HomeMy WebLinkAboutPermit Building 1987-4-15
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97477
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Job Location:
II 2 f) 4 0JAu-eLu J #-
1'703:J 7:s I Ta:c Lot #
-78'
OJ fLJ() 0
/1 (~ '
r/ J.l1M./~IV
U
Subdivision:
/l I ,)
( /4f/J2.tL ~tt[) ~
Address: 1/(7-5 t<J $gTIIIF
A80eSGOrs Map #
tA.mer:
City:
QNm"
n Additicn
n Remodel
I X I Hobile Boma
Date of Application
Contractors
General
Plwnbing
. .L/-!S--:<? '7
T~
f2Wrlf ;J
m()~
Electrical
I1Qchar.ical.
Const!"Ltction Lender
Phone: 1t/ ~ (;;41.2
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Zip,
\<1--
\? vii (1
Desc-ribe h'ork: . _ / _
(', ~ - (), tJ. <LV
m;;r~ -UtP
valul/ I'/; ? 55.
Siqr..ed:
Date:
(}0
Q-f5-';s'r;
Address
~-E<L/
Lisc.#
Eroires
Phone
It is the responoibility of the permit hoLder to BBe that all inDpections are made at the proper time, that each ~e8s is readabZe
f1"Ol'fl the stl'eetJ and that the permi t card is located at the front of the property.
*Bui!ding DitJi~ior.. approved plan shatz remain on tha Building Sits at aU times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (rceorderJ state yOUI' City designated job mm:ber.. job addrcss.. type of in3pec-;;icn
requested ar.d when you wiZ-Z be ready for inspection.. Contractors or Owners ncme and phone nwnbcr. Requests received befere 7:00 a:;;,
:..'iZ-Z- be made the same day.. requests mcde after 7:00 am !Jill be made the next :.kJrking day.
Rp.mJ1:~'!rf T1'J.PJ:?t:>~ti(m.q
D SITE INSPECTION: To be mule after
e:r:cavation.. but pPior to set up of
forms.
O · UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. work is oovcred.
o
FOOTING & FOUNDATION, To be mde
after trenches are excavated and
forms aJ"e erected.. but prior to
pouring ccncret.;:.
UND8RGrK!~/NT) PLUM!J.ING" SEWF:R. W,1TER..
DRAINAGE: To be made prior to fi l-
.lir.g trenches.
O-
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UNDERPWOR PLUMBING & MECHANICAL:
To be made prior to inotaZ,lation of
12001' insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
decki7l{; ,
ROUGH PLUMBING. E:LECTRICAL & MECH-
ANICAL: No work is to be covered
~ur.tiZ, these inspections have beer.
made and approve'::.
FIRE:PLACE: PPior to placir.g faeing
materials and before framing inspec-
tion.
D FRANINC: Must be requested after
approval of rough pL~hing.. eLectPi-
.ca1, & mechanicaL. AU roOfing
bracing & chimneys.. etc. rtr.J.st be
:'completed. No work is to be con-
...".....cealed until this inspection has
~be~n made and approved.
o
D
D
D FIliAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
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Your Cit;y Desigr.ated Job Number Ic:
rc10:2 c.f3
O INSULATION/VAPOR BARRIER INSPECTION: I DEUOLITION OR ;'.JOVEE BUILDIilGS
To be made after a'll insulation CC'.d
.. required vapor ba::rriers are in pZaae =:J Sanitary se'.Jer capped at p:.opert-:1.' line
, "but hefore any lath.. gypswn board or
wU covering is applied.. and before --, Septi:J tank pu,'77ped and filLed. with gra~el
~y insulation is concealed, --.J
O DRYWALL INSPECTION: To be made
after aU drywaU is in place..
. but prior to any taping. .
:J Final - mum above ite.~s aJ"e completed
ar~ when demo1,itior. is complete or stru~-
ture moved and prarmses c1,eaned up.
D MASONRY, Steel location, boiui
beamo.. grouting 01' vertiaa1,s in
accordance with U.B.C. Section Nobile Hcmes
2415,
D WOODSTOVE: After installation is" () 1S- BLocking and Set-u.p I
ccmplet<d. 'x"i l b' . -~,
o L:::1 P urn 'Lng connect1..ons -- sewer (/JILl. water I
D CURB & APPROACH APRON: After formst' ~ ELectricaL Connection - B1,ocking.. set-up !
are erected but prior to pouring ~) ~ and pZwnbing connections rtr..lst be approved I
ao~rete. . before requesting elec:Pieal inspection
. O' SIDEWALK & DRIVEWAY: For all con- --,
crete paving within street nght- ---1 Accessory Building
pf-way.. to be made after aU exca- ,
vating '!(:m~let~ & form work & sub- ~ Final _ After p:)rcr..es..
