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HomeMy WebLinkAboutPermit Building 1993-04-14SPFlII\lGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 O{f ice: 726-3759 LOCATION OF PROPO ASSESSORS MAP: JOB NUMBER 225 Fitth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISION:LOI:BLOCK: PHONE: ztPSTATE OWNE CITY: ADD DEMOLISH OTHERNEW -- FIEMODEL ADDI DESCRIBE WORK: EXPIRES PHONEADDRESSNAME A PLUMBING MECHANICAL ELECTRICAL: CONST. CONTRACTOR #CONTR CENER _ OFFICE USE _ r OF BDRMS: OUAD AREA CONSTR. TYPE: .- - - RANGE: HEAT SOURCE: ZONING CODE: FLOOD PLAIN: WATEFI HEATER: - LAND USE: # OF UNITS SECONDARY HEAT SOUARE FOOTAGE: s OF BLDGS: - OCCY GROUP: g OF STORIES: To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspeclions requested before 7:00 a.m. will be macJe the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work !s complete. Sile lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - Wlten all mechanical work is complete. Footing - After trenches are excavaled. Building - When all Fireplace - Prior to facing materials and framing lnsP. required inspections have been approved and building is completeC.Masonry - Steel location, bond beams, grouting.ffiraming - Prior to cover Other Foundalion - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decki ng.lnserl - After iireplace aPProval arrd installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulalion - Prior to decki ng.Curbcut & Approach - After forms are erected but Prior tc placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, torms and sub-base fi]aterial in Place. Water Line - Prior to fiiling trench. Fence - When comPleted Street Trees -- When a!l required trees are pianted. Final - After all required inspections are approved and porches, sklrting, decks, and venting have been installed.Rough Plumbing - Prior to cover. l '(- E tf E tl r tl tf E E Er Ytl E tl tI rr r il E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbac ks PL. N J E HSE GAR ACC i5-t HE r)nOPOSED WORK llv Tl"lE rJrsroRrcAl DtsTntoT, oR oN THtr HISTORICAL RL,GISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED VALUE tl9,43 (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Developlnent Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said o Plans Rcviewed By Date Plan Clreck Fee Date Paid Flecei pt Number: Fleceived ances. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certif y that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. sisnature lL^ h" ^ ,l.z 't\.$ , Datc MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combined) lFI D DATE PAID VALiDATION: RECEIPT NUMB AMOUNT R RECEIVED ] FT. " lt,.t ln\ _ Fill in the Permit No: Address: lssued Date: OR 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 under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. licable blanks, and initial boxes 1 and 2, and either box 3A or 38: 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. My general contractor is , Contractor registration number-. I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 1 3.A 2 OR 3.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. I hereby certily that the above information is correct and that ! have read and understand the lnl6rmation Notice to Property Owners about Construction Responsibilities on the reverse side ol this form. I h,t^^,1'r-rl- -Ag17 nt CONSTRUCTION CONTRACTORS BOARD 0244J 8191 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT rNFoR,A;roN NorcE ro pRopER* o*ir*a ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This lnformation Notice to Property Owners About Construction Responsibilitps was deVeloped by th-e Construction Contractors Board in accordance with ORS 701.055(fl, passed by the 1989-Oregon Legislature. :" lf you are acting as your own contractor to construct a new home or make a substantial imprwement to an existing structure, you can prevent.many problems by being aware of the following responsibilities and areas of concern. ,, EMPLOYER RESPONSIBILITIES lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the constructioh or iriprovement,of a residential structuie';'yogwill,'in most instances, be- luled to be an "employer" a.nd the people yori hiie will be "employeeS". Ag.