HomeMy WebLinkAboutPermit Building 1997-03-12a
RESIDENTIAI. PER}TIT APPI.ICATION
CITY OF SPRTNGFIEI,D
COId!{I'NITY SERVICES DIVISION
BUIIJDING SAFETY
Page 1
ilob Nnrnber: 97 OO02
225 North Fifth St,reet
Springfield, OR 97477
Location of PropoEed Work: 550 S 42ND ST
Assessors tutap #: L8020522
LoE: Block:
Office:
Inspection Line:
7 26 -37 59
725 -3'7 69
Tax Lot #: 00201
Subdivision:
SPruNGFTELD,
Owner: DENNIS CHASE
Address: 650 S 42ND ST
Describe Work: REMODEL/ADDIT KrT/PORCH
Phone #: 747-5409
citylsEate/zrp: SPRINGFIELD, OR 97478
ADDITION
Contractor
Const.
Contractor #Ercpires Phone
Generaf OWNER
Mechanical: OIINER
El-ectrical-: OI^INER
QUAD AREA: 3RSC
-- oFFrcE usE --
LAND USE: l-111
To requests an inepection. call t.he 24 hour recording aL 726-3769.
A11 inspections request,ed before 7:00 a.m. will be made Ehe same working day,
inspections reqp-rested aft.er 7:00 a.m. will be made Ehe following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - AfEer trenches are excavated.
FOIII{DATION - Af t,er forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
POST AIID BEAI{ - Prior Eo floor insuLation or decking.
INSULATION - Fl-oor; prior to decking Wa11/Ceiling; prior to cover
ROUGH PIJIr!!BfNG - Prior to cover.
ROUGH MECI{AI{ICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH ELECTRICAT - Prior to cover.
FRAIIING - Prior Eo cover.
INSULATION - Floor; prior to decking Wa1l/Ceiling; prior to cover
DRYWALL - Prior to taping.
FINAL PLITMBING - When al} plumbing work is compleEe.
FINAL MECIIAI'IfCAL - When all mechanicaL work is complete.
FINAL ELECTRICAL - When all elect.rical work is complete.
FrNAL BUTLDTNG - when all reguired inspect.ions have been approved and
Ehe buildj-ng is complete.
Total Height.: 21
Lot Type: INTERfOR
Setbk From NPL: 73 Solar Approved: Y
Building Permit Fee
$,/Square Feet
170.50
Item
Main
Garage
REMODEI,/ADD'N
Total Value
--- BUILDTNG PERMIT ---
Square Feet x Value
0.00
0.00
25, 000.00
25, 000 . 00
SPTTINGFIELE,
02 Page 2t
(A)
13.55
184 .ls
SYSTE}IS DEVEI.OPMENT CTIARGE (SDC)
(B)s4.55
systems Development charge is due on all undeveloped properties withi-n the citylimits and the cit,ys urban Growth Boundry which are being improved.
. - - PLU}TBING PERUIT -. -
Item
Fi-xtures
Residential Bath(s)
SaniEary Sewer
Water
0
1
0
90
Fee
0.00
91, .20
0.00
0.00
Plumbing Permit
Surcharge/Admin
TOTAI. CIIARGE
9L.20
7 .30
(c)98.50
--- MEEIIAT{ICAL PERMIT ---
Exhaust Hood
Dryer Vent
Mechani-cal Permit
fssuance
Surcharge/admin
TOTAI, PERMIT
4.50
3.00
15.00
10.00
1,.20
26.20(D)
- - - MISCEI.I,AI{EOUS PERMITS
Surcharge/Admin
(REWIRE)
TOTAL ITTISCELI,AI{EOUS PERMITS (E)
0.00
L24.20
L24.20
(sxcluding Electrical)
unlegs otherwise noted
--- TOTAL AMOI'NT DUE ---(A, B, C, D, and E combined)487.7L
--- BUIIJDING VALUE, PLAIiI CHECK AIID BUILDING PERMIT ---
This permit is granted on Ehe express condition that Ehe said constructionshall-, in aLl respects, conform to the ordinance ad.opted by the city ofspringfield, including the Development code, regulating the construcuion anduse of buildings, and may be suspend.ed or revoked at any time upon viol-ationof any provisions of said ordinances.
Plan Check Fee:
Received By:
Plans Reviewed By:
Receipt Numberl. 24483
Building Site Reviewed By LISA HOPPER
--. ADDITTONAT COMMENTS ---
PATH 1; THE UPPER LEVEL SHALL BE USED AS ATTTC SPACE ONLY-TT IS STRUCTURALLY
110.83 Date Paidt 02/04/97
Date: / /25
SPilNGFIEI.D,
SPF!NGFIELEl
Job Number: 970002 Page 3
INADEQUATE FOR HABITABLE USES (T-s#/SF MAX.LIVE LOAD).
