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Home My WebLink AboutPermit Building 1999-4-23 ~~,~ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990443 225 North Fifth Street Springfield, OR 97477 . Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 930 R ST Assessors Map #: 17032613 Lot: Block: Tax Lot #: 05700 Subdivision: Owner: ROBERT STRUNK Address: P.O. BOX 370 Phone #: 935-1178 City/State/Zip: NOTI OR,97461 Describe Work: SUN ROOM ADDITION NEW Contractor Const. Contractor # Expires Phone 3,S.') ~ T,::,,-=,l... , -.....--- -- -- 90G9G04 Xc~3e~~ 97JOJOO~ 00(;%Q4 I'.::!:lL-=":" ~ 97J030008 J,.O/01/9J ~: ::1: . General: ROBERT STRUNK -3-5-2: .:c:\....}\. ::... :~ Electrical: ROBERT STRUNK ~(,1/?3 ~J-:::;:::; QUAD AREA: 2RNW 'OFFICE USE LAND USE: 1111 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 --- SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. N S W 5 Setbacks E Lot Faces: S House Item Main Garage MODIFY SUN RM.-CODE Total Value BUILDING PERMIT --- Square Feet x $/Square Feet Value 0.00 0.00 2,500.00 2,500.00 Building Permit Fee Surcharge/Admin 38.50 3.09 TOTAL FEE (A) 41. 59 Job Number: 990443 Page 2 --- MISCELLANEOUS PERMITS --- Surcharge/Admin PLAN REVIEW FEE ELECT. PERMIT. ?p~..?,~ ~~r.<~ 0.00 28.8J, 37.80 TOTAL MISCELLANEOUS PERMITS (E) -62.5J ~?$e> (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D,. and E combined) ~-= I ~:.- --- 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. Received By: Plans Reviewed By: DON MOORE Date: 04/22/99 Building Site Reviewed By: BOB BARNHART --- ADDITIONAL COMMENTS --~ ENCLOSED SUNROOM SHALL REMAIN UNHEATED, AND SHALL NOT BE USED FOR HABITATION. 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. 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. ~~-fi~ Signature ~. t~. ('7'71 Job Number: 990443 --- VALIDATION Receipt Number: ? .:::3~ 2""'3 , . Date Paid: ~ -2'"3..~ Amount Received: 7~. ~'9 r Received By: ~ .. Page 3 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726~3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION q~tJ 'AJ/;:\ r I ..... - LEGAL DESCRIPTION .' /7tJ3 2~ /,~ n,?,?tJO JOB DESCRIPTION )J4 tI.,/, ,zyLC/AtJU /.1' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ' Address l-, ~.~.;. City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners NameY~~, JlA'PVK.. Address P,Oj&N ~70 Ci ty )le(/ q 'l~(,,/ Phone:9-j~"" //?B OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ELECTRICAL PERMIT APPLICATION Ci ty Job Number: 7/0-113 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi~Family per dwelling unit. Service Included: 1000 sq. ft. or less Each additional 500 sq. 'ft or portion thereof Each Manuf'd Home, or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations 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 Only Items Cost Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Altera~ion or Relocation 200 amps"'oY'less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 ~ One Circuit J Each Additional Circuit or with Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 see ."B" above ,. $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ s5~ - J."1S' J,o~ Wo Permit#: 97'04.3 , " . Address: 930 X?,/ .S'T Issued by: ~~.-..? Date: , r~~-~ 02~~ ( " '" 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 buildingpermit 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 1 and 2, and either box 3A or 3B: ./ ~ 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. OR ...~, 38. I will be my own general contractor. If! 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 notify the office issuing this building permit ofthe name of the contractor. I hereby certify that the 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. ~~ (Signature of permit applicant) /1'~. J.- g~ )rf(~ ~ (Date) (White copy to issuing agency permit file, pink copy to applicant) -~ . , \' ~ '....' .-. .. ,'nform?tion N~t,ice to Property ?wners About Construction Responsibilities (::::"~~."-':~ " ... ._~ ....::..:; .<...., ". '" Notc: This Information Notice to Property Owners about Conftruction Re.~ponsibilitics was developed by the Construction ':ontractors Board 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 knd areas of concem. EMPlOYE:R RESPONSIBILITIES: If you hire persons not registered with the Constru ;tion Contractors Board to (0 labor in constructing or assisting in the construction or improvement of a residential structur;, you will, in most instances!, be ruled to be an employer and the people you hire will be employees. As the employer, you m 1st comply with the following: I , I 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 tax payments eve 1 if you don't actually withh6ld the tax from your employees. For more infonnation, call the Oregon Dept. of Revenue at 94~ -8091. Unemployment insurance tax: As an employer, yo I are required to pay a tax for unemploYlnent insurance purposes on the wages of all employees. For more information, call tIce Oregon Employment Department at 378-3524. . :, . Worker's compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and Plust obtain.workers' cOT:npensati~n insu:ance for your.em}loy~es. If you fail to obtain ro~k~rs' compen~ationinsuran~e, you ~:la{ be subject to penaltIes and WIll be lIable for all chum costs If one of your employees IS lUJured on the Job. For moremformabon, . call the Workers' Compensation Division at the Depar tment of Consumer and Busidess Services at 945-7888. u.s. Internal Revenue Service: As an employer, YOl must withhold federal inco1TIe tax from employees' wages. You will be liable for the tax payment even if you didn't actually Nithhold the tax. For more in~ormation, call the lnternal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: '. Code compliance: As the permit holder for this projel :t, you are responsible for res( lving any failure to meet code requirem~nts that may be brought to your attention through inspecti Jns. Uability and property damage insurance: Contacl your insurance agent to see if you have adequate insunmce coverage for accidents and omissions such as falling tools, paint ( verspray, water damage fron1 pipe punctures, fIre, or work that must be fe-done. Time to supervise employees: Make sure you have ~ ufficient time to supervise our employees. Expertise: Make sure you have the expertise to act as {our own general contractor, t J coordinate the work of rough-in and linish trades, an~ to notify building officials at the appl Upl;at: times so they can perf<;>rm th ~ required inspections. If you have additional questions, write or call the C( nstruction Contractors Boar( (pO Box 14140, Salem, OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem prop-owIl.pm4 1/94 SP-001