[he erhployer, you muglcomply with the following: Oregon's Withhqldilg Tax l.aw: ,As an,gmployer, you mpst withhold income taxes from,enployee wages at the time employees ape paid. Yoy wjfl.be liab{e for the taxrpayments even if ygu.doh't Bclually withhold the tax from your employees. For more information, call the Oregon Depafi,rne-ntgfuReWnUe,at 378-3i190. Unemployment lnsurance Tax , :" IAs an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all emplo/€€s; For more inficrmation, call the Oregon Enlployment Division DHR at 378-3224. Workers' Compensation lnsurance: As an employer, you are subject to the Oregon Workers' bompensation Law, and must obtain workers' compensation insurance for your employees. lf yoy fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable fordl claim costs if"one of your employees is injured on the iob. For more information, call th9 Workers' Compensalion Division DIF at gT3-7434. U.S. lnternal Revenue,Service: .4s an employer, you must withhold federal income tax fr:om employees'wages. menteveriityoLdidnltaciualIywithholdIhetax...Fo,,o,"infoimation,call the lnternal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code Complidnce: As the permit holder for this pfoject, you are responsible lor 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, wabr damage from pipe punc- tures, fire, or work that must be re-done. Time to Su 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 o24N 10t24t89 C'TY OF OFEGON' SPrlt,{GFtELO ELECTRTCAL PERHIT APPLICATION225 PIFTE STREBT SPRINGFIEID, ORBGoN 97477 INSPECTION REQTIEST: 0PPICB: 72,6-3759 726-3769 4lr" ALT,ATIoI:, w.9F Ir' $r B City Job Nunber 1. LOCATION OP INSTfl^ LEGAL DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COIITRACTOR INSTALI,ATION ONLY COXPI^BTB PEE SCEEDTILE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Manuf'd Home or -Hodular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: A Sum Electricar contractorCbr.^.n$ €Gi*Z Address Bt-l 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reconnect 0nIy O, O,)-G{ [ city LtA(ftArlU phone ){Y-oro5- Supervisor Licen-se Number 3A"FS Expiration Date Constr Contr. Number 1-01%:1aqq6 Expiration Date S C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 voITs see ttgrt .ffii- Nev, Alteration or Extension Per Panel one ci rcui t I $ ls . oo (\5.4' Each Additional -FCircuit or vlth Service or Feeder Permi t $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation SSign/0utline Lighting- SLimited Energy/Res - SLimited Energy/Comm $ STIBTOTAL OP ABOVB5f State Surcharge TOTAL s s0.00 s 60.00 s100. 00 $130.00 s300.00 $ 40.00 o ':lt:;"*rvising BIec rrcran gl rt-, $ D. Branch Circuits Ovners Name Address 'to i fu 0"4; 1L Ci ty s,&trtJ Phone QLI-5q61F OVNER INSTALI..ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0rners Signature: 40.00 40. 00 20. 00 36.00 5 RBCEIVED ta) 4,\c DATB: Is CMY OF SPRhiGFIELD Fire & Life Safetv F]Pi DA]/IPGi RtPOP.; OR ELECTR]CAL HAZARD DA.TE:7lz+ tq > TO: FR0l.1: SUBJECT: Bujlding Department Spri ngfi el d Fi re Department Structural Daniage to Bu'i'ld'ing \1 0 b35A+/D5co Address or location of buildino 4A .AJ. 4+a Name of o\rner L 214- lt?