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Home My WebLink AboutPermit Building 1994-05-31t 225 Flfth Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WORK: tl,\ ASSESSORS MAP:TAX LOT .2 1 SUBDIVIStON: _ - RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office: 726.3759 To request an lnspectlon, you made the same worklng day, SPRII\IGF IELE, JOB NUMBER q #0 must call 726'3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll belnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED TNSPECTIONS [(f Rough Mechantcat - prior to - cover. X Rougtr Electrlcal - prtor toF-acover_ Temporary Electrlc Slte lnspection - To be made after excavation, but prior tosetting forms. Foollng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Underground Plumbing - Prior to lllllng trench. [--l Understab Ptumbing/ Elecrricat/u Mechanlcal - Prlor to cover. K Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Wood Stove - After lnstallatlon lnsert - After flreplace approval and lnstallatlon of unlt. Curbcut & Approach - After forms are erected but prlor to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal in place. Fence - When completed. K [\i Foundalton - After forms areJAerected but prlor to concrete placement, Jl Flroplace - Prior to factng - materlals and framlng lnsp. ffi Framing - Prlor to cover. l\l walttCeltlng tnsutarlon - prtor to,4cover. f OrVwall - Prtor to taptng. E MOBILE HOME INSPECTIONS Blocklng and Set.Up - When ailblocklng ls complete. Plumblng Connectlons - When home has been connected to water and sewer. Electrlcal Connectlon - When blocklng, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Flnal - After all required lnspectlgns are approved and porchos, sklrtlng, decks, and ventlng have been lnstalled, Underlloor - Prlor to or decklng IVf Po"t and Beam - Prlor to floor/Alnsulatlon or decklng. E Floor lnsulation - Prlor to decklng. Sanitary Sewer - Prlor to lilling trench, Storm Sewer - Prlor to filling trench. Water LIne - Prlor to filllng trench. PHONE: ZIP:STATE: oWrueR: ADDRESS: CITY: ADDITION l/ DEMOLTSH 9THER DESCRIBE WOBK: NEW-- BEMODEL ADDRESS EXPIRES PHONE CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: CONST. CONTFIACTOR ,' QUAD AR SQUARE FOOTAG usE - t(tr DFLOO NPLAI Nzo NG Dco - OFFICE LAND USE: SECONDARY HEAT: r OF UNI:TS:, OF BLDGS , OF BDRMS: _-_CONSTR. TYPE: HEAT SOURCE: OCCY GBOUP: I OF STOBIES: WATER HEATEB:BANGE: ^Xll:"_n-h Plumblns - Prlor to f-f Street Tree,s ; When atl requlredHover. u trees are planted. ffi flnat Plumbing - When aileplumblng work ls complete. [!f Flnat Elecrrtcat - When ail)at electrlcal work ls complete. ffiflnal Mechanicat - When allFmechanlcal work ls complete. ffi flnat Buitdlng - When altHrequlred lnspectlons have beenapproved and bulldlng lo completed. Ii..";. 1 .tj,; Lot faces Lot sq. ftg. Lot coverage TopographY Total helght u.ot the X lnterior - Corner - Panhandle - Cul'de-sacw THE PROPOSED WORK IN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved bY the Historlcal Coordinator prlor to permit issuance. APPROVED: HSE GAR ACCP.L. N s E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition that the sald consiruction shall, in all respects, conform to the Ordlnance adopted by the City of Springfield, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances' eviewed s4#1 P Recei pt Numbe 33 Date Paid Received BY: Plan Check Fee BUILDING PERMIT />o .75 "v@,!a mt/ (A) gh 4?* *7,oe '?/37 SQ. FT. 2AG ITEM Main Garage Carport X $/SO. FT. = VALUE ;62" //?4? Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties withln the City limits which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 6s'7f ADDITIONAL COMMENTS ITEM Flxtures Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE ]3- No FT. FT. FT. /^Le (c) Plumblng Permlt State Surcharge Total Charge / H*,co f-s*-* Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent ,/,5,N ,/o ao ,y'Sr,7f 20 24)' (D) /?o Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood No1 By slgnature, I state and agree, that I have caref ully examlned the completed application 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 Clty of Springf ield, 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 certify that only contractors and employees who are ln compliance with ORS 70'1.055 wlll be used on this prolect. I {urther agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln on the site at all times durlng construction. lgnatu MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Oemolltion State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned) 2 G3,{a \ VALIDATION BECEIPT NUMB DATE PAID AMOUNT R RECEIVED a? I <4 l'Z ii , -( i- -/.b. zon approval, 225 FTrT'H SIT.EEf, SPRINGFTELD 0REGoN 97477 INSPECTION REQITEST. 726-$69 OFPICE: 726-3759 Atrlhori;red 1.OF SPFlIIIGFIELI) ec1 as submitted hes lhe not require speclfic land use L (,EIJCTRTCAL PERHIT City Job COHPI,SIE FEE SCEEDUI.E BELOS A. Nev Residential-Single or Mu1ti-Pamily per dvelling unit. Service Included: I tems The following proJ ing, end doeo -)5 LEGAL11o3 L DESCRTPTION{ >-1 Z'%o Cost s 8s.00 $ 40.00 Sum ON Permits are non-trans ferable and expire if vork is not started t^rithin 180 days of issuance or if vork is suspended for 180 days. 2. COT.IItsA TOR INSTAIJ,A:TION ONLY Electrical Contractor 'J Address i nlb l/GtSg6 q K 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Sertice or Feeder B. Services or Feeders Installation, Alterations or Relocation: -.1Iess 600 amps 1000 anps amps OnIy /voIts c. D. Branch Circuits t o 200 amps or 201 amps to 401 amps to 601 amps to r€-',tD- : - $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Ci ty Supe rvisor License Number s(a ) Exp iration Date i C 5 Cons t !Expir r Contr. Number D_ ation Date / O Signature of ing Blectrician 0vners Name $&$-s Address [\, Ci ty Phone OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE:O. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 anps _Over 401 to 600 amps Over 600 amps or 1000-voTt Over 1000 Reconnect SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL c 40.00 55.00 80.00 s see trBr above on Per Panel $ $ $ Nev, Alteration or Extensi, One Circuit -LEach Additional Circuit or vith Servic€ or Feeder Permit 3L_L. Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/Outline Lighting- S l,imi ted EnergY/Res $ Limi ted Energy/Comm $ $ 3s.00 $ 2.00 € .cuq fJ not included) 40.00 40. oo 20.00 {.co 2 -1o RECEIVED 5 - l'u2-h{' tt-' ,r,or,"-? t9:-1 5 6 6 s 1s.00 L-( A c 3Permit No: Address: lssued by /v 1 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 under ORS 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: 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 reqistration number_ I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 3.8 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 certify that the above inlormation is correct and that I have read and understand the lnlormation Notice to Property Owners about Construction Responsibilities on the reverse side ol this form. Pe pp cant CONSTRUCTION CONTRACTORS BOARD 0244J 8191 Date: WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT OR <) INFORiIATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES lf you are acting as your own contractor to construct a new home or make a substantial existing structure, you can prevent many problems by being aware of the following respon of concern "i to an areas EI/IPLOYER RESPONSI BILITI€IS: lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construcfion oi improvement of a residential structure, you will, in most instances, $e ruled to be an "employer" dnd the p'eople you hire will be "employees". As the employer, you must comply with the following: Oregon's Withhotding T.aI Law: As an employer, you must with-hold.income taxes'from employee wages at Se liable for,the tax payments even if yotl.don't actually withhold thethe time employeeg are pai{. You will tax from your employees. For more information, call the Oregon Departrnent ol,Reyp4ue at 378-3390. Unemployment lnsurqqqg ]?l As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of al[ employee.