HomeMy WebLinkAboutPermit Building 1980-03-24ArtP
Job Address
Appl ication for
Structures now on the Property
Affidavi t: I ,
If this application is
,1,pqlg6pg,! p_rit,tl,fi ,l,
an agricul tural bui I d'i
Lane County Code Chap (zoning) and for no o
owner of record;ntract purchaser;---T---dul v authoriz---k a 'ls
S i gnature/Address
When permi
olner i
Con trac tor
DEPARTI'IENT OF ENVIRONMENTAL I1ANAGFUENT -PSB, '125 EAST BTH AVENUE
EUGENE, OREGON 9740I
t wilI be used for
prrrpose. I have
pu
the
I essee;
ge able of this application
rposes allowed by the State Building Code and
fol lowing 1ega1 interest in the property:
holder of an exclusive option to purchase;
Z jtus:td*it#iiilli l-7;1sffie fiurIir l--l ri$**n*;#'ldriul*iii t-ti:*tiiHlilil#irli
tl,i.h r. *i. D. e"rt€?- , hereby certify that this information is true and accurate
ngi
ther
z1 QI
Te'rephone 1*b-qq 7 3 o, '7 4'7- / G -/{Da te
is ready notify:/7 Appl icant /_/ }wner 7Y Conttacto" !y: /-/ nail
z1
z1
Contractor's 0SR# AC {OC)Plumbing by
phone
Phonc
Phone 7 76-7? 7"
DO NOT WRITE B ELOI"I THIS LINE
If Commercial
Residential:
:.#..10t,,.,.$to*jlffi:t:-
rii#.:,:,Uf.r.l.b*d .;
-
'/.{li.i:is#.iliufiilit*iii-l . ^-*illll-jjffi, ru&t# of employees
S I tes t ho'l es ready ! Proposed, SI #
$$ *,s. . nti.:
ffiii:i:f*iiiiu*i it#tri
#.:iriil- iii$il.tGsi. :iSfi$Ui.Va l uati on Fee
Total Va,l uati on $
$
b
at
at
each $
each $
/_/
Rece i ved
Water Supply
4% State surcharge
Plans check fee
Change of 0ccupancy
Subtota l
TOTAL
$
$
$
$
Proposed _
Year Instal led $
PERMIT PROCESSING Part. #
Minimum setbacks:t,,
Comments
To be typed on permit
ryp" 5/,J eroup R-3 Fire Zone
Parcel #
1n
Use Classification
Parcel S,.i
t r
To be typed on permit
By
.l (a '(For olans informati
1@.ections
to si te
,
on
Pl ans to! slro
,-/rru,-_ -//y{ NPc
Da te
Requ i red
Hold 51 ip
to PCC
Da te
Compl eted
Date to
PCC
/_/ Planning
l-/ Public Works
/7 Elevation
/l Address
/-/ Facil ity Permit
,// Environmenta'l Health
FOR INFORI'1ATl0N about progress of your application call
C74-L7L
n/a
Da te
Ph
permit controt center 687-HELP G87-4357)
Exi sti ng _
CP& I
inspec
CP&I set( s )
I,jPC
-
set(s)
VL-/\J \J lane countyHOLID SLIP 6t!r---7APPLICATION #
Name
Addres s
Zi p Code
The above appf ication is being held for the fol easons:
ba?'" 1,fi'
4e
This application will be held until
above has not been furnished by tha
Division
Si gnature Date
Te1 ephone
If the information required
te your app I ication wi I I be cancel led.
Buildinq fees paid for permits cancelled under these circumstances will be prorated
according to the work that has taken place as of the date of cancellation.
ENVIRONMENTAL MANAGEM ENT DEPABTMENT
125 EAST 8TH AVENUE / EUGENE, OREGON 97'IO1
form C74-139 ,/'
#eA-r ?un4P 3?bo,n
3 V 7S, 1-o0 s-cK
tv bO O, c/ftI7 ? 7 s^:-o
)
LICENSED - - BONDED - - INSURL-
SALES CONTRACT
JOB NO
MP&S CONSTRUCTION CO.
4778 MALL CT. N.E. . SALEM, OREGON 97303
PHONE 393-5458
Page
-
of- page(s)
l/We the owner(s) of the premises mentioned below hereby contract with and authorize you as Contractor to furnish all necessary materials, labor and
workmanship, to install, construct and place the improvements according to the following specifications, terms and conditions on premises below described:
Owner's Name Phone:
Job Address City State
Owner's Home Residence
Boxes below marked with an "X" shall be paft of this contract.
tr1.
D2.tr3.tr4.
Tighten and secure all weatherboards where necessary.