(q Type of bu i 1d'ing Estimated I oss to bu'ild'inc 5 Date of fire = lz4 [qs Location of damaoe in buildinq [,,Jalls )o,qf| c.iIi.rq .,oio)o,"rt, (ara.t ro (Roof, I^lal 1 ,terior, Interior, etc. ) Structural weakness as a resul t of the f ire N)o,-,<_ nDkA I (Burned rafters, Beams, "1oi sts, etc. ) Add'i t'ional perti nent i nforma t'ion CC c,<; l; ord<.) Sjqned ,{ 0A. 4/,. qElectrical Hazard E bu,coJcr (l,l'iri nq , 0utl ets , etc . ) q 4oor+.run+ 11,,ih (Dwe1 1in-0, Store, l.larehouse, etc. ) Estimated va I ue of bui I di nc S [.b. n, tr-t ' W//A ( Ya,/rtott4Y >Z/4# "%*-<gg *vt//rtz hrr+o "ruap1pQ al OH/?"*a7Z ' (2Zya,gq sNil IsatruQ 7-rarxtat/-"'aryry .Swaqoilfi / vd?a teurD zqnsrfilr a/- 4*n au#u-ve 7mtr CMry- OF SPRINIGFIELD Fire & Life Safetv FIRt DAI{PGE P.EPORT OR iLECTRICAL HAZARD DATE:lzafi> TO: FROM: SUBJECT: Building Department Springfield Fire Department Structural Damage to Bu'i 1 di ng \1 0 b35A4 ID5N Address or location of buildinq 4a N. 4+a Name of o\.Iner |la^ Brr*iln-{.U, 244- 1t?1 (?.r+to,',1\ Type of buiiding (Dwel 1ing, Store, I^larehouse, etc. ) Est'imated val ue of bui I di nq Estimated loss to build'inq Date of fire Z Location of damage 'in buil di ng [,Oalls )o,oft c<i(inq .,oio)o*), (ara.f i^ b<droon- a+,l { ir'inq CYQtt -(noor - Structural weakness as a result of the fire ^)orr<_ 11D E4 (Burned rafters, Beams, .1oi sts , etc. ) Addjtjonal pertinent information Electr-ical Hazard E b,,CDV<T C<; l; Sjqned 0/4. 4/4 (l,Ji ri nq , 0utl ets , etc . ) 4o" rluurtl r t,.its CC FAX TRANSMISSION TO: ATTN: NEWS ROOM FROM: John Garitz, Deputy Chief DATE: March 1992 Springfield Fire and Life Safety 225 North Fifth Street Springfield OR 97477 726-3737 FAX 726-2297 INCIDENTT FACT SHEET lncident Type: Structure Fire Incident Date: March 24,1993 Incident Address: 406 North Fourth Street, Apartrnent 2, Springfield Response: 2fire engines, l medic uniL 1 incident commander Number of Personnel: 9 fuefighters Condition upon Arrival: Smoke and flames visible from a front corner bedroom of the two-story, wood framed building. The building contained five apartrnent units. Occupants had evacuated prior to fire crerry's arrival. Action Taken: Fire crews made a direct interior attack and were able to control the fue fairly quickly. A search was conducted to insure that no one remained inside the affect'ed aparfrnent unit or in adjacent units. A ventilation fan was set-up to remove smoke. Damage was conlined to the aparfinent of origin. Times: Dispatched: Arrived: Under Control: Cleared Scene: l2:34 l2,36 12:50 13:32 [m3unies: No injuries reported Fire Cause/Origin: Fire investigators have determined that a five-year-old occupant of tlie apartnent was playing with matches. The fue started in a bedroom closet. Occupants: The aparftnent is rented by Arcadio and Maria Gonzales. Seven people were in the aparnnent at the time the fre was discovered. ***CONTTNUED*** INCIDENT FACT SHE -' -- Page 2 Owner Information: The apartrnent building is owned by Alan Brandenfels of Portland It is managed locally by Gloria Hernadez,406 North Fourth Sheet, Apartrnent 14. Damage Estimate: Struchre: $8,000 Contents: $2,000 fnsurance Coverage: The building was insured. The occupants did not have renter's insurance. Working Smoke Detector Present? There was no baffery in the smoke detector Comments: Occupants were in the living room when they noticed smoke coming from the bedroom. Upon opening the door to the bedroonr, they noticed fire coming from the closet area. They all evacuated the building. A neighbor also noticed the smoke and reported the fire to 9-1-1. The occupants willbe displaced until repairs can be made to the apartrnent. They are staying with locat relatives. Occupants of the other four apartrnents in the building were allowed to refurn. ***END*** <GFrar*€$ #';l:nef: r* /ir