The URL can be used to link to this page

Home My WebLink AboutPermit Building 1996-07-02SPrr IELO /p, JOB NUMBEB SUBDIVISION: ' BEi',BF-Iltt,"*'o* lnsPections: 726'3769 Oltice: 726'3759 LOCAT ION OF PBOPOSED WORK: ASSESSORS MAP: Qfr, 225 Filth Street i-p-ti ngil "rO, Ore gon 97477 rAx Lor: O2-7 O OL BLOCK: NEW .- REMODEL ADDITION DEMOLISH OTHER PHONE: ZIP:STATE:CITY: DESCRIBE WORK: ADDRESS OWNER: ELECTBICAL: - PHONEEXPIRESADDRESSCONTRACTOR'S NAME CONST. CONTBACTOR # GENERAL: PLUMBING - OFFICE USE - QUAO ABEA: I OF BLDGS: LAND USE: OCCY GROUP: I OF STORIES: Temporary Eleclrlc Slte lnspectlon - To be mado after excavatlon, but prlor to settlng forms, Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. FLOOD PLAIN ZONING CODE: # OF BDRMS: Flnal Electrlcal - When all electrlcal work is complete. Flnal Mechanlcal - When all mechanical work ls complete. Rough Electrlcal - Prior to cover. Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power. Flreplace - Prlor to faclng materlals and {ramlng lnsp. Wood Stovo - After lnstallatlon lnserl - After flreplace approval and lnstallatlon of unlt. Curbcut & A1:proach - After forms are erected but prlor to placemcnt of concrete. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place. Fence - lvhen completed Street Treos - Whcn all required trees are planted. CONSTR. TYPE: HEAT SOURCE: WATEB HEATER:RANGE: SECONDABY HEAT: SOUARF. FOOTAGE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS l-l Rough Mechanlcal - Prlor to ffFlnal Plumbing - When all 'J cover. Hqlumblng worl( is complete, l---l Footlng - After trenches areU excavated. Masonry - Steel locatlon, bond beams, groutlng, Foundallon - After forms are erected but prlor to concrete placement, Underground Plumblng - Prior to fllllng trench. Underltoor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon - Prior to decklng, Sanltary Sewer - Prlor to filling trench. Storm Sewer - Prlor to filllng trench. r Water Llne - Prlor to filling trench. Bough Plumblng - Prlor to ;{rl,rut Buildlng - When all ,laregulred lnspectlons have been- approved and bullding is completed. H{"*lns - Prlor to cover' ;s/w"tttCelling lnsulatlon - Prlor to 4ts*over' fftr*"tt - Prtor to taptng' Othor MOBILE HOME INSPE TIONS Blocklng and Set.Up - When all blocklng ls complete. Plumbing Connectlons - When home has been connected to water and sewer. Electrlcal Connectlon - When blocking, set-up, and plumblng lnspections have been approved and the home is connected to the servlce panel. Final - After all required inspections are approved and porches, sklrtlng, decks, and ventlng have been lnstalled.r. -; -'z€/3 # OF UNITS: - tl tl n tl tl tl n Lot faces Lot sq. ftg. Lot coverage Topography Total helght T1._* lnterior Corner Panhandle Cul-de-sac Lot PL.HSE GAR ACC N S E HISTORICAL OISTRICT, OR ONTHE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgnedand approved by the HlstoilcalCoordinator prior to+ permit issuance. IST HE PFIOPOSED WOFIK i.N THE APPROVED: BUILDING PERMIT VALUE /5r ,/,20,?rf,(f (A),/.f Zo/ q2. SQ. FT. X $/SQ. FT.ITEM Maln Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Thls permir is granted on the express condition that the saidconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City of SpiingtiefJ, inctuding theDevelopment Code, regulatlng in" ""on"trl"iion and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. Plan Check Fee: -- Date Paid: DatePlan Recei pt Numbe s Reviewecj Ely Py.t_LD_t.r!c vALUE, PAND BUTLDING PER LAN CHECK MIT Beceived By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on alt undevelopedproperties wlthin the City tirnlts which are being lmproved. Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home State Surcharse ,7 S t.4S Plumblng Permlt Total Charge FEE 7, 2o / Gza(c) FT, N0 FT. FT. PLUMBING PERMIT ITEM Flxtures (. L COMMENTSADDITION Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true ancl correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Orcgon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Buildirg safety Divisron. I further certify that only contractors and employees who are In compllance with OFIS ZO1.O55 will be used on thlsprolect. I further agree to ensure that all required lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln SI ure Date s du ring con the site at on. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk -- ft Curbcut -- ft Demolitlon State Surchargg Total Mlscellaneous Perrnils (E) TOTAL AMOUNT DUE (exctuding electricat) (A, B, C, D, and E Combtned)34C' RECEIPT N DATE PAID AMOUNT R RECEIVED o 2.2-3 2-<-VALIDATION UMBEFI ECEIVED BY N0 225 FIFTB STREET n"t, U'11 'ottP SPBJNGFIELD, OREG0N 97477 tr!,,,:thorlzed INSPECTION REQUESTz 726-3769 OFFICE: 726-3759 I^EGAI, DESCRIPTION/)€2->/- 7/ , aa?e JOB Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 1.80 days. 2. COI\ITRACTOR INSTALT.ATION ONLY El-ectrical Contractor Address Ci ty Phone Supervisor License Number Exp iration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Name Ci ty Phone %Z-??V? OVNER INST The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Signature: DATE: sfaHtFi(;F t[aLo ELECTRICAL PERHIT APPLICATION xu*b"r__?