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Home My WebLink AboutPermit Plumbing 1993-03-25SPTIING}:IELL' RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Of f ice: 726-3759 I.-OCATION OF PFTOPO ASSESSOBS MAP: JOB NUMBER 225 Fif th Street Springfir:ld, Oregon 97 4 /'/ \rff *l/"\ IAX LOT: LOT -. BLOCK SUBDIVISION: -..-- I)ll()N[: ZIP:STATE: OWNER: ADDR CITY: NEW _-- REMODEL ADDITION DEMOLISIJ OTHER _ DfSCRIBE WOFIK: PHONEEXPIRESADDRESSCONTRACTOR'S NAME CONST. CONTRACTOT1 # MECHANICAL: --- GENERAL: PLUMBING - OFFICE USE _ LAND USE,; ,, OF UNIIS: CONS}I'R. TYt'I':: llrAl [;ol lll(lr'. FLOOD PLAIN: ---, ZONING CODE: .--- , OF BDHMS: .. SECONDARY IIEA'I: SOUAFIE FOOTAGE: ,HANGE: OUAD AREAi - --- OCCY GBOUP: -_=----- / OF STORIES: ------ WATEFI HEATER: / OF BLDGS: --- .. - - To request an inspectioll, you must call 726.3769. Tlris is a24hour recorclin.<;, All insllt]r:liorls r€](ltleS maclethesameworkitrg<Jay,inspectionsrequestedafterT:00a.rn.willbelna<jetlretrlllowirrqwork ted before 7:O0 a.tn. will be day. REQUTRED !NSPECTIONS [-l TemPorarY Electric Rough Meclranical - Prior lt'r cover. I - l Firral Plumbing - When all l. --J plurnLring work is corrrplete. l--l Final Electrical - Wtren alll- f electrical work is cotrtplete.Site lnspection - To be made after excavation, but Prior to setting {orms' Rouglr Electrical - Prior to cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Electrical Service - Must [rc approved to obtairr Pcrmanorlt electrical Power. | --l Firral Mecharrical - When alll' -l rncchanical work is complete' Footing - After trenches are excavated.Fireplace - Prior to facitrg materlals :rtttl framing lnsp' r_J Final Builclirrg - Wlren all requiled insPeclions have been approved antl buildirrgl is cotttplcted. Masonry - Steel location, borrd beams, grouting.[-l Framing - Prior to (;ovcr Foundalion - After Iorrns are erectecl but Prior to concrete placement. Wall/Ceilirrg lnsulatiorr - [)tiot to cover. Underground Plumbing - Prior to filllng tretrclt.[--l DrVwall - Prior t<-r taPitrg MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking'[-l Wood Slove - Aftor install;ttion Post and Beam - Prior to floor insulation or decl<ing'lnsert - Af tcr Iircpl;rce 'lpl)r(')viIland lnstallatiorr o( urrit' Blocking and Set'UP - Wlren all blocki ng is <;orrtllletc. Floor insulation - Prior to decking.Curbcut & APProach - After lorms are erected but Priot to placement of concfete. Plumbing Connectiorrs - When home has been connected to water and sewer. SanitarY Sewer - Prior to f illing trench.Sidewalk & DrivewaY - Af lt-'r excavation is cotrrPlete, fortns and sub-t:ase rnaterial in Placrr Electrical Connection - When blocking, set-uP, ar.rd Plumbing inspcctions have baerr aPPrroved and the home is connected to the service Panel' Storm Sewer - Prior to filling trench. Water Line - Prlor to filling trench. [l fence - When cornoleted Final - Alter all required insDections are aPProved and porches, skirting, clccks, and venting have been installet!'Rough Plumbing - Prior to cover. Street Trees - Wlren all reiluiled trees are Planted. t_l frrtr, r tl r] E fl fl E r Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type -- - lnterior - Corner - Panhandle - Cul-de-sac Set P.L.HSE GAR ACC N c . HE PROPOSED WORK IN THE u-lSronrceu DtsrRtcr, oR oN THE HISTORICAL REGISTER? -_ lf yes, this appllcatlon must be signed and approved by the Hlstorlcal Coordinator prior to permit issuance. APPROVEDE BUILDING PERMIT VALUE (A) SO. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Building Perntit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said conslruction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildlngs, and may be suspended or revoked at any time upon violatlon of any provisions of sald ordinances. Plan Check Fee: Becelpt Number:- Plans Fleviewed By Date Datc Pald Recelved By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. Residential Bath(s) Sanitary Sewer Water 'Storm Sewer Mobile Home FEE (c) FT. N0 FT. ots;qo Plumblng Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtures ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hoocl By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation hereon is true 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 pertalnlng to the work described herein, and that NO OCCUPANCy will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 7O1.0SS will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the slte at all times during construction. Date 3-z,r- % Signatu re MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk .- -__ ft Curbcut _- ft Demolition State Surcharge Total Mlscellaneous Permlts (E)v -25 EFI EIC DVE BY DATE PAID AMOUNT RECEIVED VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (exctudlng elecrrica (A, B, C, D, ancl E Comblned) Permit No: Address: lssued by Date R 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 f rom registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. licable blanks, and initial boxes 1 and 2, and either box 3A or 38 1 2 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' Contractor registration number-' Fill in the 3.B will be my own co reverse side ol this lorm' gnatu rmit pplicant CONSTRUCTION CONTRACTORS BOARD 0244J 8191 I will instruct my general contractor that all subcontractors who work on the struc- iri" ,r.t ne r6gisteied with the Construction Contractors Board' lf I hire subcontractors, I will hire only subcontractors registered with the construc- tion contractors Board. lf I change rnv ,ino and do hire a oeneral contractor' I will contract with a contractor who is registereO *itn tn" Constru;tion Contractors Board and I will immediateif'.biitvlnt of"fice iitring this building permit of the name of the contractor. lherebycertilythattheaboveinlormationiscorrect-andthatlhavereadandunderstand the tnlormation Notice to property 6;;H "uout conitruction Responsibilities on the €- 2e> aa Date V\) WHITE COPY TO ISSUINGAGENCY PERMIT FILE FiNk copv ro APPLIcANT OR *- INFORiilTTION NOTICE TO PROPERTY OVY(ERS ABOUT CONSTRUCTION RESPONSIBILITIES -lf yo0'are acting as your own contractor to con'struct a new home or make a substantial i 'to an existing structure, you can prqvent many problems by being aware of the following responsibilities and areas of concern '\ EMPLOYER RESPONSIBILIT]ES Workers'Com lnsurance: As an employer, you are subject to the Oregon Workers,Compensation, and must obtai n workers' compensation insurance for your employees. lf you fail to obtain workers'compensati on insurance, you may be su to penalties and will be liablif for all claim costs if one of youremployees i bject s injured on the job. For more information , callthe Workers'Compensation Division DIF at 373_7434. U.S. lnternal nue Service: As an employer, you must withhold federal income tax from employees' wagesYoubethe tax payment even if you-didn't actual ly withhold the tax For more information, callthe lnternal Revenu e Service al 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCEBN: lf you hire persons not registered with the Construction Contraqtg.rs Board to do labor in copstructing or assistingin the construction or irnpfovemgnt ot a re$idential stlucturi ygti *ilt, in most instati.cls,'Ue'ririeo to oe ai"emplover" and the peoile you hire will be ';erhploylees" eq'qt:telrriptoyer, y6u;rriF;'riy ivitt tn" folowing. 9Egon's Withholding Tax L?wj. A. q.?.employer, you mus( wit[holil incomd laxes'fiom employee wages atthe time ernployees are paid. you wilt be tiable.ior.the tgx gaymeqp even it you OoA,;ta.*riify *itnn"iJin"tax from your employees. For more information, call the Oregon'Departq€nt of iievenue "l gzA-gggO. Unemployment lnsu'iance Tax: As an employer, irbu are reluired to pay a tax foi unem[ioymJ,i,'ih.rr"n""purposes on tFe wages oGiiergpfoyees. For,more inforrnatlgn, call the $egon.Ernployment Division DHRal t7g-3224. _ _;_*_-: Ti,r!vrv,,. code compliance: As the permit holder.for this project, you are responsible for resotving any failure to meetcoae req[ilemenrs that may oe urorlnr to youi atientdn through inspections.-. :-. Liabi and coverage ents and tures, fire, or work that must be re-done lnsurance Contact your insurance to see if you have adequate insuranceagent s such as falling tools,paint oversprhy, water damage from pipe punc- Time to supervise Employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act a?-.ygur own generar contractor, to coordinate the workof rough-in and finish trades, and to *titv buildini orrciar ",,ti" "pilopriate times so they can performthe required inspections. - '-"'v lf you have additional questions, write to: Construction Contractors Board Z)0 Summer St_. NE, Suite 390 Salem, OR ylgiGotsr , ,,, ,, oz4q 1o/aryg} j: . r, ,i phone s0$s/84621 NOTE: This lnformation Notice to Property Owners About Construction Responsibilitigp was developed by the Construction Contractors Board in accordance with ORS 7OlO55{5), .passed by the 1989 Oregon Legislature. '' ,. -'