HomeMy WebLinkAboutPermit Building 1992-08-13,,n Ll)
RESIDENTIAL
PERMIT APPLICATION
I rrspcctiorrs: 726-3769
()ff ice: 7?6-3759
I-OCATION OF PRO o
ASSESSORS MAP
lLlgz
h,
JOB NUME]ER
225 Fifth Street
Springfield, Oregon 97 477
TAX LOT
SUBDIVISION
*7c ,r) e
LOT:BLOCK:
PHONE:7 4='t.r'{ 7
OWNER: -
ADDRESS:
,rcl /?STATE: 'J,"--ZIP:.;)q 2 7--jCITY:
-
DESCRTBE woRK: - 1^au.rlttcLit';,/-=ti'. --
NEW. ,larooel X- ADDtltoN
\
l"y'r {,
DEMOLISII OTHER
CON TRACTC)R'S T.JAMF
L,(it:Nl..llAL ';/-)'-'
l,l tJN4lllf.J(i:
lrzl ECI-lAN ICAL:
ADt)NL SS
,cc,,/ /a. -'e Z) /-,4i K' ;{.*.r_ __53
CONST.
CONTRACTOR #EXPIRES PHONEf - zA - ?3 22./ -2L33l,,or)
E L ECr R r cA L, fuy.*-q eiq --
A.-
# OF UNITS
coNSrR rvpe: V A/-
OUAD AREA:
# OF BDRMS:
WATEN HEATER
.'TtiT= -
RANGE:
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT
SOUARE FOOTAGE:
LAND USE:
HEAr soun "u,6A# -
r OF BLDGS: ---
OCCY GROUP: -,
r OF STORIES: -
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. wlll be
rnade the same workilg day, inspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
[-l Temporary Eleclric
ll
fZl Rough Mechanical - Prior tolCl ,:over.
| 7l Rough Electrical - Prior toL& covr:r.
w Final Plumbing - When all
plumbing worl( is complete.
Site lnspection - To be mad<:
after excav;rtion, but Prior tcr
settirl(t fr:rttts.
w Final Electrical - When all
electrical worl< is contplete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work ls comPlete.
w Footing - After trenches are
excavated.Fireplace - Prlor to facing
rnaterials and framing lnsP.
w Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Stecl location, llorrtl
beams, grouting.w
W
Framing - Prior to cover'
Other
Foundation - After forms are
erectecl flut Prior to concrete
placentent.
Wall/Ceiling lnsulation - Frior to
cover,
Underground Plumbing - Prior
to lilling trench.Drywall - Prior to ta[)ir1g.
MOBILE HOME INSPECTIONS
Underlloor Plunrbing/ Mechanical
- Prior to insulatiorr or clecking'Wood Stove - After lnstallation.
Posl and Beam - Prlor to floor
insulation or deckittg. ,.*..
Floor lnsulation - Prior to
decki ng.
lnsert - After f lreplace aPProval
ancl lnstallatlon of unit.
Blocking and Set.Up - When all
blockln0 ls complete.
Curbcul & Approacl'r - After
forms are erected but Prior to
l)lacement of concrcte.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Eleclrical Connection - When
blocking, set-up, arr<l plumbing
inspections have been aPProved
and the home is connected to
the servlce panel.
t__l Siclewalk & DrivewaY - After
cxoavation is comlllete, forms
anrl :;ub-bas(} nlatorial ln place.l_l Storm Sewer - Prior trl f illittgl
t ro n cll.
Waler Llne - Prlor to filling
lrench.[__] fence - Wlten c;omPleted.
Rouglr Plunrbing - Prior to Slreet Trees - When all required
trees are planted.cover.
u)7-
tl
i:l
m
Final - After all required
inspections are approved and
porches, sl<irting, clecks, and
venting have been installed.
fl
tl
M
tl
fl
r
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type v
-- lnterior
-
Corner
-'_ Panhandle
-- Cul"de'sac
Setb
N
-t]-sE-G.AIl ACC
S
E
P.L.
