The URL can be used to link to this page

Home My WebLink AboutPermit Building 1996-05-14SPRINGFTELE, RESID ENTIAL PERMIT APPLICATION f nspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK:4 JOB NUMBEH ? 225 Fifth Street Springfleld, Oregon 97477 TAX LOT:a@ASSESSORS MAP:,/2^2?^?/^2 /-- LOT:BLOCK:SUBDIVISION PHONE: ZIP:STATE:.?m- OWNER: ADDRESS: CITY: HERNEW- REMODEL DESCRIBE WOBK: TION - DEMOLISH PLUMBING: ELECTRICAL; EXPIRES PHONEADDRESSCONTRACTOR'S NAME GENERAL: CONST. CONTRACTOR'f RANGE: I OF BDRMS: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN: WATER HEATER SECONDARY HEAT: SOUARE FOOTAGE; QUAD AREA: * OF BLDGS: OCCY GROUP: * OF STOBIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: -_ To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS l--l remporary Eleclrlc Rough Mechanlcal - Prior to cover. Flnal Plumbing - When all plumblng work ls complete. Site lnspectlon - To be made after excavation, but Prlor to settlng forms. Rough Electrlcal - Prlor to Flnal Electrlcal - When all electrical work is complete.cover. Underslab Plumblng t Electrical / Mechanlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln Permanent electrlcal power. Flnal Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and lramlng lnsP. M Flnal Building - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.lfi Framlng - Prlor to cover. Other Foundatlon - After forms are erected but Prlor to concrete placement. WalllCblllng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to filllng trench.l-l Drywall - Prlor to taolng MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng.[--l Wood Stovo - After lnstallatlon. Post and Beam - Prlor to floor insulatlon or decking.lnsert - Atter flrePlace approval and lnstallatlon of unlt. Floor lnsulatlon - Prlor to decki ng.Curbcut & ApProach - After forms are erected btlt Prior to placement of concrete. Sidewalk & Driveway - Or,", excavation ls comPlete,' forms and sub-base material in Place. Ptumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set-uP, and Plumblng lnspections have been aPProved and the home is connected to the service panel. Storm Sewer - Prior to fllllng trench. Water Llne - Prlor to filling trench. Fence - When comPleted. Rough Plumbing - Prior to cover. Streel Trees - When all required trees are Planted. Final - After all required inspectlons are aPProved and porches, sklrting, decks, and venting have been lnstalled. 2qz-a>e> MECHANICAL: E tl D E L] tl T_l Blocking and Set.UP - When alllJ blocking is complete. tl n E E E E E E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot T1 * - lnterior - Corner - Panhandle - Cul-de-sac Se , IS THE PROPOSED WORK iN THE HtsroBtcAL DTSTRTCL OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signedand approved by the Historical Coordinator prior to permit issuance. APPROVED: PL.GAR N W BUILDING PERMIT VALUE 27,'e2 (A) SO. FT. X $/SQ, FT.ITEM Main Garage Carport Total Value Building Permit,Fee State Surcharge Total Fec Plan Check Fee: _ Plans Reviewed By Date BUTLDING VALUE, AND BUILDING PE LAN CH ECK RMIT Received By: Date Paid: Receipt Nu SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undevelopedproperties within the City limits which are being improved. Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT, N0 FT. FT. Plumbing Permit State Surcharge Tolal Charge PLUMBING PERMIT ITEM Fix tu res 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 slgnature, I state and agree, that I have carefully examinedthe completed application and do hereby cerflfy that alllnformatlon hereon is true ancl correct, and I f urther certifythat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work describedherein, and that NO OCCUPANCy wiil be made of anystructure without permission of the Building Safety Division.I further certily that only contractors and employees whoare ln compliance with ORS 701.0S5 will be used on thisproiect. I further agree to ensure that all required ins reguested at the proper time, that each add from the street, that the permlt card ls I of the property, and the approved set Date NSng pections are ress is readable ocated at the front of plans will remainon the site at all Signature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut _ ft Demolition State Surcharge t Total Miscellaneous penni ls (E) TOTAL AMOUNT DUE (exctuding clectrical)(A, B, C, D, and E Combined) ' a 2/ DATE PAID AMOUNT BECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER n7r- This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfietd, including theDevelopment Code, regulating the construction and tse ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. 225 FIYIfl SIREET SPRINGFIELD, oREGON 9747 as suhmitted hrs ths fellzcntng, and doe s nct require epeciflo !cnd u6eapproval. Date /roror,* B C SPC'Il!,GFIELO One Circui t Each Addi. tional Circuit or vith Servi or Feeder Permi t ELECTRICAI PERHIT APPLICATION ob Nurnber COHPLETE FEE SCMDULE BELOV Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included: I tems Cos t 1000 sq.ft. or less S 85'00 Each additional 500 sq. ft or Portionthereof '*. S 15.00 Each Manuf'd Home' or -Modular Dvelling Service or Feeder S 40.00 Services or Feeders Installation, A1 terations or Relocation: 200 amps or less 201 amps to 400 amPS - 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts Reconnect oniy Nev, Alteration or Extension Per Panel INSPECTfON REQUEST: 726-3769 OFPICE: 726-3159 1. LOCATI OF INSTAILA LEGAI- DESCRIPTION a JOB DESCRI ION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTATU.TION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Address /?2, tZ %7 Temporary Services or Feeders InsialIation, Alteration or Relocation 200 amps"or less S 40-00 over 401 to 600 amps - S 80.00 over 600 amps or fbOO voITs see uB" a56TE- Branch Circui ts . 3 A Sum s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 D E I s 3s.00 s 2.00 s 40.00 s 40.00 s 20.00 s 36.00 250', Ci ty OI'NER TNST The installation is being made on property I oun vhich is not intended for saIe, lease or rent. Ovners Si DATE: Phone ^ ?4,^222 ^ V CE //sD22, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utl-ine Lighting- Limited Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAT 5 RECEIVED ture: a> S. "TINGF|ELD ELESTRTCAL PERHTT APPLICATTON City Job Number COHPI^ETE FEE SCBEDTILE BELOV , )(e 225 TTTTB STREET SPRINGFIEI^D, oREGON INSPECf,ION REQUEST: OFFICE: 726-3759 726-3769 1 0r 3 A Nev Residential-Single orMuIti-Family per dvelling unir.Service fncluded: I tems Cos t I^EGAL Sum Electrical Con rractor/d],(-g . r, \ . Installation, Alterations \V)r ZlcctftCor Relocat ion : Address ?C OOX \\\ JOB DESCRTPTION Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for180 days. 2. CONTRACTOR INSTAIIdTTON ONLY citv\NA\er $.\e Phone ft6- L+o+6 Supervisor License Number V3q 65 Expiration Dare /O- l-qS Constr Contr. Number. Expirarion Dare b- t- q 5 Signa of upervising Electrician )vners Name 'dress v vnone 7y'dl43tz3 OVNER INSTALLATION rstallation is being made onty I ovn vhith is not intendedIe, lease or rent. iigna ture: 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf ,d Home. or -----l Modular Dvelling Service or Feeder B. Services or Feeders $ 8s.00 $ 1s.00 $ 40.00 00 00 00 00 s300.00 $ 40.00 200 amps or less L-- 20L amps to 400 amps - 401 amps to 600 amps _- 601 amps to,1000 amps-over 1000 amps/voIts - Reconnect 0n1y S so. S 60. s100. s130. C- Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less S 40. 