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Home My WebLink AboutPermit Building 1993-04-26SPFl!}tGFIELCD h, LocAloN oF pRoposED woRK: -24-za--p - "< ..\T FLUa ASSESSORS MAP: LOT: JOB NUI\,4BER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT:{o z^)?- BLOCK:SUBDIVISION ADDFTESS: JS?e /Agk S a,-- - ztPSTATE:CITY REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW EXPIRES PHONEADDRESS Eoza;-w,'nd /3"-o &te/a---sZ -an4,'-a/6\ 7993 ?- (e- CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTFIACTOR # G EI.I ERAL: PLUMBING EW F,.E _ OFFICE USE OUAD ARF.A: r OF E]LDGS: RAT.JGE: _ HEAT SOURCE: FLOOD PLAIN '" OF BDRMS: ZONING C OCCY GROUP: - WATER HEATEFI F OF STORIES CONSTR. TYPE: - SECONDARY HEAY.: SQUA LAND USE: _ * OF UNITS: To request an inspection, you must call 726-3/69. Tl'ris is a24hour recordlng. All inspections requ ed before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wil! be made the following work day. REOLIiRED INSPECTIONS ffi wTemporary Electric Site lnspection - To be made af ter excai,ation, but prior tc setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior lo insulation or decking. Post and Beam - Prior to floor insuiation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Waler Line - Prior to filling trcnch. Rough Mechanicai - Prior to cover- Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Final - After ail required inspections are approved and porches, skirting, decks, and vr:nting have been installcd. w Electrical Service - Must be approved to obtain ierrnanent electrical power. E Fireplace - Prior to facing materials and f raming lnsP. X Framing - Prior to cover Wall/Ceiling lnsulalion - Prior to w t:l t_i W W B Rough Electrical - Prior to cover. cover. w Drywall - Prior to taping Wood Stove - After installation. lnsert - After f ireplace aPP:ova! and installation of l:nit. Curbcut & Apptoach - After {a,rms ;lre erected but prlor to placenrent of concrete. Sidewalk & Driveway - After cxcavalion is ccrnPir,tc, forms and sub-base ntate !'::ll in place. Fence - Ulhcri cornDlr'te d S!reet -rrlj {:s - Yrir.r't ril requi:'ed ti.j.,S :ll e rll:,nt.-!. Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connectiorrs - When home has been connected to water and sewer. T Electrical Connectiotr - Wlten olocking, set-up, anJ plumbing inspecticns hav;' been approved anci the home !s connected 1o the service panel. r B w w a) LI Rough Plumbing - Pricr to cover. --_1!l! ..j IiESFDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 [] L] IM L,l owNER: 6arsot/ CAMf"zzsE pHoNE: /n?z- 376s Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L HSE GAR ACC N S E BUILDING PERMIT ITEM SQ. FT.X $/SQ. I=T,VALUE /72%)Main Garage Carport r';aztruyl 30.co @O(Esi Total Value- .-f uzaaJrbta Pab, Building Permit Fee State Surcharge Total Fee (A) /%ru+6'/aat /2#c 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 Developrnent CocJe, 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 3Qr-7" b;s y'ga)r',*z) >t€ e 9G,36Date Paid -1- 23 Receipt Numbe Recei v: CVI C Date SYSTEMS DEVELOPMENT CHA (B) y:,:w#U Systems Development Charge is due on all undeveloped properties witlrin the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ?424- fu-ae N0 FT. 26,-t1 e --rt a-'- - 2f, ""6FT. Fr. /fu /?e-a Plumbing Permit State Surcharge Total Charge 5a^< 1?sa (c)42-* ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan 6//.f2 .na-D N0 /B- oa Wood Stove/ lnsert/ Fireplace Unit Dryer Vent t-aMechanical Permit lssuance State Surcharge Total Permit ,t asO z-z{ (D)f2,2f, By signature, I state and agree, that I have caref ully examined the completed application anc.l do hereby certify that all information hereon is true and correct, and I f urther certif y that any and all work performed shall be done in accordance !vith the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY witl be made of any structurc without permission of the Building Safety Division. I further certily that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urtlrer agree to ensure that all required inspections are requested at the proper time, that each address is readable f rom 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. ignature Date (- MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrica\ 6zaLn (A, B, C, D, and E Combined) IS THE PROPOSED WORK IN HISTORICAL DISTBICT, OR ON THE THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALIDATIOIJ: RECEIPT NUMBER DATE PAID AMOUNT FiECEIVED RECEIVED BY 3ZS7 1_1"_-22_ # ?looas /EP-r.- /s, at C'fY OF S1'IIINGFIEL() 225 FIFTB STREET SPRINGFIELD, oREGoN 97477 INSPECf,I0N REQIBSTz 725-3769 0FPICE: 726-3759 1 JOB Permits are non-transferable and expireif vork is not started vlthln 180 daysof issuance or if vork is suspended for 180 days. 2. COIrTRACTOR INST Electrical Contract Address Ci ty Phone Supervisor L ense Number' Expiration Date Constr Contr. Number C Expiration Date Signature of Sing Blectrician 0wners Name Address ELECTRICAL PERHIT APPLICATION City Job Number SCMDULE BELOIT Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service fncluded: Items Cost l.l pk t l,,f?l A Sum ON 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 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_ 0ver 1000 amps/volts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation SlDto ONLY B. or $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c 200 amps or less $ 40.00 Over 401 to 500 amps _ $ 80.00 0ver 600 amps or L000 volts see rrBrr above Ci ty Phone - \ OVNER INSIALI^ATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: RECEIPT RECEIVED QgAE le83-3145 Br Ci rcui ts , Alteratlon or Extension Per Panel C)ne Ci rcui t $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pnmp or irrigation Sign/outline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL $ $ s $ 40. 