-HE I'ROPOSED WORK IN THE
FrS-rORtcal DISTHICT, OB ON
1-l-l[: l'1 ISIORICAL REGISTER? -' -----
lf yes, this application must be signed
anrl aplrrovecl by tlre llistorical
Ccrordin;ttor prior to pormit i:;sLtancr:'
APPROVED:
By
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thispernritisgrantedontl]eexplessconditiorrtl-rattl-resaid
construction shall, in all respects, confornt to the Ordinance
adopted by the City of Spring{ield, irrclr-rcling the
Developrttent Cocle, regulatirrg the construction and usc of
buildings, arrd may be strspended or revoked at any time
upon violation of any provisions of said otdinances'
e/v27
Date
Receipt Nunrbo
Received BY:
3
Pran clrccl< Fcc: - / € fr",;;";; " ,7'Ots
BUILDING PERMIT
VALUE
2gz,-il?(A)
w_r's ??
SQ. FT. X $/SO. FT'ITEM
Main
Garage
Carport
euzd-
Total Value
Builcling Permit Fee
State Surcharge
Total Fee
Systenrs Developtttcnt Clrar gc is clue on ;lll r-rndeveloped
propertir:s; witlrirr tlrc'City lirnits whiclr are beitrl; itnprovccl'SYSTEMS DEVELOPMENT C46'F'(B)HARGE (SDC)
ADDITIONAL COMMENTS
ITE,M
Fixtures
Residential Uath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
-5ac
e
{2.3(c)
-).7
Nt 0
FT
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unlt
Dryer Vent
M ECHANICAL PERMIT
rvty.Mechanical Permit
(D)
/z*_ z-. __
?5
;
/. A+6^
dv
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signalure, I state ancl agree, that I have caref ully examined
the cornpleted application and do hereby certify that all
information hcreon is true and correct, and I f urther certify
tllat any ilnd allwotl< pet{ortnctl shall be done in accord;rrrcc
with the Ordin;rnccs of the Ci ty of Springficld,;rrrd tltc Laws
of the State of Oregon pertaining to the worl< described
herein, ancl that NO OCCTJPANCY will 'be tnade of any
structule witllout perntis;sion of the Building Safety Divisiot-l'
I f urther certify that only contractors and enrployees who
are in compliance witl'r ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper tinre, that each address is readable
from the street, that the permit card is located at the f ront
of the property, ancl tlre approved set of plans will remain
on the struction
Sign
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-_-
ft
Curbcut
-_
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)DArE PAID !],ratr-a-
Rq4
A
s] 11 D [-g
VALIDATION:
RECEIPT NUMBE,FI .-_
AMOUNT RECEIVE,D
RECEIVED BY
-,-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
1za,ee
:_
zru{o
/ 3?s
4x
N" z/7
SP}lI^lG':IELf,D
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK
ASSESSORS MAP:
LOT:
z/o36JOB NUMBEI1
22li Fifth Street
Springfield, Oregon 97 477
Za L4r-
TAX LOT: --/-saa-
BLOCK:SUBDIVISION
aa?l-9
- STATE aY<,,r, -77y'2 ?__----CITYr
ADDRESS:
OWNEFI ProNE: - 7za-//f7
NEW -- BEMODEL ADDII'ION DEMOLISH OT HER .,
DESCRIBE WOFII(
PHONEEXPI RESADDRESSCONTRACTOR'S NAME
MECHANICAL:
-ELECTFIICAL:
CONS-T.
CONTFIACTOR ,7
GENERAL:
PLUMBING
FLOOD PLAIN:---
ZONING CODE: ..
Y OF BDRMS: ..-
SECONDAFIY } IEAT:
SOUAFIE FOOIAGE:
_ OFFICE USE _
LAND USE:
OCCY GROUP:
RANGE:
OUADABEA:
-
---
# OF BLDGS
WATER HEATER:
// of: srotilES:
r OF UNITS: -.. .-
CONSTR. TYPE:
HEAT SOUtiCL::
To request an inspection, you must call 726-3769. This is a 24 hour recorrlinr;. All inspcctions requeste(l bofote 7:oo a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be tnadr: tlrc {ollowing work day.
