a;.G when you wi"" oe ready for ir.spcctiol1~ Contractol'S 01' Or.me::"s ncme end phone nu.wcr.
-;ZZ De made the same dcy~ requests mcde afta' 7:00 am fJiZl. va made the next 'JOrkir'~ day.
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JOO aiCrcss~ type of ir.3pec~icn !
Requesr;s received cetera ?:OD ~
.?md''Y'.'''1 T"".<:;~f""!ticr..<:;
] SITE ],';S?~C':'IO:,': To be made after
e:::cavar;;.,:m, but pnor to set up of
fo1'1Tls.
] . UNDE:RSL:..E ?LU!,9I.'IG. ELE::TP.IC1L 11
].!ECh'A:,'IC:'i..: To De made before any
work is .:;ovcred.
]
FOOTING! FOUllDATION: To be rrade
afr;er r;rer'~nes are excavated and
forms a:re erected~ but prior to
pourir~ ccncret~.
U!!D'ERGRO!J::.V P:"U!,~TllG. SEf{E:R. r..',~'J'E.q.
DR!.ll/;'G~: To De r.a:ie prior :;0 fil-
.1. ir.g r;rencr.ee.
] U?!DERFLaO.~ !'LU:,~I,'JG & NF:C.rIANICAL:
To be ~~e prior :;0 insr;aiLation of
fLoor insul.Ction 01' decking.
]
] POST A!;V BEt..f.~: To be made Drior to
ir.s:ai~c;icn of floor ins~zatior. 01'
deckir..; .
] PO!JGH F~U!.'?!I:.'C. ELEC'!'R!C!.!. I: NECH-
A:'iICAL: i.'o :.Jark is to be covered
ur.r;il rhese insDectior.s have beer.
~ade ar~ approv~~.
] FIPEPL/..CE:: Prior to pZacir.g .facing
mcreriais ar'~ before framing inspe~-
tior..
] FP.A"~l!!C: f.tu:;t be reque:;ted after
approv~l of rough pl~bing~ ~lectri-
c.:J.l & r.;cc;..ar:ical. AU roofi;:g
bracir~ ~ cr.imr.cys~ et.:;. nr~:;t be
.comvle:ed. Vo w~rk is to be con-
..:. cec'led ur.ti l this inspection has
. b€er. Ti".aae and approved.
Your City Desigr~ted Job Number Is:
D
INSULA'!'ION/VAP08 B.48RIER I.'.'SP:;CTIO.'J:
To be Ti"ade after all insul~ti~n ~4
pcquiped vapop barriers are in place
but before any lath, gypsum bca:rc or
wU covering is appUed~ and before
any insulation is concealed.
at the proper tim~~ that e~ch ~e8s is
gfp,O q/3
I DDfOLITIO!:' O.=? ;~:OV:::; E:'-'ILDI::CS
:=J Sanita:r-;j Se".Jer ::apped =t p:.opc:rt;i Zir.e
=:J Septi:: tank p-",",,?,zd and fiZZe.d Llith ~:J"')2~
:J Pinal - fl'hen ab::ve ite::zs a:re cc.-:oletc::
a~d wher. d~~oZi~ior. is ca~iete or st~~:-
ture moved ar~ pr~ses cieaned U?
I Mobile Hcr.:e.s
o ""5?'T Blocking and Set-up
t;~
~ Plumbir4 conne::~i~ns s~er ar~ Ccter
-vr Electrical Ccm:e.ction - Blockir.a~ set-u:::
~ and plumbing ccr.r.ections rrr~st ~~ cr;:pl'::r...e.i
before request~r.g eZec~rical ir.spe::~io~
:=J Ac::esso1"',;t' Building
"'Y1 Fina.Z - After ;::J1'cJ:es~ skirting~ decks~
~ etc. are compZe.ted.
o
All pr~icct condition8~ suc~ as the installarior. of street tre.es, cc.~letiol1 of the
l'equired landscapinG, etc., must be satisfied before the BUILDIRG FInAL can be rzquestzd.
] FIllAL PLV!,~EI:;G
] FI/;:'L l-!E':HI.::IC;jL
] FI....AL l:L!:~~"ICAL
]
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FINAL BUILDING: The Final Building Inspection must be reque:;ted cfter the Fin::zZ Pl.un:bing
Electrical, and Mechar.ical Inspcctiona have been made ar~ approv2d.
D
DRYWALL INSPECTIO,".': To be made
after alZ. 6'y;.;aU is in place,
but prior to any taping.
MASONRY: Steel location, bona
beam:;, grouting 01' verticals in
accordance with V.B.C. Section
241.5.
"A::'r. U,U:RCr.ES AND CLEA!.'OUTS !rUST BE ACCES$IBLE, ADJL'S7".':2.',''!' TO BE !.!'1DE /'.'!' 1:0 C'::'ST TO CI':'Y I P~:e ! of 2
o
o
WOODSTOVE,
completed.
