HomeMy WebLinkAboutPermit Building 1995-10-14OTTOF
SPFTNGFlELD
RESIDENTIAI, PERMIT APPI,ICATION
EITY OF SPRINGFIETD
COMMIINITY SERVICES DIVISION
BUII.DING SAFETY
Page 1
.fob Nr:mber: 95L545
225 North Fifth Street
Springfield, OR 97471
Location of Propoaed work: 890 22ND ST
Assessors Map #: L70335L2
Lot: Block:
Office:
Inspect.ion Line:
726 -37 59
725 -37 59
Tax Lot #: 07500
Subdivision:
Owner: RICK TYNDALL
Address: 890 22ND STREET
Describe Work: GARAGE
Phone #: 726-7906
citylstsate/zip: SPRTNGFTELD, OREGON 97477
NEW
Contractor
Conet.
Contractor #
726 -7 906General:OT,IINER
Efectrical: OWNER
QUAD AREA:
ZONING CODE
VN
SQ FOOTAGE:
2RNW
: LDR
1200
-- OFFICE USE --
LAND USE: 1111
OCCY GROUP: M
# OF BLDGS: 1
CONSTR. TYPE:
To requeat an inspection, call the 24 }:our recordj-ng aL 726-3769.
A11 inspections requested before 7:00 a.m. will- be made the same working day,
inspecLions requested after 7:00 a.m. will be made the fol-lowing work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erecLed but prior Lo concrete placement.
POST AI'ID BEAII - Prior to f loor insuLation or decking.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
FF-AIIING - Prior to cover.
INSULATION - Fl-oor; prior to decking Wa11/Ceiling; Prj-or to cover
STORM SEITIER LfNE - Prior to fiLling trench.
ROUGH ELECTRICAL - Prior Lo cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
t,he building is complete.
Tota1 Height: 20
Lot Type: INTERTOR
Setbk From NPL: 10 Sol-ar Approved: N
Item
Main
Garage
ADDIT
Total Value
Building Permit Fee
Surcharge/admin
TOTAIJ FEE
- - - BUTI.DING PERMIT -. -
Square Feet x
1,200
320
$/Square Feet.
14.10
64 .66
(A)
Val-ue
0.00
L6,92O.OO
20 , 691, .00
37, 611.00
229 .00
18.32
247 .32
/7.oo**, -7f',
77V - Jr
/pe /<uav7r7=, 7:.4r*rr ,ooO / fir-uzr€-
F4'zo
Expires Phone
CITY OF ONEGON
SPFINGFIELD
ilob Nnmber: 95L645 Page 2
SYSTEMS DEVELOPMENT CIIARGE (SDC)
(B)259.46
Systems Development Charge is due on all undeveloped properties within the City
l-imits and the Citys Urban Growth Boundry which are being improved.
Surcharge/eAmin
PLAN CK FEE
TOTAL MISCELLAI{EOUS PERMITS (E)
0.00
69.22
69.22
(Excluding Electsrical)
unless otherwise noted
--- TOTAL AIIOI'NT DUE ---
(A, B, C, D, and E courbined)575.00
7.zz-./e -?@ICZEZr7..74
--- BUILDING VALUE, PLAIiI CHECK AIiID BUIIJDING PERMIT ---
This permit is granted on the express condition that the said consEruction
sha1}, 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.
Plan Check Fee: 79.63 Date Paid:
Received By: LORNE PLEGER
Plans Reviewed By: BoB BARNHART Date:
Building Site Reviewed By: LISA HOPPER
1-o /L3 / es
LO/oe/e6
ReceipL Number:. a9277
--- ADDITIONAL COMMENTS
By eignature, I sEate and agree, that I have carefully examined
the completed application and do hereby certify that all informaLion 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 SEate of Oregon pertaining to the work described herein,
and that NO OCCUPANCY wil-} be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
conEractors and employees who are in compliance with oRs 701.055 wiII be
used on this project.
