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HomeMy WebLinkAboutPermit Building 1992-10-27 225 Filth Street 8~d1f_O~!J[7 TAX Lrf)_~ BLOCK' SUBDIVISION: OW""LYp.1LO)\ <::L }-\ I(L\)')I) 11 )~ '"0"' c QftLJ; -IICl ( ) ADDRESS ~ci2())::\- .~ ~ 0 fJt "0 O.E ') - CITY:__Y I)~ ./ ' - STATE ('UJ( .J Zlp:_!:C]=fQl___ - (\ - ,. ~/} F', I~ wl (] o(l{)~ / . .~-~. RESIDENTIAL PERMIT APPLICATION Insp6etiontl: 120.3709 Office, 72G,3759 DESCrryrvORK: NEW~ REMODEL__ CONrnAClm.NA~1'\ A (')) GENERAL: ~7JJLJJ . ADDITION DEMOLISH OTHER 118 NUMBEFl _!l/L,lJJ.L ..--' ADDRESS CONST, CONTRACTOR' EXPIRES PHONE: PLUMfJING:. _,__ - MECHANIC~j ELECTRlCtLL)_YfYl () 2 QUAD AREA KRJ\X' ~ . OF BLDGS: -d . , OCCY GROUP: ~J..:t.M , ., 4, . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ . 6F UNITS' \ . CONSTR. TYPE: V tv HEAT SOURCE:_F&! RANGE: _.CS , t FLOOD PLAIN: ZONING CODE: illlL- . OF BDRMS' - ~ SECONDARY HEAT: SQUA~E FOOTAGE: _-1s3~Gl_ To request an inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be maclc nlC same working day, inspections requested after 7:00 n.m. will be made the following work day. CI Temporary Electric I I Site Inspection - To be made altel cx(;avatioll, but prior to selling lorms. o Undcrslab Plumbing/Electrical/ Mechanical - Prior to cover. ~Footin{} - After trenches are ~oxcavaled. o Masonry - ~tCCI location, bond beams, grouting. lV1 Foundntion - Afler forms me ~erected IJut prior 10 concrete ptace/llvnt. o Underground Plumbing - Prior to filling trencll. lv1 UndCrfloor(fIUf11bin~eChanic~ ~ - Prior 10 III;;'lllaIl011 VI l""''''""joJ. r-::::;;( Post and Beam - Prior to floor ~ Insulation or dtlcldnQ. l'\7( Floor Illsulation ~ Prior to ? deckin{J. rc;;(" Sanitary Sewer - Prior to fillillg J6r.J. trench. K::7r Stann Sewer - Prior to filling ~ trench. ~Water line - Prior to filling ~trcnch. "1" t'521 RoufJh Plumbing - Prior to ~over. REQUIRED INSPECTIONS , 'K7r Ro'ugh Mechanic'a! - Prior to ~ cover. . 1V(Rough Electrical - Prior to ~cover. 'K:7( Electrical Service - Mus t be ~approved to obtain permanent electrical 'power. 1"'S71 Fireplace - Prior to facing ~aterlals and framing Insp. ~ Framing - Prior to cove:~.~ . ""'rVf Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stove - After inst~lIation. o Insert - After fireplace approval and Installatlon of unit. o Curbcut & Ai>proach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway :...- After excavatIon i$ complete, forms and sub.ba~;e Inaterial in place. o Fence - When completed. , \ o Slreet Trees - When all required trees are planted. . , . , , ....J;/'" f'v1' Final Plumbing - When all ~llIrnbing work is compltJte. K7f Final Electrical - When all ~Iectrical work is cOlllplete. T5<f Final Mechanical - When alt I ,,,ecllanical work is complete. ~inal Building - WIlen all required Inspections have been pproved and building is completed. ~Othcr FtODJ/4/~ ~ pI1/. ~r-/~ MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - Wilen llome has been connected to waler and sewer. o Electrical Connection - Wilen blocking, set.up, and ptllrllbinO inspections have been approvlHI and the home is connected 10 the service panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. " , . Lot faces Lot Type. Setb"cks .THE PROPOSED WORK IN THE I P.L I GAR' ACC I HISTORICAL DISTRICT, OR ON Lol sq, ltg, _ Interior HSE IN I THE HISTORICAL REGISTER? Lot coverage _ Corner If yes. this application must be signed ~ Panhand'le Is I and npproved by the HIstorical Topography -" Iw Coordinator prior to permit issuance. Total height l'l _ Cul-do.sac ~--- APPROVED' BUILDING PERMIT ITEM SQ, FT. ~n4 Ir~5 x ,,~0QJO = IOOl'icA '\l{\() \l/~ Main Garage Carport \q I (J r~41 6.:5/.25 ;Z? ?~ d;fi3.8>' SYSTEMS DEVELOPMENT CHARGE (SDC) U6 b (6) N)A. Total Value Building Permit Fec State Surcharge Tolal Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath{s) N' '2- ~n. Ot' Sanitary Sewer FT, FT. 2-1f~ FT. ::7,QBO - '-I- Water Storm Sewer Mobile Home Plumbing Permit /CJO. (to . 