. base matenal ,1..71.. p~e. . . C;;(.,C:::J etc. aJ"e completed.
skirting.. decks..
O FENCE: When complete -- Provide
gates or movab1,e sections through
P,U,E. .
o
D
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All projebt ~onditions.. such as the installation of street tre~s.. c~~lotion of the
requi~ed landsccpir.g.. etc... must be satisfied before the BUILDING FINAL can be requested.
FINAL BUILDING: The Pinal Building Inspection must be requested after the FinaL P~wnbing
Electrical.. and Mechar.ical InspectiornJ have been made and approved.
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I JOB No.81od-'-!3 SOLAR ACC.
I Zone: Occuoancu G1'OUV:
Lot Sq, Ft{;.
S ,f Lot Caverag<
# of Stories
Total Height
Topography
lITEM
I Main
I Ga:race
I Carpo:rt
IAcCe880~lJ
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IS,D.C,
I SQ,FTG
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TOTAL VAWE
(vaLue)
1.5 :r
Building Permit
State Surcharge
Tota l r:ha.~ges
lITEM
I Fixtures
IResidential (1 bath)
I SanitaPy SeL)Br
Wc:ter
I NO. ,
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I
Plumbing Perrr:i t
State Suzocr.a.rge
Total Charoes
lITEM
Res. Sa. fta.
I New/Extend Circuits
Temporary Service
Eleatrical Permit
State Surcharae
Total Charces
lITEM
I Furnace ETU' S
I E=haust Hood
Vent Fan
JlOodstO'lJB
I NO,;
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Permi t Issuance
Mechanical permi t
State Su:rcharae
'l'n-tn.! Cha::!"ru!ln
WT TYPE
Interior
Coroner
NO.
-- ENCROACHMENT --
Ise~4rit~ D2~08it
I Storage
I Mainterla7'lae
Permi t
Total Cha1'QC8
Curbcu~
I Sidewa lk
I Fen::e
I Electrica l Labe l
I Mobi le Home
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i- ~y
00 l n p .
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3:2 t. Z-Z' Signed
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I /5. 100 I-
I CHARGE i
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1/5,00 I 7,
I . &0 1- ) d
I (S. &DI-
x
FEE
FEE
FEE
Panhandle
Cul-de-sac
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1,;U;(,8.;<
Value
CHARGE
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CIlARGE
I
, 3 (;;) R I . 2.0
1;)5.
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~age ~
REQ,-
L-cod~
I Lot Face; -
Setbacks
I House Carape
I Access.
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BedI-oOr.1s:
I I Enarou Soul'ces
I .>ieat
I Watel' RRntRl'
I Range
I FireD lace
I woodi;tove
II
Tuoe
.
T;'oe/Cor..st:
\.
P.L.
North
lEast
ISouth
IWest
Fees
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1
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Building Value
&
Pe r m i t
This permit is granted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be BUDpended 01' revoked at c:ny time upon vic-
lation of any provisions of said Ordinances.
IpZan Check Fee:
Date Paid:
IReceipt #:
I Signed,
Plumbing Permit
No person shall construct, instaU, alter or change any r.elJ 01' e...-isting
plumbing or drainage system in whole 01' in part, ur.less such person is the
legal possessor of a valid plumber'8 license, except that a person may do
pl:c.bing work to property which is owned, leased or operated by the appl.i-
"""t.
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Electrical
Permit
Where State LaLJ requires that the eLectrical work be done by an ElectricaL
Contractor, the eLectricaL portion of this permit shaLL r~t be vaLid untiL
the labeL has been signed by the ELectricaL Contractor.