201 amps to 400 amps -- S 55. Over 401 to 600 amps - S 80. Over 600 amps or 1000-voTts see [3rr u[ffi- D. Branch Circuits Nev, Alteration or Extension per panel 00 09 00 E One Circuit SEach Addi tionalCircuit or vith Serviceor Feeder Permi t _ S Miscel]aneous ( Service/feeder -Each instal-lation Pump or irrigation g Sign/0urline Lighting- SLimited Energy/Res - $ 35.00 . 2.09 not included) 40.00 40.00 20.00Limited Energy/Comm S 36.00t- SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL A2.a2--/'# 5 *-@ TO CITY OF SPRIT\GFIELI),225 FII'TH STKEET SPRINGT-IELD OREGOI'I 9.141 I o'2/LO/e6 SUBJECTi 4L4 N 34'IH STREET SPRINGFIELD OREGON 9'14'18 * 960143 THIS LETTER IS TO INFORM YOU I'HAT LUAN LE JULIEN HAS SOLD THIS PROPERTY AND IS I,I,AKING STEPS TO SAI..E ALL PROPERTY OWNED BY HER OVER THE NEXT 12 MONTHS IN THE CITY OF SPRINGFIELD OREGON. IT IS WELL KNOWN THAT THE CITY OF' SPRINGFIELD DOESN'T NOT WANT GROWTH AND HAS NO INTENTIONS OF GROWING. YOUR LETTER THAT WAS SENT 'TO PO BOX 2646 EUGENE OREGON 97 40 2 T{AS PICKED UP ON 2/LO/ 96 WHEN SHE HAD ARRIVED BACK INTO THE STATE. THE PROPERTY WAS SOLD TO DARLENE T"IRVICH AND GLEN SALLEE. LUAN HAS ONLY OWNED THE PROPERTY FOR ESTIT,IATED 31 DAYS, BUT HAD ONLY TAKEN POSSESSION ON OL/O./96. WE ARE SORRY THAT THE CITY HAS WASTED SO MUCH VIONEY TIME ANI] RESOURCE BY RUNNING OVER THERE AND SENDING OUT LE'f I'ERS. tsUT LUAI\ GOT TriE PROPERTY BY THE WAY OF FORECLOSURE. SHE SAW THAT THE HOUSE NEEDS ALMOST 40 YARDS OF GARBAGE HAULED OFF. SHE ORDERED TWO SANIPAC BOXES TO BE DROPPED OFF, AND HAD HIRED_ LEE'S JAI{ITORIAL SERVICE '1'O REMOVE ALL THE I,IESS. THE DUMP TRUCK HAD BEEN REMOVED BEFORE YOUR LETTER WAS EVER SENT OUT BY YOUR OF'FICE, AND ALL CARS, VAN AND TRAILERS WERE II,IPOUNDED. ALL METAL STORAGE SHEDS, WOOD, Bf(ICKS, WERE DUMPED INTO THE SANIPAC BOXES. NO REPAIRS, OR DEMOLI-IION t^lAS DONE ON IHE PROPERTY- IHE SALE OF lHE HOME I5 ONE OF 1.5 HOMES IHAI THE JULIEN FAMILY HAS IN THE. CITY OI- SPRINGF"IELD ORUGON. 1HE. CI'tY UF EUGENE HAS SHOI^IN AN INTERES'| IN I^JANT ING U5 TO DEVTL.OP IN IHLIIT C1TY FOR COMME.RCIAL AND SINGLE FAMILY DINL.LLINGs. I H15 15 I HE f" IRST ACTION i^JE ARts I AKlNG IN IHA'l iJlt<LU I IUI\ . EIIULOSE^IJ YOU I,JILL FIND COPIL"b UF IHh. CLU51Nt1 PAPLRS AND SANIPAC BILLIN(J I.Uii IHL. PRUPLRI Y . TF YUU HAVT hr|\ r UUE.sI TUN5, TE.EL I.,Rt.T. TO L.r. " . " . .t)uR GIVL. Us A UALL Al (541 ) Att]-*2llb" RUN J UL 1[.N CITY OF SPB OREGO'V SPF''NGFIELO DEVELOP MENT SERW CES DE PARTME NT ilaDuary 24, 1996 Luan ilul.ierr P.O. Box 2645 Eugene, OR 97478 225 FFTH STREET SPRINGFIELD, OR 97477 (a41) 726-3753 FAX (s1) 72*368e subjectz 4L4 North 34th street, spf1d, oR 97478; case# 960143 Dear Me. ilulien: The ciEy hae received a complaint that the property !-isted above ie in violat,lonof a Springfield CiEy Code *a/or ordinaacel iaeU", EEan iaiuing a "it"ti"i-""taking lmnedlate legaI action, it is the city,e standard pract,ice to informcttlzens of the vlolaElon and request tbat ri ue corrected, wiEhin a reaeonabletime. SPECTFIC VTOLATTON: Section 5_1_1(a.) (d)aad(J) of rhe Springfield C1tsy Code.used nratertalgi sEored, daraaged and/or tnopeiau:.e vehlcles. An appliance islocated in the driveway and a truck is locited in the alde yara. REOUTRED coRREqrroN: rn an effort to eliuinate cond.it,ione which may