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Home My WebLink AboutPermit Plumbing 1993-05-23SPRINGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections T26-3769 Otlice: 726-i\759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: h,4 JOB NUMBER 7 225 Fifth Street Springfield, Aregon 97 477 TAX LOT: SUBDIVISIONBLOCK: PHONE ZIP:STATE: 226 72 CITY -- ADDRESS: OWNER: - NEW _-, - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: PHONEEXPIRESADDRESSCONTRACTOR'S NAME GEN I.-RAL: CONST. CONTRACTOR '' RANGE: I OF BDRMS: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER SECONDARY HEAT: SOUARE FOOTAGE: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: -=-, OF STORIES: =.._=-.=--_- # OF UNITSI , To reques t irn ins pection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a'm' will be madr: the s.rme working cjay, 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 worl( is comPlete. E Site lnspection - To be made af ler excavation, but Prior to setting forms. Rough Eleclrical - Prior to Final Electrical - When all electrical work is comPlete.cover Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Eleclrical 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. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond bcams, grouting.Framing - Prior to cover, Other Foundalion - After forms are erect,:d but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to fillrng trench.[--l Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Pr'or to insulation or clecking.Wood Stove - After installation Post and Beam - Prior to floor insul.rtion or decking.lnsert - After f irePlace aPProval and 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 to placement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. f-iZ Sanilarv Sewer - Prior to f illing La__J trencn.'Electrical Connection - When blocking, set-up, and Plumbing inspections have been aPProved and the home is connected to the service panel. Stornr Sewer - Prior to filling Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base materiai in Place.trencn Water Line - Prior 1o filling trenc n Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to Streel Trees - When all required trees are Planted.cover -o ?7/> LAND USE: E tl E r E E E [-l Fence - When cornPleteC. tl flE E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEFI? _-- lf yes, this application must bc signed and approved by the Historical Coordinator prior to permit rssuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditron that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any t me upon violation of any provisions of said ordinarrces. Receipt Number:-- Plans Reviewed By Plan Check Fee: -- Date Paid Received By VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. ,te I </ez /2-* PLUMBING PERMIT /2* -i-F.Z- Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit M ECHAN ICAL. 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 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 vrork dcscribed 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 employer-'s who are in compliance with ORS 70'1.055 v,rill be used on this proiect. I f urther agree to ensure that all required inspection;; are requested at the proper time, that each address is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans rvill remain Signature Date on the site at all t during construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) AMOUNT RECETVED - --e: *=/ a>,>77DATE PAID VALIDATION: RECEIPT NUMBER - TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 42-- Date RECETvEDav---fu Permit No:%d7% Address: lssued by y'/{y' n^ -|= - e 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: 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 1 2 3 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. OR 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. ! 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 s form. *Gzz-* Si of Permit lica Date CONSTRUCTION CONTRACTORS BOARD 0244J 8t91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITTES NOTE: T.frip ld0rmgtion Notice to Property Owners was developed by the Construction Contractors Board About Construction Responsibilities in accordance with ORS 7fi:055(5), ':.. ' ' : --bv t he re.Oregon1989passed Legislatu If you are acting as your.'owri contractor to construct a hew home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern EMPLOYER RESPONSIBILITIE$::' ' -i! : . ?t, ';, lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of alres!.d,ehfial gtructure, you.wit!;_in most'instances, b6-.ruled to be an "employer" and the people you hire will be, "6dtrployees". As the employe( you must comply vtith the following: Oregon's Wilhhglding Tax Lawj As an emptoyer, you musi withhold incorne taxes.frorn'emplayee wages at the time employees are paid. -You will he,liabte for the tax-paym.eqlg 9vp1r_if y6gdon'faatuqtly withhold the tax from your employees. For more information, call the Oregon Department oI ffevenUe 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 employee$ - Fo1 molB,intorfration, call the Qlegon Em$oymenf Division DHR at 378-3224. Wqf[qq] Compensation lnsurance: As arneolployer, yorr are subiact to the Oregon \A/orkers' 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 atl claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at gf374g. U.S. lnterr"l3l Revenue.9eryice: ,fu.qf ."fnployer, y-ou must withhold federal income tax.from employees' wages. y,e,'i.iirveniryol['gion,t".i,"ttyili11ir'ogtne.taiF6rmoreinfc,imation,call the lnternal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code Complianee: As the permit,holder for this project, ygu are responsible for resolving any failure to meet code ?equirements that may b* brought to your attention through:inspections. .-; ,.. ,r.,.: .. ., ,: ,:. Liability and Property Damage lnsurance: Contact your insurance agent to see if ydu have adequate insurance coverage for accidents and omissions such as falling tools, paint oversprai; wdf6r fainage from pipe punc- tures, fire, or work that must be re-done. '..-!i;:' ': , ,-. ;,'-":'i:-. . " ' ;' : ., . ,''s .: ':'. : '. -;t"i: t"' t' ii Time.S, Supezuise Employees:,i-fi/lffke sure you,have strfficient tirne tO,siupervise yourtemployeesr ' *'i'-- 'r' 3i' :;1 S'a: tr '''9': 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 offid'ials at the.appropriate times so they can perform lf you have additional questions, write to:Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-3784621 OT YqOC XHIqo24N 10124t89