After instaZlation is
D
,,'"
CURB & APPROACH AP.I:!ON: After> forms
are arecred but prior to pouring 9-
co1U:rete.
o
SIDEr/ALK 1/ DRI:'E(.'AY: For aU con-
crete paving within street right-
of-wcy~ to bc made after all exca-
vating complete & fo~ work & cub- I
base material in pl.ace. , ~S
D ~ENCE: liTher. compl~te -- Provide
gates or movable sections thl'ougr.
P.ll.E. .
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JOB No,JbD?/J
ZOtll!:
:.at Sq. Ft.;.
~ ~f l$t C~erc;~
." of Stories
;otal Heigh:
Topogra;hy
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;~/~-ter~ Ci!"~~its
-er.;::Jora::r!J S;:Y"".J:,ce
E!e~:!"ical Pe~it
State Su:r::r.a......oe
Total Cr.a......ces
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'en t Fan
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Per:r:-~t 13SU:mC2
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AN:JL'.'::
'j',':J. I FE::
SOLAR AWSS
OCCUDGnc:J GrC".J"::J. '.
LeT TY?E
Interior
Corner
Panhandle
Cu I-de-sac
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I Lot Faces -
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I P.L, IHouse ~araac
l/lorth
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ISo:.oth
il,cct
Fees
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Building Value & Permit
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This pcrr;r;t i:; granted on the exp1'ess condition that the said construction
shall, in aZZ respects, conform to the Ordinance adopted DY the Ci~y of
Sp1'ingfield, including the Zoning C'rei-nance, reguZc.ting the ccnstl'"..I.:ticn
and use of buildings, ,and m~y be suspended or revokec at cr.y time upon vic-
Lation of any pravisior.s of said Ordir~nces.
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PZan Check Fer::
Date Paid:
Recdpt #:
ISig"ed,
Plumbing Permit
No percoT! sr~ll construct, instalZ, aZ;cr 01' char~e any neW cr e=ictir.g
plumbir4 01' drainage syste~ in ~hoZe or in part, unless s:.och pcrsor. is tr.c
Zegal possessor of a valid pZ~~ber's license, excep~ tr~t a pe~son ~a~ do
plumbing worK to property which is ow~ed, leased 01' opcra~ed by the G??~i-
cant.
Electrical
Permit
wn.er>e State LcnJ reauiroes tr.ct the electrical LJori< De done by ar. Elc:::ric.::
Con~ractor, the eZec:~~cal portior. of this permi~ sr~lZ r~t be v~tid ur.:iZ
tne Zai;eZ ita.s oeen signed by the E7.ecr:rical :ontl'::::tol',
Pl.an EXC1n1.nC1'
Mechanical
Permit
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) Sign3a --
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I HAVE CAREFULLY EXAf.!INE:D the corr:pletcd application for permit, and do
hereby certify that all i~fO;'7;.ation hereon is true a1".:i correct, c:r..:i I
f~rther certify that any arn all work perfo~ed si~ll be do~e in Geeor.
dance ~th the Or>dinances of the City of SpringfieZd. and th.: Lc~s of the
State of (Jpeg.::m p::rr:.::.ining to the IJOrK described h01'ein, cr.d tr...-:t ....0 OCC!J-
PI.RCY will be ma~e of any structure without p3~is~io~ of the Building rr;-
vision. I furthc1' certif:. that only contra::tors cn:d ~Z~yccs ~r.o are in
c~pliance uith ORS 701.05~ will be used on this p1'oj~ct
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~ORM 5001 C!9
. A PLAIN LANGUAGE
PURCHASE AGREEMENT
UCC 12-201
," ". ""'Y'i".
ERAllO MOBilE HOME: SA
..., SPRINGFIELD, OREGON 974T1 .
503/747.4008 - 575 South "N Street
,
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I DEl.NfAr
ADDRESS
BUYER(S), ~ ,+ ';':"'W:' ; "'~ "_'-;''':;~'''',r, 1: ~ ~.:. :;,.~ ,.\f,,"-',;:<' ,~":" " . d_ " ,', .' ',to" <, ',.' ',,'" ":',J;"l'f!l1W!E; ~;''-''''~':i~~~'~Wil';'-'K-N:;;l' :e, )
,;: 'I i:DAT~t;:" . . ,:', ":. ~ '
-Nt: Y.J;y~ :~'#:~\..;'.'._~~r;l<I{1 7)ii,'Jn.:,;'-,'(,:'?:l;;.. ',',~~'\~t<tWlY1!!'i:.:r,~:.,~ '.: \~Y.o_~H':;"'P'~;~W!4,:"~\:t'f'~''1' ,- ~\Y?0\!l;;:HrfV":'l1~t~'a"':';~:"'",-;:"""~:::'~~~
If 8'b .~.