REQUIRED INSPECTIONS
l-l Temporary EleclricII
Rough Meclranical - Prior tr-r
cover.t__l Final Plunrbing - Wlten all
plunrbing work is cotrtplete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - []riot t<.r Final Electrical - When all
electrical work is complete.cover
Underslab Plumbing / Eleclrical /
Mechanical - Prior to cover.
Electrical Service - Musl be
approved lo oblain Perrnanent
electrical power.
Final Mecharrical - Whctr all
meclranical work is complete.
ng - Af ter lrenches are Firral Builditrg - Wlrctt all
avated Fireplace - Prior to facing
materials and f ratnitlg lnsp.
ired inspections lrave beerr
a 1;roved ancl builcling is
Masonry - Steel location, bond
bearns, groutit-tg.
cornl)lctc(l
Foundation - After forms are
erected but prior to concrete
placement.
Frramrng - I)rior to c,vr:r'
Wall/Ceiling ltrsulation - ['rirrt tct
cover.
Underground Plumbir.rg - Prior
to filling trench.Drywall - Prior to taPirlg
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or deckin1l.Wood Stove - Af ter inst;rllatirttr
Post and Beam - Prior to floor
insulation or decking.
t.-l Blocking and Sel.Up - When all
blocking is complete.lnsert - After firePlace aPProval
and installalion of unit.
ruIJ;suration - Prior to
Curbcut & APProach - Af ter
forrns are erected but l)rior t()
placetnent of concrete.
Plumbing Contreclions - Wlten
horne has been connected to
water and sewer.
Sanilary Sewer - Prior to f illing
trench.Eleclrical Connection - When,
blocking, set-up, arrd Plurnbing
inspections have l;een aPProvcd
and the home is conrrected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - Aflcr
excavation is conlPlete, fortns
and sub-base malerial in Placr-:.
Water Line - Prior to filling
trench.
Fence - When comPletcd
Street Trees - When all reclrtired
trees are planted.
Final - Af ter all required
inspections are approved and
porches, skirting, decks, and
venting ltave been installecl.Rough Plumbing - Prior to
cover.
L_l
flr
E
tl
tl
r
r
tl
tl E
Lot faces
Lot sq. ftg.
Lot coverage
Topograplty
Total height
Lot ly1-tt-'
-
lrlteri()r
... Corncr
- Patrlt;irttlle
--,, Cul-tltl-satc
Setbacks
P1"..HSE GA
N
R
IHE PROPOSED WORK IN THE'iTrsrontcnl DrsrRrcr, oR oN
TI-IE HISTORICAL REGISTER?
-.-,lf yes, this application musl be signed
and approvecl bY the Historical
Coordinator prior to permit issuance.
APPROVED:
S
E
ACC
BUILDTNG VALUE, PLAN CHECK
AND BUILDING PERMIT
Tl.ris permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
aclopted by the City of Springfield, including the
Development Cocle, regulating the construction and use of
buil<iings, ancl may be sttspendecl or revoked at any tirne
u l)on violation of any provisions of saici orclinances.
Receipt Number:--
DateIrl;rns [lcvieweci By
Plan Check Fee
Date Paid
Rc<;eived By:
BUILDING PERMIT
VALUE
oa
€?"
/ 7,3'
O,D5@_/WlftA /dE&€z4zif
'{,o
Z
so. FT. x $/so l=T.ITEM
Main
Garage
Carport
/ G,so
,9L
Total Value
Builcling Perlnit Fee
State Surt;ltar<;r:
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)NA_
ADDITIONAL COMMENTSPLUMBING PERMIT
ITEM
Fixtures
Resiclential Batlr(s) Nu
Sanitary St:wer FT,
Water fT
I-F,E
(c)
FT.
