The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-08-05SPFrIN FIELO RESIDENTIAL -D E llI-vl lT AP P Ll CAT I O N lnspections:726-3769 Of{ice: 726-3759 LOCATION OF PRO ASSESSORS MAP: POSED WO JOB NUMBER 225 Fif th Street Springfield, Oregon 97477 I +h.') TAX LOT: LOT: =--- BLOCK:SUBDIVISION PHONE: ZIP:STATE: OWNER: CITY: ADD L OTHER A) ADDITION DEMOL DESCRIBE WOR NEW --- REMODEL PLUMBING: MECHANICAL: -- ELECTRICAL: - PHONEEXPIRESAMECONTBACTORADDRESS GENERAL CONST. CONTRACTOR '' RANGE: # OF BDRMS _ OFFICE USE _ FLOOD PLAIN WATER HEATER: SECONDARY HEAT: SOUARE FOOTAGE: QUAD AREA: # OF BLDGS CONSTR. TYPE HEAT SOURCE: LAND USE: # OF UNITS ZONING CODE: OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but prior to setting forms. Rough Electrical - Prior lo 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 - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. q Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond bearns, grou.ting.q Other Foundation - After forms are erected but prior to concrete placement.Pricir to cover. Underground Plumbing - Prior to filling trench.l-l Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Posl and Beam - Prior to floor insulation or decking.lnserl - After fireplace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcul & Approach - After forms are erected but Prior to 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, forms and sub-base material in Place. Water Line - Prior to filling trench.l-l Fence - When comPleted Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, sklrting, decks, and venting have been installed.Rough Plumbing - Prior to cover. E E E E E E E tl E to Wall Insulation - E tl fl tl rE il r J Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type -_ lnterior -- Corner - Panhandle - Cul-de-sac ( J THE PFIOPOSED WORK IN E. HISTORICAL DISTRICT, OB ON THE HISTOFIICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinalor prior to permlt issuance. APPROVED: P.L.HSE GAFI ACC 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 ol Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Ll Date Plan Check Fee Date Pald:ffils &" .1S (S,nLs VALUE (A) X $/SQ. FT. Garage Carport Total Value Bulldlng Permlt Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I state and agree, that I have care(ully examined the completed application and do hereby certify that all Information hereon is true and correct, and I further certlfy that any and all work performed shall be done ln accordance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wlll be made of any structure without permission of the Buildlng Safety Divlslon. I further certify that only contractors and employees who are ln compllance with ORS 70'1.055 will bp used on thls prolect. I further agree to ensure that all requlred lnspections are requested at the proper time, that each address ls readable lrom the street, that the permlt card ls located at the lront of the property, and the approved set of plans will remain Slgnat Date on the site at all times duri ng construcllon, () MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - (t Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) E D DATE PAID AMOUNT RECEIVEI VALIDATION: FIECEIPT NUMB TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) tS''1\ Receipt Permit No: Address: lssued C Date: 1 2 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. 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. A My general contractor is , Contractor registration numbe I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 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 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 of this lorm.I u gnature of Permit App ca Date co 3 ') WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT 0244J UCTION CONTRACTORS BOARD OR INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . \' lf you are acting d'S your own c6ntractor to construct a new home or make a substantial impg$reinent existing structure, you can prevent many problems by being aware of the following responsibiliti6s ancl of concern OTHER RESPONSIBILITIES AND AREAS OF CONCERN: to an areas EI,IPLOYER RESPONSIBILITIES: ' 'i:t' u 1' '"'- 'i"i'r'.:*', . i)':;' ll you hire persons not registered with the Cqnstructign Contractors Board to do labor in construptiqg or assisting in the construction or irhprovement oi a-fgsidential Structure, flu will,'in most instances, be'iuled to be an "employer" and the people you hire will.be "emplbyees". As the employer, you,must comply with the following: Oregon's Withholding Tax.Law:. As an employei you must witnnotO income laxes,{igm employee wages at uwillbeliableforthetaxpaymentsevenifyou:d6n]tact-qatlywithholdthe tax from your employees. For more information, call the Oregon Department of Revqnue at 378-3390. Unemployment lnsurq{rgJ Tar, As an employer, you are reQuired to pay a tax for unemployment insurance purposes on the wages of allemplgyees., Fgr ryore information,.callrthe Oreggn Employment Division DHR at 378-3224. ., -rrr,, ,"r,i: Workers' Compensation lnsurance: As anrer6ploref you are subiectrto 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 su$ect to penalties andtv0{ll$e liable for,all cflim eosts,if.bne of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at gf3-749L U.S. lnternal Revenue Service: As an employer, you must withhold federal income tax from employees'wages. yment9y.q1rit,voLdidn'taqiu3ltywi1hnotothetax.Formoreinfoimation,call the lnternal Revenue Service at 221-3960. '' Code Compliance: As the perrnil 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 ahd Property Damage lnsurance: Contact your insurdnce agent to see if iou have adequate insurance coVchasfallingtools,paintoverspr.liy,'.r}uater6A|nagefrompipepunc- tures, fire, or work that must be re-done. l.;.;j, -,:" ,.: n..-.:-;: .i1..::: . ilrr.,3*t,,.-. .j:.:iJ'-,. j illil.-ili .,'.,fji.. ^.. Time to Sup ervise Employees Make sure you.have sufficient tirns,to sUBervise your employees ::j 1.,.' Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rougfFin 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 503-3784621 NOTE: This lnformation Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. o24U 10124189