/4256- COHPI,ETE FEE SCMDULE BELOIJ Nev Residential-Single or Mul-ti-Family per dvelling unit. Service Included: Items Cost Sum The following project as submittod has the7\):1r,lg, and does not require specific landapproval.&e, 3 A 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: s 8s.00 s 1s.00 s 40.00 40.00 55.00 80.00 ee rrB* a6ove 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps over l-000 amps/volts -Reconnect 0n1y 200 amps''or less 201 amps to 400 amps -Over 401- to 600 amps Over 600 amps or 1000-voFs $ s0.00 s 60.00 s100.00 s130. 00 $300.00 $ 40.00 $ $ $ s s 40.00 s 40.00 s 20.00 s 36.00 c Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit -: $ 35.00 ?t* Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. MisceLfaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 5 nrcurwo .tr zoni"g L D (- 1. LOCATION OF INSTALT,ATION ?o 3, W'%iY ; 2a ' eaa r e s s T e € 6 U{q3A€a&zE a Permit#: 2ZaZ% Issued by:Darc'13-f.a Statement: lnformation 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, exempt from 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 andZ, and either box 3,{ or 38: ru 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. M 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 thatthe above informationis correctand thatl have read and do understand thelnformation about Responsibilities on the reverse side of this form. 5.tG (Signature of permit applicant) (Whrte copy to issuing agency permitfile, pink copy to applicant) OR Notice to Property (Date) Address: 7*>, *-i fii- * - rntoriH*ion-itbtice to Froperty Omrners f'&out $qflqtrtf ction Hespcnslhi tr ities ,l\btq: .This {nJi;rmatia* lla4iqe t*.Prr.tpergt Ov+,*ers *bout ilr.:ns{{tit'tian {ksponsiltrlities ' *-rias- i{Ei,elcpe.d by tltcbriiirucfion eontr$ctors Boqrrl in ut'tord$nt,: v+'it{z {}{?S 7C} .055{5)." youCanpreVentm:rnyproblernsbybeingawareeifthe{ollowingrespr:ngibi!itiesandiueasofgga.qem. ElUl PLOYHH ffi E$PCIf.lSI Bl LlTl HS : If you hire persons not registered with the Construetiern Contractors Eoald to do labor in construrcting or as:ristiag rn ihe construction or improvemeirt of a residential structure, yoLi will, in most insfances, bc ruled {c he ;rn *mployer anr] the people yotrhirewi]ibeemployees.AstIreenlployer,yournustcorapI.vwiththbfol1ow!ng: Oregon's withholding tax law: As an ernploysr, yilu rnust withhnld income tax.es from employee w&ges at the time employees are paid. You will be liable far thr: taxpayments even if you elon't sctually withhold the tax {rom your ernployees. F*r' irore inforn-ration, call ti:e Oregon Dept. of Revenue at 945-8091 Unemployment insurance tax: As an emplcyer, you iire required to pay a tax for unemployment insurance purposes on the wagesofallernployees. Formoreinfbrmation,calltheOregonEmploymentDivi*io:ra[the.nep*ft$qg,t,g{.Hurnan&eqgi]rEep at 378-3524. Workers'ccrnpensation insurance: As an employ*r, you are subject to the OregonWorkers'Comlie'nsxlln'l-aw, *dhUr, obtaip,workers'pompen.sation insurance for your ernployees. Ilyou fail to obtain worker-r'compensati.op insurunce, yoLl may be subje'Ct to penalties ahcl will de lirible for aflclairn costs if one of yourempioyees is inju.red u, thU3oUl'f'ormore informationl calltheWorkers'CompensationI}ivisiclnattheDepa{rnentofConStrmerandBusinel*;Si:fiicesx,qaj.?88e U.S.Intem*l R.evexue Service: As an employer, yoli nnust rvithholri lederal inc<;nletax frclrn employees'wages, You vrill be liablefortheta*('paymenteven ifyoudidn'taetuatr13,ivithholdthetax. Formore i*forn:aticn,calithetrntemalRevenueSer?ice at l-800-B2q-104O. OTI{HH RESPONSIBILI?IES ANA AREAS GF CONEHRN: Code eompliance: As the permit holder fr:r this projeet, yrxr are responsible for resolving any failure to meet code requiremenrs thatmaybebroughttoyourattentionthroughinspecfi<lns. ., ..:: .!.t.:.^,: : i!...,: ."{; Liahilitli ,'axd property darnage i*surilnt€: Cont*ct your i*sur;rnce agent to see il you have *dequate insurance ;,:v*rage ftrr accidents and ornissions such as falling tools, paint overspra)', water damage from pipe punctures, fir*, or work tl-lat must he re-dclne. fime to supervise employees: iMake sure you have sufficient time to superuise your employees. E:rpertise: Make sure you l:ave the expertise to act as your own general contractor, to ccordinate the work of rough-in and finish trades, and to notify building officials at the appropriate tirnes so they can perfonn the required inspections. If yoLr have atlditrohal questions. wlil* or cal! thc Constn-rction Contractors-Boarii (PO Box 14ruA,Salem, OR 97"10g-S052, 5031378-462I )" The Boarcl is }*caLed ar ?i)fi summer sr. NH slrire 300, in salem. prop<rwn.pm4 1194