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HomeMy WebLinkAboutPermit Building 1998-3-12 4 ..i.. 1!;':,' -. SPRINGFIELD ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAF:ETY Job Number: 980201 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1425 HAYDEN BRIDGE RD Assessors Map #: 17032522 Lot: Block: Tax Lot #: 00702 Subdivision: Owner: ROB WARREN Address: 1425 HAYDEN BRIDGE RD Phone #: 746-6711 City/State/Zip: SPFD OR, 97477 Describe Work: REMODEL/NEW GARAGE NEW QUAD AREA: 5RNW CONSTR. TYPE: VN OFFICE USE -- LAND USE: 1111 INSUL PATH: P1 OCCY GROUP: R3 'SQ FOOTAGE: 1497 To request an inspection, call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION ~ After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; P~~to cover E\r\~E~OR~ STORM SEWER LINE - Prior to fill ing trench. ~O". 5~~\..\.. E'J.P\P\ \\ \5 ~O\ ROUGH MECHANICAL - Prior to cover. . 5 PERM\\ \~\5 PER,,^ ROUGH ELECTRICAL - Prior to cover. \~\ OR\IEO U~OER ~OO~EO rOR SHEAR WALL NAILING - Before covering sheathing with f~~ maCE6~~~B~ ROUGH PLUMBING - Prior to cover. CO,,^,,^EN ER\OO. FRAMING - Prior to cover. N ~80 Op..'{ P INSULATION - Floor; prior to decking Wall/Ceiling; ~or to cover DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL -When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Item Main ,Garage Total Value BUILDING PERMIT --- Square Feet x 1358 1319 $/Square Feet 64.66 16.27 Value 87,808.00 21,460.00 109,268.00 Building Permit Fee Surcharge/Admin 455.50 36.45 TOTAL FEE (A) 491. 95 i.." Job Number: 980201 Page 2 PLUMBING PERMIT - -- Item Fee Residential Bath(s) 1 91.20 Plumbing Permit 91.20 Surcharge/Admin 7.30 TOTAL CHARGE (C) 98.50 MECHANICAL PERMIT - -- Exhaust Hood 4.50 Vent Fan 2 6.00 Dryer Vent 3.00 Mechanical Permit 15.00 Issuance 10.00 Surcharge/Admin 1. 20 TOTAL PERMIT (D) 26.20 - -- MISCELLANEOUS PERMITS - -- Surcharge/Admin 0.00 SDC 521.59 TOTAL MISCELLANEOUS PERMITS (E) 521. 59 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, a, C, D, and E combined) 1,138.24 ~ p?~~ J44-.72.... -; ~2-,5'p --- 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 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 time upon violation of any provisions of said ordinances. Plan Check Fee: 296.08 Date Paid: 02/17/98 Receipt Number: 28828 Received By: Plans Reviewed By: TOM MARX Date: 03/05/98 Building Site Reviewed By: BOB BARNHART ADDITIONAL COMMENTS --- ELECTRICAL PERMIT REQUIRED By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. SPRINGFIELD .~- Job Number: 980201 Page 3 I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the ,front of the property, and the approved set of plans will remain on the site at all times during construction. '-f LI.J.F7~I/'A.} 1~)I'1./JJ)Ih'I_ Signature 3/;d.-/Qg Date --- VALIDATION Date Paid: 2'71072- , /~I/ /~ $ /2 fb2 ,'7~ $~ ''\, , , Receipt Number: Amount Received: Received By: JOB NO. " 4'H 02 of AITACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME ORCO~lPA,N,(: (' RoB uJARQer--C LOCATION: 142-5 /--fAY OC3-1V ) B(?.../oE 1<0 DEVELOPMENT TYPE: AO!Jrre-o-V To, ~. F~fL . BUILDING SIZE: LOT SIZE so. Ft: 1, STORM DRAINAGE 1''/:: .c (, ? ,/,(" y. IMPERVIOUS SO FT. ~I' qg X $0.226 PER SQ. FT. $ 4q~,7~ ( 2. SA~rITARY SE'.\JER-CIT'r P/2lv",,~E ~E'pr,c.... ~Y'$TG""" , NO, OF PFlJ' S X $16.86 PER PFU $ ~ \. (St::~C Rt::~\/~r~~ S~'U~C) \ '-' I ',-; ~'- "- ~ 3. TR~NSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $472,49 $ ~ J x X $472 .49 $ x X $472.49 $ 4.' SANITARY SEWfR-MWMC NO. OF FEU'S X , . , PER FEU + $10 MWMCiADM FEE $ ~ MWMC CREDIT, IF APPLICABLE (SEE REVERSE) $ , TOTAL-MWMC SDC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 4Q". 