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Home My WebLink AboutPermit Building 1997-5-5 SPRINGFIELD '-" Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970508 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4582 GLACIER ST Assessors Map #: 18020512 Lot: 100 Block: Tax Lot #: 04200 Subdivision: LUCERNE MEA owner: JAMES BROWN Address: 603 33RD STREET Phone #: 741-0851 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1596 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: SGC To request an inspection, call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK C After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. N Lot Sq. Ft.: 8790 Total Height: 17 Lot Type: INTERIOR Setbacks S W E 15 12 20 12 Lot Coverage: 18.2 % Setbk From NPL: 68 Lot Faces: S Topography: 2 Solar Approved: Y House Garage Item Main BUILDING PERMIT --- Square Feet x 1210 $/square Feet 64.66 Value 78,239.00 SPRINGFIELD Job Number: 970508 Page 2 Garage Total Value 386 16.27 6,280.00 84,519.00 Building Permit Fee Surcharge/Admin 388.00 31.04 TOTAL FEE (A) 419.04 -- - SYSTBMS DBVELO.u".', CHARGE (SDC) --- (B) 2,330.52 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 MECHANICAL PERMIT - - - Exhaust Hood Vent Fan Dryer Vent 2 4.50 6.00 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC ELECTRICAL PERMIT PLAN REVIEW FEE 0.00 22.90 14.50 1,000.00 124.20 100.00 TOTAL MISCELLANEOUS PERMITS (E) 1,261.60 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,210.16 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Job Number: 970508 Page 3 Received By: Plans Reviewed By: DON MOORE Date: 04/25/97 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 3 STREET TREES REQUIRED ,t No oee;.JPANCV I.tJ.mL pLAN REVIEW R!:e (loo.{)O) IS PAID 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 without permission of the Community Services Division, Building Safety. I further certify that 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 on the site at all times during construction. (;t..."w A stJlnature o. h./U0yL s:. . c;:- 90 Date --- VALIDATION Receipt Number: 2.. "5 C. ~ SO Date Paid: f:"- '5'.'7 ~2/a/~ ~ Amount Received: Received By: . . Permit#: 9''705o~ Address: 45"~2. c:::tl4C/6t? Sr. Issued by: Date: 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. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ~ ~ I. 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 ofTered for sale before or upon completion. D 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. If I change my mind and hire a general contractor, I will contract with a contractor who is 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 Property Owners about Construction Responsibilities on the reverse side of this form. nl1rn'10,,/.J a _ AA/rl...Irt/l Cr (Signature of permit applicant) C;-S"- 9'7 - (Date) , (White copy to issuing agency permit file, pink copy to applicant) . . nnformaliion Noiice io Propeiiy Owners ~boui Consiruction Responsibiliiies Note: This Informotioll Notice to Property Owners about Constnlc(ioll ResponsibiliTies was developed by (he ConstrucTion Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: I f you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement ofa residential 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: Asan employer. you must withhold income taxes Irom employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more infonnation, call the Oregon Dep!. of Revenue at 945-809]. 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, call the Oregon Employment Departmentat 378-3524. Workers' compensation insnrance: As an employer, you are subject to the Oregon Workers' Compensation Law. and must obtain workers' compensation insurance for your employees. I fyou fail to obtain workers' compensation insurance, you l11a)' , be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. Formore information. , call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. Internal Revenue Service: As an employer, you must withhold federal ineome tax from employees' wages. You will be liable fonhe tax payment even if you didn't actually withhold the tax. Formore 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 failureto meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agentto see if you have adequate insurance coverage for' aecidents and omissions such as falling tools, p(lint overspray, water damage from pipe punctures. fire. or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. . Expertise: Make sure you have the expertise toact as your own general contractor, to coord inate the workofrough-in and finish trades, ahd to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions. write or call the Construction Contractors Board (PO Box 14140, Salem. OR 97309-5052, 503/378-4621). The Board is located at 700 Summer SI. NE Suite 300, in Salem. prop-own.pm4 1/94 '. . C'1 bmittadh~sth:dt"l\\O....lq e following projec\ a;qS~;ree:mc IclOd l20 . _"lnlng, and does no r f\~ approval. LV .. .~ Willam~i;-A'e5 ~97 . ...~ '---l Park & Recr,~.ation :lI!.i~riCL_rg tv': Job. No. .. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~M01J ~0101\ . ADDRESS: ~O\.)-:\ ~~. /~ ~~D~\1L PHONE:l4\ .Tl~5\ STATE:Bt:.- ZIP: Qlilr: LOCATION OF PROPOSED BUILDI~ SITE: L Street Address: ~ ~ ( 1l Ol.iJx .JA Q1,1I Plat Name: . ~\lr..Q .rt\t, ~ax Lot Number: 'lfi) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinnle-F::lmilv Det::lched l Single Family home . NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $ lfYY).CV B. ,Sinnle-Familv Attached NO. OF UNITS X $924 per unit = $ C. .Multi-Familv Aoartmen\ NO. OF UNITS X $692 per unit = $ D. Manufacturecl Hnme PRrk NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ ----11XD, CO $d 2. SDC CREDIT (if applicable) SOC-payer must fumish proof of Willamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED f\rVl (if sot reduced for Credit) $ Il A 1 J ,ClJ ~) I d\N)l')QV S- I ~ I 57 Developmenf~~1.s Department Date City of Springfield The. following project as submitted has the followin 2vn'Or: end deBs- not require specific land use approval. Zonino lolL 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Dtll.h-S'<11 97 4 A~oriz&d Signature 726-3769 Ii ! 1. )LOCATION OF INSTALLATION 45S2- 6t..A-G16<' 5T- . . LEGAL DESCRIPTION / 1!3f') /_ /Q C; / 2- e;42.(Jf;;L JOB DES~TION C:;, F. e:r , . Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if work is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~ / Address City Supervisor Expiration Date Constr Signature of Supervising Electrician Ovners Name ~b; /~lJ2..J/I) ~~~<jJr. Phone 7+1 ~N:o~ I Address bo?, City ~). OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Owners Signature: ~Q A (1'- f!;1A--U~ -----=------------------------------- DATE: .r-5"-J? RECEIPT it; 2"'~~)' . RECEIVED BY: ~~ ELECTRICAL PERMIT APPLICATION "HJ Job Number . c:?105tJ~ 3. COMPLETE FEE SCHEDULE BELOII tJV'1 A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cos t Sum 1000 sq.ft, or less c...- $ 85.00 ~O'O Each additional 500 sq, ft or portion thereof 2- $ 15.00 3D,ao Each Manuf'd Home. or Modular.'Dvelling Service or Feeder $ 40,00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less ~ $ 40.00 201 amps to 400 amp~ $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" aoove D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) 5. $ $ $ $ } } 5".~ .. ef.7S- !,.,~o .{/-~ . 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL