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Home My WebLink AboutPermit Building 1995-10-23SPR!NGF!ELD a RESIDENTIAI, PERMIT APPLICATION CITY OF SPRINGFIEI,D COMMI'NITY SERVTCES DIVISION BUILDING SAFETY Page 1 ilob Number: 951438 225 North Fifth Street Springfield, OR 97477 Location of Propoeed Work: 32L7 ORIOIJE ST Assessors t'tap #: L7Q322]-3 Lot: BLock: Office: Inspect.ion Line: 725 -37 59 726 -37 69 Tax Lot #: 11000 Subdivision: Owner: BRYN/IdARY SCOTT Address: 32L7 ORIOLE STREET Phone #: 747-3845 city/srare/zi-p: SpRTNGFIELD, OREGON 97477 REMODEIJDescribe Work : cARiA,cE CONVERSfON General Plumbing: Contractor RJ PINE 0078398 91,094 Leashore Dr Vida OR 97488OOOO SWEET HOME OIO2982 27340 Fern Ridge Sweet Home OR 9738 ConsU. Contract,or #Expires t2/oe/es ot/26 / s6 Phone 896-0358 357-8033 QUAD AREA: 5RNW -- oFFrcE USE -- LAND USE: 1111 To requeat an inspection,cal-I the 24 hour recording at 726-3769. A11 inspections requested before 7:00 a.m. wilt be mad.e the same working day,inspections requested after 7:00 a.m. will be made the fol-lowing work d.ay. --- REQUTRED TNSPECTTONS ___ ITNDERGROITIID PLITMBING - prior to filling trench. SLAB - To be made after alL inslab building service equipmenL, conduitpiping, and other equipment items are in place but prior to concreterNsurJATroN - Floor; prior to decking lalarl/ceiling; prior to cover ROUGH PI.I,IIBING - Prior to cover. ROUGH IIECHANICAL - prior Lo cover. ROUGH ELECTRICAL - prior to cover. FRADIfNG - Prior to cover. rNsur.ATroN - Floor; prior to decking waI1/ceiling; prior to coverDRYITIALL - Prior to taping. FINAL PLITUBING - When all ptumbing work is complet,e. FrNAL MEcIrAriIrcAL - when alr mechanical work is complete. FTNATJ ELECTRTCAL - when all erectrical work is complete.FrNAL BurIJDrNc - when all required inspections have been approved andthe building is complet.e. Item Main Garage GARAGE CONVERSION Tota1 Value Building permit. Fee Surcharge/Admin TOTAL FEE $/Square Feet Value 0.00 0.00 13,498.00 13,498.00 104.50 8.37 LL2.87(A) PLI'MBING PERMTT ---Item Fixtures 4 Fee 40.00 --- BUILDTNG PERMTT --- Square Feet x SPRINGFIELD Job Number: 951438 a L ) Page 2 Sanitary Sewer Plumbing Permit Surcharge/admin TOTAL CHARGE 28 25.00 65.00 5.20 70.20(c) Vent Fan Dryer Vent, Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MECIIAI{ICAL PERMIT --- 1 3.00 3. O0 (D) 15.00 10.00 L.20 26.20 (ExcLuding Electrical) unleEs otherwise noted --- TOTAL A}lOI'}flT DUE --- (A, B, C, D, and E combined)209.27 BUIIJDING VAI,UE, PLAI{ CHECK A}ID BUILDING PERMIT This permit is granted on the express condition that the said construction sha11, in all respects, conform to the ordinance adopted by the city ofSpringfield, i-ncluding the Development Code, regulating Ehe construction and use of buildings, and may be suspended or revoked at any time upon vioLationof any provisi-ons of said ordinances. Plan Check Fee:. 67 .93 Date paid: Received By: Plans Reviewed By: DON MOORE Date: Building Sj-te Reviewed By: LISA HOppER Receipt Number: 18919 --- ADDTTIONAL COMMENTS --- THERMAIT ENERGY CALCS: ADV.WALL FRAM'G, LOW U-VALUE WINDOWS, 20, R-15 SLAB EDGE SEPARATE ELECTRICAL PERMIT IS REQUIRED. By signaEure,I Etate and agree, that I have carefully examinedthe completed application and do hereby certify that alI information hereonis true and correct, and r further certify that any and alt work performedshal1 be done in accordance with the ordinances of the City of Springfield.,and the Laws of the state of oregron pertaining to the work described herein,and that No occuPANCY will be made of any structure without permission of ghe Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 201.055 wi]l beused on this project. r furt'her agree to ensure that all required inspecuions are reguested at theproper time, that each address i-s readable from the street, that the permitcard is located at the front of the property, and the approved set of planswiLl remain on the site at a1] times d.uring consLruction. _ei Signature oe/os/es ro/os/es Received By 2 7 Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Z.rnin I azi oan--lD ev z6_31,,$?***r9 S T>F.INGF IELf) ELECTRICAL PERHIT APPLICATION225 FIFTS STREET. SPRINGFIELD, OREGON 97 INSPECTION REQTIEST: 7 OFFICE: 726-3759 lH,L?':$l%3:??