-- '.1_ ___&~ ~"~'I:L",' ':.~<'<J'.:' :, ',.'~'d~;'~I~'r' '''''M~'J:.''.", ~: I ,
ADDRESS. .... . I. '.' j;' .<J, f:i:f ~ ,~,,:: ":1/'." 'tt''I..~" .,.,-.1-i1;:-"'~'". .,SALESPfRSON"'~,)., 1 IJ' ."
. . ,.;;:ii:r?,.,.:'Ld/4.;,jT~r;;.;d;Ji",;.:,~ . . ".' ~,';; ,,,1(;-;.q)ilf1j~~;;("~'i'~~LH::~" F'
h.: ',;., t. _ '." ,I., ,lnthl~~_~~~~_!!!!""';tothesur- ~contJId.,Tbe""J!!!!"'I!!!""'tothep.llr.~.,i;';.,I'('~':"',;r: ".~., :,'
:. ~.';-:::~:i:~:" '~ ,.;\'.. Su;btKttpJt.--,~CCIft:I.mons.~_~....ot"" Illln.llltO,IIid"'__'I...tD~'~~'~~'iU;'i; :: !:':t" I' '~,~"
I MAKE & MO/JEJ:t/1.; "~", ~ij:~:;.'1,b;.',,;.~, ~ ;;"I.o-'-~,;.~>'.' " :;-, ." . . - , ,.;-l? ::iYEAlH) BD,ROO.AlSI~;;J~S1Z'(~i{f"I; '/'H1TCHSQI;~'i)~'~ISTOCK NUMBER' "! I
':':;'/>1, @I;':"..\( "'~',-",'iii,,'J.,,"" ',:' ,',', i:'+ "9 .<';';,;!~,., ~"~~i~': ~'C}1-.t~'ri~":Y,l'.f4!
'" " I;~'!~~ N,U,MjfJj.;',", ,.'. '.;, ~,.,..'':'.':;'~'''j~;\)':;~''" ,~. ': '. {,'.\":' .~.";:..'::'t~}~:~ ",' " ~;".. i!' ':.~;I'~ ',' ,'~"~~1;!:!11;.~..n .j.'Jj.T'-';fri,;";~~.,!~
'.'; _ ",P~~~V!~r.PA!~,5'WJ'i';~!fl:~. 'N. UM!lER~., "'I
'1 ,:"~~~~o~' "'h~'~~~~E;~~~:~t '~P~~~NSU~~'~';t'!;:.'^i:I?"/,.,,,,,.,'~t!;~'~;::~:::~;\t4'~,'>;;;50' "';^i
CEILING 'I OPTIONAL EQUIPMENT' .:'...n..., , ,-"".
EXTERIOR . "
FLOORS 1 ' .
THIS INSULATION INFORMATION WAS FURNISHED BY THE MANUFACTURER AND
IS DISCLOSED IN COMPLIANCE WITH THE FEDERAL TRADE COMMISSION RUL"F. II SALES TAX
I 16CRF SECTION 460,16, -1 II ' . . ,; "
'.i I OPTlONAL EQUIPMENT,' LABOR AND ACCESSORIES / ill NON. TAXABLE iTEMS ,.,:.' " ';' "
1 I 1. The above, described home ,is sold "AS IS" without .$ / I V ARIOI.~S FEES AND.'~SUf!~CE, ' ,
I warranty, .elther expressed or Implied, / \r-- '. , ',.', , '., ., "1' .