$. ,,F_or gnpre inforrnation, call the Oregon Employ-gtent.DUisircn DHR at 378-3224. Workers' Compensation lnsurance: As an employer, you are subject to the Oregon Workeis' Compensation Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain workers' compensation insurance, you may be subject to penatties antd raiillSe liablb for all claim costs if one of your employees is injured on the job. For more information, call the.Workers'.Compensation Division DIF at grc-7434. U.S. lnternal. Rgvenue Service: As a0 employer, you must withhold tgdefpl incqme tax from employees'wages. a}4.enie,eniiyo-ididn't-actug1ry}yit[npiotrieta*.Formoreinfoimation,call the lnternal Revenue SeiVice at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Cocle Gpmplmnce: As the permit holder for this projgct,,you are respensible for resolving any failure to meet code',/equirements that may be brought to your attention through inspections, Liability and Property Qemqgq_lrrgglglge' Contact iotrt,insurance ageritto sdb if you hAve adequate insurance coverage for accidents arrd omissions such as falling tools, paint overspray, watbr damage from pipe punc- tures, fire, or work that must be re-done. : . . . .-. r:_ -r,,i . _._,. , .j .li-,.: TimetorSupervirie Employees:r.Silakeisure-you have sufficienl,tirne to supervisg y;g*,ernployees; 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. -. : ,.i, ; lf you have additional questions, write to:Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 NOTE: This lnformation Notice to property Owners was developed by the Construction Contractors Board pasred by the 198p Qregon Legislature. About Construction Responsibilitieq in accordance with ORS 7O1.055(5), 0244J 10t24t89 JOB NO.?tu 6t3 CITY OF SPRINGFIELD SYSTEHS DEVELOPMENI CHARGE I.IORKSHEET ( cot',il',tERcIAL & RES IDENIIAL) NAI'IE OR COMPANY:b,+rt a^//YU LOCATiOI,I: DEVELOPI,IENT TYPE: 7 z/ BUILbING SIZE: I. STORH DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEt{ER-CiTY NO. OF PFU'S (See Reverse) 3 NO. OF PFU'S (Use PFU Tota 5. ADMINISTRATiVE FEES BASE E( LOT SIZ x $0.203 PER SQ. FT. a. Ft S bo, ?o 300 X $42.08 PER PFU TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x _- x $424.31 x _ x $424.31 X x s424.3i s IF item 2 Ml.lMC CREDIT IF AppLICABLE (StE REVERSE) $15.125 PER PFU + $10 Mtr'HC ADM FEE Above) TOTAL-I'IWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) ) x .os Coord i na TOTAL SDC s b3,?i 4 FIXTURE UNIT,CAL For remodels. calcul5te only FIXTURE Drinking Fountain"" " Floor Drain.. lntercePlors For Grease/O ids/Elc intercePtors For Sand/At-tto Laurrdry Tub/Gotheswa sher. Or More.............. Trap (1 Per Trailer).. Heceptor F9r RefrigeratorfVater Station/Et RecePtor For Commerclal Sink/D ishwasher/Et c.. Shower. Single'Stall.. Shower. Gang.-..-----. - Sink. Bar, Commercial CULATION TABLE: t'tumt'er olNcrv Fixlures X Unit Equivalent = Fixlure Unils (I'JOTE tlre 1[-- Jtjitional fixlures) r ,.rrr FI*TUI?Ft'lLrl.l5Eii oF ul'Jll FIXTUI?L Nlr,rixrungs EoulvALEl''lr ul'Jlrs ') 1 L J Gothesaqher - 3 Mobile Hdme Park d/Hea 2 6 6 1 J 2 1 ? ' Urinal, Stdln{all.... Wash Basin/l-avatory. Single""""' Water Goset' Public lnstallation"" Credit for Parcd or tafi Only lf Applicable X' S - rmprwement (rr after annexation date) ::":" :ft:t'i:-iI(Rate X Assessed Value) CREDIT TOTAL 2 1 6 Water Closet, Private""""" "" Miscellaneous: CREDIT I.A.TIoNTABLE:Basedonassessedvalue.lfimprovementsoccurredafterannexationdateintable, calculate credhs se $ RUNOFF COEFFICTENTS FOR STORM DRAINAGE Residential. .-...-....'."' 0'4 Commercial..............-.... """""""' 0'9 lndustrial"" """""""' 0'45 Governmental..........----.. """""""' 0'5 IMPERVTOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT TOTAL FITI'URE UI'JITS P Year Annexed Rate per S1,000 Assessed ValueYear Annexed Bate per S'1,000 Assessed Value 1986 1 987 1988 1989 1-o90 1991 1992 s 2.24 1.93 1.57 '1.18 0.79 0.44 o.28 1979 or before 1980 1981 1982 1983 1984 1985 s3.21 3.13 3.08 2.96 2.82 2.8 2.51