7S- 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE). X .05 '$ ~': 2~.kf JJt SDC Coord.i nator :rXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent JOTE: For remodels, calculate only the t additional fixtures) NUMBER OF UNIT iXTURE TYPE NEW FIXTURES EQUIVALENT = Fixture Units .' , FIXTURE UNITS :athtub................................................ ....................., 'rinking. Fountain..................,..................,............... loor Drain..... ........................................ ,.......... ......... lterceptors For Grease/Oil/Sol ids/Etc................. Herceptors For Sand/Auto Wash/Etc.................. 3undry Tub/Clotheswasher..................... ,............. !otheswasher - 3 Or More..................................... (labile Home Park Trap (1 Per Trailer).................. :eceptor For Refrigerator/Water Station/Etc........ 'eceptor For Commercial Sink/Dishwasher/Etc.., no w er, Sin 9 I e S ta II. . . .. . . .. .. .. . .. . . . . . .. .. .. .. . .. ..; ..... .. .. . .. .. h 0 we r, Gang.......................................................... ink: Bar, Commercial, Resider1tial Kitchen..............,..,...... ,i n a I, S ta II iW a II.. .. . .. . .. . . . . .. . . . . . . . . . . . . .. .. ... .. . ..... .. .. . .. ... .. !ash Basin/Lavatory, Si ngle. ...,.'...............;............. J i i et. Pu b i i c in sta II ati 0 n .. .. .. . , . .. .. .. .. . .. .. .. .. .. .. .. .. .. .. .. ) iI eT , Pri v aT e.. .. . .. .. .. . . .. . . .. . . . . . . . . . . .. . .. .. .. ....... .. .... .. .. 'iscellaneous: 2 1 2 3 6 2 6 6 1 3 2 i /Head 2 2 1 6 4 TOTAL FiXTURE UNITS iEDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation daTe in Lable, cic'JlaTe crediTs separates. Year Rate per $1,000 Assessed Value Year Annexed Rate per S 1,000 Assessed Value Annexed 1979 or before 1980 1981 1982 1983' 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1987 1988 1989 .1990 1991 1992 1993 1994 1995 1996 $2.56 2,17 1.73 1.31 0.92 0,74 0.61 0.45 0.31 0.17 Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ , (Rate X Assessed Value) = Credit Tor Parcel or Land Only If Applicable CREDIT TOTAL == $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) hcsiden[i.3i...:............... ........ 0.4 Commerical......................... 0.9 Industrial............................ 0 5 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Permit #: '. 91b t9 2-LJ I . . Address /"T'2-S- .-:A7I<4<J h, 4 Issued by ,1?~ . Date: 317h~ Statement: Information 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! and 2, and either box 3A or 3B: W L '[Xl 2. ... 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. 3A. My general contractqr 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 3 3B. J will be my own g'eneral contractor. l. If! hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If! 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 thaHhe above information is correct and that I have read and do understand the Information, , .Notice to Property Owners .about Construction Responsibilities on the reverse side of this form. ~~ ,.h.t J I.LJLi hA.I?A-LJ (Signature of permit applicant) 01/;;1-/ qJ? (Date) (White copy to issuing agency permit file, pink copy to applicant) . (. , , I'. . '. '~J' ~ . . .....~ t. : ~ .", In'foFma:tk;h:N~otice to;Property Owners ',,' ~~9~t Cora~t~,u.ction R~sponsi Ities ~"""~.\"':--..'"