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Home My WebLink AboutPermit Building 1992-10-26SPrtTNGFIELE' BLOCK: ?"/)77 /7tz ty'L oe *-212.*3La-X SUBIJIVISION Springlfield, aregon 9747 / LOCATION OF PROPOSED WORK: ASSESSORS MAP: RESID ENTIAL PERMTT APPLICATION lnspections: 726-3769 Office: 726-3759 r*qi--**44- rAx Lor: ---fu - JOB NUMBER 225r Fif th Street - srArE: -%.- =rr, 7z/Z&3<A Y CITY: 4* /=fi ADDFIESS -'Q.ry OWNER: DESCRIBE WOFIK: ON I DEMOLISH O1-IIER - PFToNE: ZY1:6-6 /-{ -- ' fu1r(y1 7fu*-_ f_bz r NEW - FIEMODEL ADD PHONEEXPIRESADDRESS :Q32-*-. furvyaY: CONTRACTOR'S NAME GENERAL: -- - PLUMBING CONS . CONTRACTOH / EE +5 OUAD AREA: WAI"ER I.IE,ATIR RANGE , OF BDnMS: .. - -OCCY GROUP: -- d OF BLDGS: -.-, _ OFFI USE _ LAND USE: SECONDAFIY I.IEAT: SOUAHE FOOTAGE: FLOOD PLAIN: ZONING CODEs OF UNITS: -- CONSTR. TYPE: HEAT SOURCE: To requesl an inspection, you must call 726-3769.'il-ris is a 24 hour rrlcorciing.,All insl:i:ctions re.lueste(! be{ore 7:oo a-m- vttill he macle the same working day, inspections requested after 7:00 a.m. will be ttrade thc following work day. REOUIRED INSPECTIONS Temporary Eleclric Rough Mechanical * []ttor lcr cover-_l Final Plumbing - Wlren all plurrtbing worl( is <;otttprletc. Site lnspection - To bc rnacle after excavation, btrt Prior to setting forms. Underslab Plttmbing/ Electrical / Mechanical - Prior lo cover. Footing - Af tcr trenclres are excavated. Masonry - Steel location, bon(.l beams, groutittg. Foundalion - After forms are erected but prior to concrete piacement. Underground Plunrbing - Prior to filling trencl'r. Underlloor Plumbing/ Mechanical - Prior to insulation or <lecking. Post and Beam - Prior to floor insulation or dccl<ing. Floor lnsulation - Prior to decki ng. X.:ru:t Electrical - l)tiot r, >(Firral Electrical - When all eleclrical worl( is cotttpletc. Final Mechanical - When all mechanical work is cornplete. Sanilary Sewe; - Prior to fillingtrench. I Slorm Sewer!- erio, to filling trench. I iL Prior to filling Electrical Service - Must lrr-' approved to obtain Permanorrt electrical power. Fireplace - Prior to facitttl materials ;rnd Irarnlng lns1t. Frarning - [)ri<tr to (;()vct Wall/Ceilirrg lnsulatiotr - l'riot to cover. Drywall - Pti<.rr to tapirrq Wood Stovo - Af tor irrst;tll;ttiott lnsert - After {ireplace a[)pr()val and installation of unit. Curbcut & Approach - Af ter fornrs are erected but PIior to placement of concrete. Sidewalk & Driveway - Af tcr excavalion is contplete, fortns and sutr-base material in Placr,'. Fence - When comptfrca { 'N/final BuilrJino - Wlren allf--\"qul recl i nsp-ec ti otrs lrave l-rcen apprroved antl t:tlildintl is cotnplt:tr:tl. I --l other --- MOBILE HOME INSPECTIONS Blocking and Sel-Up - Wltcn all blocking is cornplele. t_1 Plumbing Contrectiotrs - When hornc has been connccted to watr:r ancl sewcr. l-__l Eleclrical Conneclion - When[ | blocking, set-up, arrd plumbing inspections have been approved and the home is connectecl lo the service panel- L]Final - Af tcr all required inspeclions are approved and porches, skirling, decks, and venting have been installed. tl X K X K Xx E. Water Line trench. Rough Pl cover. ng - Prior to Streel Trees - Wlte trees are planted. 