HomeMy WebLinkAboutPermit Building 1987-6-24
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.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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I AB3es3ol's Map H
r Subdivision:
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I Cl.mer' of Ir'~. M, C.U rre V\ cp
Address: ~ N, '\ 7..#:--
CityS\'t'"'\I/"j ~\ '.0 \ rV1 oR
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,',!obi le Home
P,.me: 7J:j 7- 4::l LLl
Zip, ct 7 L{ I /
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Value
Genel'aL
PLwrbing
f'/, / Addrees
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Dat.. ( .., --2 l/ -f" f)
Lisc.#
Ex;;ircs Phone
It is the respcnoibility of' the permit holder to see that aU inDpections are made at the proper tim€;~ that each .=ddress is re~:e
[1"Om the street, and that the permi t card is Located at the front of the property.
ABui!ding rr;vi~ior: approved plan shell remain on th2 Bu-:.lding Sit$ at all times.
PROCEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state your City designa.ted job nur::ber~ job adCress~ type of inspec-;icn
l'equestcd a~d when you wi'lL be ready for ir.spcction~ Contractors or Owners ncme end phone numbcr. Requests received befere 7:00 ~
:.'iU be made the same day, requests made aft;:J.r 7:00 a'1l Llil.Z be made the nat :.JOrking day.
Rp.OVi~~d l~Rr.~~tir.nR
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SITE INSPECTION: To be made after
excava.tion, but prier to set up of
forms.
UlIDERSLAB PLUMBING, ELECTRIC-1L &
NECHANICAL: To be made before any
work is ~ovcred.
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FOOTING & FOUNDATION: To be m:zde
after trenches are excavated and
[OI'TT/S are erected~ but prior to
pouring ccncret.z.
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UNDERGROUND PLUMBING. SEWER, W,1.TE.'1
DRAINAGE: To be TTJ2'ie prior to fil-
,-1. ir.g trenches.
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VNDERFWOR PLW,$ING & MECHANICAL:
To be made prior to installation of
floor insutation 01'" decking.
POST AND BEAM: To be made prior to
instaLtaticn of !zoor ins~lation or
decki"li .
ROUCH PLlP.-!BIllC. ELECTRICA[, & MECH-
ANICAL: No :JOrk is to be cOL'ered-
,until thcse inspections have beer.
made and approved.
FIREPLACE: Prior to pkcir.g facing
mcterials and befol'e framing inspec-
tior..
,--, FRAHING: Must be requeDted aftel'
~ approval. of rough plUff.bing~ el.ectri-
cal & mechanicaL. AU roofing
braeing ~ chimncys~ et~. nr~st be
,completcd. 110 work is to be con-
.-'- cealed until this inspection has
"b€en made and approved,
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I Mobile Hemes
Aftel' instal.Zation i8~O ~ Blocking and Set-up
~; ,~Plumbing connections s<=wer and water
CURB & APPROACH AR;oN: After,form~ Elcctrical Connection _ Blocking~ set-up
are erected but pr1-or to pOUJ"1..ng and plwnbing connections nr~st ce approvec
concrete. before requesting elec:.l'ical inspec:.io-::
.Your City Desigr.ated Job Nwnber Ia:
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INSULATION/VAPOR BARRIF:R INf:.'Pt(;'I'JfJ/-I:
To be made after all insukti:m w.d
required vapor barriers are in place
but before any Zath~ gypstun board or
wZ-Z. covering is appZied~ and before
any inDulation is concealed.
81[) Li3a
I DE1,.I{)LITIO!} OR gOVE; BUILDIiiGS
=:J Sanitary se".Jer capped =.t p:..opo:rt"':i lir.e
.=J Septic tank p:.c,o;:ped and fiUad with gra:;eZ
I FinaZ - flhen above ite."7ls are ccmvletcd
~ ~~d ~hen demolition is complete 01' stru~-
~~e moved and premises clea.ned up.
SIDEWALK & DRIVEWAY: For al.Z con-
crete paving within street right- .=J AcC'eMOl"d Buitding
of-wc.y~ to be made after all ezca-
vating cCX71l?let~ & foP::1 work & sub. '" '2l FinaL _ I1ftcr p:Jrcr.es~
. base matert.al 1-n pla:!e. . '~.f-J+ etc. are complet::-d.
8kirting~ decks~
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FINAL PLUl,1BII/G
AU project ccnditions~ such as the i,nstaLlation of s:.reet trees~ co....rpl.ction of the ~
required landscapir.g, etc., must be satisfied before the BUILDING FINAL can be r2quest2d.
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DRYWALL INSPECTION: To be made
after all drywaU is in pZace~
but prior to any taping.
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FINAL NECHANICAL
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FINAL BUILDING: The Final Building Inspection must be requested aftel' the Pinal Plwnbin;
Electrical, and Mechar:.ical Ins~!:etions have been made and appl'oved.
FINAL ELECTRICAL
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MASONRY: SteeZ Zocation~ bond
beams, grou:.ing 01' verticals in
accordance with a.B.C. Section
2415.
ItAL~ NA.!lHC!.ES AND CLEANCUTS HUST BE ACCESSIEr::, .4D.JUSr.'!F':'."!, TO HE g.;1DE 1:7' NO C-:JST TO CITY f Pa(iq 1 of 2
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WOODSTOVE:
ccmpleted.
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O PENCE: When complGte -- Provide
gates or movable sections through
P.U,E.
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I JOB NO.!?O c(](j
SOLAR AC4iiSS
Occuvancu Gl'ou.
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! Zone:
ILot Sq. Ft;;-
jz of lot C~el'ag~
1.1/- of Stories
I Total Height
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1 Topography
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lITEM
Main
! Gt::J"Qa~
I
1 Carncl't
I
IAccessorIl
SQ.FTG
S.D.C,
TOTAL VALUE
(vc(..ueJ
1.5 "
Bu.i lding Permi t
State SW'charge
Total Charge;;
lITEM
! Fixtures
:Residential (1 bath)
i Sanitary Sewer
1 Water
NO.
PZumbing Perr.:it
State Su:rcr.arge
Total- CharGes
lITE/.!
i Res. Sa, fto.
jNawlExtend Circuits
i NO'1
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i Tempol'a:ry Service
Ele~tl'icaL Permit
St::.te Su:t'~ha:rQe
Total Charces
IT~M i NQ, I FEE
Furn:zce ETU'S
! E::::haust Hood I I
Vent Fan I
Woodstove I
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Permit Issuance
Me::hanic:::l Permit
State Surcharae
Tota I Charaml
-- ENCROACHMENT --
SeC"~rittl Deoosit
Storage
Maintenan:!e
Permit
Toto. 1. Charoacs
Curbcut
Sidewalk
Fcn::e
~
El~trical Label
Mobile Home
?OTAL ANOU.'lT DUE:.t
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1--/'),-00. -=3r----~
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20 1-1,'-1
60 I- /1
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WT TYPE
Interior
Cor>ner
PanhandZe
Cut-de-sac
x Value
1/3...s, 00
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FEE
CHARGE
FEE
CHARGE
CliARCE
REQ,-
L-COG~
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Access. I [
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II
T~pe/Cor.3t:
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Bedrooms:
I EneI'(f:J Sources
Heat
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I Lot Faces -
I Setbacks
I P. L, I House II" Caraae
Worth
,lEast
ISouth I I
IWest I I
--'~F}jes, ~:..-
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TUCle
Watel't/(wtpT'
Range
Fireplace
Wood:;tove
Building Value
&
Permit
This permit is gronted on the expI'eSB condition that the said. construction
shaZl,J in all respects, conform to the Ordinance adopted by the City of
SpPingfield, inc!uding the Zoning C'rdinance, regulating the construction
and use of buildings, and may be suspended 01' revoked at cr.y time upon vio-
lation of any provisions of said Ordinances.
I Plan Check Fe..
I Date Pa;.d,
IRec<ipt g,
I Signed:
Plumbing Permit
No pereen shalt constr-uct, instaZZ, aZter 01' change any r.etJ 01' e:::isting
plumbing 01' drainage system in whole 01' in part, unless such person is the
legal possessor of a valid plumber's license~ except tr~t a pe~son may do
plw::bing work to property which is owned~ leased or operated by the appli-
cant.
Electrical
Permit
Where State Law requires th~t the electrical work be done by an Ele~trical
Contractor~ the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical ~ontractor.