Remove all wooden corner strips or cover in place.
Place special molding around all casings.
Apply material specified below over all weatherboards.
tr5.tr6.D7.
Wrap home with aluminum foil.
lnstall new corners on each cornsr of the house.
Accomplish all work with skilled applicators.
Material Color
SPECIFICATIONS
$
lN WITNESS WHEREOF, the parties have hereunto signed their names this
Contractor or Representative
ACCEPTED:
Use this section for special instructions(1) CASH PRICE $
MP&S coNSTRUcTloN Co. is not responsible for damage to the interior of the house or for interior furnishings including pictures, plates, mirrors,and/or other interior items. The contractor is not responsible f-or any damage done to the house when raising or leveling floors . , . or in removing roofs..All tools and all unused materials will remain the property of tire contiactor and the owner(s) trereuv giant the coritractor permission to remove suchtools and materials at any time.
Contractor is to perform work in a good and workmanlike manner.The propertv owner hereby agrees: That this contract and agreement shall become binding upon him when accepted by the Mp&S CONSTRUCTIONco' credit Mgr' and on or before completion of the above descri-bed work., the undersigned property owners agree to pay full payment of this contract incash or execute necessary papersto finance said payment according to above terms or other financing satisfactory to the contractor and that if he breachesthis agreement in any manner before the improvements herein spec-ified are insiilted or applied, or uer"oie irr" materials are delivered, he agrees to pay to thecontractorasliquidateddamages,asumequal to25%ot theabovecontractprice.
This contract may be terminated at the option of the contractor prior t'o construction if contractor so desires for any reason.The undersigned represents that he is (they are) the owner(s) of'the above mentioned premises ana trrat the legal title thereto stands of record in his (ortheir) name(s).
It is agreed that all payments hereunder shall be made at the offlce of the Contractor or its assigneee.Contractor may file a mechanic's lien to secure payment of the money due under this contra'ct, oi in event it becomes necessary for contractor to filesuit to collect any money due under its terms o, to sue'for breach tn"."oi, o*na, "gr"", to pay in addition attorney,s fees in a reasonable sum incurred bycontractor for the above.It is mutually agreed between the parties hereto: That the contractor shall not be responsible {or damage or delay due to strikes, fires, accidents orother causes beyond his control.
The undersigned acknowledges receipt of a true copy of this contract, acknowledges that he has read and knows the contents thereof, and understandsthat no verbal statements of any representative are binding upon the
"orniunv,'rnr"ss-rruritten into this "ontrr"t and approved by the contractor, and that
For your own protection all deposits and payments must be made by money order or check or cashier's check in favor of Mp&s coNSTRUcTloN co,
BUYER'S RIGHT TO CANCELlf this agreement was solicited at a residence other than that of the seller and.you do not want the goods or services, you may cancel this agreement bymailing a notice to the seller' The notice must say that you do not want the goods or services and musi be mailed before 12 midnight of the third businessday after you sign this agreement. The notice must be mailed to: MP&s coNST"RU_c_TloN co., +zzg M"li ci. rue, s.1"., oregon g7303.lF You cANcEL, THE SELLER MAY RETAIN AS A cANcELLATioNlee s pgncerrrfoiiiicASH pRtcE, BUT Nor ExcEEDtNG youRCASH DOWN PAYMENT, OR $IO, WHICHEVER IS THE LESSER.
However; You may not cancel if you have requested the seller to provide goods o.r services without delay because of an emergency, and(1) The seller in sood faith makes a substantial beginning of the performaice or tne cont;;;i;;f; y;'give notice of canceltarion, and(2) ln the case of goods, the goods cannot be retuined to the selier in substantially as good a conoition as'when received by the buyer.
coMPANY's GUARANTEE: The company guarantees its workmanship and will replace faulty material or faulty workmanship free of charge.customer, by affixing their signatures hereon, acknowledge that they h"* ,"""ireJ" copy of this contract.
,19----
Signed
Owner
Signed
Down
Payment
(21 Totat Cash $
Trade ln $$
Describe Trade ln I
(3) Difference Between ltem 1 - 2
Manager Owner
day
NO VERBAL AGREEMENT RECOGNIZED
BlockLot
Ar\b :' i PSB, rzs EAST BTH AVENUE { } f-t\-/ EUGENE, oREGoN 97401 \-/ \_ I
Job Address
Township, Range,tion, T x Lot
Subdivision
App I ication for
Structures now on the p rope r ty
Proposed use of property: /-/ nesidential /7 Commercial
Affidavit: I,
Ci ty igned Numbers
/_7 Industrial /-/ public
hereby certify that this informat.ion is true and accurate
ee; holder of an exclusive optione of this appl ication.to purchase;
{
If t-his appl icati
Lane County Code
owner of
-_duly
auth
5ignature/Address
p
i
epr non is for an agr cul tura l bu 'lding it wi lI be used for pu Ilowed by the State Buildi ng Code andCha p ter rposes a
fol I owirecord;other purpose. I have the ng 1ega1 interest in the pro pe rtyaser;ori zed IS
I ess
RnowTEd=geabt
)q7
Teiephone _ or
When permit is ready notify U Appl icant /_/ Owner
Owner
Con trac tor
Contractor's OSR# pl umbing by
/-/ Contractor !y: /-/ mail
-14-t- /Da te
Phone
Phone
phone
If Corrnercial: # of stories
Residential: # of bedrooms
5I test holes ready
sh
/_/ Check #
Received by
t^later Supply
Proposed _
Year Installed
# of employees #of
SDS:
units
! Proposed, SI #
Unit
Cost
isting, BP #2v..1
Fee Sq. Ft. or
# of Sites Va I uati on Fee
Total Valuation:
Plumbing fixtures at
Sewer/water conn. at
4% State surcharge
Plans check fee
Change of 0ccupancy
$$
Su btota l
TOTAL
each
each
$
$
t
$
$
Exi sting ---$
$
PERM]T PROCESSING
Minimum setbacks ' t
Comments
To be typed on permit
Part. #Parcel #Parcel Si
Da te
ft. of drainfield;depth of trenches:
IL, side
By
I^IATER POLLUTION CONTROL
instal lation specifications :gal. tank;
To be typed on permit
Tel
rections to site
/-/ Yro Plans to:
/-/ cP&r
/-t l.i'Pc
/-/ Planning
/-/ Public llorks
! Elevation /-/ n/a
/-/ Address
/-/ Faci 1 i ty Permi t
// Environmental Health
CP&l _ set(s)
l./PC _ set (s )
{
Da te
Req u i red
Hold Slip
to PCC
Da te
Compl eted
Date to
PCC
FQR INFQRI1ATION about progress of your application call: Permit Control Center 687-HELP G87-4357)
Da te
Apolication q )',
o)
Code Des c ri pt'ion
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Subdivision
Lot /o
Job Locatlon
Pernlt /l
Permit
Pernlt
For Perrnl-t /l
Permlt
Permit
ForPlot Plan For For
For It For
Block
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c74-150
Vlclnlty Map 50
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H€ Q-17 SUPPLEMENT F lfc74-L85
TRS, TL
Subd.
Job Address
UPPLEME NT NO. I o. +70
Lot IO Bl k. A APPLICATION NO. t-e,
Noti fy:
/7 owNER
address pho e
/4cowaACToR/App I i cant
by: /-/ nail l4f,on
a x
ress TrT ne
e 1
BUILDING VALUATION(Revised) (Prior)
Descri pti on lffiorcectiI'/ adaition
Bl dg.
Waste
Pl umb.
4/i sur.
Plan R.
Mech.
0ther
on
22.OD
amt. due
TOTAL:B.&pu
/ refund -a2.oz)
due b3.6D
'#,1
Recei v
sh
eck #
edb grgr(
1+
Appl icant's Si
/-l wPc
By Date
ly'l cP&T n e@
Date
ENVIRONMENTAL MANAGEMENT DEPARTMENT
ADMINISTRATIVE DIVISIoN / 125 EAST 8TH AVENUE / EUGENE, oREGoN 97401 / (503)687-4394 0R l-800-4s2-6379
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IANE IOIJNTY DHFT HNV HET T"IECTIIF'I' + 53.:}T}* NATE 0617$4
AI-.f}LICANT CIILE, RICHARD ADDR F.N BOX 504, SF'FD., T}FIE[;.}N T<
rr_f I?03t4;13(!3800 SUTIDMST ADD T0 StdANH ISTATE:;i '-fir 10 EfLl{ ]
NEtl ELDG IyFE USE: R N0 BDr,tHS 0O NCI UNIl',S 0Or N{l S'l'0RIltrS r{O ETLDGS 001
noDE AFFL Nn ACTItIN DHSCRIFl'ItlN SQ Fl' UN:lT CC].IT VAI-UATI0t, FEE DA)'-**
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N0. f IXTL,RES : N0. C0NNECT0RS :
I.IECHANICAL FEE
STATE SURCHAftGE
FLAN CHECI( FEE
t-f, 53080 suF P +?0CHAN6E ftOOF
SLIF P *?0
5.00 t.AcH ::
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502
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11.00
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COT{FLETION DATE
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