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HomeMy WebLinkAboutPermit Building 1995-5-10 RESIDENTIAL PERMIT.;p.PP L41CATI0 N Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: ;..(LOT: /7c9/- '( '"<.. BLOCK: JOB NUMBER J~O 2..5' 5' 225 Fi fth St reet Springfield, Oregon 97477 TAX LOT: /J/0rJ< SUBDIVISION: - OWNER:!2a- yc.~ (~. f PtAA/A L,--f).~ 1/ \/=:" /1/ ADDRESS:'~7q2 C?AM~t"LI4 Jf -. \ CITY: .s/1~A/~iE'l. /J STATE:r)4, :z. ''I t.K 3.2 / DESCRIBE WORK: IJVI t...D u<- 1P 11'<15 A C24/-?4 PE NEW X REMODEL CONTRACTOR'S NAME GENERAL: Of) lA/if: ADDITION DEMOLlSI;I OTHER PHONE: 7L(./'"'-? 7..'1/ ZIP: 9 747J':. ADDRESS' W('] A~ )'1/( V' (' /S"" / t:::: , . ' CONST. CONTRACTOR # PHONE )<pLUMBING: ~ ~ECHANICAL: Z ELECTRICAL: IJdIAl'c:.. WoAr< HYS/:L~ EXPIRES - OFFICE USE - QUAD AREA: ~ f2hrY LAND USI=. /IQ) FLOOD PLAIN: # OF BLDGS: I # OF UNITS: I ZONING CODE: I.I)(2- OCCY GROUP: rn CONSTR. TYPE: \LtJ /I OF BDRMS: - I( OF STORIES: I HEAT SOURCE: SECONDARY HEAT: WATER HEATER: -- RANGF' ~ ----- SQUARE FOOTAGE: '7ht To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will b!'J made the same working day. Inspections requested after 7:00 a.m, will be made the following work day. o Temporary Electric o Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumblngl Electricall Mechanical - Prior to cover. . ,. IVl Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumblng/Mechanlcal -,Prior to. Insulation or decking. '\. o Post and Beam - Prior to floor Insulation or decking. ' o FI90r Insulation ~ Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. . o Rough PI,umblng - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical ~ Prior to cover, ~ Rough Electrical - Prior to ~over. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framlng - Prior to cover, o Wall/C'elllng Insulation - Prior to cover. o Drywall - Prior to taping. o WoodStovo - After Installation. D Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is compietc, forms and sub.base material in place, o Fence. - When completed. o Street Trees -:- When all required trees are planted. o Final Plumbing - When all plumbing work Is complet,e. 'K7( Final Electrical - When all ~,Iectrical work Is complete. D Final Mechanical - When all mechanical work Is complete. , 1'Y1 Final Building - When all ~required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set. Up - When all blocking Is complete. , o PJumblng Connections - When home has been connected to water and sewer. o Electrical Connection .:.:- When blocking, set.up, and plumbing Inspections have been approved and the home is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, '..:, Lot faces --0-.... Lot T}, Lot sq. ftg. I P.L IN Is Iw IE Interior Lot coverage Corner Topography , Total height .1l: ( 'l17') BUILDING PERMIT ITEM SQ. FT. X $/ SQ. FT. Panhandle Cul-de-sac VALUE Main Garage -?~~ /4. /0, "/cJ ~2$ Carport ~ 1.J~e '? .E&J, - 0CJDQ CJ t82.A . *" .c:; 0 &, ~S' ~_9S- SYSTEMS DEVELOPMENT CHARGE (SDC) ?f'~r C~~ (B) . {)- PLUMBING PERMIT Total Value Building Permit Fee State Surcharge ~t:) ~ -I- 2 (2. Total Fee (A) ITEM FEE Fixtures ~ / / FT./ ' / / / Plumbing Permit Residential Bath(s) NO Sanitary Sewer FT Water FT. Storm Sewer Mobile Home " State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood --. Vent Fan NO Wood StovellnsertlFlreplace Unit Dryer Vent MechanlCa?permlt Issuance State SurS arge Total Permit (D) MISCELL.~NEOUS PERMITS Mobile ,Home State Issuance State Surcharge Sidewalk ft Curbcut Demolition ./ Total Miscellaneous Permils (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ~(Q ,7'S- , , ".).,,:: ; ~j~';/ 'i::!i;: i,l' ~ Setbacks HSE GAR I ACe I 12. IS THE PROPOSEP WOR_K tN THE _ "HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. I. 5 I APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grant.ed onJhe expreffls condition that the said construction shall, In all respects, conform)o the Ordinance, adopted by the City of Springfield, including the Development Code, regulating the cgnstructlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. b2.X..? s--/ -;,;- Receipt Number' 1.7,/f.) Received By: ~jI~ ~"M~ ( Plarl-s RevfewedBy .' Plan Check Fee: Date Paid: 5/9/):) / !tate ' Systems Development Charge is due on all undeveloped properties within the City JimitS,Wh:ch are being Improved. ADDITIONAL COMMENTS .-/ A +-r : 1) Vl;,fA(Jt} --/tlJ/U..u-L f)tt:tf~: f t1 (; 0 fJlft)Jt-;1cU --- /7ztUuJlLU- >>~ ~~ ~NA1?