HomeMy WebLinkAboutPermit Building 1986-6-23
,-, .. RESIDW.JTIAL"
APPLICATION !PERI1IT
225 North 5th Street
SpI'ingfieZd. Oregon 97477
BuiZding Division
726-3753
Job Location:
1/,;;20 =l~~
l'703,;J73!
#/'7
Ta:t: Lot # tJO~~f)
I 11
/'~A~ k h;~
/1-/15 ~ ~;&
~ IALiJ .-/
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AsoeSDors Map #
Subdivision:
Q.mer:
Acidress:
CitrJ:
nN~.,
n Additicn
n R~odeZ
f\lJ !fobi l2 Eom~
J
pata of Appliaaticn
L:on:~l'a-=:ors
Genera! .ctual-tcJtfAAjA~
Plumbi~ (t I'
Phone: ..Jt6- ~6,f'
Zip:
D~:~ id-rr
to ?-3 ---8''=' Value f c2 /) 5DO
Sle~t'1'icaZ
On.Tvl DJ. 1
f.1e::;..ar.ic~Z
Const~~ction Lender
Aci1i.....ess
. Rcce;pt< f5 (,.,(n(n,Q?,
/f Jd-fJK-
Sirmed:
Data:
CL.-
IO - .;2. 2, - X-~
Lisc.p.
E:;:::)il'tJs
F,;'.on.::
It is thE responsibility of the permit hoUiel' to see that all innpections are ~ade
jr-om the street. and that the permit cW'"d is l..::Jcated at the front of tr.e property.
~Eu.i?di~.9' Df.vi=io~ CI??rot:ed pLan sh::.z.l, pemain on th.; Bu::..l.dinp Sit;; at aU times.
?~C=::!):'PE FO?, T:'lS?::~TIOll RE"c:'UEST:CALL 726-3769 (rcc:order) state uour Citu desiar..:;.ted job n:ur.:ber,
~~u~~s:ca a~a u~en liOU wiZ~ De ready for ir.sp~ction, Contractors or Ow~ers~~~e end ~r~nc n~cr.
:.'iI.Z. be made thG same dey, requests made eft;;:!' 7:00 CL7l will 0.2 made the next :JOrkir~ cia::.
:)~rr_l'i.".~.~ T"'~"'''(!-':7:r...."~
CJ (':,"':"'1:" I.lc::--;'::".......~.,.l. T' '
. ...~._ .,_._~_.:...'.,. o Demaae
! ercav~tiQn, but prior tc set
forms.
~
after
up of
W1DE.f?Sr.:.? FrJ..'.'.f3INC, EL"E~?P.ICiL &
,'.ZCl-Ui.'IC:'L: '7'0 be maae before
work is ~ov~red.
any
::J
FOOT.we ~ FOU:,'VATICll: To be muie
afte~ trencnas are excavated and
forma are erected, but prior to
pou~r~ ccnc:ret~,
U!o'DERC.C?OU.'/!J P~UMEINC. SErIER. r..~1TE&
DRAIllAG2: To oe mo.:ie prior to fil-
l.ir.g trenche:::.
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U/JDERFLOO.f? PLUJ.!BTNC & MfCHANICAL:
To bo made prior to in~tal~tion of
f1oo~ insulation or decking.
POST AND BEAM: To be rr.adc prior to
installation of [2001' insLO~tior. or
decking.
ROUGH PLU?:BI.'.'r;_ PT.EC'T,?TC4!.. .~ MECH-
ANICAL: Vo work is to bc covered
until thcsP- inspec:tior.s have beer.
made and approve.:!.
FI.C?EPLACE:" Prior to placir.g facing
materials and before framing inspec-
tior..
I FRA!1INC: Muat be requeated.after
~ approvaZ of rough pl~bing, electri-
cal & mechanical. AU l'Oofing
bracing t chimneys, etc. nr..lst be
,corrrpZetcd. !lo L1:Jrk is to be con-
" cealed until this inspection has
~. 'be~n madc and approved.
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Your' City Desigr.atcd Job !lumber IG:
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n:Si:LA7'ION/VI1P[l;; FARRIER IHS?ECTIO:i:
To be ".ade after all insuZ-.::;ti.:m a:-.d
raau-:.red VaDor "tarriers are in Dlace
but cefore 'Cny'lath, gypswn ooard or
wall coverinais aPvlied, and bejore
any irwuZatiOn is concealed.
at the proper tim~, that ~~ch =ddress is re~~~~:e
job accrcss, ~~?e of ir.~pec~icr.
