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Home My WebLink AboutPermit Building 1992-09-11LocAroN oF p'oposED woRK: - {Z/-{ (<rrrO-rl kEdG SPFI1{C:FIELT) ASSESSORS MAP:IAXLOl: -,- -W SUBDIVISION: RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 Jots NUMBE " ?ZZr--L LOT:-- BLOCK 225 Fifth Street Spr ingf ield, Oregort 97 477 AZ_{__ArLt 4{it-LL 7/b - J?fL" /i,/t ^ (coq ,,o, - ?fl Z{ t'l t( )NE ol,l_ c'r- ! owNER: *-S.t*zQ. t',l n o--otg ADDRESS: CI'TY: d orKq4d - srArE: cr r- DESCRIBE WOFIK: IO" ,, d U,T i " " --fu T u(0 OTHENNEW -- FIEMODEL ADDITION -- , DEMOLISII U n Strue_tto rylul EXPIFlES PHONEADDRESS PLUMBING IT,4 FCHAN ICAL: CONST. CONTFIACTOR / ELECTRICAL: --.- CONTRACTOR'S NAME ou*=*o. $_+Lr/atza FLOOD PLAIN: tZONING CODE: \/ r OF BDFIMS: SECONDARY I'ILA'I: SOUARE FOOIAGE: R,LI\\ _ OFFICE USE - WATER HEATER: OUAD AREA: CONSTFI. TYPI: HEAI' SOUIICI: : FIANCE: LAND USE: --- r OF UNITS: ,, OF BLDGS: - - . OCCY GROUP: # OF STORIE-S: To request an inspection, you must call 726-3769. Ttris is a 24 hour recording. All inspoctions requested l.rcfore 7:OO a.rn. will l;e mac.le the same working day, lnspections requested alter 7:00 a.m. will be ttr:ttle tlre following work day. REOUIRED INSPECTIONS [-l temporary ElectricL.J Rough Mechanical - ['rior t<r cover.tl Final Plunrbing - Wlren all plunrbing worl< is cornplete. x Site lnspection - To be made af ter excavation, but prior to setting (orms. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Footing - Af ter lrenches are excavated. Masonry - Steel location, boncl beams, groutirrg. Foundation - Aftcr forms ;rre erected bul prior to concrete placemen (. Undergroutrd Plurrrbing - J)titlt to filling lrenclt. Underlloor Plumbing/ Meclrartical - Prior to insulation or decl<ing. Post arrd Beatn - Irrior to floor i nsu lation or dccl<i t't1;. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Slorm Sewer - Prior to filling lrench. Waler Line - Prior to filling trench. Rough Electrical - Prior lo cover. Electrical Service - Mttst be: approvcd to obtain pertrrancnl electrical power. Fireplace - Prior to facitrgl materials and fratrting ltrsP. l-l Frarninql - I'tior [o oovt'r Wall/Ceilinly ltrsul:rtiotr -- I'ri(tr l,) covcr l '-l Firral Eleclrical - When alll- I clectrical work is cotrtplete. I -l Firral Mecharrical - Wlrcrr allI -J nrcclranical work is complcte. L-J Final Building - Witon all required inspections have been approved and buildintl is c,<.rrnplctt-'tl. Blockitrg itttrl Sel-Up - Wlrnrr ;tll bloc;ki rrg is t;c.rtttplclr:. Plunrbing Connecliorrs - Wlton Irorne lras been connccted to water and sewer. t_l l_l Dtywall -- ['tiot lo lapirttl MOBILE HOME INSPECTIONS Woocl Slovo - AItor i1:;t;rll;rti(.n lnserl - Af tcr f irrtltlaco itl)l)t(,v:ll ancl inslallation of unit. Curbcut & ApProach - Af lcr fornts arc crected l-:ut pttot tt-r placernent of concrete. Sidewalk & Driveway - Allor excavatron is cotrtplete, f ortn:; and sub-base ntatcrial itt plrtr;r,t Fence - When cornplctc(1. Street Trees - When all rorlttirr'.rl trees are plarrted. I I Eleclrical Corrrrection - WhenI I btocking, set-up, and plurnbing inspections have been approved and the home is conrrectcrl to the service panel. Final - Af ter all rcquired inspections are approved arrd porclres, skirting, decks, and venting lravr,' t.rcen installecl.Rough Plumbing - Prior to cover. --/ea F^5 /2- t tl F ft r t_l tl [] tl fJ tl | __l othcr tI t_l Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot -fype vr_. -- lnterior -- Corner - Panlrandle -=- Cul'de-sac S(jtbacks PL.}1SE GAR ACC I l1E PROPOSED WORK lN TrlE iTisronrcal DrsrRtcr, oR oN THE HISTORICAL REGISTEFI? --lf yes, this application must be signed ancl approved bY the Historical Coordinator prior to permit issuance. APPROVED: N S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Cocle, regulating the construction and use of brrilclings, ancl may llc suspended or revol<ed at any tim(-' uporr violation of any llrovisions of said ordinances. Plans CW ed By ?. Date Paid neceipt Number: - Rcceived Plan Check Fee 7f BUILDING PERMIT VALUE (A) SO. FT. X $ISO. t'T,ITEM Main Garage C;rrport ko*t<N ,6 /5.7-f Total Value Builtling Pcrrrrit Fee State Surclrarl;c' Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITTONAL COMMENTS /-6< Kt/-4aadt*-:- -7-'-- 2 *da AMn s abz / SZU.rl FLnd lre-ee41m- Residential Bath(s) Sanitary Sewer Water 'Storrn Sewer Mobile Flottte FEE (c) N-u FJ. FT. FT, Plurnbing fr(lrlrlit Stat(.'SurctlitrUe Total Charge PLUMBING PERMIT ITEM Fixt u rcs Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Pt.'rnlit lssuance state surcllarge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state 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 Springf ield, and the Laws of the State of Oregon pertaining to the work described Irereirt, ancl that NO OCCUPANCY will be made of any structure without perrrtission of the Building Safety Division' I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to. ensure that all required inspections are requested at the proper time, that each address is readable frorn the street, that the permlt card ls located at the f ront of the property, arrd the approvecl set of plans will rentain orr tlrr-. site at all titrtos cltrrlng con Date /. ction.l/unr&fu MISCELLANEOUS PERMITS Mobile Honte State lssuatrcc State Surcll.lrUe Sidewalk - .-, ft Curbcut f t Demolition State Surcharge Total Miscellaneous Permlts (E) 75'2, VALIDATION: RECEIPT NUMBER 3 DATE PAID AMOUNT RECEIVED ,l{:Ct-lVlrD BY {o TOTAL AMOUNT DUE (excluding elcctrical) (A, B, C, D, anrl E Cornbinecl) 4<.;o,4 \)./Z .l 3k#a /, o 2_ 2 Permit No:2/Z6L Address: lssued by ?k 2 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 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: 1. -=-1 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 num I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR g. B;= I will be my own general contractor. lf I hire subcontractors, I will 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. ! 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 ol this form. 'SiOn7/ure of Permit A-p-plicanl Date ? Dcte / WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT J,&Lr,t"k2z?2221-z CONSTRUCTION CONTRACTORS BOARD 0244J 8t91 lNFOtitrATlON NOTICE TO PROPERTY O,TCNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This lnformation Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 7O1.055(5), passed by the 1989 Olegon Legislature. lf yotr are acting as yo existing structure, you , of concern. ,ur own contractor to construct a new home or make a substantial improvement to an can prevent many problems by being aware of the following responsibilities and areas EMPLOYER RESPONSIBILITIES: lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be r0led 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 Department of Flevenue at 378-3390. Unemployment lnsurance 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 Employme4lgivision DHFi at 378-3224. Workers' Compensation lnsurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain workers' 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 373-7434. U.S. lnternal 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 lnternal Revenue Service at 221-3960. 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. 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 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-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 10124189