adveraelyaffect' comrunitsy economic.etsability and to promote preaaant neighborhoode, alrused materialg rmrst be stored sithin a legralty permlttea building. FLrewood ormateriale to be uged as firewood nust, be &t "na atacked outside of the frontyard setback within thirEy (30) days of dellvery. rt i's unlawful t'o park, store, leave or permit any motor rrehicle, deEtruct,ionderby vehlclee or race carg which "re rtrsted, wrecked, partially dismaatled,lnoperative or abaadoned, upon any publlc or private priperty,itnfn the cl.tsy. St'ored, darnaged-aad/or inoperable vehielea muat, be euclosed within a lega1lypennl'tted buildl-ng thats le wholly or entirely enclosed. NotbLag abau prohibitthe atorage of one (1) vebicre not in violati.on of otsher provlsioas of thiecode, which ig screened frqr public view within a legaLly permittsed building orbehlud a six foot' t6') gorid fence. Nothing sharl piouiliE tbe parking oratorage of a liceuaed, operabre, lesally p"ik"d, .";;;;E;iaileuicr.e. vehicreewhich cannor be placed wirhin a uuriahg lrrd "*"""d th;-[i"-tri permit,ted behinda solid fence must.be removed frour thie property. DEADLINE F,OR COMPLIAIqCE: Thirty (30) days from the dare of thie letter for allused maEerials and gtsored, damaged and/oi inoperable vehicres tso be incoupllance wltsh the above standards rn Ebe event' that you have not taken corrective action by the asaigned time,deadLine, a civir infraction citatlon will be igsued to Lne resident/and orproperty owner. ThanJc you for your attenEion to thie mat,ter. rf you sish to dlecuss thev!'o1aEion, or the regulred correcti.on, Code Bnforcernent etaff can be reached bycalliag 725-3680 between z:00-9:00 a.m. and 3:oo-{:0o p.m. at which tine anappointment can aleo be arranged. lLuru {a-/ 'Jackie Murdoch Code Euforcem€nt Officer VALLEY WEST ESCROW ABN of Al-M ig, lnc. ESCROI{ lfo. 96-4467February lt L996 ESCRot{ OONSIDENAIIION: PAID OT':I8IDE ESCROW $ CASE ,:IERU ESCROT{ S ENSUUAnAIICE OF REC. I (suBiI. IrO ArN.) rEw Bfct uBRA!{cE I <rrBER $ OIEER S IIOAAL CotasrDmArION I IHSTRUCTIOilS TO VAI.LET WESS ESCROT{ .o0 L2,93L.48 24 tL75.OO 6 rO24.46 300. s4 o. oo 43, {31.48 EETJJERS LUAN L.JIILIEN BIITERS DARTENE URVICH GLEN SALLEE pBopER:frr 414 N. 34TH. STREET SPRTNGFTELD, OR 97474 TENDER! AssUMPTION oF ASSoCIATEs FINANCIAL / SECOND To SELLER you are inetructed to cl-ose this transaction as per the terms of the earnest money agreement and to order the preliminary title report from TIgrE ollAnAlf:ff CO. and have iesued a Owners pollcy subject to conditione, restrictiong, reeervations and eagementg of record ag shown on the title report. you are authorlzed to prepare all documents, collect the necesaary funds from all parties, to record the documents to convey title and secure any indebtednees to complete this trangaction accordlng to the terms outlined in the above conaideration. Valtey tfeet Eacrow ehall have no responsibility in connection with the inveetlgating or g,uaranteeing the etatua of any fire insurance pollcy but will aEau11te the premiume have been paid. You shall have no llabtlity in connectlon wLth any personal property which ie the subject of thle ectcror^, nor ;rre you reeponaible to conform thls transaction to the reguiremente of the federal truth in lending act and/or the real egtate special prosedure act, unleas expreesly ao ingtructed by the lendlng institution. you may terminate thig escrow and return aII papers and monies to Partiee only upon written instructiong from atl parties involved ln thie traneaction that in the event of such termination of escrow, the escrow holder