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HomeMy WebLinkAboutPermit Building 1994-06-09RESIDENTIAL PERIr{IIT APPL'CAT'ON lnspections: 726-3769 )flice:726.3759 LOCATION OF PROPOSED WOBK: ASSESSORS MAP; LOT: q n 4 JOB NUMBER 225 Fitth Street Sprlngtteld, Oregon 97477 TAX LOT: BLOCK: I zt4.-PHONE: ztP; R STATE: /. oorrrJoWr.reR: ADDRESS: CITY: N DEMOLISH OTHER DESCBIBE WOFIK: NEW y' REMODEL ADDI PLUMBING: MECHANICAL: ELECTRICAL: PHONEEXPIRESADDRESSCONTRACTOR'S NAME GENERAL: CONST. CONTRACTOR # V \6- \\\\ \ - OFFICE USE - * OF BDRMS: OUAD ABEA: * OF STORIES: WATER HEATER: * OF UNITS: LAND USE: ZONING CODE: FLOOD PLAIN: SECONDARY HEAT: SQUARE FOOTAGE: CONSTB. TYPE: HEAT SOURCE: I Torequestanlnspectlon,youmustcallT26.3T6g.Thlslsa24noljrrecordlng.Alll madethesameworklngday,lnspectlonsreguestedafterT:0Oa.m.wlllbemade. REQUIRED INSPECTIONS nspectlons requested before 7:00 a'm. wlll be the followlng work daY. l---l Flnat Plumbing - When allU plumblng work ls complete. Flnal Electrlcal - When all electrlcal work ls comPlete' Flnat Mechanlcal - When all mechanlcal work ls comPlete' n TemPorarY Electrlc Site lnspection - To be made alter exiavatlon, but Prior to setting lorms' Underslab Plumbing / Electrlcal / Mechanlcal - Prlor to cover' K.f.'S fif,i:m, IJr or to rI oor Floor lnsulation - Prior to decking' SanitarY Sewer - Prior to tilling trench Storm Sewer - Prior to tilling trench' Water Line - Prlor to filling trench' Rough Mechanlcal - Prior to cover. Rough Electrlcal - Prior to cover. Electrlcal Servlce - Must be appioveO to obtaln Permanent electrlcal Power. WalltCelllng lnsulatlon - Prlor to cover. Drywall - Prlor to taPlng' ff:::*t"I Arter trenches are n Xix3;ffi:;J[]:tHJiflJ; tVf rlnal Bulldlng - When all fA;;a;ired lnspictlons have been/ YPiroveO and bulldlng ls comPleted. Masonry -. Steel locatlon' bond beams, groutlng' Foundatlon - After forms are ;;";i;; but Prlor to concrete placement' Underground Plumbing - Prior to fllltng trench' Underlloor Plumblng I Mechanlcal l'"p-ri Jt-t6 I nsulatlon or deckl ng' K7 Framlng - Prlor to cover'r O.ther Wood Stove - After lnstallatlon' lnsert - After flreplace aPProval "nl-i nstarl.tlon of unlt' i"i H: T, j j33l"T "J, ;'il l % Placoment of concrere' iii:-, " "li rn:i:'n 3:'[:" Fence - When comPleted' MOBILE HOME INSPECTIONS l---l Blocklng and Set'Up - When all I I blocklng ls complete. Plumbing Connections - When ;;;;h;" been connected to water and sewer' Electrical Connection - When ;i;;i.'i;;; u"t-up, and Prumbins i';;;;;iil* navl been aPProved ""iinJ n",te ls connected to the servlce Panel' Final - After all required''J"",5"".j::;fint:q*q;P #;;i;;'n;'" been lnstalled' Rough Plumbing - Prlor to cover, strest Tre3s - When all requlred trees are Planteo' SUBDIVISION: - r/k2 rz+ ?7,/rr E tl n ?V,o7L? Lot faces Lot sq. ttg. Lot coverage TopograPhY Total helght Lot TYPe - lnterlor - Corner - Panhandle - Cul'de'sac P.L.HSE GAR ACC N S W E APPBOVED: RICT, rxe'INRKwoEDPOSPROETHNoORDISTICALISTORrlER?STREGCALHEISTORITH slbemust gnedoncatlapplithlslfyes'calStoHhedrovebyppnad SSU ance.to perminatorprloCoord BUILDING PERMIT VALUE /o 7,( o+ /,? 3 2369r f,7(A) rt SQ. FT. X $/SQ. FT. Total Value Buildlng Permit Fee State Surcharge Total Fee 3+r 7 ,O7 ITEM Main Garage BUILDING VALUE, PLAN CH Ano BUILDING PERMIT Thls permit 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 Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon vlolation of any provisions of said ordinances. 2-5,o 3 iewed By v: // DAte Fleceipt Numbe ECK Plan Check Fee: Date Pald: Beceived SYSTEMS DEVELOPMENT C (B)'o*?ilt{''Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (c) FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge . FT. ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/Flreplace Unlt Dryer Vent (D) Mechanical permlt lssuance State Surcharge Totat Permlt By slgnature, I state and agree, that I have caref ully examlnedthe completed applicaflon and. do hereby cerilfy that alllnformaflon hereon ls true and correct, and I further cerflfythat any and all work performed shall be done in accordancewlth the Ordinances of the Clty of Springfield, and the Lawsof the State of Oregon pertainlng to the work describedhereln, and that NO OCCUPANCy will be made of anystructure wlthout permission of the Building Safety Divislon.I further cerflfy that only contractors and-employees whoare ln compllance with ORS 7O1.O5S wlfl be used on thlsproject. I further agree to ensure that all re Date n i A^,, qulred lnspections arerequested at the proper fl me, that each address is readablefrom the street, that the permlt card ls located at the frontof the property, and the approved set of plans wlll remalon the slte at all times durlng MISCELLANEOUS PERMITS Moblle Home State lssuance Slate Surcharge Sldewalk r. Curbcut tt Demolltlon State Surchargey'/1,^/€' - (E) 3 Total Mlscellaneous Permlts e!"TOTAL AMOU TN DUE udl(excl n el ecs tri cal)(A B,q andq E brCom n ed)E RECEIVED BY VALIDATION: BECEIPT NUMBE DATE PAID AMOUNT R FT. N0 - - - - - - - .---- Permit #:a*lVU,55Address: Issued by:Date Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement 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 appropriate blanks and initial boxes I and2, and either box 3A or 38: 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. 3B. I will be my own general contractor If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. Ihereby certify thatthe above informationis correct and thatl have read and dounderstand thelnformation OR Notice to Property Owners\--o4r---TWr>:nsib,ities on the reverse side of this form. 6: - (White copy to issuing agency permitfile, pink copy to applicant) \ (Date) 7/ tr 'trnforunation Notice to Property Owners About Constructlon Responsibilities Nott,: Tltis lnfornutliott Notit:e t<t Prop?rly Aw'ners about Construction Responsibilit:ies t , waJyc}et,elopettbytheConitructionContrac'torsBoardiltat,.<.ordgnt:e$,ilhoRS7al.055(5), If you are acting as v{}ur own contractor to construct a new }rome or tnake a substarltial intprovttnet)t l() an cr.isting structurc, you can prevent many problems by being aware of the followurg responsibilities and areas of concern. EM PLOYER RESPONSI BILITIES: If you hire persons not registg{ed with the Constructiqn Contractors Bo.ar4 to do labor in conslructl4€ or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be.an qmPloyer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withhotding tax law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually'withhotdthe tax from your einployees. For more information, call the Oregott Dept. of Revenue at 945-809I. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information; call,the Oregon Employment Division at the Depa*ment of Human Resources at378-3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and-rnust obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you mey besubjecttopenaltiesandwillbeliableforallclaimcostsifoneofyouremployeesisinjuredonthejob. Formoreinformation; call the Workers' Cornpensation Division at the Department of Consumer and Business Services at 945-7888. U.S.Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable forthe tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service ar r-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONGERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements. that may be brought to your attention through inspections. , (', Liabilif and prpperf damage insurance; Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint oversprayr water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employces: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, t0 coordinate the work of rough-in and finisb trades, and to notify building officials at the appropriate fimes so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board{PO Box.l4l40, Salem, OR 97309-5052, 5031378-4621). The Board is located at 700 Surnmer St. NE Suite 300,'in Salem. prop-own.pm4 1t94 C'TY OF SPR OREGt sPrttr.t(iFtELD DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-37s3 FAX (503) 726-3689 December 13, L994 Leonard Rice 2355 North 31st Street Springfield, Oregon 9747A Dear Mr. Rice: Your request for an extension of your permii- to construct a storage etructure on your property located at 2355 North 31st itreet, Springfield, Oregon, City Job Number 940727, has been reviewed and app::oved. This extension may only be granted one time and will expire 180 days from the date of the granting of the extension (June .13, 1995). ff you have any questione, or if I may be of any' assistance, please feel free to phone me at 726-3790. Sincerely, Lisa Hopper Building Services Representative 9c, Dave Puent, Building Official lh //- 2 F^7/ r,//a//-"r"0 I& fr 6--7/ , p"_37f6*77r/ \s \^5\\ 3 3\l {\$S\!rI 2 .-q-K ( I 0T.-544 tL- g.qt 5\uc'- ryo-r4%^ %zPryq,**,aborz{i,-P:eL//"** 7xI trrOrl,-