40. 20 00 00 00 00 5 B 36. a, c)A+ 'A: couPrrrE FEB 1 2 Permit No: Address: lssued Date: OR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSI BILlTIES 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 underORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. A My general contractor is , Contractor registration numbe I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3,8 I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf 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 certily that the above information is correct and that I have read and understand the lnlormation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 3 4-AC-?J Date WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT fr*4/r? -L CONSTRUCTION CONTRACTORS BOARD 0244J 8191 r*/ rNFoRmA;oN No.cE ro pRopERr" o,nil=*, ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This lnforrt.ation Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 7OlI)55(5), passed by the 1989 Oregpn Legtslature. i.- - ..'lf you are acting aS youl' own contractor to construct a new home or make a substantiAl imprWbment to an existing structure, you can prevent many problems by being aware of the following responsibilitibs and areas of concern EMPLOYER RESPONSIBILITIIS: lf you hire persons not registered with the Construction Contractorg Boarfl to do labor in constru9ting or assisting in the con'struction or lriprovement of a residential structure, you will, in m-ost instances, be'rtr'ieO to be ai "employer" and the people you hire will be "employees". As the employer, yo'u must comply with the following: Oregon's Witl',rhildifrg 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 actqqlf withhold the tax from your employees. For more information, call the Oregon Department of 'Rsv,eougat 378-3390. Unemployment lnsurance Tax: As an employer, you are required to pay a tax for unempibyment insurance purposes on the wages of all emplolees. .for more information, call the Oregon Er-nOloyment Division DHR ar 378-3224. Workers' Compensation lnsurance: As an employer, you.are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable tor all clalrh costs.if one of your employees is injured on the job. For more information, call the Workers"Compensation Division DIF at gf*7434. U.S. lnternal Revenue Service: As an em ployer, you musl 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 lnternal 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 requirernents that may be brought lo your attention through inspections. Liability and Property Damage lnsurarlce: Contact lrour insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray,'water dalnage from pipe punc- tures, fire, or work that must be re-done. Time to Supervise Employees: Make sure you have sufficient time to supervis6 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 inspection'b. .,. _. lf you have additional questions, write to:Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-S/8-4621 4244J 10t24t89 JoB No. 1s042-.1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (coMt'IERcIAL & RESIDENTIAL) Geucrt C-r-e> t S*eute*9TNAME OR COMPANY: z-4-t-o fit-e*s*xt T BuVo llos Z1 tL - 5oo LOCAT ION : DEVELOPMENT TYPE:Mps (, UNIT r Cou PLE* BUILDINGSIZE: 3C*q1,5 LOTSIZ 1. STORM DRAINAGE IMPERVIOUS SQ. FT.3 Ll4 F sQ. Ft. x $0.192 PER SQ. FT. 2. SANITARY SEi^lER-CITY NO. OF PFU'S (See Reverse) 5+X $39.78 PER PFU TRANS PORTAT I ON NO OF UNiTS X TRIP RATE X COST PER TRIP C x o. bLs x $4ol.os 3 J.- Kip Burdick SDC Coordinator x $401.05 x $401 .05 $ X $ suBTorAL (ADD ITEMS 1,2, & 3) s*zqf2 4. ADMINISI RATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .05 5. SANITARY SEhlER-Ml,,lMC NO. OF PFU'S (Use PFU Total From Item 2 Above ) MhlMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-CITY SDC s 45ob 39 $13.62 PER PFU + $10 Mt.lMC ADMIN. FEE s1+s+9 ol5 87 TOTAL-MWMC SDC stt !9 L TOTAL SDC S SIiSq, FIXTURE UNIT CALCUI-ATION fagl.E: ttumoer of New Fixtures X UdiiEquivalent = Fixture Units (|'IOTE: For remodels, calculate only the NEJ additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE ryPE NEW FIXI'URES EOUIVALENT UNITS lz /- /o b li,4iscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. 2 1 2 3 6 2 6 6 1 3 2 'l 2 2 1 6 4 ead/H /z ---6- - 7E- 5 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) Z,g Z x$-2o,og (Rate X o ,lb = sc82 = 31.J 1s 81 Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1 980 198'l 1982 1983 1984 $2.83 2.76 2.7'.| 2.60 2.46 2.33 '1985 1 986 1987 1988 1989 1 990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Bathtub....... Drinking Fountain...... Floor Drain.. I nterceptors For Grease/Oil/Solids/Etc..-......"" "" I nterceptors For Sand/Auto Wash/Etc.....--.."" ""' Laundry Tub/Clotheswasher-....... Clotheswasher - 3 Or More...-.....-. Mobile Home Park Trap (1 Per Trailer).........-...-.... Receptor For RefrigeratorAVater Station/Etc.--..." Receptor For Commercial Sink/Dishwasher/Etc'. Shower, Single Sta||............. Shower, Gang....--..... Sink, Bar, Commercial Urinal, StallflVall.... Wash Basin/Lavatory, Single........-- Water Closet, Public lnstallation.. Water Closet, Private..... t_ (Rate X Assessed Value) CREDIT TOTAL = $