HomeMy WebLinkAboutPermit Building 1987-10-21
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.. RESIDENTIAL"
SPRINGFIELD
APPLICATION/PERHIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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.Job Loc,ti,": 1120 Fairview Drive #72
ABaeSCON M,p H) t103.:2 7 3 I
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Subdivision:
a.mer, Paul West
Add.-ess: 1120 Fairview Drive #72
City' Springfield, OR 97477
n~/P'.,
n Additicn
I n RemodeL
i f)('l :!ob~!. Ham"
i r Date of AppZ-icaticn
:..'on~rac:;ors
Cenera! f).;, (\ 0 ')~
PlWThing l(
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E!c.:'t':--::c::l
.. ICkuVlO, 1'0
,I Nech-:rr.ical.
,I Conatl"Llcti071 !.cndel"
T= Lot H {)n (0 on
Phon.. (?2b~5!l83 Message)
Zip' 97477
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DB8C1""~be II'ark:
tb Pt-i21
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Add.-ec.::
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Ervircs
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.I: ~o the l'SBponDibil.ity of the permit hoLder to BBS that aLt inspections are made at the proper time~ that each ~6BS is re~b:e
fram ths,stl'eet, and that the permit card is l..xated at the front of the property.
.Euildi~4 Diui=io~ approved pLan shell remain on the Buildin~ Sits at all times.
PROCSDURE FOR ItlSPE~IOl1 P'SQUEST:CALL 726-3769 (recorder) state your City designated job number, job adC.....css, type of in::pec-:icn
requested a~~ when you wiLl be ready for inspection, Contractors or Owners r~e end Fhone number. Reques:s received cej~re 7:00 ~
:.."iU be made th€ Bame dc.y, requests made aft~ 7:00 ern l.JiU bz made the n.::xt :JOrking day.
l?eaui...{!d Tr':s~pr!tic.,.,<>
. 0 SITE ItlSPEC':'ION: To be made after
ercav~tion, but prier tc set up of
forms.
O W1DERSLI..B PLUMBING. ELECTRICAL &
N~CHA:,'ICItL: To be made before any
work i8 ~ouered.
Your City Deaigr.J2ted Job Nwnber ID:,
g7D g02-
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FOOTING ~ FDUND.1TION: To be mads
after trenches are excavated and
forms al"e erected, but prior to
pourir.g ccncreti:.
U!.'DSRCROUHD P[.UMEINC, SEllER, W.1TER,
DRAIl/AGE: To be made prior to fi!-
lir.g trtmches.
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UfJDERFLOO.~ PLUA'BI.'lC & MECHANICAL:
To be mace prior to in3taz,zation of
[Zoor insu1.a tion or decking.
POST AND BEAN: To be 17'.adc pri,or to
insta!!~r;icn of floor ins~tation or
deckin; .
ROUCH ?LtP.,'BI!/G. EJ:EC'T,~!CA!. & MECH-
ANICAL: No work is to be co~ered .
ur.~i! thcs9 inspectior.s have been
made ar.d approved.
FE~EPLACE: Prior to placir.g facing
mcteriaL8 and before framing inspec-
tion.
FRA"~[,'!G~ NU3t be I'equeated after
appl~v~l of rough plumbing~ ~lectl'i-
oal 4 mechanical. AU roOfing
bracing & chimneys, et;]. m'.J.st be
. completed. flo wrk is to be CQn-
.. cealed until thiD inspection has
. bt>cn mad;; and approved.
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=:J FIliAL PWgBIIIC
~ FIlIAL J.fE~HA!IICAL
=:=J FINAL ELEC':RICAL
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VENOLITIO!! OR ;~,'OV!'; s:.:ffDIXs
::J Sani tal"Y se'..Jer ::xrpped :::',t ;n:.opcrt";j Zir.e
=:=J Septic tank lT~~;;d and fille~ with gra~eZ
INSULATION/VA PO.!? R.4RRIER IHS?~CTIO/l:
To be made after an insul.::.ti::m ar.a~
roqu-:.red vapor carriers are in place
but ceforo any l.ath~ gypswn boa:rC. or
wU covering is applied, and before
any irwul.ation is concealed.