9.5'0 /5C;.SO Stale Surcharge Total Charge (C) MECHANICAL PERMIT -000 4;;0 Furnace Exhaust Hood Ven t Fan N' Wood Stovellnserll Fireplace Unit Dryer Vent ?, t)O _~pO J,~. 5"0 /0.(70 ,7€3 ? /_.z..e; _6AS~)Nc:- Mechanical Perml t Issuance Stale Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 6, C, D, and E Combined) !/fJi ,"7 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on 1110 express condition Ihat Iho said construction shall,ln all respects, conform to llle Ordinance adopled by the Cily 01 Springfield, Inclucling the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any lime upon violation of anx 'R04'SiOn~of said ordinances. Plan Check Fee: o/r.( < ,;:> t Dale Paid: B -J~,:;_;C{:..L~ Recelpl Number' I.... 14l1(? lffi./ ~ ~~'5,4?, r-~I<i . Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS pAt";/1 Wi R-/'I A WAJ"kS fRcP-~-TO-BF ""l:RV-E::O- 1?j ~J (\.IBnW-WA:TE:R.. :D:::i.-':._ By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all Informatlon hereon is true and correct, and I further certify that any and all work performed shall be done in flccordance with the Ordinances of the City of Springfield, nnd Iho Laws of the State of Oregon pertninlng to the work dl~~;cribml herein, and thai NO OCCUPANCY will b(~ 11I:\fII~ of :lIlY structure witl10ut permission 01 the BuildIng $ilfely Divi~ion. I fur1l1er certify Illat only contractors and employees WllO are In complIance with ORS 701.055 will be UGf~d on Ihis project. I further agree to ensure Ihat all required inspcclions arc 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 slle at a~ring conslru X,gnatu,e 6<<(2. /' ' Dale /Oh7H.7 , / VALIDATION: ( c:::t2n' RECEIPT NUM~R \0 ~) I / DATE PAID-11 ). r9 ~ AMOUNT RE~/~d) tJ .CJ::\-. -,--- RECEIVED 6t +-1ij....U.\;:;;J " . .. . . . Permit No: q Ai/cSt 1 Issued b ~/ ate: ID ;:)1q 1/ Address: FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701,055(4), requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued, This state- ment 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 1 th/'jlicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1, V-V I own, reside in, or will reside in the completed structure, ' 2, I I ! I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion, 3, A,I I My general contractor ii" Contractor registration number I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board, OR I I will be my own general contractor, If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board, If I,change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I 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 understand the Information Notice to Property,Owners about Construction Responsibilities on the reverse side of this form. .dL ignMure of Permit Applicant /t:?~0.,2' Dafe CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT . ..'.. INFOR_ON NOTICE TO PROPERTY OeERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: , This Il"!fQrmation Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701,055(5), passed by the ,1989, Oregon Legislature, " 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 Department of Revenue at 378-3390, 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 DHR at 378-3224, 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 DIF at 373-7434, , , . U,S, Internal Revenue Service: As an employer, yo,u 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 221-3960, ' 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 Properly 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 punc- tures, 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 to: Construction Contractors Board 700 Summer SI. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244J 10/24189 '