Mechanical
Permit
PLan E:rc:nnner
vate
I HAVE CAREFULLY EXAl.fINED tJw completed application for permit~ and do
hereby certify that alL i~formation hereon is true and correct, and I
further certify that any ar.d aZZ lJOrk perfor:11ed shall be done in accor-
dance :.;ith the Ordinances of the City of Springfield, and th~ La..;s of the
State of Oregon p~rtaining to the work described herein, and that NO OCCU-
PANCY will be TJt:1.de of any structure withou.t p~rmission of the Building Di-
vision. I further certify that ~Ly contractors and ~pLoyee8 who are in
compliance with ORS 701.055 will be used on this project
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Mif .~" , BUDGET (Mobile) HOMES
il" PURCHASE
R~V AGREEMENT 3890Main Sllil~t, ~ Springfield, Oregon 97478 .. 747-9585
i0-:..---' . -71 Sid IV (j rz.1'H 17 7ft tt e;
t'fl SOLDTDlil..ll..lI I)U:':: Cuifr;AJCc. ',. Ph0n07VI-~l'f/: ':"DATE: b-~l7
~\ ADDRE88~dS":, lJr/'>t.'tAiH <!ifB.J. . ~/ <,.,I/I"""k;;,'/d SaIoIm..: (,1M _ I. ),15..""'-':'
of.' Subioct..tho_ondCondl'I..._...bo'h_~,. ,:ioliorAgrloa,o_londPu_A_toPu""'_thofoll_i.._ribod, '"
~..' MAKE Q'J. !YEAR I MO. DEL" , ," IB;.ROOMS ~r "ISTOCKNUMBERS '
~.' Ui3'ut)...c.lI!v'''' mID ,', E.K . " Vi/I IL/i,lIW'" :
~) SE!\IAL NUMBER . . , Jr, 'l ' ,', . ClooIni,D... J -. ,:, H...... L_lon.,..' '" . J / , Co, To. No. '.,
~i FI ~p,)~~S-Yi.' JIJi.';, TV!V I) J7f? ,~B~) A11111/J"'f:r'r'o/,h"~ Pi 'I1S'lbh'b,
~!" CU T E MA{CHOOSEPERSONFROMWHICHINSURANCEIS08TAINED,1 . . -. ...clo'UNITIS V't1(JO , yo I:. ,I
~,( HClME.IS TO BE MD~,PLEASE STATE m.v LOCATION: II OPhON.LEOIIIPMENI ,\ 1'1 I:
~'~ ~4.J.A.V,!i-J SPACE # I I ,\... " I I.
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~~~, IF PBIVATE :t.AND: ) _ \), '/" I, I' ':
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~.~.. STATE UL COtlNTt. I" Y'V / //,!I Ii.' :;~
~J: :~c~CCmS?}~~ HILLY?' .,' 'tC"~PllCI ':", . iis I!
~;~" ',. q,,';d '~<"'t 1.1.1.1' ~..."........ IS'''' "hl
~~~ :'. ..~.~/ OK-YH'"ml\dr-> " I i~!.~~;rl~ .~'..' i
l~~;;~' I, Q"ION"'" IOUIPMINTI .L.A..OIt, INCLoUI'ONI 0" aXCLU.'ONI I S I . ~~
!i!i[ THIS USED MOBILE HOME IS SOLD "AS ,IS"~TH NO ,2.LIISTOI'lCIIDIIS II '~
j.if.:::.:.',' WA1UlA.r..6l!>O OR GUARAJu,.6l!>O EXPRESSED OR Du-L.L.l!ill !lY ).!..UNP'Il"!"!"NCIOOC'SHWIPlIC,I,,. IS ~ Y'l'1 .iQ~ ,'}
,n. ,SELLER. _, ..,.",.O..R. . HIS AGENT!! 1{ ..,
it, TAXES'TO BE. PRORATED AS OF WHAT DATE? fi' If') .::rMQ
I~ ~~;'OF 'ugJ~ nO~ PAYMEm-PLUS'Wnms SHARE/O;'PBORATED T.um~ ~~.lU!iFOSSl!SSIQ~I:
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~t. ' 'THIS"TRANSACTION CONTINGENT ON FINANCUG ANn LANDLOHD'ArrnuvAL! \I
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'~', .ILLER ACC.~ANC. DATil: __.'nlt p..... .. ~f the dete 01
" DATI: ,Ignlng of the ret.lllnlt8~l~
0'" ..L.~" "'....CTION -----------r."~r=~~~v ~t'h=h :..v.
~r ' .. I QCcup.ncy mey not tal
1(-:'<,. mMl. until. I.. d....
~:~ THE UNDERSIGNED CERTIFY THAT THE MATTER PRINTED ON THE BACK HEREOF IS AGREED TO AS A PART OF THIS AGREEMENT, THE
~.~ SAME AS IF IT'WERE PRINTED ABOVE THE SIGNATURES: thlt und.rtlgnftt la of 8tIItutory ee- or h.. been,l.plly emenclp.ted; thet the purch... of the
n- above deaerlbed mobll.hom.; the optional equlpm.nt thereon, the In.urlnce .. described h.. b..n volunt8ry, Thl und.nlgnld ear'" uch pltegrlph end pro.
~t:' wlalon ~f thl, contract la aeverabl.; If on. portion therlof I, InvIUd thl remllnlng portion ,h.II, nlv...thll..., remain In full force Ind effect, .:;'~
~ - I, OR WE, HE.~EBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS ORDER ::.':
~T.: AGENT SIGNED X :' L.~.} : i .,..~ . --. . '-'''~9uRCH.SEi. . :\~~.~
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", ~;':'."" ,!! SIGNED )( PURCH,i,u. <.'.,I.~.',.,
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