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Home My WebLink AboutPermit Building 1995-09-15OTTOF SPRINGFIELD a RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMT'NTTY SERVICES DIVISION BUII.DING SAFETY Page 1 ilob Nurnber: 951373 225 North Fifth street Springfield, oR 97477 Location of Proposed l[orkz 3973 RICHLA]iID ST Assessors ttap #: L8020641- Lot: Block: Office: Inspection Line: 726 -37 59 725 -37 59 Tax Lot #: 04900 Subdivision: Owner: DON FERGUSON Addressl. 3973 RICHLAND STREET Describe Work: GARIAGE Phone #: 747-834L ciry/state/zip: SPRTNGFTELD, oREGON 97478 NEW ContracEor Const. Contractor #Expires Phone General OI^INER Electrical: OWNER QUAD AREA: 5RNC ZONING CODE: LDR VN SQ FOOTAGE: 840 -- OFFICE USE -- LAND USE: 1111 OCCY GROUP: M # OF BLDGS: 1 CONSTR. TYPE: To request an inspection, calL the 24 hour recording aL 726-3769. A11 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. --- REQUTRED TNSPECTTONS --- FOUNDATION - After forms are erected but prior to concrete placement. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover ROUGH ELECTRICAL - Prior to cover. I,IIDERGROI,ND ELECTRICAL - PTiOT TO CO1IET. FRN{ING - Prior to cover. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL ELECTRICAL - When all efectrical work is complete. STORM SEWER LINE - Prior to filling trench. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: N So1ar Approved: Y Garage Total Height: 18 Setbk From NPL: 100 N Lot Type Setbacks SW TNTERTOR E 8 Item Main Garage Tota1 Value Building Permit Fee Surcharge/admin TOTAI, FEE --- BUILDING PERMIT --- Square Feet x 840 $/Square Feet VaIue 0.00 LL ,844 . OO LL ,844 . OO 92 .50 7 .4t 99.91 Surcharge/Admin - - - MTSCEI.I.AT.IEOUS PERMITS l_4.1 (A) 0.00 SPFTNGFIELD .Tob Number: 95a373 CITY OF SPilNGETEID,a Page 2 ELECTRICAL PERMIT TOTAL MTSCEI,I,AI{EOUS PERMITS (E) 55 .95 66.96 (Excluding Electrical) unLegs otherwiEe noted -. - TOTAL N,IOI'NT DUE - - - (A, B, C, D, and E combined)t65.87 --- BUILDING VAI,UE, PI.NiI CHECK AT{D BUILDING PERMIT --- This permit is granted on the express condition that the said construction shal-I, in aII 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 viol-ation of any provisions of said ordinances. PIan Check Fee: 50.13 Date Paid: Received By: Plans Reviewed By: DON MOORE Date: Building Site Reviewed By: LISA HOPPER 08 /22 / es oe/04/e5 Receipt Numlcer: 18785 --- ADDITIONAL COMMENTS --- COMMERCIAL INSULATION REQUIREMENTS FOR HEATED DETACHED GARAGE. DRYWEL], TO BE 4FT. SQ. W/ 3FT. OF OPEN GRAVEL F]LL (SEE DRAWING By signature, I stsate and agree, that I have carefully examined the completed application and do hereby certify that al-l- information hereon is true and correct, and I further certify that any and al-l 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 sLreet, that the permit card is located at the front of the property, and the approved set of plans site at all times duri-ng construction t-rs-a9 DateS --- VAI.IDATION --- Receipt Number Date Paid /74a Amount Received , ,/61, 3 ? Received By q-,/5'25 SPRTNGFTELD, oREGoN 97477 A t/, INS'ECTION REqgEST - 726:.rSt69*_ vl-2r The {otlowing proiect as oubmitt€c has the ;H il, ill;esnot roquire spt:r:rtic lenri p kaPProval. 225 TIFIE STREET OFFICE: 726-3759 Authorized Signature 1. LOCATION OF INSTALT^ATION73)) I.,EGAL DESCRIPTION JOB DESCRI ION SPF. GFIELO ust EIIECTRICAL PERHIT APPLICATION City Job Number q5/73 COHPLETE FEE SCHEDUI,]E BELOS Nev Residential-Single or Multi-Family per dvelling unit' Service Included: Items Cos t s Bs.oo s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less Ll 201 amps to 400 amPs _- 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1"000 amPs/volts - Reconnect OnlY -qq 3. A B C D Sum Permits are non-transferable and expire if vork is not started vithin L80 days oi i."u.nce or if vork is suspended for 180 days. 2. CONIRACTOR INSTALI^ATION ONIY Electrical Contractor Ci tv Phone Supervisor License Number Expiration Date Constr Contr- Number Expiration Date Signature of Supervising Electrician 0vners Name 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Hodular DvelIing Service or Feeder One Circui t Each Additional Circuit or vith Service or Feeder Permi t G Temporary Services or Feeders i.,sta11a.tion, Alteration or Relocation 200 amps"or less S 49'99 zor a*ps to 400 amps -- I ::'99or". +bt to 600 amps -.- $ 80'00 over 600 ,*p" ot-i5Oo-";ft" see 'B' a6ovE- Branch Circuits Nev, Alteration or Extension Per Panel ' s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 g - Address Ci ty Phone 7fi43//$ 3s.00 . s 2.oo /2-@OVNER INSTATI.,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' E Miscellaneous (Service/feeder not' included.) -Each installation Pump or irrigation Sign/Outline Lighting- Limited EnergY/Res - Limited EnergY/Comm s 40.0q s 40.00 s 20.00 s 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAI, 5 DATE: RECEI RECF,TWD B W oa Permit #: Issued by:V;*=<- Statement: lnformation Notice to Property Owners About Construction Responsibil ities Note: Oregon l-aw, 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 abuilding 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,{ 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. 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. w 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 notify the office issuing this building permit of the name of the contractor. I hereby certify thatthe above informationis correct and thatl have readand do understand the Information about Construction Responsibilities on the reverse side of this form. a- rq - 99- (Signature of permit applicant) (White copy to issuing agency perrnitfile, pink copy to applicant) OR (Date) Address: 7?^= 1 f: Z * Notice to Inforriration Notice to Property Owners Abqut Construction Responsibilities 'l: . -- No.te:. This lrlformation $otice to Property Owners about Construction Responsibilities\ 'was develope-d by tlti Cinstruction C'ontractors Board in erctortlnnce wirh ORS 701 .055(5). If you are acting as your own contractor to constru., u ** home or make a substantial improvement to an existing structure, you can prev€nt,many pr&lems by being aware of the following respoasibilities and areas of concef,rl,.. :. ... EMPLOYEH HESPONSIBILITIES: 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 strucnrre, 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 at378-3524. 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 besubjecttopenaltiesandwillbeliableforallclaimcostsifoneofyouremployeesisinjuredonthejob. Formoreinformation, 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 forthe tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at l-80G829.1040. OTHEH RESPONSIBILITIES AND AHEAS 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. l Liahility 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 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 ofrough-in and finish trades, and to notify building officials at the appropriate times so they can perform the requi$ inspections. ;. --aj-, -: . i If you have{dditionafquestiohs, write or call the Construction Contractors Board (PO Box/414h'Satem, OR97309-5052, 5031378-4621). The Board is located at 700 Summer St. NE Suite 30O, in Salem. prop-own.pm4 lt94