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---, Final - r!hen abcve ite,".'Js arB ccm-oletcd
---l and when demolition is complete or st~=-
ture moved and pr;;mi3es cleaned up.
DRYWAT-L IflSPECTrON: Te be made
after aU drywall is in pUzce~
but prior to any taping.
MASONRY: Steel location, bond
beam3, grouting or vel'ticals in
accordance with U.B.C. Section
241~.
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I Nobile Hemes
~Btocking and Sat-~p
~ Plumbing. connections -- scwer and Wa~el'
~ Electrical Connection - Blocking, se~-u?
~ and plumbing com:ections m'...st ce approve':
befol'c l'eque8t~ng electrical in8pectio~
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After installation is ~
C;,
CURB t APPROACH APRON: Altezo forrns/.;
are created but prior to pouring y
oon=rete.
WOODSTO~/E :
ccmplet€d.
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SIDEI-IALK & DRIVEWAY: For aU con-
crete paving within street right- =:=J Acaes::orb' Building
of-r,x;y, to be made after an exca- \
vating ccnl~let~ & fOr::J wrk & ~ub- 'X"!Final _ After p~rcr.es,
base =ter'a!. '". place, . ~,:-=:J etc. CU'e ",,",p!e=ed.
PENCE: When compl.zte __ Provide
gates or movable sections through 0
P,lj.E.
8kirting, decks~
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All project cor.ditions, such a8 the instaLZation of street trees, co~le:ion of the
required landsccpir.g, etc., must be satisfied before the BUILDINC FINAL can be r2quc8t2d.
FINAL BUILDINC: The Final Building Inspection MUst be l'eque3ted cltel' tha Final Plwnbi"3
ELectricaL, and Mechar.icaZ Inspections have been made and approv~d,
"AU, n~.':HC'!..r:S AND C!.F.ANCl/':'S .'!!/E'l' !!.r:: IlC(,E8~7"E!F', A!'.lUS'!'.'~?:.''!' TO EE ".~1D.~ !-:T !:O ~~S'!' TO CITY
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(If' 2
JOB
NO. k~O 60;)" SOLAR ACCESS
Oc:cupal1CU Gro'...I.
:Zonc:
ILot Sq. F~.
! ~ of lot Caverag&
: i! of Stories
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i Total Height
,
! Topography
II'J'EN
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I.',lain
j Gc::rnclt
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,
I Carvcrt
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tAccessol'u
I SQ. FTC
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TOTAL VAWE
i S.D.C. 1.5",
(vaLUe)
Euilding Fermit
State Surcharge
Total Cha:ogea
: ITEM
~ FL-tt::res
NO'I
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,Residential (1 bath)
j Stmitary Set.Jer
, ;.rete!'
Pbr.:bir.g Perr.:i t
State Surcr.tll"ge
Teta! Chcraas
. :TE,'.:
I NO, i FEE
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.l?es. So. rta,
'N~/EZtend Circuits
.'
; Temporary Service
EZe=trical Permit
St::.te Sur=harqe
Total Charces
~-T2,',! iJC. I Frr
Furnace PTU'S I
E=hau.s t Hood I
Vent Fan I I
i/oodsto:Je I I
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Permit ISSUartC2
Me=hanic.:1l Pel'mit
State Surcharooc
T"tr.1. Chn"'tut!l
-- ENCROACHNE,VT u
Se~...Iritu D2~03it
Storage
Maintena__r..:!€
Permi t
Total Charaes
Cw':X:".J.t
Sidew.:zZk
.f:'cn=e
!lect1'1~Cal Labd ~
\3>t> ( -e:,
XobiZe Home
~f C'-
~,?TAL' AN1U,','T DUE::-4
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I 751-3\
1/5.751,
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1/5.751,
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LOT TYPE:
Interior
Corner
Panhandle
Cut-de-sac:
x
I Val.ue
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FEE
CHARGE
CHARGi:;
Ie;;
00
CHARGE
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I .20
DS. O'U,
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132, q,c;-I.