By signature, I Btatse and agree, that I 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
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 Lhat NO OCCUPANCY wil-l be made of any structure without permission of the
Community Services Division, Building Safety. f 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 aII required inspections are requested at Uhe
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
wil} remain on the sj-Ee at afl times during construction.
\ /q-/r*q7
+4"
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By
2,ftn4-e.n
4fi7 7t
W-.
o
INSPECTION REQIIEST | 726-37$$ :""::r:-;';:*.-..
OFFICE: 726-3759
1. LOCATION OP AII..4.TTON
I,EGAI DESCRTPTION
JOB DE PTION
Permits are non-transferable and expire
if vork is not started vithin 1"80 days
of issuance or if vork is suspended for
180 days.
2. COMTRACTOR INSTALTATION OI{LY
EIec t r Contractor
Address
Ci ty
Supervisor I,se Number
Expi ra t Date
r Contr. Number
-- Expiration Date
Signature of Supervising Electrician
0vners Name
Address
5 TTGFTELt!
EI,ECTRICAL PERHIT APPLICATION
Job Nunber
3. COHPLETE PEE SCMDULE BELOS
A
22s FrFrE srREEr Z-i/-n
SPRTNGFTELD, OREGON 9741r I
Phone 7/7- 5407
Nev Residenrial-Singie.or Xilrfit16z4
MuIti,-Family per dvelling uni t. 'e*ki'4-fl !_Service rncrudedt ,,"*" *:ft:mT'
B
200 amps or less S
201 amps to 400 amps
-
S
401 amps to 600 amps
-
$
601 amps to 1000 amps- $
Over l-000 amps/volts
-
$
Reconnect Only $
L000 sq.ft. or less L--
Each additional 500
sq. ft or portion
thereof Z-
Each Manuf'd Home or
-
Modular Dvelling
Service or Feeder
Services or Feeders
Ins tallation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
$ 8s.00 ^*
$ is.oo 3o-*
$ 40.00
s0.00
60.00
100. 00
130. 00
300.00
40.00
C., Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
g 55.00
Over 40L to 600 amps
-
$ 80.00
0ver 600 amps or 1000-voITs see I'B?' aEov€
D. Branch Circuits
OVNER TNSTAL[,ATION
The installation is being made on
property f ovn vhich is not intendedfor sale, lease or rent.
0vners Signature:
DATE:
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit S 2.A0
E. Miscellaneous (Service/feeder not included)
-Each install-ation
Pump or irrigation
Sign/0utIine Lighting-
Limi ted Energy/Res
-
Limi ted Energy,/Comm
D)
5
$ 40.00
$ 40.00
$ 20.00
$ 36,00
I
RECEIVED B
2^7 rc
/tb^ os ^z- orfo/
Ciry Sffi,
Permit #:
Address
Issued bY:
Db
M-/2-?D
Statement:lnformationNoticetoProperlyowners
AboutConstructionResponsibilities
Note:oregonl'aw,oRL701,055(4),requtresresidentialconstructionpermitappli-
cants who are not registered. *itn in, t)onstruction contractors Board to sign the
following statementbz|or" obuilding,;permit canbe issued' This statement is required
for residen ai irdiirg, electricatl'mecnantcal, and plumbing permits- Licensed
architectandengineerapplicants,,exemptfromreg.istrationunderoRsT0l.010(7),
need not ,uA*iilii, ,toir*rnt. Thfs stiement will be filed with the permit'
FillintheappropriateblanksandinitialboxesIand},andeitherbox3Aor38:
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 "
I will instruct my general contractor that all subcontractors who work on the
registered with ihe Construction Contractors Board'
Contractor regis. #
structure must be
OR
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 generat contractor, I will contract with a contractor who is
registered with the ccB and will immediately notiff the office issuing this building permit of the
name of the contractor.
r hereby certify that the above information is correct and thatl have read and dounderstand the Information
Notice to property Owners about Construction Responsibilities on the reverse side of this form.
1u-qt
permit applicant)
(White copy to issuing agency permitfile,
pink copy to applicant)
(Date)
NK
tr
r-^
f {nf&it a$},klrice ro property ownersI :-',,: .-_ ___ i A.trt3.p_eguction Responsin,:iiri*"
Note: This. lnJbrmaion Notice to $roperty Ov,ners abott Conslruilionwas deyeloped by the Con.struct ion Contractori- b'oarcl in accordance w
If you are acting as your- own contractor to construct a new home
If you hire persons not registered.qlth thq Construction contractors Board to do Iabor in ctxslnrcting 9r assisting in the;::-ffHl;:ffiffJ::1":*t*;,*;:*$j""J;;1x*I;i,ffi*,;yl'.urea,obeanemiio|".,no,hepeop,e
oregon's u'ithholding.tax law: As an ernployer, you nlust withhord income taxes from empro-yee.wages at the rime empr,yecsarepaid' Youwillbeliablefortheu*puy*t'toevenifycxrdo,n'tactuartry*rtrr"rJir*,taxfrornyouremproyees.
F-orrnoreinformation,calltheoregonnept.ornevenueat945'-8o6i.-".
unemployment insurance tax: As an employ"t,,l:u are required to pa.v a tax for unemproynrent insurance purposes cn the;1rT;-:!*employees'
For more information, .di tr,e orgo, ernptoyn
"n,
o*ioon'* the Departmenr qf,.rr,ran Respuygep
workers'compensation insurance: As an employei, you are *uj"li16 th. o.egon workers,Compensation Lr*, ,roKobtain workers''omngnsltion insurance forroylemqlgrees. If you rair ro obtairr-workerr,co4pensation insuruqce, yo,q+..i1rHi?ifil:?ffi :[';#:l*";',lmti*#ff [In*?,";*#JH#$:lxll"i,"i,I#reinronnffi
us'rnternal Revenue service: As an employer' you must withhord fecrerarincome fax from emproyees: wages. you wi, bilt"?:ffi:fiff*t* *'"'
'rvou oioJ,1.,,,rrl," ;*l*ffi; tu*. ro, more informati.n. cair the rnternal Revenue serricd
-vou carl prc\,,e:li nra1y. problems by being aw:.r,.e uj ti:i j,;lluwrrrg responsrbrlitres and
or make a substantial i rnpi'o vsment to an existing structure,
.: EMPLOYEH RESPON$IBILITIES:
STX.IEH HESPONSIBILITIES ANO AHEAS OF OONCERN:
code compliance: As tlrc p*r'n.rit holtler f'or this proiect, yoir are respo,sihlc frir res.l'irrg an,r flii!i:re t. rneet cr:,c r.cquirer*entxthat may be brought to your attention through insprctrols. 'tl\'r1r!('ru r..)r rcstltvtrtg
. ..Liabilitlr and property damage insurance: Contact your insuriurce agent to see if you have ariequaie insurance coverage ftrrlaccidents and omissions such as falling tools, paint ou*rrpruy, *ate, du*uge from pipe punctures, fire, or work that must herg_done.
- - .---r.*J, i.s!!. vsrrrsSL rrwru prp5
Time to supervise ernployees: Make sure you have sufficient time to superuise your employees.
Expertis* Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finishtrades, and to notify btrilding officials at the appropriate timesio they can perform the required inspeitioirs.
If you have additional questions, write or call the construction contractors Board (po Box I 4140, salem, oR g7309-5052,
5031378-4621). The Board is located atTao Summer st. NE suite 300, in salem.
prop-own.pm4
t/94
Page 1
CITY OF SPRINGFIEI.D SYSTEIIS DEVEI.OPDTEIIT CHARGE
(RBSIDENTIAL)
Name or company: DENNIS CHASE
Location: 550 S 42![D ST
Developement T)pe: R Building Size:
ilob No. : 970002
Lot Size:sq Ft
1. STORIT DRAINAGE
Impervious Sq Ft
2. SANITARY SEI|ER . CITY
Number Of PFUs
(see Page z)
3. TRA}ISPORTATION
Number Of Units
5. AD}IINISTRATIVE FEES
Base Charge (Subtotal ebove)
24L X 0.216 Per Sq Ft =
X 44.75 Per PE'U =
x Trip Rate x Cost Per Trip
0
$s2 .06
$o. oo
$o. oo
$o. oo
$o. oo
$o. oo
ss2 .06
$2 .50
Transportation Total
4. SANITARY SEITER . UTIUC
Number Of PFUg
0
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SIBTOTAL - (Add Itens 1, 2, 3 & {)
Per PFU + MIIMC Admin Fee
20.690
x
x
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST DaEe: 02/06/97
$s4.55
EOUSING INSPECIION APPLICATION
BTIII,DING DIWSION
CITY OF SPRTNGFIELD
D JOB NUMBER ,q c00 )'-
PHONE NUMBER:Zll - S't
Q-O3
o7'
bN
7r 8-q#7
DATE:
ADDRESS OF INSPECTION:
OVNER:
OIINER'S ADDRESS:
K n,SEAPPLICANT- i)./ ^) ^/
APPLICANT'S ADDRESS:
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:O
=========================================================E===========-=======FE=
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OVNER OF THE PROPERTY TO BE
INSPECTED.
FOR OFPICE USE ONLI
DATE PAID:l-3 -Q1
DATE OF INSPECTION:
RECEIPT NUMBER:
DATE OF REPORT:
?Vat>z-
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u.p
UJ*
Jo Yf
Sr
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.T /\/.3t 442
/r,5c 3e,4-: 5=' 34 '''/t''''rD
V,Ou <,?n tr./ il t s'
L- -<D 3e-, t-L,l =7 s l)4',''t)n* F t et l ft
DATE OF CERTIFICATE OF COMPLIANCE: