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Home My WebLink AboutPermit Building 1995-08-07CITY OF SPruNGFIELD, SPHINGFIELE, Zfr, RESIDEMTIAL PERMIT APPI,ICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUII,DING SAFETY Page 1 ilob Nurnber: 95L207 225 North Fifth streeL Springfield, OR 97477 Location of Propoeed Work: 328 N 20TH ST Assessors ttap #: 17033513 Lot: Block: Office Inspection Line 726 -37 59 726 -37 69 Tax Lot #: 131-00 Subdivision: OWNET: NICK/I.AUF-A MILLER Address: 328 NORTH 20TH STREET Describe Work: GARAGE Phone #: 746-0L52 City/State/Zrp: SPRINGFIELD, OREGON 97477 NEW General ConEractor OWNER ConaE. ContracEor #Expires Phone 7 46 - Ot62 QUAD AREA: ZONING CODE VN SQ FOOTAGE: 2RNW : LDR 758 OFFICE USE -- LAND USE: Ll-11 OCCY GROUP: M # OF BLDGS: 1 CONSTR. TYPE: To requeaE an inapection, call the 24 hour recording aL 726-3759 A11 inspections reguested 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 --- FOITIIDATION - After forms are erected but prior to concrete placement. FR.AIIING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: E Solar Approved: Y Garage Total HeighE: 15.5 Lot Tn)e: INTERIOR SetbacksswE 644 Setbk From NPL: 30 N Item Main Garage Total Value Building Permit Fee Surcharge/admin TOTAI, FEE --- BUILDING PERMIT --- Square Feet x $/Square Feet 768 1,4.L Value 0.00 10, 829 . 00 10, 829.00 85.50 6 .93 93 .43(A) --- MISCELLAIIEOUS PERMITS --- Surcharge/admin PLAN REVIEW CREDIT TOTAI, MISCELI,AI{EOUS PERMITS 0.00 -31,.20 -3L.20(E) 62.23(Excluding ElecErical) unless otherwise noted --- TOTAL AMOI'NT DUE --- (A, B, C, D, and E combined) SPR!NGF!ELD 'Job Number: 95a207 CITY OF SPilNGFIEID, Page 2 --- BUII.DING VALUE, PI.AIV CHECK AIiID BUTIJDING PERMIT --- Plan Check Fee: 87 .43 Date Paid Received By: Plans Reviewed By: DON MOORE DaLe Building Site Reviewed By: LfSA HOPPER o7 /20 / es oe/04/es Receipt Number: 18390 --- ADDITIONAL COMMENTS --- REVISED PLANS SUBMITTED 7/27/95 RESIDENCE IS 968 SQ FT, 17 FEET IN TOTAL HEIGHT ANY ELECTRICAL INSTALATIONS W]LL REQUIRE A SEPARATE PERMIT. By signature, I st,at,e and agree, that T have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed sha11 be done in accordance with the Ordinances of the City of Springfield, and the Laws of the SEate of Oregon pertaining to the work described herein, and thaE NO OCCUPANCY will be made of any structure wit.hout 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 aE the prop, card will S er time, is1 t each address is readable from the street, that the permit at the front of the property, and the approved set of plans the site at all times during construction Date 1 t Receipt Number Date Paid /917 / g-?-2, Amount Received:Z;2-2 > Received By:7y' --- VALIDATION --- This permit is granted on the express condition that the said constructi-on sha11, in all 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 violation of any provisions of said ordinances. ,z-* Permit # Address: Issued by:E?>^7-+ Statement: lnformation Notice to Property owners About Construction Responsibilities 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 a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Ltcensed 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 t and2, and either box 34 or 3B: w 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 the information is correct and that I have read and do Construction Responsibilities on the reverse a OR thelnformation form. (of permit applicant) (White copy to issuing agency permitfile, pink copy to applicant) Notice to Informatlbn' Notice to Property Owners About Cppstruction Hesponsibilities Note: This lpformaliOn-lfgfice to Praperty Owners abctut Construction Responsihilities was developed by iie'finhriictUt'epitractors board in ac'cordance with ORS 701.055(5). If you are acting as yoilr own contractor to constrLlct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the fr:llowing responsibilities and areas of concem" EMPLOYER RESPONSI BILITIES: If you hire persons not registered with the Construction Csntractors Board to do labor in cgnstructing.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 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 Departrnent of Human Resourees at378-3524. Workers'compensation insurance: As an employer, you are subject to the Oregon Workers'Compensation Law, unO *iil obtain workers'compensation insurance for your employees. If you fail to obtain workers' colnpensation insurance, yourrrray 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 at the Department of Consumer and Business Services at 945-7888. U.S. Intornal Reyenue Service: As an employer, you must withhold federal income ta* from employees' wages. You will be liable for tho tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at l-80G829-1040. : OTHER RESPONSIBILITIES AND AREAS 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. r' i Liabisty 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 wclrk of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box l4L4A, Salem, OR 97309-5052, 5031378-4621). The Board is located at 700 Summer St. NE Suite 30O, in Salem. propown.pm4 l/94 SPFlINGFIELr, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 fufr, ALOCATION OF PROPOSED WORK: ASSESSORS MAP:3 LOT TAX LOT: BLOCK: PHONE:?28 20ru ztP L STATE:CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHEB DESCRlBE WORK: GENERAL: ADDRESS ANY 18t}rlAV F4gt{Dm coDE UNDERAUTHOHIZED FOR6hqs EXPIRES ,1 PHONE THIS PERMIT IS CONTRACTOR'S NAME r OF BDRMS: PLUMBING: - OFFICE USE _ WATER HEATER * OF UNITS: LAND USE: MECHANICAL: ELECTBICAL: CONST, CONTRACTOR # RANGE: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARF. FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. will be macle the following work day. REQUIRED INSPECTTONS [-l Temporary Electric Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When allplumblng worl< ls complete. Slte lnspectlon - To be made after excavation, but prior to settlng forms. Rough Electrical - Prior to Final Electrlcal - When all electrical work is complete.cover. Underslab Plumblng/ Electrical / Mechanlcal - Prior to cover.Electrlcal Service - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Building - Vlihen ail ired lnspections have been Masonry - Steel locatlon, bond beams, groutlng, approved and building is completed. Framlng - Prior to cover.LFoundatlon - After forms are erected but prlor to concrete placement. p.orner Wall/Celling lnsulatlon - Prlor to cover. l-_-l Drywall - Prlor to taping MOBILE HOME INSPE TIONS Wood Stove - After lnstallatlon lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When alt blocking ls complete. Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home lras been connected to water and sewer. Eleclrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected tothe service panel. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Water Llne - Prlor to filllng trench.[-l Fence - When coinpleted. Slreel Trees - When all requlred trees are planted. Final - After all required inspectlons are approved andporches, skirtlng, decks, andventlng have been lnstalled. Rough Plumblng - Prlor to cover. JoBNUMBE"M 225 Fifth Street Sprl ng f leld, Oregon 97 477 / zt SUBDIVISION: --NP E [-l Unaerground P]umblng - Prioru to fllllng trench. I--l Undertloor Plumblng/ Mechanlcat Prlor to lnsulatlon or decklng. n Post and Beam - Prior to floor - lnsulatlon or decklng. [--l Floor tnsulalion - Prior tou dec]<lng. [-l Sanltary Sewer - Prior to filling 'J trench. l--l Storm Sewer - Prior to filling 'J trench. tl E fl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner ,- Panhandle - Cul-de-sac PL,T]SE GAR ACC N S E Setback - THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - ll yes, this applicatlon must be slgned arrd approved by the H istorlcal Coordinator prior to permit issuance. APPROVED: Total Value Buirdins Permit r.. 7(A)&ir/a<Af' 27/.1), State Surcharge ,7 ft , y'f Total Fee (A) VALUE t Jfle- ,/6 ?O Zo BUTLDING PERMIT SO. FT. X $/SQ. FT.ITEM Main Garage Carport .). BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the cxpress condition that the said construction shall, in all 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 violation of any provisions of said ordinances. Recei pt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (\,) N. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I lurther certlly that any and all work performed shall be done in accorrJance with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Bullding Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections 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 natu re Date on the site at I me du will remaln struct MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut --- ft Demolitlon State Surcharge Total Miscellaneous Ferrnits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned) /6P /o ?, 6D VALIDATION RECEIPT NUMBER DATE PAIi) AMOUNT RECEIVED RECEIVED BY FT. INSPECTION REQi.IEST | 7 26-3169ttona"a oFFICE: 126-3159 1. LOCATION OF TALLATION LEGAL DESCRIPTION JOB DESCRIPTION Permits ai.e non-transferable and expire i.f vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMIRACTOR INSTALI-ATION ONLY Electrical Contractor Add res s Ci ty-- Phone Supervi-sor License Number Constr Contr. Number Signature of Supervising Electrician 5l IGFIE:LD EI.,ECTRICAL PERHIT APPLICATION Number COHPI,ETE FEE SCEEDULE BELOV Nev Residential-Sj.ngle or Multi-Family per dvelling unit. Service IncLuded: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion t hereo f Each Manuf'd Home- or Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 225 FIFTH STR.EET SPRTNGFTELD, oREGoN 91477 Dete'0 ) 7 J A B s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 Sum aEove Expir:atj.on Date--_-_ 200 amps or less 201- amps to 400 amps _40L amps to 600 amps _601 amps to 1000 amps_ 0ver 1"000 amps/voIts Reconnect Only SUBToTAL 0F ABoVE e//.t/ 5Z State Surcharge 3Z Administrative Fee TOTAL C Temporary Services or Feeders Installation, Alteration or Relocation Expi r:a t ion Da te_200 amps''or less 20L amps to 400 amps _ Over 401 to 600 amps Over 600 amps or 1000-voITs s 40.00 s ss.00 s 80.00 see "Btt 00 00 D. Branch Circui ts zDZ t7.Nev, Alteration ol- Extension Per Pane1 vno""- 7t{-ilOL one Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00O\{NER INSTALLATION The installation is being made on property I ovn r',hich is not intended for saIe, lease or rent. 0vners Address Ci ty Ovne Name ,7 Miscellaneous ( Service/feeder -Each ins tallation Pump or irrigation $ sign/outline Lighting- S Llmited Energy/Res - $ Limited Energy/Comm $ not 40. 40. 20. 36. included ) c 00 5 00 27 *O DATE: RECE RECEIVED -vT_r ( Tln The ;r17d C'TY OF SPR SPFITnrGFIELC' Ndtt 1r;li:: 225 FIFTE STTEET SPRINGFTEI"DtldkEcoN INSPECITION REQIIEST: OFFICE: 726-3759 9747tr\os:" '''' ' 726 -3769 't "':i"r. \SNO{ roB afr, ELECTRICAL PERUIT APPLICATION City Job Nu-uber ?5 3. COHPI.,ETE FEE SCffiDtILE BELOS dential-Single or Multi-Fam r dvelling unit. Service In uded:Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home' or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 1. LOCATION IJGAL DESCRTPTION ON JOB DESCRIPTIONr., lt- v l*T l.\ e ' Permits are non-transferable and expire ii vott is not started vithin 180 days of ii"u"nce or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY o"" fi sqt -//& Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date C. Constr Contr. Number Expiration Date Signature of Supervising Electrician D Ovners Name Address 3>K il.i'rh 5 T B. Services or Feeders Installation, Alterations or Relocation: 201 amPs to 400 amPs - 401 amPs to 600-amPs 601 amps to 1000 amPs- 0ver 1000 amPs/vo1ts - Reconnect 0n1Y TemporarY Services or Feeders lnsiallaiion, Alteration or Relocation 200 amps"or less 201 amps to 400 amPs - 0ver 401 to 600 amPs Over 600 amPs or fOOO-dls Branch Circuits SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL <nao -g 40.00 55. OO 80.00 ee ilBil a566 -r02L7)(.2 |70 $ s0.00 $ 60.00 s100.00 s130.00 $300.00 $ 40.00 $ $ $ s $ 40.00 $ 40.00 $ 20.00 s 36.00 Nev, Alteration or Extension Per Panel One Circuit $ 35.00 OVNER INSTALI.ATION The installation is being made on piop"tty I own vhich is not intended for sale, lease or rent' AlL - Each Additionalv' v /L- circui t or vi th service or Feeder'P"irit"-- -Z $ 2'oo /& E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting_- Limited EnergY/Res - Limited EnergY/Comm Ci DATE: RBCETVED B ture: 7 s 5 7 E 7 es srrbrnittcd h:,r*quir.o specffic i Permit #: Address z? zea Issued by Date Statement: lnformation Notice to Property Owners About Gonstruction 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, mechonical, 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 7 and2, and either box 3A or 38 l. 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. OR x 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 certiff that the above information is correct and that I have read and do understand the Information t Responsibilities on the reverse side of this form. Ar,r*:4'?7 f permrt app icant) (White copy to issuing ogency permit file, pink copy to applicant) Notice to Property Ow /toate) X K lnformation Notice to,Property Owners ' ... ,i f,lflt Cogsltltion Responsibilities t .-r.&'b&. J his lttfornLttirttt Noiice to Prulperg'Ottncr.t tthotrl (on.ttrttt'tiorr Ra,lpon.tiltilitit'.,;\ )' ;i-# det clop,til h), the {:onJinibribr*rrrrci,iiri 'roi,r:a in ttccorclsnce trith oRS 70} .0ss(s} lf you are acting as your orvn contractor to construct a new honre or make a substantial improvenrer)t to an existing strucrure, EMPLOYER RHSPON$IBILITIH$ : stnrctins or assisting i* the rn crnplol cr arid thc people Oregon'swithhotdirrgtaxlarv: Asanemployer:l"ounrustr.vithholdincometaxesll'omemplt\1'ee,,ragesatthetirne employees are paid. You w'ill be liable for the tax payments even if you dottqt aetually,rvithhold the tax frohr,-Vourerdplo.vees. For nrore in{orrnation. call the C)regon Dept. of Revenue a1945.8091 ; . , ,i r Unemployment insurr:nee tax: As an e mployer. ,vou are required to pa)'. a tax for unenrploy'r*ena ilrsurance purposes on the wagescrfallernployees. Formoreinfor.maticuiealltheQregrxr ilnrplpynrent,Depa1flFnta{;37qfi5a4. , .-,,, .,i :,,.ir, ;.:,.1 Workcrs'conrpensatiola issurance : Asarr elnpkwcr', vouaresubjecttothe Or.cgon \!'r:l'kcr:'('orlpc'nsation,La*. and must4 eall the W*rkers'C*nllre rriatii'n l)ivisitrrr at tht' Departmcnt of Ct,rrsunrer;rncl Blrsiness S*l-v iees at 94.5-7888'" 'r -.:. . liablelortheuxpa)'rneiltel'cr: ifroucjidn'tactu:rll1'*'ithholdthe tar. Fi:rrnoreinlbrnration.callthe,lnternalRevenueService at t-800-82q- i040. *THER RESPON$IBII.ITIES AND AREA$ OF CONCERN: that ma;, be brought lo \'orlr atlenti*rr through in:;pections. ,,. ?.\ accidents and omissions suclr as {alling tools, paint o!crspra!, u'atcr darnage tiom pipe ;:uncture.s. lire. er r,v*rk lhat must be re-dune. Timetosupeniseemplolees: \'takesurerouhavesuftlcicnttilnctostrperriscvourernplovee:. Expertise: Makes$reyr,ruiravetheexpertiseloactas)-ourorvngeneral c$ntractor,tr:coordirrrtcthe rrrirk.rflough-inrndfinish t*d.s.andtonotif.rlbuildingofficials'attheappropriatetinreisolhe) carrpllorrntherequiredinspections. ',.,.' Ifyoul*aveadditionalq-ueslir:ns.writeorcall theConstructionContractorsl}oard(POBox1,4140.Salem.OR97309-5052. 5031378-4,621). '"1\otloard,is located at ?00 Surnnrer St. NE Suite 300, inrSalernl J .-rl, ,;, ] prop<lrvn.pm4 t91 I{'y.'ou ltirc persons no1 registered *ith the Construction C*ntractors Lloard to do labor in corr. constructitin rlr irnproverrtent o{'il residerrtiat slructure. -r,ou rvill. in nrost iustanues. llc ruled to be ,vou hire lvill be ernplovee s. As the emplover. \,-)u rnu-qt uonrplr t ith'the folloivingi '