Loading...
HomeMy WebLinkAboutPermit Demolition 1992-11-17 . , RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Oflice: 726.3759 LOCATION OF PROP01Sl) ~~. 'I ,q'? ASSESSORS MAP: L.A-Jot(o I ~ LOT: BLOCK: . JOB NUMBER ~8~_ (Yk"3/ l/) OWNEr{_~O~_ ('j\n\9-_~ ~PHONE: ADDRE~' C{c:: \ [\~~rctnp \. I LQ ./ CITY~ )~ -_ - -. - ~h~E: ( f) ~ ZIP: _c.c1r.-L.7 DESCRIBE WORWO 1Y\Cl[ LhOY\ {m (1(1 J\ ('YJej- ::> NEW REMODEL ADDITION DEMO~I~~ onkR . I CONTRACT9f!'? N~,~ _ ~ CENEIlAI:~f~- PLUMflINC: MECHANICAl' ELECTRICAL: QUAD AREA: . OF BLOCS: OCCY GROUP' . OF STORIES: WATER HEATER: ( )4-r'-l'"..lfI-bl ADDRESS CONST. CONTRACTOR' PHONE - OFFICE USE - LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANG~' EXPIRES FLOOD PLAIN: ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726.3769. This Is a 24 hour recording. AI/Inspections requested before 7:00 il.m. will t)O made the same workIng day. Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric CJ Site Inspection - To be madc alter excilvation, but prior 10 scllina tOIlIlS. o Undcrslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are cxcava!uc!. o Masonry - Steel locatIon, bond beall's, grouting. o Foundation - Afler forms me ereclec! but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to tiecking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Elechical - Prlor to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prlor to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to tapIng. o Wood Stove - After Installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After (orms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms al1(j sub.base materIal in place. o Fence - When completed. o Stroet Trees - When all required trees are planted. o Final Plumbing - Wilen ~III plumbing worl< is complete. D Final Eloclric~11 - Wilen all electrical wOlk is COlllplctc. o Final Mechanical - Wilen all mechanical work Is complete. o Final Building - When alt required Inspections hnvc been approved and building is MOBILE HOM~IONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to watcr and sewer. o Electrical Connection - When blocking, set.up, and plumbing inspections have been approved nnd the home Is connccted to the service panel. o Final - After all required inspections are approved and porches, sl<irtlng, decks, and venting have been Installed. Lol f..r.c~, -. Lot TYP. Lot sQ. fig. Interior Lot coverage Corner Topography Panhandle Total height Cul.de.sac BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT Main G;uage Carport Total Value Building Permit Fcc Slate Surcllargc Tolnl Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge Is due o.n nil undeveloped properties within the Cily Ii mils which are being improved. (B) PLUMBING PERMIT ITEM Fixtures Residential Bnth(s) NO Sanitary Sewer FT. Water FT. FT. Storm Sewel Mobile Horne Plurnblng Permit State Surcharge Tot<ll Cllargc (C) MECHANICAL PERMIT Furnace Exhausl Hood Vent Fan N' Wood Slovc/lnscrtlFireplacc Unit Dryer Venl Mechanical Permit Issuance State Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale Issuance Stota Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge Total Miscellaneous Pcrmits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B. C, D. and E Combined) I P.L IN selbac._.. HSE GAR ACC , .IS THE PROPOSED WORt< IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If ycs, this application must be signed and approvcd by the Historical Cool(lin::llor prIor to pennil iS5U::lncc. ~--- :!Y.- _ __ IE APPROVED' 1---J_' VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is gmnted on the express condition thnt the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springrield, including the Development Code. retlul<lting the construction ,:met use of buildings, ilnd may be suspended or levol<cd at any timo upon violation of any prOVisions of s::lid ordinances. Plan Check Fee: Date Paid: Receipl Number: ~-D -Sl'l-- Dale - - ( v ADDITIONAL COMMENTS FEE \ By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that aU information hereon is true and correct, and I further certify lhat any and all work performed shall be done in accordance with the Ordinances of the City of SpringfIeld, ;lIld the Laws of the State of Oregon perlalnlng to ttlC wol1\ described herein, and thai NO OCCUPANCY will be ,"nrlu of any structure without permission of the Building Safety Divi~:;ion, I further certify that only contractors and employces WllO are in compliance with ORS 701.055 will be used on Ihls project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, thai the permit card is localed al the front of the p~opertl: nd the aJ.;! roved set of plans will remain on I~Slte a limes r ng co truclion. Slgnatu - ~ ;"'al.. \_ \.)I~ .. VALIDATION: ((11;Y"") RECEIPT NUMBE7 . ~_ ~ DATE PAID \ 1- Y rf-. AMOUNT RE~IV .( ~~~rfJ- RECEIVED B J'lI( ~ / - .-.. '. . . . . Permit No: Qc9 1~04 Address: ~~ \ \~j\ ldoo .,) Issued by~LCYl}_l_ Date:'(~' FOR 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. Fm ,iO~~r'''''' "'""', '"' ioili,' b~" 1 '"' 2, '"' ,i1h" b~ 3A" 3B 1. I own, reside in, or will reside in the completed structure. 2. 1/ I I understand that I must register as a construction contractor if the structure is sold / or offered for sale before or upon'cDmpletiDn. 3. A.I I My general contractor is Contractor registration 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 ~ B .1"./11 I will be my own general contractor. / If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If 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 information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse '~f~, fO~ / Sig ature of Permit 'PI[cant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT .. .. INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , . .-.. NOTE: This.l.nfQrmation Notice to properly Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home Dr 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 RESPONSIBiliTIES: If you hire persons 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 will be "employees". As the employer:YDu must comply with the following: Oregon's Withholding Tax Law: . As an employer, you must withhold iRcome taxes from employee wages at the time employees 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 Revenue at 378-3390. 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 DHR at 378-3224. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insuraRce, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434. U.S. Internal Revenue 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 ac\Ually.withhl?ld the tax. For more information, call the Internal 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 Properly 'Damage Insurance:' Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint Dverspray, water damage from pipe punc- tures, fire, or work that must be re-done. Time to Supervise Employees: Make sure you have sufficient time to supervise 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. - If you have additional questions, write to: Construction Contractors Board 700 Summe~ St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244J 10/24/89 ~ I' __._ I ... - ' 'I !.