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Home My WebLink AboutPermit Plumbing 1992-02-21SP]|IN FIELE' 22e BLOCK: Zfr, o3 2 zZA,/, /270b3/ JOB NUMBER SUBDIVISION TAX LOT: RESIDENTIAL PERMTT APPLICATION lnsr,rlctionti: 726'3769 (Jllr,;tr: 720'3759 225 l-ifth Street Springfielrl, Oregori 97477 LO lr LOCATION OF PRO ASSESSORS MAP:. POSED WORK:/7os PHONE:G,ltep n st c)'€.zrp:-fr'!aL- --STATECITY: Srr;v 'a.{ .I Z?-a'lz A\. r? - Za'+G+ ADDRESS O\^JNER Stus- NEW --- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: - PHONEEXPIRESADDRESS MECHANICAL: ------- CONST. CONTBACTOR # PLUMBING: Q-QI{CT- CONIRACTOR'S NAME CENERAL: " 0l- BI-DCS: (JC(;Y (l t l(.) t lt): " ()l :; l(.tlllt S: Wn lEtt HF.AI-F:R:RANGE: ZONING CODE: - OFFICE USE _ I-AND USE: II OF UNITS: I{EAT SOURCE: __=--- CONSTR. TYPE: FLOOD PLAIN:-OUN D AREA: # OF BDNMS: .- . ,,, SECONDARY HEAT , ,. SOUARE FOOTAGE: -- To recluest an inspection, you must call 726.376g. This is a24naw recording. All inspections requested before 7:00 a.m. will be nracjc the same working day, inspections requested after 7:OO a.m. will be made lhe following work day' REOUTRED INSPECTIONS t I TemporarY Electric ll Rough Meclranical - Prior to cover. Final Plumbing - When all plumbing worl< is completc. LI Site lnspectSon - To be made af ter excavation, but Prior to setting forms. Rougl'r Electrical - Prior to Firral Electrical - Wlten all clectrical work is corrll)lete.COVET t l Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Pertnanent electrical power. Final Mechanical - When i.rll rnr:chanical worl( is complcte. Fooling - After trenches are excavated.Fireplace - Prior to facing materials and frarning lnsP' Final Building - When all required inspections have lreen approved and building is completecl. L_l Masonry - Steel location, bond bearns, grouting.Framing - Prior to cover. Otlrcr L]Foundation - After forms are erected but prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[--l Drywall - Prior to taping MOBILE HOME INSPESIIONS Underf loor Plumbing/ Mechanical - Prior to insulalion or decking'Wood Stove - After installation Post and Beam - Prior to floor insulation or decl(ing.lnserl - After f lrePlace approval and installation of unit. Blocking and Set-Up - Wlten ;rll blocking is complete. Floor lnsulation - Prior to decl<ing.Curbcul & Approach - After forms are erected tlut Prior to placernent of concrete. Plumbing Connections - Wlietl lrorne has been connccted to w.lter and sewcr. Sanilary Sewer - Prior to f illing trenctr.Electrical Conneclion - When lrlocking, set-up, ancl lrlutttbing; inspections have bccn apf)Iovd(l ;rrrd the horne is connccte(i to the service panel. Slornr Sewer - Prior to filling trGnclr. Sidewalk & DrivewaY - After excavation is comPlete, forms anct sub-basc materizrl in Place. Water Line - Prior to filling trcnch. Fence - Wtren comPleted Street Trees - When all requirecl trees are planted. Final - After all recluired inspections are approved and porches, sl<irting, decks, and vt.lnting have bcen installe(1.Rough Plumbing - Prior to cover. ) ? 2- [] tl [] E tl tl E r tl r r N 5 Lot fa<;es Lot sq. ftg. Lot coverage lbpogtaphy Total height Lot 'ly, --- lnterior -- Corner _- --. Panhandle -- Cul-de-sac Setl-r;rcks P.L.HSE GAR IS T}Ii lOPOSED WOR}( IN ]'HE I]ISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? ----_ lf ycs, this application musl t)e signed antl approved by thc I'l istori<;al Coorrjinalor lrrior to ;>ortnit issttancr}. ATJPROVED:E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrnrit is 1lrar-rlod on tho cxl)rcss condition tltat tllc r;aid conslruction sh;rll, in all respccts, confortn to tltr: Ordinancc adoptcd by thc City of Springficlcl, ir.rclr-rdirrl; thc Develol>tncnt Cotlc, rr-'gtrlatrngl tlle constrL,ctir.rtr ;rncl trsc of buildings, anrl m:ty Lre suspcnded or rcvol<cd at any tirllc upon violation of :rtry provisiotrs of said orclinanccs. Datc,,,;; OO,M,A, Plan Check Fec Date Paid Rcceipt Nutrtl;cr: Rcceivcd By VALUE, (A) X $/SQ, FT. Total Value Building Pernrit Fee State Surcharge Total Fce BUILDING PERMIT lTEtvl SQ. FT. Main Garago Carport Systems Developtrrent Charge is due on all undcvelopcd properties wi thin the City limits which are beirrg itnllroveri SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fix tu res Rcsidcrrtial Bath(s) S;rrritary Sewer Water Storm Sewer Mobile Home Fr /azt' /C? FEE FT. [:T. -t aD./-. (c) N'l PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lrrsert / Fireplacc Utri t Dryer Vcn t MECHANICAL PERMIT (D) NO lvlr:t;lr;u rtt;;tl ['r:t ttti I l.... U ailt (;o St;rIc l',Lrtclt:tr11c -litl;rl [Jr:rtrrit Fu rnace Exhaust Hood Vent F:.tn By signature, I stale ancl agree, that I have carr-'f ully examitred the completed al)plication ancl clo hereby certify that ;rll information hereon is true and correcl, and I f trrtlrcr certify that any attd :rll worl< perfortneci slrall l-re done itt ;lccor(lancr-' with the Orclinatrccs of tlrc City of Springlield,:rtrd lltr: L;tw:; of tlrc Statc oI Otr:<lon pcrlaininr; to tllc wr>rl< rlr:1";crilrctl lrr:tr-.itt,;rttrl llt;rl t'l() ()(;OlJl'nNC;Y will ltrl ttt.'ttlc ol ''ttty :;trrrr;lttto willt()(tt lrlttlti:il;i()rt oI tltc l.]ttilrlintl [i;rllty l)ivil;iotr I f trrtlror ccrtiIy tlt;tt trtrly (]otltl;t()t()I1,; :ttltJ tltttployt)r):; wltrr are itr <;orrtpli:rn<;r: witlt ORS 701.055 will l-lo tt:;rrtl otr lltir; p r<; jcc t. I furtl-rer agroc to onsurc tll;rt all rcquircd it't:;1rr;r;tions;trt.; requested at tlle l)ropcr time, tllat each addrcss is rcaclablt: from tlre strcet, lh;rt lhe permit card is locatctl at tllc front cl tlrc;rpproved sct of ltlat'rs will rr:ttt;rirr Signatu re 4u- of the property mes du g construction.on the site at MISCELLANEOUS PERMITS Mobilc Home State lssuance State Surcharge Sidewalk ----- -_ ft Curtrcut --- ft Demolition State Surcharge -t-otal Miscellaneous Perttlits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Cotnbined)4z,gv VALIDATION: nECt:lPT t'J l-Ji'.1 tI{: I I DATE PAID 2 AMOUN'r ft[ritlVl-D RECEIVI lJ tlY -- .. s777-z/ -?z act ACC Permit No: Address: !ssued by Date: OR OFFICE USE ONLY STATEMENT: INFORMATION NOTIOE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential construction permit applicantJwho 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. 2 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, lwill 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 of ,this form, Signature of Permit Applicant Date CONSTR UCTION CONTRACTORS BOARD o24N 8t91 WHITE E,oPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT tf)Zz /t //k:uxt'<l h a,-tA) INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This lnformation was developed by the Const passed by the 1989 Oregor Notice to Property owners About construction Responsibilities ,ruction contractors Board in accordance with oRS 701.oss(s), n Legislature. lf you are acting as your own contractor to construct a new home or make a substantiar improvement to anexisting structure, you can prevent many problems by being aware of the following responsibilities and areasof concern. EMPLOYER RESPONSIBILITIES: lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assistingin 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: s Withholdin Tax Law: As an em ploye6 you must withhold income taxes from employee wages at the time em are paid. You will be I iable for the tax payments even if you don't actuaily withhold thetax from your employees. For more i nformation, call the oregon Department of Revenue at 379-3390. Unemployment lnsurance Tax: As an employer, you are required to pay a tax for unemployment insurancepurposes on tnerruages of all employees. For more informaiion, calt ine Oregon Employment Division DHR at 378-3224. Workers'.Compensation lnsurance: As an employer, you are subject to the Oregon Workers' CompensationLaw,andffipensationiniuranceforyouiemployees.ityoufailtoobtainworkerS, compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at g7g-74g4. U.S. lnternal Revenue Service: As an employer, you must Vvithhold federal income tax from employees'wages. ymentevenifyoudidn'tactuallywithholdthetax'Formoreinformation,call the lnternal Revenue Service at 221-9960. OTHER RESPONSIBILTTIES AND AREAS OF CONCERN: Co9e 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. 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. Time to Supervise Em ployees: 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 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 0244J 10t24t89