may withhold from funds due either party a cancellation fee and any expenges incurred by escrow holder while thie eecrow ls pending. AEE [l^-+h ltAll C+F6a]D l.t Elav I flE(Gnninafiald f.lraarrrrn q7[7R (503 I 7lL7-177" In the event a controveray arieea bet$reen the partiee hereto or with any thlrd party durlng the course of this eecrow, you ehall not be rgguired to determine or arbitrate Eame, but nay hold funde and papere in you poeeesoLon untll such controveray is fully eettled between the partleg and in euch event, you ahall be held harmleee from any danagea or interest. The partlee hereto agres to relrnburse & indemnlfy you for all attorney's fee9, court coete and expenseB lncurred aE e result of eaid controverEy. Bv siqning these Lnstructione, alt parties to the egcrow agre€ that al} terms ind c5ndi€ions have been met to their satiefaction. fXE PARIIES EER8I'O ARE AWARE rEAf :ff,IE DoCUnENf I8 A ITEaALLX EITDITaO c,otlrnAc:I BErI{EElf ltltE ESCROT{ f,nD PaRIIES Al{D ril mE gvEllt vou Do llqf I'IIDERAEEII' IIEAT TT S:rA:TEA ,:rd} TOUR SAEISFAqf,IOI{ TOT' ART ADVISED rO COTIST'IJT IOrrR.Ar8onrpI Pnro8 :fo EIEcIT:rIoil or sAuE. Pereonal property l-ncluded ln*thie traneactioni As pER AGREEMENT. THE 1995-96 TAx rs PRoRATED AS oF 212/96 BASED oN A 366 DAY YEAR. AII the principals hereto have read and do approve the contente of al} Iegal documents ueed in c6nnection wlth the cloging of thig trangaction. SELLERt I acknowledge recelpt of th€ preltmLnary title report and aeceptance gf i3T*""I" "?I::"n:3".3lvnEl:."nft:9";.3:":l:":?'3f,'3".Ili,:13,iifin"f,:it"fl:"8r"3fl":tpayable to seller or hls aseLgma. 1:he undersi-gned hereby acknorrledges that the monieg handed to Vallcy tlcrtErcrory l"n thLs -escrow will be depoaited l"n s non-tnterest bearing account. Inconslderatlon of thle account the bank provldee beneflts guch ae wire tranefexa,cashler'e checks and accounting eervicee. Thls benefit helpe ua keep our feee at a lower rate for the beneflt of the consumer. It Ls estifiated that the benefltof euch service ie $t2.93 per €scrow. I8 Ig I'IfDER8fiX}D BY ITEE PARIIIEA BIOTiIITTC Tf,EAE ESCNOfi IilATRUCIIONA OR trf,E EACROW ITISTRUCIIOITS Aa.I.ACSED EERE:IO TEA:I AUCE IIIA]IRUCIIONS OONSTIrltnlE TEE YItrOI.E ACREETITIIII Bg!TTEE!T :[EIS TINX AE lT ESCROW AOEIIT AIID TOU AS A PRITICIPIL rO TEE EACROI{ TRtrIISACTTOII. IIXEAE TNBTRUCIIONS HAT tr(II IilCI,UDE AI.L TEE lfEnlls OF :r'EE AONEEHEIIT WTICN I8 TEE EUE''E T OF IEIS ESCRO{. ASBD TEBSE INSTRUqIIO|IS CARETUI.IJ AI{D DO IIOiI SIOII IEEII ['HLE8S TEEY ARE ACCTPjIABLE TO TOU. Date e IJUAII L. Phone: 8ocLal Securlty #: Received by for VaII Escrow Addrees: $ earrureo oN REcYcLEo PAPEB P.O. BOX 10928 EUGENE, OREGON 97 44A.2928 (s03) 345-r8il EUGENE ls03l 7 47 -212r SPRTNGFTELD oR 9?{0a PLEASE DETACH THIS PORTION OF INVOICE ANO RETURN WIIH YOUR REMITTANCE. INVO!CE Incorporatcd6 Ircally Owned And Qppratcd. i I L lroToRE P O BOX 8646 EUCEITE s 18.95 76.6s I t3.E5 ?6 .6s r 83.60 oa 0?8-01 45?4 JAt{ 3t,t996 ACCOUNT NO CLOSING DATE PREVIO TrcKET NUMBER 0l ta9n5 ol tltt?6 0t/17t96 50 8g5D I 0te0 I 03e0 r 7680 8PR 8OX DELIVERY FEE sPR eoYD BOX-COEHE}I iCOU}ITY DISPOEAL FEE 8PR SOYD BOX.COSHEI rCOUT{TY DISPOSAL FEE 4t.l N SaTH 8T 4T{ N 3{TH 8T I r{5.00 PEF TOlr{r{ il 3{TH 8T I 145.00 PER TOI 078-01{5?,1 Plcase See Revcrse Side for'lbrnrs and Conditions ACCOUNI No. 469 .70 AA^OUNTDESCRI STION Of TRANSACTIONBOX, NUMSER ) BATANCE DUE SPRII\lGFIELDRESIDENTIAL PERMIT APPLICATION lnspections; 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSOFIS MAP: Yuor 2fr, a JOB NUMBER 225 Filth Street Springfleld, Oregon 97 477 { TAX LOT;A9Oo o SUBDIVISION: - Z BLOCK: PHONE: STATE:ZIP:o)zCITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK ADDRESS EXPIRES PHONE zgzz)ELECTRICAL CONTRACTOR'S NAME MECHANICAL: CONST, CONTRACTOR # GENERAL; PLUMBING - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN: RANGE,: OUAD AREA: r OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE: , OF BDRMS: -WATER HEATER: OCCY GROUP: I OF STORIES: CONSTB. TYPE HEAT SOURCE: # OF UNITS: -.