<;.,':'t >':::"- -~ ~.,. ..':"".' ',,' '. : ....... "',' , : ~,,:,:...i:. ; . ".,' -;-"" ,;:l~ote/.. This Informatiof!.. Netice,lf(Pr,operty O'rvners aboui Construction Responsibilities , t .:.' '. "~i1'a~YieYe/op(~d by-the Constrlict'ion"eantrai:.:lors Boai'd in accordance with OR) 701.055(5). If you are acting as your own contractor to construct anew home or make a substantial improvement to an existing structure, you can prevent many pl:qblen"!s by. being aware oftbe foUqyving responsibilities and areas of concern. .; . . '. '. ;.1 ' . .,:',' t ", . ~. < eMPLOY~R If you hire persons, not r,egistered ,\:it11 ,the ~,?~:stru?tion Contractors Bq~rd to do ,labor ip c9.n~tru~ting or assisting in the construction or improvem~nt~ofa ,residential structure~ .you ;vilI, it) most ..itistailces" be ruled'~6 b~. an e.~nplbyer and the people you hire will be ej"i1plciyees: As the eniployer, you imlst comply with thefol,J(nying: '. \"" " ' " ,.'" ',". e, _ " ,:" '.,;......'.. ., ";,.,, " Oregon's withholding tai law:' As atl employe~, y6'li mustwithHold illcome taxes from employ'ee wages atthe'time employees are paid. You wi II be liable for the tax payments-eVen 'ifyotl' don't. aetually\v.ithhold the tax fro in 'your employees. For more information, call the Oregon,Dept. ofRe.venue at,945'"'80.91'.:',' " ,~ ' , , . . lJnemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages,of all employees. For more infofill?tion; callthe, 9rego.ni-F~mployment ,pe,partiTlent at 3 7~)524.';" . !' .,' Workers' compi;:nsation insurance: As an employe!:, YPl1 are subject t9, the O~egol1.W orkers' Compensatiol) Law, and ml)st. ~ /" . ~ . . . '.. .";' . . " ... ," ; 1'. )," obtain workersl compensation insurance for yoin ernployees. I (you fail to obtain workers"compensation insiu'ance, you mq); , be subjecHo penalties and will be liable for all claim costs if one ofvour employees is injured on the job, For more information. " call'th~ \V Ol'k~f~;'" Coit~pensatf~nDivis16;1 aUne Depfrt;n'e'r\t'ofC~!;~~~f1)ef ahd Bi!sihe~s\Se;"icd~ft945- '.1888. '; ,.<, ." . ..r;~'; . : ,1.1'--, \ U.S. Internal Revenue ~i;:rvice: As an employer, you must withhold federal income tax from employees' wages. You will.be liable for the tax.payment even if you ,d idn't actually yvithhQld.the. taX. For more information~ call,the IntemalRevenue Service at 1-800-829~I040.' 't. " '- ., ' .. I " ..1" . 'f' i . ~ . ...." I .. OTHER RESPONSIBILITIES- AND OF CONCERN:: Code compliance: As the perm it holder forth is project, YOll are responsible for resolving any failureto'meetcode requirements that may be brought to your attention through inspections. . '\ . ~ : i~"i' '\; < -.~ '.' , Liability and prope!.ty'damage insurance: Contact your insurance agent to see if you have adequate insurance coverage''for \ acci.dent~s af}d ,omission,S sl)ch as f~lIing.tools, ,pai~lt ov~rspray:, dmTlage ,frorp pipe p,Ul!c.tu~es, fire, or wor~ that must be re-done. " , , ' . . . . ". . ';..!'~. r' I ,!' . . time to s~perYis~'emph;y~es: Mak~ ;m'e youha~e'sufftcient . T . . .-:~;.- supervise y()urempr~y.e~~:' ..' '. ~ _ "j' . . . P"" !.' . I ; ~ . . ! _ Expertise: Make sure you hai(e the expertise to act as your own general contractor, to coord inate the \vork ofr.oug~- in and finish trad'es~ Ufld to:not'ify btriidin'g off1cia~)s at the appropriatc"tlrires s'(},they'can pe!:forni"the required inspedti6Y1S. -.... c~, ~--, ~..' ." 01. "0', .f:J ':.i:~'~ :i't!. ,:,... .... -:_.;.,__..~.': '; )",-,.J! ,:,,.., 'f_' If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052, 503/378-4621). The Board 'is located at 700 Summer S1. 300. in Salem. , .~. " 1- ,. ~ '-. . ~ i i . Jo prop-own.pm4 l/94 ..'\..... "