I 2, Customer to obtain building permits at. own ex- .1 ~l' '" N' 1. CAS.H PRICE '. ".'" .' ..;.:., ,., $.. G 1<,0 ta
I pense" .. .( , I TR..oE~/N~LOWANCE' $, 't'1'50" '>J'O.':: I~I (II'
I 3, Wheels, axles and bres are recycled for ec. olegy pur- I (\I. 1 E55 BALDUE ON ABOVE $ ....--. ~'.' I
I poses and are not included in the selling price, I" II TALLOWANCE.. 'R'1S:"" 0<;>',1
14, Price does not include skirting, , ::: ~ II C DOWN PAYMENT t <ttS\1 IIQ.., I .1
5, Price includes delivery and set-up as per standard I'~ CA HA5AG~;~O "< ;._ . ,~'"
I parts and procedure agreement. 1 I ~ I 1 ESS TOTAL CREDITS.!.' '." '.: :<1'$"""1.1 <;<J ,(JtJ J
16, Taxes are to be pro-rated, ,tnJl ~ - ~ (VII;" I SA S TAX If NOtlncluded Above) ',I; .--I-zr
I . I ~~ . k 3, noald Balance of Caah Sale PrIce . 1 $' -G-'.I
~! I 7. CD...~';, \ w/ ... f.l. ~ ,,; u)1-" ~ "'.. ;1C-,' '~ ~It to said eq~IP~ BhaJI rema"; In you until the ago
,.j ~ ' I . / ."", (~~ I purchase price therefor la pelclln'full 0 in cash or
'1.. ~,~ Y'V-'( ."" "w.'~~ I, r"f~u,), v \'-... b the execution ofa 0 Retail InstallinentContract, ora
I I. _ 1 rty Agreement and'fts ,..", 'ce by'a financing
I~Th,,,jl..., -b ,.JI.'\u.J~ A!,.dL rL .AL 1 . I agency; fhere\lPOn a !/lfe,to.~,~lnJdescribed unit,
I u .....1) I.<XLd, ~,./ 1)"-'1...... 5 j,Jl.b.P I c../1 pe_ to the buyer 88..!If the'~i~',elther full cash
I ^",.t.;,' CUQ -1.,,"- I (' I" peyment or on the slgnlng,of;saldicredlt:lnstrumen1s
) I I 1 even though the:BCtueLphyslcal. delivery may not !Ie
.L .r. '>> lOr-, I 'Imadeuntllelaterdete, "', '''.' '",i':,"''''', '
-'IJ. . (!u,\ /-, t....-t... r.s."L- LV "-kJ. i. "" ~ rM..l\ "-___
s'4""r!AT ,,-, ,.,,~ ~ ! ,)0)]) ~i\l 1 ~ IJ"' I . , ..':" .;.:
" , [I I II You and I certlfY'lhat the addltlonal.teims and condItions
rJ, "u~.. .im'l ", n..'HIJI,ld,. '17.. prlnted,ontheotherSldeot.thIS..;>.:,are~greedto
. , .. 1 as per.!, of this asreement, the sam.!!S It prin!"'" ~!Y.l"e
-- I'>,.r,'::'ft!~:/ '{.::~/\:r~u...~1 . 1= t"..lgnatures;lamofst~toryage9l'havebeen'legally
c "- -~ emallClpstad,l _,purcheslng lheebovedescrlbed unit;
REM'R~S' ~.::...- C>.o.s~ 4< ~ _ . A~\., r 1- theoptlonel equipment, ,e.."",,,:..,,.end Insurance, If
I 'lJ..<.""-' k. E'W-tV -M~ ,....1.,....., ......,) "':-r~ I InclUdecl, voluntarily. My'lred8-ln 18_ from aUclalms
I' . ~. I ~r except 88 noted. You WId l'ag1'88 that It any
: .~ ~CEI~~~RI~~TOOPTIONALEQuipMENT 1$': .' k";':~;:lM;l :~;:';.:;~~~:I;'~~~':;a;'~~unenforce-
I DESCRIPTION OF mADE./~ --rrl____lJ...H.~. fPlL-- . YEAR Jq~ f(' I .' ",;\ ;:" ' .' , :':f,,: ,~.;.~:::~,i';~:l{,:'~: '.\~,!; ,t!-:ii ~:;;1,::, J,;, " '
I MAKE/MODEL 1. 13~..~- -~)'5 'BEDROOM. S I.!!-~ Thlaagreement.ClOnlalnathaentlnt,l. " '.'" ,lngbelWM..nYOUandma8nd
ICOLOR SERIA1..NQ TJrLENO ~ nD other rep '" .,", "'. or ~~,VertMd or:.W'I1Itein;, has been made
I 0 TOVNG'OWHOM :1' I I I whlchlanotcont8lnadlnth18.:,c".:," '.' ;,:.' ''<,;,., .
AMUfJ \1 , QJ~f''> "fk.~~ ' (....a.11,. ;'. ,,,,'.:~'
;~II TRADE.IN DEBT TO BE PAID I3Y 0 DEALER 0 BUYER II :: g~ ~f ~~~.~~r~~~RJ;gfR~?:N~'~~~:~H~!fl~R~~~fJ~AJ
I EMERALD MOBILE HOME SALES SIGNED X c,.A,,~ a:.. ~:i.; :":'~~iA' . ;'". j'BUYER
", ss$igneddndAcce/JIedhyaIlOlficeroUheCompBny. DEALER SOCIAL SECUR~TY'N~, ' '. .;..,.~,:-.,;, ::/:'~~~'~'\~.l:;~: ':;j:;:2;~~'r;~"" {~i'l:~'
SIGNED X " ~.,- 't;:-~.::~,;","/~:;i~~~~.~~(~;~~~~~~t"fl.f,' . ~~ _~UvER
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ApprV;,'t1d, SUbje~I!.O _~?cePt ce of Imancing by'bank or lina,nce cvmflllny.
SOCIAL SECURITY NO,
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FORM 500.3 .
'Jenkins Business Forms
Mascoulah, IL 62258
REV. 1186
. Copy;;gnt 1983
ORIGINAL.
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