--_ To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng, All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Eleclric ffi Rough Mechantcal - prlor to --'cover. p[ Rougn Electrical - Prtor to/----'tover. Slto lnspection - To be made after excavatlon, but prior to settlng forms. Underslab Plumbing/ Electrical / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng, Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to filllng trench. Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng. Posl and Beam - Prior to floor lnsulatlon or decking. Floor lnsulatlon - Prlor to deckl ng. Sanltary Sewer - Prlor to f llling trench. Storm Sewer - Prlor to fllllngtrench. - t Water Llne - Prlor to filllng trench. Rough Plumbing - Prior to cover. ffi el""tri"al Servlce - Must be)capproved to obtaln permanent electrlcal power. l{rtnat Plumbing - When an'z'-)lumblng worl< ls complete.. -_Jl):{Final Electrlcat - When ailFJ Electrical work ls complete. j!{ rinat Mechantcat - When ailX---mechanical work ls complete. l\J'Flnal Building - When ail )z+<gqulred lnspectlons have been approved and bulldlng ls completed. [--l Final - After alt required.J lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled, K""-lng - prlor to cover. X$:felllns lnsularlon - Prlor to frtr*"tl - Prlor to taplng' Flreplace - Prlor to faclng materlals and framlng lnsp. Wood Stovo - After lnstallatlon. Curbcut & A;:proach - After forms are erected but prior toplacement of concrete. Sidewalk & Drlvewav - After excavation ls complete, forms and sub.base material ln place. Fence - lvhen completed. Street Trees - When all requlred trees are planted. MOBILE HOME INSPECTIONS Blocklng and Set.Up - When ail blocklng ls complete. Plumblng Connectlons - When home lras been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumblng lnspections have been approved and the home ls connected tothe servlce panel. l--l lnserl - After flreplace approval'J aod lnstallatlon of unlt. ?, :n /4, ( 7ft; -o >z z 921 22 I t:*2 Du) E E tl E E fl E l---l otherll tl P.L.HSE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type _ - lnterior - Corner - Panhandle - Cul-de-sac -,S TflE PROPOSED WORK iN THE HISTORICAL DISTRICT, OB ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon musl be slgned and approved by the Hlstorlcal Coordinator prior to permit issuance. APPROVED: Total Value Building Permit Fee state Surcharge 2'73 + 7,5/ Total Fec (A) VALUE _4tu, ,2 ,r?>. X $/SO. FT. BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express conditlon 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 violation of any provisions of sald ordinances.tua..Zr Plans Rcviewed t3y Oate Receipt Numbc Date Pald Recelve<j By Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties withln tlre City linrlts which are belng lmproved. ITEM Flxtures Besldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home Fr, /qes #,* FEE 2s.tu 29 ?rt oot\ata No M FT.40 (c)/4 5,Bo FT. % PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge J3 5oo-/@b€r7fT /,ot ADDITIONAL COMMENTS --iTrury- F/ee? ' ,nzr< t,- Wood Stove/ lnsert/ Flreplace Unlt Dryor Vent