Reques=s I'ecei~ed cefcre 7:90 ~
Rio fY/3 /
j DE::~LITIO;'.' c.=: ,~:.:n-7: jj:..'ILD~::';S
:=J Sanitar;j 8e'.Jer ::appea ::t p~op;;r~' lir:2
==:J Septi~ tank tr~~ed ~.d f~l~ed Lr;th ~~~eZ
I Final - flher. aiA...-ove ite:~s are c~lete.:i
~ arod when d~o~ition is c~Z-ete or B:~~~-
t~~e moved and pr~3es cZ-e.::;ned U?
f.!obile HemeE
~ Blocking and Set-~p
~ Plumbing connections s~er ar.d water
~ Electrical Connection - Blockir~, se:-u=
~ and plumbing connections nr~st t~ ~?r~ve~
before request:.ng eZec:rical inspec:io~
:=J Accesco1"d Building
\7l Fin:::'! - After p::Jrcr.es,
~ etc. are cample:cd.
skirting, decks,
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DRYWALL nlSPECTION: To be made
after aU drywall is in place,
but priol' to any taping.
~MSONRY: Steel loc:ation, bond
beam3, grouting 01' verticals in
acc:ordance with U.B.C. Section
241&.
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All pl"o,fect conditions, ~uc.l-:. as the 1.',nstalLation of street trees, co.~lct.i..:m of the
required Zandsccpir.g, etc., must be satisfied bcfore the Bl.'ILDI/,'C FIliAL can be r.2questsd.
:=J FIliAL PWliBIIIG
=:J FINAL Mf:~HA.'IICAL
:=J FINAL ELECTHICAL
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FINAL BUILDING: The Final Building Inspection must be reque:?ted c:ftel" the Pinal Plur.:bing
Electrical, and Mechanical Inspectiona have been made and approved.
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WOODSTm'E: After installation is
completed.
-ALL UANHCLES AND CLEANOUTS nu~ BE ACCES$IBL~, ADJUST!fE.'IT TO ~E J.:'1DE AT !.'O C:JST TO CI"!'Y I P:!pe ! of 2
o
CURB & APPROACH APRON: After' forms
are ere:1ted out priOl" to poitring
con.::rete,
SIDEWALK & DRIl'EWAY: For all con-
crete paving ~ithin strect right-
of-l.X;y, to be made after all exca-
vating comprete & form WOl"k & sub-
base material in pla.::e.
o
D PENCE: When co:npl~te -- Provide
gates or movable sections through
P.U.E. .
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JOB NO,
r1(oO 1$/
. Zone:
SOLAR AC~S
Occur;ancu Grou~.
; [bt Sq. Ftg.
: ~f lot Caverag~
.;; of Stories
:""'otat Height
, Topography
LOT TYPE
Interior
Corner
Panhandle
Cut-de-sac
IT:::.! SQ.FTG X Value
.'.fain
Ga:rac:e
Camort
.4ccessoru
TOTAL VALUE
lVC"UC) L:?2..?.so
3.D,C. 1.5 :: .
Bu.ilding Permit I I
State SUX'ch.::r::rge I
Total Cha:-ogea I.
:"'~.',' 1110./ FE2 CF.AP,GE
:i=i:"..a'i!S
:~esiC.er.tial (1 bath)
5a:r.it:l1"'J Sewer
:;ct€!"
Plu:::bir:g Perd. t
~5.00
.(.,ol
15.(.,D I.
State S;.aocr.arge
Teta! C'r:c:!'oas
~~CS. S:::. f::c.
~~~/~ter~ Cir~dits
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I /S_ O'D I
.G,-cl
J 5 . t,[) I.
:~crar~ S~rvice
Electrical Permit
St::te Sur::r.arae
Total Cr.Cll"ces
:7~:~
I :;D,'
I
C':;';'.R;;~
:W"r..::zce PTU' 5
::'=iuzust Hood
.tent Fan
bods to;Je
Peromit I:;sucmce
Me::hanic:::l PePrrrit
State Surchcl"OC
r"tal ChnrtM!l
ENCROACHMENT
'cc-~ri-t'.J D$DO:;it
':orar:;e
:-:intenar~(]
"
,-:rmit
Total CharGes
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4 €:>5RI .'2.0 I
135 00
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3'6~.cro I.