11 all requitr:tl o ELECTBICAL: t " OF STOtllF-S' _ \- - - E tl E tl tl E rl Lot faces Lot sq. ftg. Lot coverage Topograplry Total height [-ot lyl)c ,, lr-tlcr ior - Corner - Panlrarr<llc -.. - Cul-rie-sac St;t bar: l<s P.L,HSE G AR ACC N E THE PROPOSED WOFIK IN THE IlISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coorciinator prior to permit issuance. APPROVED 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 acloptecl by ttre City of Springfield, including the Devetopment Corle, relyulating the constrLlction and use of btrildings, anci m;ry bc suspended or revol(ed at any time u[)on violation of any provisions of said ordinances. ewed B By:art{+ PI alns Re t;e RecciJrt Number Plan Check Fee: Date Paid aE 8r'79 25,aJ/6,2 5 G?T€*o-:2-2-A3{e _- VALI.JE (A) X $/SO. FT, Total Value Building Perntit Fee State Surcharge Total Fee 2SeP B8&/frtu,t BUILDING PERMIT ITEM SO. FT. Main Garagc C.rrpor t Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. sYSr E M s D EV E Lo P r. *r,"1' ^ -"fi €ii_l e ADDITIONAL COMMENTS ELa4-/ez@4 F*il #r PLUMBING PERMIT ITEM Fixtures Residential Bath(s) No Sanitary Sewer trT' Water I--T' Storm Sewcr FL l\.4obile Hotttc FEE (c) Plumbittg Pt.rttttit State Surch;rrgt: Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hoo<l By signature, I state ancl agree, tlrat I have carefully examined ttre completed application and do hereby certify that all information hereon is lrue and correct, and I f urther certily that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described 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 employees who are in compliance with ORS 70'1.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the f ront of the property, and the approved set of plans will reorain Date o ring constructionthe slte at all tirrtes nature /c-26 2a MTSCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk ----- ft Curbcut . - {t Demolition State Surcharge /*at 4aza,,t *t,tuo fPa'tT Total Miscellaneous Permits (E) g,?!- VALIDATION RECEIPT DATE PAID, AMOUNT R IIT(:l:lVtrf) ffiE E TOTAL AMOUNT DUE (exclucting electrir;al) (A, B, (), D, ;trr,l E ()r.rrtrbitrcti) t \, -53,2e fbAi .//L./ 7'>-\-.,f Permit No: Address: lssued Date: OFFICE USE ON 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. lo% licable 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. Fill in the 1 2 3 My general contractor is , 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. OR 3.8 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 witl immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the lnlormation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. CONSTRUCTION CONTRACTORS BOARD 0244J 8191 /Or;e*f a Date WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT 44/ INFORI.rTION NOTICE TO PROPERTY O,;NERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This ldo-rnration Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701055(5), passed by the 1989--Oregon Legislature. 'i\F yof-are acting as your owh bOntractgr to construct a new home or make a substantial imprgprnenil to "nexisting structure, you_ can prevent many problems by being aware of the following responsibiliftis and areas of concern ,.-.?lrt,,,l'.i-'.l,.;i..i.:tl EMPLOYER RESPONSIBILITIES, ;-ii::::.n"-i ';,. -": li"' '-' ', .* .,r lf you hire persons not rqgistered with the Construction Contractors poard to do labor in constructigg or assisting in the construction or iffiprwem6nt oJ'a'residential.stry,cture; yoti'will, in most instances, bj*.rled to be an "employer" afid the people you hire will'be "einp,tqyges"l As the employer" you mtrst comply with tne following: Oregon's Withholding Tax Law: As-an empbyer, you must *iinr,otd inco;ne t"r""jio, emp]oyee wages at the time employges are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revepue a! 378-3390. Unemployment lnsurance Tax: As an employer, you are required to pay a tax for uneiirployment insurance purposes on the wages of all,ernployees. For more information, callthe Oregon Employment Division DHR at 378-3224. Workers' Compensation lnsurance: As an employer, you are subfect to 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 subject to penalties and will be liable fof'atl elaim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 973-7434. U.S. lnternal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. even if you didn't actUally withhold the lai. For more information, callYoull be li for the tax payment the lnternal Revenue Service at 221-3960. 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 requirements that may be brought to your attention through inspections. Liability and Property Damage lnsurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, wdter damage from pipe punc- tures, fire, or work that must be re-done. :-i+' Time to Supervise Employees: Make sure you have sufficient time to supervlse your employees. 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. lf you have additional questions, write to:Construction Contractors Board 700 Summer St. NE, Suite 3O0 Salem, OB S/310-0151 Phone 503-3784621 4244J t0t24t89 fia" 225 FTFTH STREET SPRTNGFTELD, OREGoN 97477 INSPECIION REQUESTz 726-3769 OFFICE: 726-3759 '' 1 LOCATION OF .uiirortZod 2 JOB C€ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspen-ded for 180 days. 2. COMRACTOR INSTALI,ATION ONLY Electrical Contractor Address Ci tv Phone Supervisor License Number Exp iration Date Signature of Supervising Electrician SPrlI,{GFIELD ELBCTRICAL PERHIT APPLICATION Ci ty Job Nunber BELOV A. Nev Residential-Single or Multi-FamilY per dvelling unit. Service Included: tb -n-q B 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Install-ation, Alterations or Relocation: Over 1000 amps/volts Reconnect Oniy D. Branch Circuits -Each installation Pump or irrigation Sign/0utline Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL 200 amps or less $ 201 amps to 4oO amps - S over 4b1 to 6oo amps - $ Over 600 amps or 1000-lofEs se Items Cost Sum $ 8s.00 s 1s.00 $ 40.00 $ 50.00 s 60.00 $100.00 $130.00 $300.00s 40.00 Exoiration Date Constr Contr. Number Temporary Services or Feeders Installation, Alteration or RelocationC t/ amps _ amps _, amps_ 200 amps or less 20L amps to 400 40L amps to 600 601 amps to 1000 Eove 00 0o Brt a 40. 55. 80. ett 00 0vners Address *^^"0 /f i /k-r. FQ <z Nev, Alteration or Extension Per Panel 5, -r Phone 774'%,2/One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00OVNER INSTALLATION E. Miscellaneous (Service/feeder not included) Ci ty The instatlation is being made on property I ovn vhich is not intended for saIe, Iease or rent. DATE: $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 RECEIVED B ture: q1A IJGAL DESCRIPTION^ a<'<A/+2V4@ D EV ELO P M EN T S ENV rcES D E PART M ENT FebruarY 1B, L994 Tami and John EgIi 305 North 36th Street ipringfield, Oregon 97478 Dear Hr. and Mrs' EgIi: Yourrequestforane:<tensionofyourpernitstocons[ructanadditiont residence located*a,"1Oi ll"itn iA't[-str-eet, Springf Leld ' - 0regon' City Jo g2L317, has u""n"r"ulewed and "ipiou"a subject to the folloving: 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-s753 FAX (sos) 726-s68e he umber ot bN AninspectionvasconductedonJanuary2-7,.l9g4arrdFebruary9,1994bythe code Enforcenenr-0;ii;.; to de,ui*in""ii ttre propeL-ty vas in ""*l1ii:"e vith the Springfield c;i;-;;;"-r"i"rive to I'luisances. There trere no ma]or viofations not"al-tL"uu-"r, the-property ru, found to be not in compliance due the srorage'lf"ll=i"";"."