*1,?ilXH$*'lE"JXSliJy' &: 2N.,vf::: approval o s/y'Se 1. LOCATION OF INSTAIT.A ON LEGAI DESCRIPTION z1 JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 1B0 days. 2. CONTRACTOR INSTALI.,ATTON ONI.Y Electrical Contractor Address Citv Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name b Number COHPLETE FEE SCMDULE BELOII Nev Residential-Single or Multi-Family per dve1J-ing unit- Service Included:ftems Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder s 8s.00 s 1s.00 s 40.00 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/voIts - Reconnect OnlY 3 A Sum B C. D s s0.00 s 60.00 $100.00 s130. 00 $3oo.0o s 40.00 Add ress Ci ty Temporary Services or Feeders -Insiallation, Alteration or Relocation 200 amps' 'or' f ess S 40 ' 00 over 4bL to 600 amps - S 80.00 Over 600 amps or 1000-volTs see "B" above. Branch Circuits Nev, AJ-teration or Extension Per Panel one circuit t-- $ 35'oo 3* Each Addi tional Circuit or vith Service or Feeder Permit f S 2'00 /Ooo vn."" Z/Z-? 6y',f OVNER INSTALTATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ormers Signat 'DATE: E 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee not included) 40.00 40.00 20.00 ,o Miscellaneous (Service/feeder -Each installation i Pump or irrigation S sign/outline Lighting- S i,iili ted Energy/Res - S L j.mi ted Energy/Comm S ^ RECEIPT @ Permit #: Address 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, exemptfrom 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 and2, and either box 3,A' or 38 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. 3,A'. 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. 38. 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 notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and thatl have read and dounderstand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. of permit applicant) (White copy to issuing agency perrnitfile, pink copy to applicant) OR (Date) X ) \-/ : \- liiformation Notice to Property Owners Abgut Construction Responsibi|ities Note: This Inf*rcruatirsn Notice to"Property #wners abou{ Constr*r:tion Responsihilities v:as dev*l*ped by the Con.rtructittn Contrattars B**rrj in *r:r:rtrrktnce ,,t,tlh ORS 70t.A55{5). If ycu are acting as y*ur swn crrnt!"actor tc: construct a **w home nr mak* * substantial impr*vement to afi existing structure, yclu can prevent many problems by being aware of the following responsibiiities and areas of concerr. EMPLOYER RESPONSIBILITIES; If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or irnprovement of a residential structure, you will, in most ilstances, 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 rmrst 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 inforrnation, call the Oregon Dept. of Revenue at 945-8091. Unemployment insurance tax: As an ernplcyer, you are required to pay a tax for unemployment insurance purposes on tlte wages of all ernployees. For more information, call the Oregon Employment Division at the Department of Human Resources at 378-3524 lVorkers'compensation insurance: As an employer, you are subject to the Oregon Workers'Compensation Law, and rnhst obtain workers' compensation insurance for your employees. If you tail to obtain workers' compensation insurance, you{nqtr besubjecttopenaltiesdndwillbeliableforaliclaimcostsifoneofyouremployeesisinjuredonthejob. Formoreinformatiirn* call the Workers' Compensation Division at the Department of Consumer and Busiaess Services at 945-7888. U.S. Internal Revenue Service: As an employer! you must withhold federal income tax from employees'wages. You will be liabie for the tax payment even if you didn't acfually withhold the tax. For more information, call the Internal Revenue Service at l-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 requiregnentg that may be brought to your aftention through inspections. ,X. 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. fime t* supervise trnployees: Make sure ycu hav* sufficient tirne tn supen ise your employees. Expertise: Make sure ynu have the expertise to ect as your own general contractor, to cilordinate the work of rough-in and finish trades, and to notify huilding *fficials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construclion Contractors Board (PO Box 14140, Salem, OR 9?309-5052, 5tj31378-4$2i). The Board is located at ?0O Summer St" NE Suite 300, in Salem. prop-orvn.pm4 lt94