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Home My WebLink AboutPermit Building 1995-11-7 . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951556 225 North Fifth Street Springfield, OR 97477 Office: 726'3759 Inspection Line: 726'3769 Location of Proposed Work: 2555 HAYDEN BRIDGE RD Assessors Map #: 17032441 Lot: Block: Tax Lot #: 00200 Subdivision: Owner: ROGER/LYNN HUNTER Address: 2555 HAYDEN BRIDGE RD Phone #: 747-0972 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: RESIDENTIAL ADDITION ADDITION Contractor Const. Contractor # Expires Phone General: OWNER -- ~~ 74r;,- 52..f8 Electrical: OWNER QUAD AREA: 5RNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 3630 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: ..&f +-~ RANGE: G # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: PI 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. UNDERFLOOR MECHANICAL - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking, INSULATION - Floor; prior to decking Wall/ceiling; Prior to cover 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. ROUGH GAS - after line is installed and capped if not attached to an appliance FINAL GAS - When all gas work is complete. FRAMING, Prior to cover, INSULATION - Floor; prior to decking wall/ceiling; Prior to cover DRYWALL - Prior to taping. 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. Lot Faces: N Total Height: 28 Lot Type: INTERIOR Lot Sq. Ft.: 2200 Setbk From NPL: 74 Lot Coverage: 11.3 % Solar Approved: Y House N 66 Setbacks S W 76 43 E 15 . Job Number: 951556 Page 2 Item Main Garage REMODEL & ADDITION UNFINISHED Total Value BUILDING PERMIT --- Square Feet x $/square Feet 2917 713 56.2 28.1 Value 0.00 0,00 163,935,00 20,035.00 183,970,00 Building Permit Fee Surcharge/Admin 622.00 49.76 TOTAL FEE (A) 671. 76 PLUMBING PERMIT --- Item Fixtures Storm Sewer 9 Fee 90.00 25.00 Plumbing Permit Surcharge/Admin 115.00 9.20 TOTAL CHARGE (C) 124.20 - - - MECHANICAL PERMIT - - - Furnace Exhaust Hood Vent Fan Dryer Vent 4 6.00 4.50 12.00 3.00 Mechanical Permit Issuance Surcharge/Admin 35.00 10.00 2.80 TOTAL PERMIT (D) 47.80 --- MISCELLANEOUS PERMITS --- Surcharge/Admin ELECTRICAL 0.00 189,00 TOTAL MISCELLANEOUS PERMITS (E) 189.00 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) 1,032.76 --- 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. Plan Check Fee: Received By: Plans Reviewed By: DON Building Site Reviewed 404.30 Date Paid: 09/29/95 Receipt Number: 19161 MOORE Date: 11/06/95 By: LISA HOPPER SPRINGFIELD . . , ~, Job Number: 951556 - - - ADDITIONAL COMMENTS - - - PATH 1; MINIMUM COMPv~~~, PATH FOR EXISTING WALLS, Page 3 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 Wil>Ri:'J{iI~mes during construction. ll/7 /q 5 signature6 ' Date I --- VALIDATION Receipt Number: / "') 5:2. S- ..t/-7~_~ /4IP~3.2. ?~ /'/__,,,,, .2' /'/' Date Paid: Amount Received: Received By: , ;J . . Permit #: 9_L;'/5"_S"fG. Address: :2~It!AV~~ ;4';z?~ ~ Issued by: /?~~ Date: U~ /-~S- .' //tY - Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction pennit 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 pennit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: o D 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 offered 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 Ixl 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 No6w to ~ O~.~ f~"'t C=....'600 R.....'lbtll"" 00 ... re~~. ,... of"'f r"m. . 1/l1M-- ~ l;;;;,D Q ~ 11/7/4 5 d (Signature of permit applicant) ((Dale) (White copy to issuing agency permitfile, pink copy to applicant) . . ,- Information Notice to Property Owners About Construction Responsibilities '. , . . _.. " ~ -. ..... ~ Note: This Information Notice to Property Owners about Construction Responsibilities , was 'developed by theConstruction '(:-Qntractors 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: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a 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: As an employer, you must withhold income taxes from 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 information, call the Oregon Dept. of Revenue 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, call the Oregon Employment Division 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 must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your 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 Service: 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 requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint 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 to act as your own general 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. \ 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 Sf. NE Suite 300, in Salem. prop-own.pm4 1/94