[f!';:;;.i" in puU:-ic viev on the propertv' In order f or the vehicle to ren:'ain -i;-;it! 'i:o::ab1e state' it rnust be screened tro, pu-liic-tie,', blr a s:rlicture or enclosure of a pernai'lent nature af f i:<ed to the g.rr-a. r have a-t tached a cop:/ -of the ci t;l code relating to iire srcrase .i i;;;;;.ri" ,r"r-,i"i;;-i;; ','ouI: iLf "t"n"" ' If vou have anl, questions you ni:,j"'i"*"rJi.a iiri!-uior"iion, prease ccntact Jacki e Ilurcioch' Code Enforcement 0ffiie:: ' ar- 72c'3i53' An inspecti-on vi1} be conducted on }iarch 4' i994 to deternine been attained. rf the prope.tv ii in compriance at thar time, vill be va1id. If vou have anY questions' phone me at 725-3790' or if I may be of any assistance' please feel free to if compliance has your extension Sincerell,', Lisa HoPPer Building Se encf rvices RePresentative Dave Puent, Building Official i""i.rl-r"rrrdoch, CodE r'nforcement 0fficer th SPFI'}I IELD \, , 108 N0.17t9 1 7 CITY 0r SPRiNGFIELD- sY:lEif DEVEL0PMENT CHARGE WORKSHEET (col4MERCIAL & RESIDENTIAL) NAME OR COMPANY:Tor+*TAIq I tb TR 2b\-L-(9oo LOCATION: DEVELOPMENT TYPE:LP e--A DD\{\o S a. Ft.LOT SIZ i. STORM DRAINAGE IMPERVIOUS SQ. FT .+>x $0.192 PER SQ- FT' 2 SAN ITARY El,IER _C ITY NO. OF PFU'S (See Reverse) X $39.78 PER PFU 3 TRAN SPO RTAT ON NO OF UNiTS X TRIP RATE X COST PER TRiP x $401.05 x $401.05 x $401.05 SUBT0TAL (ADD ITEMS 1 ,2, & 3 ) 4 ADM INIST TiVE F EES BASE CHARGE (SUBT0TAL ABovE) X '05 TOTAL-CITY SDC s q o? 5 SAN ITARY Et,lER- NO. OF PFU'S (Use PFU Tot Mt,lMC CREDIT x $13.62 PER PFU + $10 MI,JMC ADMIN. FEE $ al From Item 2 Above) IF APPLICABLE (SEE REVERSE) Kip Burdick TOTAL-MI,JMC SDC TOTAL SDC x X x $ $ zcL SDC Coordinator 7.-o1 % 225 FIFTE STRBET .z IIEB SCTTEDULE BBLOIT APPLICATION al-Single or per dvelling unit. SPRINGFIEII),OREGON 97477 q.;ri INsPBCtIoN REQIIBSTz 726-3769 OFFICE: 726'3759 ,| 3. 1 LOCATION OT Signet IJGAL DESCRIPTION JOB 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 INSTALI,ATION ONLY Electrical Contractor Address Citv Phone Supervisor License Ndmber Expiration Date Constr Contr. Number Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DveIling Service or Feeder $ Bs.oo $ 40.00 ew Residentl Mu t Sum s 15.00 B. Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 a*Ps -401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0nIY $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c Temporary Services or Feeders Insiallation, Alteration or Relocation Signature of Supervising Blectrician Address 4D 5,il,,3 =7, 200 amps or less 201 amps to 400 amPs - Over 401 to 600 amps 0ver 600 amps or 1000 vo'ITs see ItB" aSove Branch Circuits Nev, Alteration or Extension Per Panel one Ci rcui r t .- g 35.00 ff_n Each Addi tional Circr-ri t or vi th Service or Feeder Permi I 2 S $ $ $ 40 55 BO 00Expiration Date 00 00 D Ci ty Phone OITNER INSTALI,ATION The installatlon is being made on property I ovn vhich is not intended for sale, Iease or rent. si DATE: Miscellaneous ( Service/feeder -Eaclt installation Prrmp or irrigation $ signzoutline Lighting- $ Limi ted Energy/Res - $ '1 E 2.oo l ao not included) 40.00 40.00 20. o0 3?eeSTIBTOTAL OP ABOVB 5Z State Surcharge TOTAL RECEIVED ture: 5 dtrr- owners nane Jo Uil l=/i L I