HomeMy WebLinkAboutPermit Building 1984-10-12/d , r/a-r/tr 4?/SPFIINGFIEI.Dx.0
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Constmtclton Lend,et ..-9.
I-t i8 the rcspontibi-LilC of -tle perwit hoTl.er to aee tlnt aLL inspeetiolr.s oe nade at the p"ope? tin€, thdt eaeh a,liness is reqCa;-;
ty,!_W attee-t,. and tlat the-penrtt99rd ie Located at the frcni of the Woperty.*8uilding Noiciott approxed pl.an slu.LZ remain on the Bunlding site'at aLL' tiines.'
P::P':ocgDI!P1 F1R. IIISPEil CALL 726-3769 (reeorder,) state yout, Citg desigrated. job ntmber, job aCiress, type of inspeelicnte.quested ar.d.uhen gou uiLL be ready for inspection, contractcrs o-r a,tners nctneLnd pTnie nunbet. -Requests reZeliZa t|icri ?:00 an't'z.LL be nade the sane dcg' ?equests mcde aftet, 7:00 on rtLLL be nade the nert aoykiS d.ay.
Iorr City Desigr,ated Job Nutnber Is 8'/ oz v q
Reouirerl
,tot t catirr, 3d, /^ 7AU1O,4
Aesessors Map #Ias lat #
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fiibdittision:
Aaer:
Phone: 71/ 7 ^
ci
Addtess:
?%t-/u
dgrr-l/z
Additicn
Date of Value
Hotk:TI
L*'ZL
GAoo il
Ad.dress L1'ap
GenetaL 0,*.
SITE TNSPECTTON:' To be nlade after
pz.ior tc set up ofe.ccansation, but
fonne.
EMAL PLUMBIIIC
EINAL MECHANICAL
FINAL ELECTRICAL
INSULA?ION/VAPOR BARRTER ITISPECTTON :
?o be made after aLL insulaticn ed.
required uapor buvie?s @e in pl,ace
but before ory Lath, gypsutn bcarC oz,
tnLL couering is applied, and. befote
oty insulation is concealed.
OR
Sarita4 saser eapped at propetog- Line
Septic totk y"anped and filled trith grate
Final - l{hen abcoe itens ore ccrnoleted
and uhen Cqtalition is eomplete Zn styti:
ture moued and. ptetrises cleaneC up.
Ltobi Ilcmes
Blocking otd Set-up
Phnbing connections -- aaie? otd. uatey
ANDERSLAB PLUMBTNG, ELECTRICAL &
WCI(I-ilICAL: To be nade before any
wrk is corset,ed.
P)OTIN} & F)UNDATTCN: lo be maCeafter trenches a?e e.ecauated and
forms ore enected, but ptiot, to
pour*tng ccnerete.
ANDERGROUI|D PLUMETNG. SEI,IER, W.4TER,
DRAIIIAGE: ?o be made y"tor to fil-Urq trenchee.
UTIDERFLOOR PLUT,EING & MECHA.NTCAL:
o7
floor ineulation or decking.
POST AN! BEAM: ?o be made priot toffitca of floor iraul)tion or
decking.
ROUCH PLAfiII'IG. ELEC?RTCAL & MECH-
ANfCAL: No uotk is to be cooez:ed
.wttil these inspections hanse been
nade and. approoed.
PtPEPLACE: Pz.Lon to placirq facing
ma.tet LaLs and before franing inspeb-tion.
FRAI,IING: l,tust be requested after
approual of nough plwrbing, electti-
u,L & neehanical. ALL roofing
braeing & ehinmeys, etc. rrust be
; eompleted. lto uork ie to be con-. eealed until this inspectton hwerbeen made anC apptotted.
DRYWALL INSPECUON: Ic be nade
aftet, aLL dtyuall is in place,
but ptior to any tapittg.
MASONR! Steel Location, bond
beans, gtouting or oerticals in
accotdozce LlLth A.B.C. Section
24L5.
WOODSTO',/E:
@,aTAA.
Aftez, installation is
CURB & A?PROACH APPON:After fotmsee ex,ecteC but pt'ion to pour"ing
cottcrete.
STDEIIALK & DRIIWAI: Pot aLL con-c"eten6@-Amn etreet right-gf-txA, to be nade after all ecca-
oating conplete & forn uork & sub-
base rruterLal in place.
Electrical Connection - Bloeking, set-uV
and plunbing eonneetions rnist be q)prct=e.
befone requesting eleelrieal inspeelion
Aceessory Bui.LCing
Pinal - Aftez,
ete. are comp
pcnches, sl<'t rting, decks,
Le'-ed.
!E!!t:
gates
h4ten conplete -- ProuiCe
ot, motsable sectians through
P, U.E.
ALL project eonditions, such as the i.nstallation of stl,eet t7ees, conpletion of the
nequired Landscapirg, etc., tmtst be satisfied befote the BUILDING FINAL ean be z,equested.
?fNAL BUILDING: The ?inal Building Inspection mtst be requested dfte" the Pi.rnl Plwnbi,ngElectrical, and Meclnnical fnspections hale been made and'approued.
*ALL I4AIIH?LES AND cLEANours MUST BE AI1ESSTBLE, ADJasrIIEItt ro BE LL4DE AT No ccs? ?o cny Page 1 of 2
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APPLICATION/PERMIT
225 North ith Street
SprLngfi,eld" 2negon 97477
Bui.Ldirry Dttision
726-37 53
(# oSzo t-
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zip: I > <lZ)
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JOB N
Building Pes,rit
State
Iotal Owtgea
Plumbing PenrLt
State
PermLt fssuorce
Meclnnicel Petmit
TotaL
7
"</
soLAR a'--'ess REQ.-L-co *
Bedtoolts:(
-- Feea -:
Building Volue & Permit
This perntt is granted on the enpress condition that the said eonstraetionslnll-, in all rbspects, eonfonn to the }zdi-ranee adopted 6ly the City of
Spr"Lngfield, including the Zoning CYdinance, regulating the ccnsttucticn
otd. use of buildings, ord mey be suspend.ed or reuokeC at cny time upon oic-
Taftion of eLA pnctsisions of said )rdirunces.
*
Paid:
!.
*
Signed:
,t
Plumbing Perrnit
No person slnll eottsttwcb, instal!, alter ot chan4e anA neu cr ecisting
plwnbing or drainage syetan in uhole ot in paz,t, unless such petson is the
legal possessor of a oalid plwnberts License, escept that a pe?son mag do
plwnbing uork to propettA uhieh i-s otned, leased or operated by the appli-
eaflt.
Electricol Permit
I{het,e State Lan reqtires tlnt the electyical uork be done by an Eleeffieal
Contz,aetor, the electyi,cal pottion of this permit slnll rot be oaliC until
the Label lns been aigned by the Electrical Contyactor.
Mechqnicol Permit
*
PLan, Ecanrlner uace
f HAW CAREFULLY EXAMLNED the cotnpleted appli,cation for penrit, and do
het'eby cettify that aLL infonnation heyeon is ttue and ebruect, amC f
futther cet,tify that ang ard aLL uork pez,forned stall be done in acoor,-
dance trLth the Ordinances of the City of SpringfieLd, and the Laas of the* State of )regon pertaining to the uork Cescribed herein, and ttnt NO OCCU-
PAilCy trtll be rrud.e of afl! st/actuye urtthout pernrtssion of the Building N-oision. f fw,ther certify that ottly eontractops od enplcyees uho arb in
eonpliance Dith ORS ?0L.055 uiLL be used on thie project
Aceessof
Lot
Fire
Lot Sq. Ftg.
7 of Lct Cooerage
LOT TWE
_ fnterion
_ Corlter
_ Panhandle
Atl-de-sac
NEM EIU x Va
# of Stories
Total Height
lopography
Ibin
fuaae
C@po?t
Accessoru
?ATAL VALUE
S.D.C. 7.5 c
-
CHARGEI?EM N0.FEE
Fi.cturee
Resil.ential (1 bath)
Sanitaza Seuer
llat*I
lo.o<t
.4o
N0.EEE
Res. So. fta.
Nau/Ectend. Cineuits
lanporey Ser"uieel
/dm
?otdl
rTlM NC.ITD CHARCE
hsnace YIUTS
E*ltanat Hood
Vent Fot
tlcodstorte
-- EIICROACHMENT --
ge@@ Deposit
Stotage
I+bintenanee
Penrtt
C:utbcu!
Sida,talk
Electrical Label
NobiZe ?i,m
?OTAL AilOAN? DUE: *W
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State Sutclwrqe
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.. ,.- ( .'cERl CATE OF TAXES pAtD ON MOBII HOME
.s required by ORS 308.855, 481 .177, and 481 .4"-.
-- ri /'
This form must be completed and signed before the Motor Vehicles Division, Departitent of Transportation, will
transfcr a title, issue a special license under ORS 481.46?, or issue a trip permit to move the mobile home out of the county.
EPfi
E-'i,t
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Reason For
Requesting Certifi cate:
tle Change *(name of buyer
ovement out of county (to Lane County)P O Ro:r 55rr
,,,
f] Movement out of state *(to
-State)
Portland- Or 97228
(Give complete address of new location)
Desctiption of Mobile Home, as shown on the Douslas County Assessment and Tax Roll
Make Royal Oak ModelYr.lS- Model No. Serial No 006491 Width 28 L,engtn 56
Name of person(s) to whom assessed Srnith. Douql-as
Name of registered ownet as listed on title (if same, enter "same")
22 .00 x-150999
gtllfit Same
x-150999
Code Arca
Number
Assessor "X" No.(if none. enter "none")
Assessot's Account No,(cntei it different ttran .tci No.)
Permment DMV Identification Plate No.
(if none. enter "none")
Assessor 's Certification I certify that all taxes which have or will become a lien on the mobile home during this calendar year
Dh"r, been extended on the Tax Roll
EK, ,o be collected in advance by the Tax Collector based on an assessed value of $24330.
and this mobile home: ,B-
Dis assessed as Real Property (lien date July l)
ffiir.rr..r.d as Personal Property (lien date Jan. l)
Dis not assessed (in dealer inventory or not in Co. Jan. 1)
D i, Tu* Deferred Property*
Enur been granted a Veteran's Exemption
EI"*u, assessed last year in
,.} Dut.8-22-84 Assessor George Marsh , 6y deputy
Date 8-22-84 Tax Collector laary Ii Cox ,by .v
* Nortcr TO TAXPAYER Deferred taxes do not have to be paid if you move to another point in Oregon. But they must be paid if you L
request a title transfer or a special license to move out of Oregon. Then you must obtain a signed statement from the Oregon Depart-
ment of Revenue showing payment of deferred taxes. Attach it to this certificate to the Motor Vehicles Division.
NOTICE _ THIS CERTIFTCATE ONLY VALID THRU DECEMBER 31, 19--8.4
COUNTY FORM - 3lo-lr3 (Rev. l-8ot
Oregon Department o, Revenue OV'JIJER
Tax Collector's Certification: I certify that all taxes on this mobile home that have been certilied to me for collection have been paid.
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CITY OF SPRINGFIELD--BUILDING DIVTSION
346 I,IAIN ST. 726-3753 (BUS]NESS' 726-3769 (INSPECTIONS)
APPLICATION FOR ELECTRICAL I,ABEL(S) BY A BUILDING OVINER
Ttre Electrical Safety Law of the State of Oregon does not require a person to obtain
a license as Ern electrician and/or electrical contractor to make an electrician in-
stallation on property which is owneil by himself or a member of his immediate family
which is not intended for sale, lease, or ren!.
(PLEASE PRINT)
APPLICANTT S NAI'IE t/)t, { //r'=
ADDRESS fu
ADDRESS FOR PROPOSED WORK e
BUILDING OWNER (IF OTHER THAN APPLICANT)
ADDRSSS PHONE
I certify that all of the above information is true and correctr and that no portion
of any wiring system reguiring a label as applied for herein and intended to be con-
cealed by any permanent portion of the building or structure shall be concealed until
inspected and approved. When the installation of the system is complete, an additional
and final inspection shall be made.
Inspections are generally reguired for at least the following conditions and or stages-of construction:
2/
1
2
3
Temporary Service
Underground Service
Service
Rough Electric
Cable Heat
New Circuits or
Extensions
Mobile Home
Connections
Signs
Swiruning Pools
4
5
6
7
I
9
I further certify that I will notify the Building Division when any of the above ELEC-
TRICAI fNSPECTIONS are ready, that all work wilJ. be done in accordance with the Electri-
caI Safety Law of the State of Oregon, and that if not the building owner, I am a member
of his or her 7ruY * ru-t/- ilS-Pz,-.a./Da
INSPECTION REQUESTS SHOULD BE I4ADE ON THE BUILDING DIVISIONIS 24 HOUR A DAY INSPECTION
LINE. THE INSPECTION NUMBER TS 726-3769. INSPECTION REOUESTS WHICH ARE CALLED IN BE-
E.OR 7 A.M. WILL BE MADE ON THE SAI\48 DAY.
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LABEL ISSUANCE FEE .I.ABEL NUMBERS
DATERECEIVED BY ;*r"/
FOR OFF USE ONLY
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