Plumbirrg Perllrit
State Surcharge
Total Charge
Storm Sewer
Mobile Honte
Wood Stove/ lnsert / Fi replace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
I ssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is lrue and correct, and I further certify
that any and all 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 perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the f ront
of the property, and the approved set of
Signature
Date ?-:fo--:2 L
-
lans will
stnirnes don the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Siate Surcharge
Sidewalk -.- -,-, ft
Curbcut f t
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER o,/f6
DATE PAID
AMOUNT FIECEIVED
Rf:CEIVED BY --
L
TOTAL AMOUNT DUE (exclucling eleclrical)
(A, B, C, D, irnri E Cotrtl.rinctl)
/z)_?_
3L
(
4zoao" Tad-o54aao
SPlrINGFIELD
BLOCK
R
ry
Springfield, aregon 97 477
SUBDIVISION
LOCATION OF PBO
ASSESSORS MAP
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER -
225 Fifth Street
IAX
REMODEL ADDITION DEMOLISI1 OT}IER
P}"IONEEXPI[1ESADDRESS
.l
L! 'o5 51ffi
BE WOFIK: -
ELE,CTRICAL:
CONTRACTOR'S NAME
GENERAL: -
MECI_IANICAL:
PLUMBIN
DESC
NEW
CONST.
CONTFIACIOtI //
E OF UNITS:
CONSI I]. TYI'I::
I.IEAT I.;OUItCE:
HANGL:.
_ OFFICE USE _
LAND USE:
, OF BDRMS:.OCCY GROUP:
, OF BLDGS: -
OUAD AREA: -
/ OF STOFIIES:
-_--WATER HEATE.R:
FLOOD PLAIN: .--,,
ZONING CODE: --
SECONDAIIY IIEAT:
SQUAFIE FOOTAGE:
Tn request an inspection, you rnust call 726-326g. This is a24hour recorclirrg. All insPc<;tions requested bclore 7:o0 a.rrl, will be
made the same working <Jay, inspections requested atter 7:00 a.m. will be made tlre following work day.
REOUIRED INSPECTIONS
Temporary Eleclric Rough Mechatrical - Prior t<-r
cover.
I I Fitral Plurnbinq - Wltctr ;rlll---J pltrnrbing worl< is cotttplctr:.
Site lnspection - To be made
after excavation, but Prior tc)
setting forms.
Underslab Plumbirrg / Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundalion - After forms are
erected but Prior to concrete
placement.
Underground Plurnbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Posl and Beanr - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to f illing
trench.
Storm Sewer - Prior to filling
trench.
er Line - Prior to filling
trench
Rough Elcctrical - Prior tt,r
covcr
Eleclrical Service - Musl [rt--
approved to obtain Perrrlanctlt
electrical power.
Fireplace - Prior to facit.tg
materials and framing lnsJ,r.
Frarning - Prior to covor
Wall/Ceiling lnsulaliotr * Prtor to
cover,
Drywall - Prior to laPitrg
Wood Stove - Aftcr installaliorl
Inserl - A{lcr f lrcplace ilplttrrv;rl
and installatlorr of unit.
Curbcut & APProacl'r - Aftcr
forms are erected but Prior to
placement of concrete.
Sidewalk & DrivewaY - Af tcr
excavation is comPlete, forntl;
and sub-base material in Plttr;c.
Fence - When cotrlPleted'
Slreel Trees - When all reqtrired
trees are planted.
| -"1 f inal Mecharrical - Wlten alll- -l nrc.,l,;rnical w()r'k is cotnl)lctc.
TJ Final Builditrg - Whcn all
required inspcctions have been
approved and building is
completed.
[ -
| other.-
MOBILE HOME INSPE TIONS
Firral Elcctricitl - Wltr:tt all
c.lectrical w<-:t k is cotttlrlcte.
Blocking arrd Set-Up - Wlten all
lrlocl<i ng i s r;ontPIt-'lc.
Plumbing Connectiotts - When
home has been connected to
water and sewer.
Electrical Connecliot-t - When
blocking, set-up, and plumbing
inspections lrave been aPProved
and tlre home is connected to
the service panel.
Final - After all required
inspections are apProved and
porches, skirting, decks, and
venting have been installed.
,j
t:l
t_l
t_l
Bough Pltrnrbing - Prior to
cover.
tl
PI IONE:
ZIP:STATE:CITY:
I]
E
tI
Er
tl
E
fl
tl
fl
tl
r
E
Lot laces
l-ot sq. ltO.