/Tlr ~t!ipv~L By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wlthou't permissIon of the Building Safety DIvision, I further certify trat only contractors and employees who are In compliance with ORS 701.055 will be used on this prOject. I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain ~u:~p;;zt=~ ~ Datp )'-- jOI"-Qrc- '-/ :::::?MBER ~.~ ~~ AM'OUNT RE~' 0 /s~ ,9/ RECEIVED BY m" - -- Permit #: ~ G\ c:JC)lS~ 0\ , ~flL 01) ffiP.Q~gJ ~,lf'l)_) Date: ,r\D~ ., .. ~ Address: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical" and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. . ~ the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: \ 1. I own, reside in, or will reside in the completed structure, ~ 2. I understand that I must register as a construction,contractor if the structure is sold or offered for sale before or upon completion. ~ 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. \ OR 3B. I will be my own general contractor. , If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. IfI change my mind and hire a general contractor, I will contract with a contractor whois registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Prope~. ;1d~nstruction Responsibilities on lbe reverse side of this form. 1J;:~1 ~1 ~ _ {/ - (Sig~ature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) ~ V I ,- \. , .' l \ - j .' I' j . ; ., < " , - !-JIn1f!oli"ma.ti~n Notice'to':ProlPerty Owners '/ / ,i": / i~bo~t ;Co~strl:jctiqR)l,.,8e~p(Q)l!1lsibmUes ___. ..,.....~...f ~-- 4 -=:, ..-J, ~ ___, -._.........!.. ~ 'II . ... . s. '~ . "'j .- } i ...-: . "f 1 -~_....---- --- " ' ". , -y ..'., :( ..: : ...- -.~ ,t . '; / N,ote:' This Information Noiice t9 ,Prop~rty Ptlf!1ers about Construction Responsibiliiie~'" . ,'.~, -, ,_ . . .. ... _ ' J. ...' _ . . v' .'. . ' was ~evelop_ed ~~'the-Constr''u:tion Confr~ctor~ B~ard.in accordance with ORS 701.05S(5J;.:, If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you canpreveqt.many problems.,~y being aware of the fqllowing respo!lsib.ilities arid areas ofconceI;I1. , . _".1 ,"~' , , --:.... f ~ . . _ _ ' . EMPLOYER RESPONS,IBllITIES:. . . . ,. . If you hire persons not ~~gistered with the Cpnstruction Contractors Board to do labor in constructing pr assisting in the construction or irriprovementofa resi~~IJ.tjal structure, 'you will, in most Instances, be ruled to be an employer and the people you hire will be employees. As the employer, you 'must comply with the following: .' , .' . ". . , ' . ..' .., - ". ~.' . " . . . Oregon's withholding tax law:' As an.empI6ye'r,'you< must withhold income t~xes from employee w'ages at the time employees are paid, You will be liable for the tax payments ~ven if-you don't actually withhold the tax from your employees. For more information, call the Oregon Dept.ofRevenue at 945,-8091.' Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, caUthe,Oregon EmploynientDivision at the Department of Human Resources at 378-3524. \ '. . . Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and mu~t obtain workers' Gompensation insurance for yow: employees,_ If you fail to obtain workers' compensationin&urance, you may be subject t~ penaities and will be liable for all~laim co~ts if one of yo~r employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. u.s. Internal Revenue ~ervice: As an employer, you must withhold federal income' tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: \ Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirerrients . that may be brought to your attention through inspections, \ ~ '~ .t \ Li.ability an!l property damage insurance: Contact your insur~nce agent to see if you have adequate insurance coverage f9r accidents and omissions such .as f~lling tools, p~int overs pray, water damage from pipe punctures, fire, or work that must lSe re-done. < . , Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you 'have the'expertise to act as your own gen'eral contractor, to coordinate the work of rough-in and finish trades, and to notifY building officials at the appropriate times' so they can perform the required inspections.' - ILyou have additio.nal questions, write or call, the Construction.Contractors Board.(PQ,.Box 14140, Sa1e~,OR 9'7309-5052, 503/378-4621). The:Board is located at 700 Summer St. NE Suite-300,. iQ Salem.- ' . . prop-own.pm4 1/94 , t.,;: ( " ...