Mechanical Permlt ,fU//U lssuance State Surcharge ,7f 7F,f4f Total Permlt (D) ---r</ o ZFa )5-d,2 .Z/r 2a No _r_ Vent Fan MECHANICAL PERMIT Furnacc Exhaust Hood do By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfietd, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Bulldlng Safety Divislon. I further certlfy that only contractors and employees who are in compliance with OHS 701.055 wlll be used on thls project. I further agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set_of plans wlll remaln ti Slgnature Date on the slte at lon.duri MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (excludlnt ele6trlcat) (A, B, C,.Q and E Comblned) .22f'.a7 2A3 3 zLo,o7 VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY bPr- ?ila:. Permit #:70c>/7 e Address z Issued by:Date Statemeht: 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 un"der 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 1. and2, and either box 3,{ or 38: BK 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. 3,A.. 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. OR 38. I will be my own general contractor, If I hire subcontractors, I witl 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 notify the office issuing this building permit of the name of the contractor. I hereby certify that the above informationis correct and thatl have read and dounderstand the Information about Responsibilities on the reverse side of this form. (Signature of permit applicant) (White copy to issutng agency permitfile, pink copy to applicant) Notice to X " / (9{*; \_,. \/- \" Iriformation N0tice to Property Owners'.' ':'. r. lbo$ ConstrUction Responsibilities Note: This Inf,ormation Notice to Propefi Owners ahout Canstuction Responsibilit:iei was developed by the Construction Contractctrs Eoard in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new 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 coqcern. EM PLOYER RESPONSIBILITIES: If you hire persoqs not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire willbe employees. As the employer, you musr comply with the following: Oregon's withholding 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 tai payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945-8091. Unemployment insurance taxl As an employer, you are required to pay a tax for unemployment insurance purpo$es on the wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resourcos Workers'cornpensation insurance: As an employer, you are subject to the Oregon Woikers'Compensation Law, *ko oblatn workers'compensation insurance for your employees. If you fail to obtArn workers' compensation insurance, youJnqr be subject to penalties and will be liable for all claim Costs if one o-f youremployees is injured on the job. For more infirmpi(, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. Internal Reve[ue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service ar l-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirernentp that may be brought to your attention through inspections. //Liability and pr,operty damage insurance: Contact your insurance agent to see if you have adequate insurance coveiige for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Experlise: 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 nolfy building officials at the appropriate times so they c6n perform the required inspections. \ If you haveadditionrt questins, write or call the Construction Contractois Board (PO Box 14140, Salem, OR 97309-5052, 503/378-4621). The Board is located at ?00 Summer St. NE suite 300, in Salem. prop-own.pm4 lt94