:.ao.:,cu:
i.dewaZk
'!n::e
Zectl'icaZ Label 0
:;bile Home
JTAL AJ.!OUNT DUE: of
REQ,-
L-COG~
,
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!
.
I En21'(7:.f Soupces
Heat
I
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II I
II i
Tu~e
T!o'pe/Cor.st:
Beiro~s:
I Lot Faces -
Setbacks
I P. L. I Hou.se I Caraae
Worth I I
lEast I I
IS""th I i
IWest I I
I Access .
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Water' -'laat...'!'
Range
Fircol-ace
Wooa;;tot:e
Fees
Building Value & Permit
This permit is granted on the expl'eSB condition that the said construction
shall, in all respects, confonm to the Ordinance ~doFted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the ccnstr~cticn
and use of buildings, and m~y be suspended 01' revoked at cr.y time upon uic-
latier. of any provisions of said Ordinances.
I Plan Check
I Dste Pa-:.d,
lRec~ipt N:
I Signed,
Fee:
Plumbing Permit
No perzon shaZl construct, instal!, atter or chal'~e any r~u Cl' e=isting
pZumbir~ or drainage sY8te~ in whole or in part~ ur.less s"~n per~on i~ the.
legal possessor of a valid plumber's license~ excep; tr~t c pe~son ~a? do
pl~bing work to property which is ow~ed~ Zeased or opera~e~ by the c?pZi-
cant.
Electrica I
Permi t
Where State Law reauires tr~t the electrical worK be done b~ an EZc~tricaZ
Contractor~ tne el~c=~;cal ~ortior. of this permit shalZ r.Qz':e ~aZid ur.:iZ
tne ~beZ has been zignea by the Electrical' ~ontr~c=c~,
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Mechanical Permit
i
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Pl.an Exam1..ner
L.'aze
I HAVE CAREFULLY EXAMINED the completed application for permi=~ and do
hereby certify that aZl. i~fo:'r.'~tion hereon is tl'Ue ar.d C01"1"CC=~ oui I
further certify that any ar.d all work performed shall be do::.:. ,:--: aceor-
dance ~th the Ordinances of the City of Sprinaficld~ and th= ~~s of tho
State of Oreg:m p::rt.2ining to the work described hcre-:.n~ c:r.d :J:at NO OCC!J-
Pl:llCY will be made of any structure without parmission of the Euildir.g rr~-
vision. I fwothe'f' certify that O:1Zy contra::tors ar.d c::rpZ;;:yees 1-,;1:.0 are i~
c~pZiance ~ith CRS 701.055 will be used on this proj~ct
.
J3J#
lSignad -
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_._,____.~__..~_._o_.___._._~.._~.._ ,_, _.'
SpAC'" "'/0 1'7
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De,IYEWAV
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NJ I:? & II. E-
1-It>,.,.1 IE.
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A COPYRIGHeORM. AVAILABLE ONLY FROM JENKINS BUS. FORMS.
r-ORM 50Qj@
, --
A PLAIN LANGUAGE
PURCHASE AGREEMENT
UCC f 2.201
Great Western Mobile Homes
5024 Main SI",et
SPRINGFIELD, OREGON 97478
503/726,2171 '
Su-Pe-f2C19,p-4:s
0-11 . 0 r(A.1F~,
/Jc;l2e~ ~ f2'.I0T:S
BUYER':'8t;~~ .'~ B:./~~- __ PH:;~C;-_30~czr~An
~DD~'/4tt~..~",I'.4cI(~~..... ;:::UNTY9!<1P'F 91J!6/ SALESMAN
In ibis c::ontrac:t u.. word. .. .... end..!!!l rltl"ilr to the Buy., and Co-Buy.r slgnlna: this c raot. The wont'..l!!! endJ!!:!! nler to the De
~ ,SubJ<<;t to the hrnn end condlt~ !" .!~~~ aid.. of this ......m.nt you agree to Mil end I qrQ to purcha.. the followlna: Mserl u
~Ei-Jri.';c~(J f?r~/M~1 MDDE~I{0.3~.____--' B_ R3MS k~Di~i' k ~~Fi81 STD NUMBERS
SE_~'~ I?9IJOR nb I PROPOSED I KEY NUM ERS I HUD.Jahel..!'umber
l ""_~I~."",, I~' 'DELIVERY DAlE 11- "p ------- - -----.:::::----
)APL-I.a.:J"'J.,~~rID USED n~ ,/-- ~
DPTIDNAL EQUIPMENT, LAllOR AND ACCESSORI ': PRICE OF U,NIT . $:2/ S-oo ~ ')
- 1'--- '<:::.:: --~---- /
_ nfE..~mIii7S7:OI~~---C-- __-=== O;K'ON~L EQ~'PMENT -.~ .:2&> ~
S,.,. - -'~!1-L _w, . -J~..nA1t:.t -
_ I S~UB-TOTAL I
~/:~~c./I'~ Si.:7:7'"=f..L.(-> -;~5&~_?Y'f,__l!Ij(';).'$;~}J---1;.EL_____113/~ cO_
-/- -- _1:-- ---- ". -_ i SALES TAX
- ~ ~....M'5 ,!~UI?4J h.tp4,r- .