Lot coverage
Topograplty
Total height
I tr[ l\,pt; !
llllt:tt,t
. C<.rrttr.,t
[-);rttlt;rtrrlltr
Cttl-tlti:;;lc
Set l)ac k s
il st-:(lnn ACCPt
lS-r-: PROPOSED WORK lN THE
IIISIONICAL DISTRICT, OR ON
]-HE I.IISI'ORICAL FIEGISTEF]?.. -- -.,
lf yes, this application must be signed
and approve(l by tltt-' Flistorit:al
Coordinator prior to pormit issuance.
APPROVED
t{
f:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granted on the express condition that the s.tid
construction shall, in all respects, conform to the Ordinance
aclopted by the City of Springfield, inclucling the
Development Code, regulating the construction ancl usc of
brrilclings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Rtarrrs R&ic'w-tl uy Date
Plan Check Fee
Datc Paid
Rct:ei1rt Nurtttrcr:
[.lt:t:civr:rl [iy:
VAI UE
(A)
x $/sQ. t'r.
BUILDING
ITEM
Mairr
Carage
Carport
PERMIT
SO, FT.
-lbtal Valut:
lltriltiirrg l)Cl llli I lr()t)
L)t;rtc [it.trt:lt,rt 1;,r
-[ot,lI [:u^e
llyritcms Dcvr:loptncnt Ctrarge is due on all unclevcloped
l)rol)erties witllin tlrc City litrtits wllich are bcing improvr:cl.
SYSTEMS DEVELOPMENT CI.{ARGE (SDC)
(tJ)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
'Storm Sewer
Mobile Hotne
FF,E
(())!
io'
PLUMBING PERMIT
Plunrbing Perrnit
State Surch;rrge
Total Charge
NL
LI
LL\
r-T-_
MECHANICAL PERMIT
Fu rnace
E.xhaust Hootl
Vent Fan Nl
Wood Stove / lrrscrt / Fi rcplar;u' Utri t
Dryer Vent
(D)
Mechanical Pcrtttit
I ssuance
State Surch;rrge
Total Permit
By signattrre, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformation hereon is lrue and correct, and I f urther certif y
that any and all worl( performcd shall be done in accordance
with the Ordinances of the Ci ty of Springf icld, and the Laws
of the State of Oregon pertaining to the work described
hcrcin, ancj that NO OCCUPANCY will be nracle of any
structure without perrnission of the Building Safety Division.
I furtlrer certify lhat only contractors and employees who
are in compliance with ORS 701.055 will be used on tltis
proiect.
I Iurther agree to ensure that all required inspections are
requcsted at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will rerrain
site at all tinres during construction.
o >Da
Sign
ont
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcltatge
Sidewirlli f t
Curbr:trt ft
Dt.:nrt>litiott
S I atc l.)tt rc I tttl 1.;r-.:
(E)Total Miscellaneous Permi ts
VALIDATION:
RF:CEIPT NUMB
DNTE PAID.--
AMOUNT N
TOTAL AMOUNT DUE (exclucling elt-'cttir:;tl)
(4, B, C, D, iirrtl E Cotttbirrt:tl)NECEIVED t]'
D
,4D,oo
form c55-11YICINITY MAP
u esfsne-
rJ
tnstutt", Gi Lson * //or/, v
. lTitle as shown on DEO licensl,/
Tetbphone 7a5' *lOz
MUST BE IN BLACK INK
permit No. 37af_ ft6 ,*
Standard System dAlternative
nshp try
System tr (S
Range n3 Section ?? Tax Lot
Job Location (Street Address)
Subdivision / Partition
IDETAIL SYSTEM PLOT
Lot- Bloc v
License No 331"?
Bondi mpany a^k+ s/^flf
Z Datel-?-EZ
tf By
Date-
(Signature ot Owner)
Applicant's Name I Address
?onJu *lonvrn
BLACK INK ONLY
FOR INSTALLER S USE:Trench
rer.
NA From Drainfiel
COMPLETE THE FOLLOWING IF A PUMP WAS USED ON THIS INSTALLATION
I (installer's name)- certify that a (Mfg
and Mercury Float Switch (lVfg. and No
Scale
-
\0
A)
Gravel Depth Below T
dNA Total Length of Lines 225'
(Model No.
have been installed with this sewage installation.
\*..n
F+
o
-.ot-N
!t
\s
:a
s
t
$J,o
cs{
\-t
Pg
?
