HomeMy WebLinkAboutPermit Building 1994-05-31ELO
BLOCK:
h,
K:
LOT:
TAX LOT
SUBDIVISION
JOB NUMBER
ASSESSORS MAP:
LOCATION OF
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
225 Flfth Street
Sprlng(leld, Oregon 97477
I I /
\(
oWruen:
ADDR
CITY:STATE:
PHONE:
ZIP:
DEMOLISH OTHER
DESCRIBE WO
NEW- REMODEL ADDITION
,S NAME ADDBESS EXPIRES PHONE
ELECTRICAL:
coN
GENERAL:
MECHAN
CONST.
CONTRACTOR #
# OF BDRMS:
- OFFICE USE -
OCCY GROUP:
ZONING CODE:
FLOOD PLATN:
* OF UNITS:
LAND USE
WATER HEATER
r OF STORIES:
RANGE:
SECONDARY HEAT
SQUARE FOOTAGE:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
E
,K
E
E
E
B
Z
E tl
Temporary Electrlc
Slte lnspectlon - To be made
a{ter excavatlon, but prior to
settlng forms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prior to concrete
placement,
Underground Plumblng - Prlor
to fllllng trench.
Underlloor Plumblngl Mechanlcal
- Prior to lnsulatlon or decklng.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prior to
decklng.
Sanltary Sewer - Prior to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench.
Water Llne - Prlor to filling
trench.
Rough Plumblng - Prlor to
cover.
M nough Mechanlcal - Prior to)4cover.
[V[ Rough Electrical - Prior to.,,Gl cover.
lrd Ftnal Plumblng - When aill4-plumblng work ls complete.
ffi flnat Electrlcat - When ail
'aelectrlcal work ls complete,
K
'lsfi Flreplace - Prlor to faclngJAlmatirtats and framtng lnspl
( framlng - Prlor to cover.
ffi walttCelllng lnsulatlon - Prlor toGcover.
D(OrVwat! - Prlor to taplng.
flf Flnal Bulldlng - When att14)equlrod lnspectlons have been
approved and bulldlng ls
completed.
l-_l Flnal - After ail required.J lnspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
MOBILE HOME INSPECTIONS
Blocklng and Sel'Up - When all
blocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Eleclrlcal Connection - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Wood Stove - After lnstallatlon.
lnsert - After flreplace approval
and lnstallation of unlt.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Stroet Trees - When all requlred
trees are planted.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
C\-,
PLUMBING:
E
E
[-lo.ther-
E
J--l Sidewalk & Drlveway - After|J excavatlon ls complete, forms
and sub-base materlal in place.
l--l Fence - When completed.tt
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
W
E
Lot Type -
{ tn,.rro,
IS THE PROPOSED WORK IN THE ,
HISTORICAL DISTBICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon musl be slgned
and approved by the Historlcal
Coordinator prlor to permit lssuance.
APPROVED:,+
/?G
G,7y' -* //,>?
FT.w5(
FT.
(-.
MT,
(A)
5ic,
5509^
sc?e
2?,ro
224,so
X S/SQ.
BUILDING PERMIT
so.
/' 77
4z/7
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfietd, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
*#4Reviewed By
I
P
Recei pt Numbe
ton of said ordlnances.
t4/3 5,2 =?o
63Da€ /
Plan Check Fee:
Date Paid
Received By
upon violation of any
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) S 7.77
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
/f).oo
/ o,go
N0
FT.
FT.
FT.
,bo
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
,3O+,{O
(c)
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
/5n
/oPo,4{t,7t 120
20
,(D)
L.l
Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and. do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bullding Safety Division.
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
pro.lect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address is readable
lrom the street, that the permlt card ls located at the front
approved set of plans will remainof the property, and t
-Z 7^7/Date
es durinon the site at structlonXrSlgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
e,3D/*^s "' 'fiJ
oz
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
357 pb
I
I
s7 i- d.+? r@ - s r gj,
N0
I
S.|SO t)1o.n*uorat
Branch Engineering
310 North Fifth Street
Springfield, OR 97477
Telephone (503) 746'0637
Telefax (503) 746-0389
lLD
4h0h
STR U CT U RA L CALC U LATIO N S
9efivuo cu{y' Tt 6r narlw{)
PROJECT NAME: - KEN POLING
PROJECT NO 94-88 BY S. Keating DATE 20 January 1995
ELEMENT UNIT VALUE
SEISMIC ZONE
WIND VELOCITY / EXPOSURE
ROOF SNOW LOAD
FLOORED ATTIC LIVE LOADS
FLOOR LIVE LOADS
BALCOI{Y LIVE LOADS
SOIL ALLOWABLE BEARING
3
80 MPH EXP. B
25 PSF
20 PSF
40 PSF
60 PSF
1OOO PSF
PROJECT DESCRIPTION: DESIGN OF JOIST REINFORCEMENT AT TOP OF
STAIRS IN NEW ADDITION TO EXISTING RESIDENCE (SEE PREVIOUS
ENGINEERING)
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e
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L",Vi(,,s)+ ho(r)* (,to.,){l,r) + (ndf ? I + IS,r , trtqn
bt= 415+ ro'o + tt7 +lod - tt ro , l+40*
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STATEMENT:
INFORMATION NOTTCE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS701.055(4) , require_s residential construction permit
applicantJwho are not registered witn the Construction Contractors Board to
sig'n tne following statemeit before the building permit can be issued' This state-
m6nt is required-for residential building, electrical, mechanical, and plumbing
permits. Liiensed Architect and Engineer applicants, exempt from registration
Lnder ORS 701.010(7), need not su6mit 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. ,I,.=:?I I own, reside in, or will reside in the completed structure'
2. ,t-- I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
Permit No:
Address:
lssued Date:
R OFFICE USE ONLY
My general contractor is ,
Contractor registration num
3.A
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. B.-.{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.
t hereby certily that the above information 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.
S-27-?/
re of Permit A licant Date
CONSTRUCTION CONTRACTORS BOARD
0244J 8191
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
-_.
NOTE: This lnformition Notice to property Owners
was developed by. the Construction Contractors Board
passed'by the 1989 Oregon Legislature.
About Construction Responsibilities
in accordance with ORS 701OSS(S),
:,.-
lf you are actin(i'as you
INFORTIATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
i Own contractor to cohstruct a new home or make a substantial impiovement
:
;toan
areasexisting structure, you can prevent many problems by being aware of the following responsibilifi6s and
of concern
"; -i* tl. 'i ' ,l- :.-: . '.' .' l*:t, ,..
EMPLOYERRESPONSIBILITIES:r', .:,,': ,,u-,.i. "-t:.,., . :_.:. ,", .,+
lf you hire persons not registered with the Construction Contyaqtc,ys Board to do labor in constructipg or assisting
in the construction or'imprcAfumerlt'of a residential'itructulg,'ygu'will, in moit instances,'UetirireO to be ai"employer" and the peopfE you hile ryill bd "employees". As'ffre employer,.you m$rt comply with the foilowing:
i
oregon's Withhddipg Tax,'!qw=:. A" 1l q*pioyel vgu mu5l,githhotd inco,r" tufir,tiom #ployee wages ar
the time employee ara paid. you will be tiable for thg-tax..{ayments evdn it you'ri,grl,g aqtually withhotd the
tax from your employees. For more information, call the Oregon Department of:Rel,fenue at 378-gggo.
Unemployment lnsura-nce Tax As an employer, you are required to pay a tai for unem''f'royment insurance
purposes on the wages of all emplQfe€s; For more information, call the Oregon Employment Division DHR
at 378-3224.
-'" ? --- .1.'
Workers'. Compensation lnsurance: As an,employer, you are subject to the Oregoh Wor(ers' 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 etairn costs if'one of your
employees is injured on the job. For more information, cqlJ the Workers' Compensation Division DIF at 379-7434.
-, iir"'; i. 1
income tax from employees'wages.
the tax. For more information, call,-l ,
OTHER RESpONStBtLtTtES ANO AREAS OF CONGERI.|;
U.S. lnter.rlal Revenue Service: As an employpr, you must withhold federal
V*9lt gy;! if you didn'Lacluafiy Witrrr'oilthe lnternal Revenue Service at 221-3960.
Code Compliance: As the.perrnit holder for this prq,ect, !rot,,are responsible for resolving any failure to meet
codeiequiremerftslhatlrnaybebroughttoyoUr'a:ttention,ttttobgtrinspections..
Liabilit!,and Properly Damage lr\'surance:rGontaet'Ytiuflnsurance agentto see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint overspray; Water d'amage from pipe punc-
tures, fire, or work that must be re-done.
Time to Supervise Employees: ,Make.sure you have sufficient time to euper:vise 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 tradeq, and to notify building officials at the appropriate times so they can perform
the required inspections. : j
lf you have additional questions, write to:Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
o24N 10t24t89
CIIY OF SPRiNGFIELD SYSTEHS DEVELOPMENT CIIARGE
T,IORKSHEET . . :;_
. (c0t1t'lERCIAL & RESIDENTIAL)
l{Al.it 0R C0l4PAl{Y:{a.q "paz,G
LOCAT I0l,l:3 450 R G/.r'A
DTVELOPI.IENT TYPE Pec
BUILbII{G SiZE:
I . STORI.I DRA I NAG E
IMPERVIOUS SQ. FT ?a2
?. SAliITARY SEl{ER.CITY
NO. OF PFU'S
(See Reverse)
3
x 50.203 PER SQ. FT.
X $42.08 PER PFU
x s424.3r
x s424.31
x s424.31
x Sl5.l25 PER PFU + StO MI{MC ADl.t FEE
2 Above)
TOTAL-HtlrHC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)
vE) x .os
sQ. Ft.
s
s
Ss ,22
LOT SiZ F
TRAI{SPORTAT IOI{
NO OF UNiTS X TRIP RATE X COST PER TRIP
s
4 SAN ITARY SEI{ER-HI{I,IC
NO. OF PFU'S U
5. ADMINISTRATIVE FEES
BASE (s
(Use PFU Tota'l tromltem
Hl{r.rc CREDIT IF AppLTCABLE (SEE REVERSE)
.22
Coord i na
TOTAL SDC s-f 7. 77
CITY OF SPRINGFIELD, QREGO'U
zoning, and-does not
225 gTfrfl STREBf,
SPRINGFIELD, oREGoN 97477 LDE
INSPECTION RBQTIBST:726-3769
OPFICE: 726-3759
SPRINGFIELO
The tollowing Proiec't suhmitted hao the lollorving
iiqtrire sPecifi c land use
BLECTRTCAL PBRHIT APPLICATION
City Job Nunber
SCEBDT'I,E BBLOV
A. New Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dwelling
Servlce or Feeder
$ 8s.00
$ ls.oo
$ 40.00
s
1
Y
, JOB.1\ ut *Y
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork ls suspended for
180 days.
. COIII?ACf,OR INSTALI,ATION ONLY
trical Contractor
Addres
Ci ty
Supervisor Li
Expiration Date
Constr Contr
Expirat
Ovners Name
Address
ci Pho
OgNER
The installatlon is belrig made on
property I own vhich is not intendedfor sale, Iease or rent.
c.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Services or Feeders
fnstallation, Alterations
or Relocation:
200 amps or less L
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
over 1000 amps/volts
-Reconnect 0nly
5. STIBTOTAL OF ABOVB
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amfs to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voT[s see ttgr' "ffi
B
$ so.
$ 60.
$100.
$r30.
$300.
00
00
00
00
00
0040$
5)
t
7
B
One Circuit $
Each Additional
Circuit or with Serviceor Feeder permi t fu$
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/OutLine Lighting- $Limited Energy/Res
-
$Limited Energy/Comm $
35.00
2.oo ff' 4!
not included)
40.00
40.00
20.00
opI
5Z State
TOTAL 5r
of Supervlsing BIec
Date
RECEIVBD
ture3
Surcharge 7 ao
(r?,/'
(