Mechanical
Pe r m it
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PLan Exalmner
uaee
I IlA VE CAREFULLY EXAMINED the camp leted app licatian for pe,.",;. t, and do
hereby certify that aLl ir.fo:mation hereon is true and correct, and I
further certify that any ar.d aU work perfornled shalt be done in accor-
dance with the Ordinances of the City of SpringficUl, and th~ La:.;s of tho
State of Oreg.:m pertaining to the work described herein, au! that NO OCCU-
PANCY will be made of any structure without permission of the Building Di-
vision. I further certify that G:1ly contractors ar.d e:rrpz"yees who (21'8 in
compliance ~ith ORS 701.055 will be used on this project
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A PLAIN LAIl\.l~~!",.\d~';!: ;":1" ..ej EM~R~R~:~~~~~E~O~~7~n Sjl.ES
. PURC!(ASE'A ' ,.;.;!t. . >_.;,,;':'603(747-;4008-575 South "A" S~:
. U~'12.~~;;;~.; :~~~~~i:1,;~~t\~;;~~:;~~{;,,~:i:}, ,'~':/ .~;y: :~'-fl.~~tit".,.., ,.'" '. ,-'.'" .
( / t ,'..." )1J'1I';p;)?~":"'~'~1t ,itj d. .~t'n '1'-}.-.. ..' ..-r -.AJ,c..~ "_ . I {}EUVER'(
~;;:~' . ",:,:: ". J ~ '\~'.., .~!IJJo.',r~~;~ :-'1",:' "",,~!,.'I:J.,! H. .', ' ~o;':1, ~, ADllAE<;S.
'~.f ~~~lC i~~.';;"'''~%1 m,~. '~ti!(A-~'..~tt!fl'ft;4rJ~(:~~~)~::t1W~~'~ff~,"^;~;_. ~~(-~ ~!':'", ,::,j~,,;~~~;::.
" ~""..-y.Jb ,(" > rl;;n~ ""ii-i-Jt,......~~......:iI~, ~.'"' , '1>-., ;~~f~.... fsJ.f.l.?, _.' . ' "
~: "':'ir)~~,.' :,1~~l~,i~';~"'(~'Jii\~:'~',~~Jf'~:<.i'I!)~.'j~?1~~t' . ;~".;;,:~.,<iP;:~,Jl':"':'>>' SALESPERSON .,~..J:!~J:i J!J,:':J' ',!j,~';!f~f " J
'.::~". :":J'~ 1_ ~"?Jii:yt1~;,~.o~~~~~~~J;;~~f3luS'~'17f..7:o._, """(~'~-~,::"I,\'~~
I I "1"',1' "".\_'.':~~"''''RI'~~'''''contNcLThiiworcs.~and~''''''tothoDN''''''',;!~r~':'\ : J,\ ",~i\
,,:J ,:,,~~ _ _ ~',Oi'ii:iIri'WiliiiOfiii'-"""'JOU.,..to..llandlegreetoPUl'Che..thefollowl .. unlt.,~'::" ",~~;~{/,
I MAKE & MO()F.L ,";>r~~I': t~~''''1i~~''':~'''::;W\~:t'~~~~::;rlP!Z~l/'''?'' '<',1, ~" ',:ir;$?:iJ "YPf81IBDROOMSI FLOORS/ZE '~ITCHSIZE . STOCr:Nt/,',:RER:~ '
. j'!qC:;\..A.~:i(l '~~,.~ t~' ~~~ft~F~1:P':',lt!~bl("~~"':",4J',;'~,j}::"~lr (70 ' ". I 6"lw ~'f:l'170 JwJ~ Of ',' ;;7.~,"
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I SERt~NUMBER\ ~'I~'( ":!J:\:..~'.~lt~i;~ ~ ~ ':~!"i':;~,;lo-\:~;;,.t::':"".1 "!, :",~;. ~l;fr'~,.,.. I CPf~~~11 AS ~" I PIj,OPOSED DEUVERY DATE' KEY NUMB~~~...~ '0~~
~ ~-.", 'f \t,t'JfJ~~~'~t"1@.tr~ . 'r.~'JI :NEWl~'.-',,"" f1.USED1' ,; f"p~~1>1>'!"'. ~'(: , .-- . , , '.' ..-"..~.
, '1 LOCATION.' ,'\ R'VALUE ICINESS TYPE OF INSULATION I ./' PRICE OF UNIT $ ).1 ,4-].5 00,
I CEILING, . , 10 . 'lO f'16~~ OPTIONAL EOUlPMENT "'-.-t,,,,:,,,
I EXTERIOR "'lVI.' rl'll~cM.s
FLOORS S.'4'.91{:, IY:z.,."".~ fI~!, 1l,""L.+_s~!"l" I SUBTOTAL ,;1,/ 4)$ 00
I THIS INSULATION INFORMAfioN'WAS;.FURNISHED BY THEMANUFACTURER AND I . ' , "\
liS DISCLOSED IN COMPLIANCE WITfPTHE'FEDERAL TRADE COMMiSsioN RULE SALES TAX )
I 16CRF. SECTION 400,i6,""" , I I
I oPTlOJiiAL'EOOIPMENT. L:ABOR AND ACCESSORIES . I NON. TAXABLE ITEMS I
I 1. Price includes 'deliverY and.set.-up as per standard $ I I VARIOUS FEES AND INSURANCE I I
I oarts and DroeediJreaareemenf; II I \ I
I 2, Customer to obtain a.1I oeimits"at:own exoense, I II 1. CASH PRICE I $ 2 j ";:2S I ~
I 3, Wheels, axles.aIid,tires'liie:raevcled for ecoloov pur. I: 'I: THADE-INALLDWANCE $ _C;9?5000 II~ "II'" I' "I'" I!'"
I. DOses and are notincluded,'in:thesellino price." LESSBALDUEDNABOVE $ ~ w
I 4, Price inciudes standard'skirting, NET ALLOWANCE 2. 1 C;o I~~ I
I 5, This aqreement is subiecnoaDProved financinQ, I I CASH DOWN PAYMENT ;;1.,0 "" 'II I I
6. Consumer Insulation Infomlation form signed, I I I ~:f:,~~~g~~~D < I I
1. i...,_ ~ i II 1.LESSTOTALCREDITS .. 1$ 00
.6, T1~ l'e&'. ,.1m'" I I I, SALES TAX I/f Notlnd>/ded Above' 1. 'j
,,}>:;. , . 'I II 3, Unoald Balance of Cash Ssla9rlC& 1$ /7 (" 55' 00
" " : : Title to said equipment Sh'- remain In you until t~
, ;. ,,' . . ,. I I I reed purchase price therefor IS pa.dTrlfull 0 in cash or
" . " I by the execution of a 0 Retail Installment Contract, or, a
I I Securty Agreement and its acceptance by a financing
I I I agency; thereupon a title to the within described urjlt
I passes to the buyer as of the date, of either full cash
1 . I . payment or on the signing of said' credit Instruments
I I even though the actual physical delivery may not be
1 I . made until a later date. .
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You and I oertlty that the additional terms and conditions
printed on't!1e ,c!ther side of this contract are agreed to
as part of thls~alireement, the same as If printed above
the signatures'; I am of statutory age or have been legally
emancipated. I am purchasing the above described unit;
the optional equipment, accessories and insurance, If
I included, voluntarily. My trade-In 18 free from all claims
i whatsoever except as noted. You and I agree that If any
I paragraph or provision violates the law and is unenforc!l-
I able, the rest of the contract will be. valid.
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BALANCE CARRIED TO OPTIONAL EQUIPMENT l!
I DEseR/pT!, 'IQF TRADE.IN (JflKJJIJ4ff. YEAR /178
II,fAKEiM,X~. p:, "-n. ;1. B~l?ROOMS /12'~E1f)
I ,~_OWR._. SERIAL NO,' ~tt TITLE NO,
r''''\~'JUt.'i C ,', iC TO WH9M$':ldO ~
~..:F.lAOE iN DEBT TO BE PAID BY 0 DEALER
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: EMERALD MOBILE HOME SALES
. uu, ..._-~-_. - ';,,( Valid Unless Signed Bfld Accepled bl' lin Qlficsr of the Company.
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A. ,/fIwp.d, SuDjfJCt r/J 8cceptancp. of fmanc"'9l.>V ban/( or finance company.
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I This agreement contains the entire understandlnSI J , . you and me and
I no other representation or Inducem~nlw verbal Dr written, hS8,been' made
'I whl~h 18 1\01 contained In this _......... ., '.
~ BUYER I, OR WE, ACKNOWLEDGE RECEIPT OF A COpy OF THIS ORDER AND THAT
I. OR WE. HAV READ AND U___ :~~, . '.' .THTHF;F; B BA~C(.~KK.. OO:F~ TIiI~ISS. AAG~;.E::::
DEALER ~I
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S!GNED X.
i SOCIAL SECURITY NO. .
_mm.." / u _. ._.__..._ .
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rOi.',1/! 500,']
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Mascoutii,'!.!I ',;!25S
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