I further agree to ensure that afl required inspections are reguested at the
proper time, that each address is readabl-e from the street, thaE the permit
card is located at the front of the property, and the approved set of plans
wil-l- remain on the siEe at all t,imes during consLruction.
I o "t?: lL
Signature Date
--- MISCEI.I,A}IEOUS PERMITS ---
SPR!ilGFIELE,
Job Number: 95L645
ATT OFSPruNGFIEID,
Page 3
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VAI,IDATION ---
<776,
/a-y''/
Zo.o-
5?2.
SPRINGFIELD
Page 1
CITY OT SPRINGFIEI.D SYSTEMS DEVEI.OPMENT CIIARGE
(RESIDENTIAI,)
CITY OF SPruNGFIEIT', ONEGON
Name or Company: RICK TYNDALL
Location: 890 22ND ST
Developement Type: R Building Size:
,.Tob No. : 95A545
Lot Slze Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
5. ADIIINISTRATIVE FEES
Base Charge (Subtota1 Above)
LL44 X 0.2A6 Per Sq Ft =
X 44.75 Per PFU =
X Trip Rate X CosE Per Trip
0
$247 .LO
$o. oo
$o. ooTransportation Total
4. SA}IITARY SEWER - MWMC
Number Of PFUs
0
MhIMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
Per PFU + MWMC Admin Fee
20 .690
x
x $o. oo
$o. oo
$o. oo
x 0.50
$247 .LO
sL2.36
TOTAL SDC $2s9.45
AC'TY OF
*.The folicwins prolost e.e eubmlttod hm tho fotlordng
zoning, anC coes net req*ii-e rpooi{ie tand ucc
rU
5Pr :FIELO
ELE TRICAL PERHIT APPLICATION
city Job Nunber a5/b ZO
approval,
225 FIFTE STREET
SPRTNGFTELD, oREGoN 97477
INSPEOIION REQUESTz 726-37.$'&
OFPICE: 726-3759
, Ar-lthorizefl
TI F ON
DESCRT
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2 CONTRACTOR INSTALLATTON ONLY
Iectrical Contractor
Addres
BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service lncluded:ftems Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 15.00
$ 40.00
Services or Feeders
Insta1Iation, Alterations
or Relocation:
200 amps or less X201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps_
Over L000 amps/voIts
Reconnect OnIy
Phone
umber
ACL
Sum
S ss.
ts see "B a Eove
A
B
Ci ty
Supe
Expi
Cons
Expi
N
s s0.00
$ 60.00
$100. 00
s130. 00
s300.00
$ 40.00
e_4
tr Contr. Number
ration Date
rvisor Lice
ration Date
N ame
C Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Super.',:!slng ELectri
200 amps''or less
201 amps to 400 amps
O'.,er 40L to 600 amps
Over 600 amps or 100
00
0 vo
Xrr'"""
cir hone
OVNER INST
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
rs Si ture:
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E.Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Limited Energy/Res $ 20.00
SUBTOTAL OF ABOVE CO.,2
5Z State Surcharge
3Z Administrative Fee
TOTAL
?+,.-?qo k
5
DATE:
RECETVED
^IJGAL DESCRIPTION@/Za3Jk-/z o75e
Permit #:?
SororJ
Address:
-zzs!
Issued by:Date:-q
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 abuilding 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 thts statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38
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.
OR
. 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 that the above is correct andthatl have read and do understand the Information
on the reYerse side of this form.
applicant)
(White copy to issuing agency permitfile,
pink copy to applicant)
K
X
F
Notice
(s (Date)
5/Gr'G
\\-\
-
Information Notice to property Owners
About Gonstruction Responsibilities
i- - Nate: Tltis Information Notice to froperty Owner,r about Construction Responsibilities
was developed by the Con.struction Contractors Boarcl in accordance with ORS T0l.0SS(S).
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being aware of the following responsibilities and areas of concern.
If you hire persons not registered with the Construction Contractors Board to dc labor in constructing or assisting in the
construction or improvement of a residential structure, you will, in most instances, be ruled to be an "*ploy", and the people
you hire will be employees. As the employer, you must comply with the following:
Oregon's withhotding 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 unernployment insurance pulposes on the
wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resources
at378-3524.
* ,..Workers' compensation insurance: As an employer, you are subject to the Oregon Workers'Compensation Law, and cfijilt
gbtain workers' compeusation insurance for your employees. If you fail to obrain workers' compensation insurance, yo$.ry
besubjecttopenaltiesandwillbeliableforallclaimcostsifoneofyouremployeesisinjuredonthejob. Formoreinfor*oibn,
call the Workers' Ccmpensation Division at the Department of Consumer and Business Services at q+S-ZgS3.
U.S. Intcrnal Revenue Service: As an employer, you must withhold federal income tax from employees'wages. you will be
liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal R*u"nu" Service
at 1-800-829-l&10.
OTHER HESPONSIBILITIES AND AREAS OF GONCERN:
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
Liability and property damage insurancq 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.
Time 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 work of rough-ln and finish
trades, and to notify building officials at the appropriate times so ttrey can perfoim-:the required inspections.
If you.have additional.quesliqns, write or call the ConstructionGontracrors'Bomd (PQ Bol 14 140, S_alemigR 9f 3W-SA5Z,
503/378-462l).TheBoardislocatedat700SummerSt.nreSuite300,inSalem.
prop-own.pm4
lt94
1. LOCATION OF TNSTALI.,ATION22?v 57
LEGAI- DESCRIPTION e
JOB DESCRIPTION
2
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTA.LLATION ONLY
Electrical Contractor
Expiration Date
Signature of Supervising Electrician
Owners Name
Address * ?22?>
Ci ty Phone ^- :f
OVNER INSTALT.ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: /a-
ELESTRICAL PERHIT APPLICATION
Nt"b Nunber ?U/Z
3. COHPLETE FEE SCMDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
s 40.00
B Services or Feeders
InstalIation, Alterations
or Relocation:
D. Branch Circuits
sr.l-*<.i;rter-o
E
Nev. Alteration or Extension Per,,*p ,7> r.-rry- c:zE-qr
dne Cir6uit $ :S-
Each Addi tiona]
Circuit or vith Service
or Feeder Permit < S 2.
Misceflaneous (Service/feeder not
200 amps''or less $ 40.00
201 amps to 400 amps
-
S 55.00
over 40L to 600 amps
-
$ 80.00
Over 600 amps or 1000-tofts see "B[
The lollowin6 proiect
zonirq,'ancj does n,it
approval.L
225 FIFTH STREET li-l1,ttV
SPRINGFIELD, OREGON 97477
INSPECTI0N REQUESTz 726-37(;9':': : I'':'
OFFICE: 726-3759
A
Address 200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver l-000 amps/voIts
Reconnect 0n1y
ci ty-Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Temporary Services or Feeders
Installation, Alteration or Relocation
s s0.00
s 60.00
si_00.00
s130.00
$300.00
$ 40.00
Sum
aEove
0O {oo
included )
C
-Each installation
Pump or irrigation $
Sign/Outline Lightine_ $
t imited Energy/Res
-
$
Limited Energy/Comm $
40.00
40.00
20.00
36.00
/cb5. SUBTOTAL OF ABOVE
52 State Surcharge
32 Admini.strative Fee
TOTALRECEIVED B
.-<a
f ;:-a7,
EOUSING TNSPBSTION APPLICATION
CTTY OF SPRINGFIEI,D BUII,DTNG DI\ISION
DATE: ,I JOB NUMBER:
ADDRESS OF INSPECTION:
OIINER'S ADDRESS:
APPLICANT:
APPLICANT'S ADDRESS:
89o
^1
. aaod
C
\\PHONE NUMBER: t/ ;\l-, "rQop
5qt- \ &r,-"1 qO6FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
A S35.OO INSPECTION FEE IS REQUIRED AT THE TIHE OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OIINER OF THE PROPERTY TO BE
INSPECTED.
nt.*,JM
FOR OFPICE USE ONLY
DATE PAID:
DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
DATE OF REPORT:
2z/{o
OIINER:
\\
SPRTNGFTELE,
D E\/ l: LO l' M l.: t'l I S l: ! i V t C t:l; D t : i \\ I I I lvi l- I'l i ,:;:5llt ili,'liiil_t
s PfllNG F IELD, Otl !) i47 i
(541) 726-3753
FAX (541) 726-s689August 30, 1996
Rick Tyndall
890 22nd Street
Springfield, OR.97477
Subject: Housing Inspection at E90 22nd Street, Springfield, Oregon
Dear Mr. Tyndall,
At your request, the Community Services Division/Building Safety conducted a Housing Inspection at the
above address. The inspection revealed items which do not meet the minimum City Housing Code
requirements and must be corrected. They consist of the following:
Structural
Enclosure ofthe rear porch area and conversions ofthis space to habitable room requires building
permits and inspection approvals. Please submit a complete set of building plans for plan check no
later than September 13, 1996. Stop all work until all required permits have been obtained. Once
approved plans have been issued, please contact Tom Marx at726-3666.
Plumbing
All plumbing installations, additions or alterations to the existing plumbing system require plumbing
permits and inspections.
A plumbing vent tenninates next to an openable window creating the potential for sewer gases to enter
into the building interior. Plumbing vents shall terminate three feet above and a minimum of ten feet
away from any openings into the building.
The washing machine stand pipe is not trapped or vented, which may allow potentially hazardous
sewer gas to enter the structure. This would be corrected by the installation of a p-trap and a proper
vent.
A leak at the clothes washer stand pipe drain connection requires repair or replacement to avoid a
potential health hazard or structural damage.
E,lectrical
Electrical installations, alterations or modifications shall conform to present Electrical Specialty Safety
Code requirements.
The electrical service is not properly grounded to the metallic cold water piping creating a potential for
curent flow through the piping.
The electrical wiring that is exposed and laying on the ground under the house shall be stapled up
to the floor joist.
a
a
a
a
a
a
a Wiring shall be inspected prior to sheet rocking expose all areas of new wiring for inspection.
a
I{ousing Inspection
890 22nd Street
August30,1996
Page2
Permits must be obtained for the above items which involve repairs or modifications to the structural,
electrical plumbing or mechanical systems of the building and for any additions or revisions you wish to
make to the building.
If you need any further information or have any questions regarding the above requirements, please contact
the appropriate inspector noted below between the hours of 8:00-9:00 a.m., l:00-2:00 p.m. or 4:00-4:30
p.m. at 726-3759.
-Y^t'Jfin
Tonr Marx Ralph
Building Inspector Plumbing Inspector
Dave Puent, Community Services Manager/Building Official
Lisa Hopper, Building Safety Representative
Dave Gadomski
Electrical Inspector
TM:tn
cc:
tcomplel€ items 1 andor 2lor additional services.
rcomplele items 3, 4a, and 4b.
t Print your name and address on the reverse ol this lorm so lhat we can rglurn this
card lo you.
tAtlach this torm lo th€ fronl of the mailpiece, or on the back it spaca do€s nol
p€rmit.
.Wnle'Retum Receipt Requested'on th€ mailpiece below the articlg numbsr.
tThe Relum Roceipt will show lo whom the anicle was delivergd and the date
delivered.
e:8gD /
I also wish to receive the
following services (for an
extra fes):
1. E Addressee's Address
2. E Restricted Delivery
Consult postmaster for fee.
4a.
13()tab
E Registered ffenifiedE Express Mail E lnsured
E Retum Receipt for Merchandise E COD
-1 (
il requested
and tee is paid)
3. Article Addressed to:
(-tcX- -TVnact_ll
84o L'LtPt Zr-ta.e4
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5.
6.
PS 1 rn
Ururreo Sures PosrAL
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. Print and
-
DEVELOPMENT SERVICES
225 FIFTH STREET
SPRINGFIELD, OR q!^ 71