;J.iN
tr\
sN\tJ- N$\
Ar,t
5\pR.&$
(
T
3o
rJ
o
3o
Uo. -vo)
-t.
lir
3
Qinna+r,.o l-)rto_
FOR SANITARIAN'S USE ONLY:
COMM
System Ca
Approved trS Disa !N Correction
tem Corrected
by the County Sanitarian, this certificate is
7
l./day Signatu
INSTALLATION RECORD & CERTIFICATE OF SATISFACTORY COMPLETION W
u,l o-
v
J
7,os
p,Y
jiF
,1 .{-'(.t
u
5-o<r,E;
-ot*
qI
7
evidenceasperORS454.665 ofsatlsfactorycompletionofasubsurfacesewagedisposalsystemattheabovelocation
3*
'rZiW
n
E
C
s
t
:\I
B
5(\\{U\
d
d{
H
a
Elnanch Engineening
December 21, 1992
212 O Street
Springfield, Oregon 97477
[5O3] 74fi-Of,,s7
FAX [5O3] 746-Cl389
Tom Marx
City of Springfield
Planning and Development
225 North Fifth
Springfield, OR 97477
Re: Permit 92 1036, Randy Harvey addition, 2890 Wayside Lp.
Dear Tom:
The contractor has asked us to evaluate the pier footings constructed for the above residence,
at the request of the City. He relates that he erroneously poured his concrete without having
the steel reinforcing inspected.
Since the pier footings are buried and any reinforcing quantities and locations are difficult to
detect, we referred to the construction drawings to evaluate the footings as unreinforced
elements. Calculations reveal that they will perform adequately, should the reinforcing have
been omitted or improperly placed, with the exception of the center pier between the garage
doors, which overloads the soil approximately 8% under full design loads. It is our opinion that
this will have no noticeable effect on the performance of the structure.
If you have any questions, please feel free to call our office.
Sincerely,
TBANEPOEITAT!ON clvtL SUEIVEYINO
Ab--
oFEAOf
4
i
l
74
VNJ AUW\I\{)Lr rMt 4t-4 .lqrrtw
qUYVlVl', EV4tWfrIV f@fiAtg UAVaA Zoe Ln*l b/\.tq/E 4oo,,r FotlLjtJ - ?Otsfuf-q) co*scQ-vte . fie{-+ Aef-6 wo{ts) v.) tlrlor)Tl*s9?atrc; oF ?-e*fok-t,y, .
?EV l,o{4q,
Y'"0 'l U
VL I Fva*\ = to ?tfi'Wts -- to bp
l,V (Ft-ott\'. 90 (t(
(v*r),, '= _25 r'6
ULre l,tq- fula<*,)" fu lqf
\(,
L11'
ql
,@
lq'tP-(
d-?'^f tv" (:vV
. .a+
p,:@.*ff
'lz b tu\,n,t6
P! Ttes nwb ",frfr (wnw> i+o't
II
i
1
t.b(qox
totto - lfl 9J,h
-Lt+t
8so
L IL
&'tqVq$uO tgt- Ar{aA h 'b8 rJ'
-+
{
W lrVc ?t?E
+(w)
tw-t@
h\v q\AYl, r-f) . toto ?$€ fw- cot:f
- fter A,r,e qo lcl * tso kF .
6so b? Q-tvr)
1t 7,
r ll
IL
-1 -) ,,,,
.Vfu.r" 5g l+f
-?n w= $yht
E' _-n( "r1. pe fi,F
*t:Ieg Vr* r-lu,Uffi 4t,'1, wqp
t^l t'f,tgrff @rtt-t FJ(2 WpQO%€ngtrq, 9nw @n I o18 fe?*rl@t)fr
$(otrrv)+ *w or"'r
t1
#
4, q1_nilbt'/"
frao 4
\j tZ;bl,7I 4,++A+
r+t{
aql-qrc |fi€
la*O u rr{u..(
Ytgl5 Accea.f lzs lo
AVquT$ t( lrW qttt* o IL
r,lt4rr-sl ?€t,) FO(C44ed<
i
f--'lL4
V 1t
ta
Pq") $0(u4uu LI IfuC 1L
Loqo ft!4 gfruor, -rAN r.vTeilnaolA'ff
YtdS Llr11,p1 t-j."t€Lr€LTtJb ?$t)?o(t-enar
,' , iO r.etshL,L(4oq( t|to
t_
y o40
f htt\
lLn
l/
t*
e
bu
1' V$ftit'-tl v
t,
;
0l!