REQ,-
L-COG~
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1',1
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II
II
Access. I I
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II
II
II
T;'oe/Cor.st:
Beiroor:-:s:
f.nero:J So~rces
Heat
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T~C'e
I we Faces -
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I P.L.
Worth
lEast
iSou th
IWest
Setbacks
, House Carape
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Water Yf'ntp,!,
Ra11{:c
Fireolace
Wooa:::;tot:e
Fees
Building Value & Permit
This permr;t is granted on the exprecs condition that the s~id.construction
8halZ.~ in all respects, conform to the Ordinar.ce adopted by the City of '.
Springfield, including the Zoning erodinance, regul.c.ting the ccnstru.:::ticn
and use of buildings, and may be suspended or revokec at cr.y time upon vic~'
lation of any provtstor.o of said Ordir~nCC8.
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IPlan Check Fee:
IVate Paid,
IRecdpt g,
ISig"-ed:
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Plumbing
Permit
No pereon chaIt constructl instalZ, atter or change any new cr e=isting
plumbing or drainage system in ~hole;or in part, unless such person is the
legal possessor of a valid plumber's license, ercept tr~t a pe~son may do
plumbing work-to property which is ~~ed,. leased or operated by the appli-
cant.
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Electrical
Perm it
Where State Law 'requires tr~t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical ~ontraator.
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Mechanical
Pe r m it
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PLan Erc:mt.ner
l,..'ate
I HAVE CAREFULLY EXA!1I!lED the completed application for permit, aru:i do
hereby certify that all 'i~fo~tion hereon is true and correct, and L
further certify that any ar~ all uork perfo~ed shall be do~e in ac~or-
dance :.?ith the Ordinances of the City of Springfield, and th;: La..;s of tha
State of OregDn p::;rtainino to the lJOrk described h~re-:.n, end :ha: NO OCCU-
PAnCY will be made of any~structure without par.mis3io~ of the Building Di-
vision. I further certify that o:1ly contra::tors ar.d e:npz"yess who are in
c~pliance with DRS 701.05~ will be used on this proj~ct
(0 ~J-( -60
Signzd
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Great Western Mobile Homes :~
5024 Main Street '~t
" SPRINGFIELD, OREGON 97478 'fl
503n26.2171 I DEC"'M "
'. 'lcl~'.('IS}'/h//f ' .;#//A~ .""ONE NlnRfSS :d,f..ry?'/~;p.Z"Jj
ADDRESS:. SALESPERSON r- ~ " --~ l'::;'."';'~!
f~<-;~ ' . - . . .' " .' ; ...~~~ :'~!.'fn ~
'1' , '.~ lnth1acOntr.cttheworda,!.~!!!J'.....tou.su,..,andCo-Buyw,t&Gntnithle~Thewords~.nd~"""totheDllllter.,. ~". 1 ....~:, ','1 ~
~ F'~~j'~ ~w_..~;;;;;:~ YOU"'[/Wa;;;i:;o~;::;~;'"". i L'l.m~'0]:~~~~~,U18~'::" I
s. ~": SERI"W~RI.t/' -.' I COLOlff' I PROPOSED DELfVE Y.DATE I KEY NUMBEfIS. ':,' '~~ ~
~.,' .;,1. ~:n~': R'V~LUE ~~~:SS ~~SO~~NSULAno'~;-c' '".; "~ " , 'PRICE ~F~~rr $ j;~~~~; ~.l
fr I
if i r~ IIINr. I OPTIONAL EQUIPMENT '.:n
!Ii EXTERiOR IUU_U ~
tJ FLOORS ,I I SUB-TOTAL . !