.JJJJz_ _~-# ::J",.. . d,.. " , '. __; NON,TAXABLE ITEMS
- JO-gL"
I VARIOUS FEES AND INSURANCE \ <6 00
~Y:. "'.,- ,f. ~';-;1Ji1f1J: 4~ ~' ~ii~2~~r";",,,,-';~ TI'I'itillfl
_~~~1Jr.' - LESS BAL DUE $' 0 ll",,^ ......11 '. ,I, " 'I
I ON ABOVE ~,~ CAo' I il II I i I :
NET ALLOWANCE "1'. Ia.. "po. I
- --I :~!:~:::REED 1~--C"-7'-"-=:~ I 11111.. '1Il,II'lli,
SEE "REMARKS" - - " II, ". 1;,111,
~J*~
$ .:z<, ~ 00
I 2. LESS TOTAL CREDITS
I'
SALES TAX (If Not Included Above)
3. Unpaid Balance of Cash Sale Price
_="':~c" ~ ""~~~~~lf~'-__~1
~A MODEL "BEDROOMS dZE
_ I'l"(,",( ., _ l X ~ The,. Is no auul'llnce . manufactured home can Nmaln level when
I l$J:2 ~ ~ /' _~~__ __ placed upon any surface other, IMn of blacktop or conc...,..
TITL. SERIAL NO. -lii4LOR
~ Q ~ l\ DO",\ 1 You and I certify that the additional terms and conditions printed on
-D.f-!! N-r..J:,S.;./.A..- the other side 01 thiS contract are _creed to as part of thiS agreement,
-AMO OWING TI Hay ~ .... ---- - ~- ____h the same as If printed above the SIBnalurtls: I am of statutory age or
.1l -<' have been legally emanCipated. I 8m purchasing the above descnbed
I, \ "L . -. A ....,;)1''''' J J-k. < unit; the optional oqUlpment, accessones and insurance, If Included.
==:W~~L_~ ~_ ~~t..A.C;t':~~-:-- __ -- :.::..:.::.::"_ _-==-:. ..:...:: : voluntarily. My trade In IS free from all claims whatsoever, except as
TRADE. IN DEBT TO BE PAID BY ~ DE ER 0 CUSTOMER I noted. You and I agree that If any paragraph or proVISIon v,ola!es the
law and IS unenforceable, the rest of the contract w~1I be valid.
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Title to said equipment shall remain In you until the
agreed purchase price therefor is paid in full 0 in cash
or by the execution of a 0 Retail Installment Contract,
or a Security Agreement and its acceptance by a financing
agency; thereupon title to the within described unit passes
to the buyer as of the date of either full cash payment or
on the signing of said credit instruments even though the
actual physical delivery may not be made until a later date.
IT IS MUTUALLY UNDERSTOOD THAT THE AGREEMENT 19 SUB.
JECT TO NECESSARY CORRECTIONS, AND ADJUSTMENTS CON-
CERNING CHANGES IN NET PAYOFF ON TRADE-IN TO BE MADE
AT THE TIME OF SETTLEMENT.
DEALER
Not Valid Unltlss Signed ,Ub:i' Accepted by ar, CHicer of the Company
GREAT WESTERN MOBILE H,)MES
I, Of! WE; ACKNOWLEDGE RECEIPT OF A COPY OF THIS ORDER
AND THAT I, OR WE, HAVE READ THE BACK OF THIS AGREEMENT,
SIGNED x ___ __"__'0'_' _.._ __ __._____._ ____
__ BUYER
~L..__