225 FIETB STRBEf,
SPRINGFIELD' OREGON 97477 :':'
INSPECf,I0N REQ( EST t 726-37 6,? , ,.,
OFFICE: 726-3759 :i1.:, i
1 LOCATION OF INST
IJGAL DESCRIPTION
as submltted has ths
specilic land uae CAL PERHIT APPLICATION
City Job Nunber.
COHPIJTB FEB SCTTEDULE BELOU
A Nev Residential-Sing1e or
HuIti-FamiIy per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Modtrlar DweIling
Service or Feeder
$ Bs.oo
s 1s.00
s 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
Iltslclrrulng prol'ect
r.j,iNig, iirrd does not
o Sum
t
PTION
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI,ATION ONLY
Address
Ci ty Lu"il Phone=17
Supervisor License Ndmber
Exp iration Date
Expiration Date
Constr Contr. Number ,-)!,l.f
It
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci rcui t s 3s.00
Each Addi tional
Circui t or vi th Service
or Feeder Permit l0 S
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
Miscellaneous ( Service/feeder
-Each installation
Prrmp or i rrigat ion S
Sign/Outline Lighting_ $
t imi ted Energy/Res
-
S
Limited Energy/Comm S
6.C
"l-" I lol
sopo
00
00
00
00
00
2.oo x)o"
ss0
s60
$100
$130
$300
$40
00
lgl /
qr
r.}4':.\200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see ,8, above
Signa sing Blectrician
-7
Ovners Name
Address
Ci ty Phone
OSNER INSTALI,ATION
The installation is being made on
property I ovn which is not intended
for sale, Iease or rent.
0vners Signature:
DATE: -
RECEIPT
5. SUBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
E not included)
40.00
40.00
20.00
RECEIVED BY:
ID
Electrical contractor Da, .pr Zl"c-
Q: tDz
Permit No:
Address:
lssued Date:
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 in the a licable blanks, and initial boxes 1 and 2, and either box 3A or 38
q
1 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 for complelreq
2
;ffi;t3.A v is
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
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 certify that the above inlormation is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side ol this form.
SA. r, l\o,.;*.r OqLq 9 >-
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 8t91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
INFORMAfiON NOTICE TO PROPERTY OWTTE'RS
ABOUT CONSTRUCTION RESPONSIBILITIES
:r
lf you acting as your o#n
existing structure, you can prevent many
of concern.
to construct a new home or make a substantial improvement to an
problems by being aware of the following responsibilities and areas
EMPLOYER RESPONSIBILITIES:
lf 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 empl oyer, 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 lnsurance Tax: As an employer, you are required to pay a tax for une mployment insurance
purposes on the wages of all employees. For more information, callthe Oregon Employmen{_Division DHRa1378-3224. i
'trrters' Compensatl As an employer, you are subject to the Oregm \fforkers' Compensation
Law, and must obtain workers' compensation ins,urance;for your Bppfoyegs. lf ,you fail to obtain workers'
compensation insurance, you may be subjecl !o pedallies and will be liable'for'alt claim dosts if one of your
employees is injured on the job. For rbqe inforynalion, callthe Workers' Compensation Divisioh Otf at 973-74A.
U.S. lnternal Revenue Service: As an employer, you must withhold federal income tax from employees'wages.
ymentevenifyoudidn,tactuallywithholdthetax.Fdrmoreinformation,call
the lnternal Hevenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
-igq qernplenee: As the permit holder for this project, you are responsible for resolving any failure to meet
cde requirements that may be brought to your attention through inspections.
Liability and Property Damage lnsurance: 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.
Ltmgtq Qgpe-rytrq F-ppigy_eqq: lvlake 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.
lf you have additional questions, write to Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
ConstAbout ,ruction itiesResponsibil
n ordaacc CEn itW oh RS 701.055(5),
0244J 10t24t89