~ 'i THIS INSULATION INFORMATION WAS FURNISHED BY rHE MANUFACTURER AND I ;, ~
:~i~,~.;..:.'..~.t,;" l~g~~C~~~~/~~/>J4~OI~PLlANCE WITH THE FEDERAL TRADE COMMISSION RULE II SALES TAX ,: ".,;i
" . OPTIONAL EQUIPMENT. LABOR AND ACCESSORIES NON- TAXABLE ITEMS ,I
"';~l $ I VARIOUS FEES AND INSURANCE ' , · ~
!'~'il , , ' ()td -tJ. I i
~~l' '~'j .fr: f/ ~ ~~J 4-tY,! ~;:;:~~;::~~v; : ,t~ I" ill 'PI!
~t I I NET ALLOWANCE g
~:': ":' ~;;;l~;;;;:EN7. I ~
f I ~A~::~;~~;~~~:~~:~d Above) $ 'I :ll!
t~ ! 3. Unoald Balance of Cash Sala Price $ I
;r." ' ..... ! Title to said equipment shall remain In you until U.e ag:..:
~. , I reed purchase price therefor Is paid in full 0 In cash or S
tl.r" . ' by the execution 01 a 0 Retelllnstellmen. t Contract, or e'.' ~
il!\.,* .Securty Agreement and its acceptance by a IInanclng.! ~
,11';, . agency; thereupon a title to the within described unit 11'
!!l.') passes to the buyer as 01 the date 01 either lull cash
,~":; I I payment or on the signing 01 said credit Instnil)1!irta
:.ll f., 1 '. even though the actual physical delivery may nOtlbe ,
,~..' I .:, mada until a later date. : '..,~ I~
1!:~'1 You and I certify that the additional tarms and,COndltlOna'-'" :i
.!If.~ I " printecl on the other side 01 this contract are agreed tg,l I.
IV I I as part 01 this agreement, the same as II printed above, ~
f!,..,. the signatures; I am 01 statutory age or have been'Ie9aIIy.; ,
j'i,; I I emancipated. I am purchasing the above de8criiled unit;" ~.
",', """",",s,. I the optional equipment, accessories and Insurance, It" I
Iii'" I I Included, voluntarily. My trade-In Is lree from ,aU:cIalmil~ I
;;;;, . I whatsoever except as noted, You and I agree that II anyt I
~ I. BALANCE CARRIED TO OPTIONAL EQUIPMENT $'>' "~,,,~,- I ' ,I ~~~:,g:~:~c::; ':;fo~:I~~~:~~:e:,:~~a:af,~~ Isune~~~1 ~
k~{ ~::~~::: OF TRADE"~ BEORO::; SI~E : This agreement contains the entire understanding between you enelme enell
,U.;/ COLOR SERIAL NO, TITLE NO I no other representation or Inducement, -verbal or written, has been made~ ~
~: ,I AMOUNT QWING TO WHOM" which Is not contained In this contract. " ..' '~
If< TRADE-IN DEBT TO BE PAID BY 0 DEALER 0 BUYER I I, OR WE, AeKNOWLEDG~ RECEIPT OF-A COPY OF THIS ORDER AND THAT Ii
"" I I, O(iWE, HAVE READ AND UNOERSTAND THE BACK OF THIS AGREEMENT.;j
I;:,. . GREAT WESTERN MOBILE HOMES DEALER SIGNED X ~8UYER I
:th' . Not V8Iid_l}nl~SS Signed and Accepted by an Officer 01 the Company, ' , "
~o/:T SOCIAL SECURITY NO.__ . . ,I
~'.'"J,' .-::;;;-"Y' ~ SIGNED X~_ : BUYER" ,j
. ' _ FlY-~"'" ./ d-t!f'/'--C....c..-L--'- ,
Jl f,l ' .~rQ.'ltd, SlIl,ft,ct tV'rt~t"pl..r1i:e of IlmmClIll) tl}' l'll1l~ (I' IIlllJnC'f) company SOCIAL SECURITY. NO, __ ___~_____I
1ft" "\.
FORM 500 3 ",,,'j.,l/l.~IIW,,t'(l<;l'/'I'm,,'
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W~: ~ORM 5001 @
~,~ A PLAIN LANGUAGE i'T ,'PURCH~E AGREEMENT
':i~.., UCC s 2.201
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