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HomeMy WebLinkAboutPermit Fence 1993-8-2 (2) ~ " . . SPRINGFIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 .~... Construction By signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on this.application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. P.:r:ct-< Signature ~, /J1--W ?- z_?' Y Date FOR OFFICE USE . Date of Application: B . ~ . q-::s Receipt 11 qf\4-fJ ~ Issued Total Amount Collected: ~ ~ . y\O, B I: Cl?(jJ C\1-9 By: .\,f\ ^ ---\ j IA../ "---./ Checked for Delinqu~nc;es: Checked for Historical Status: ~' . .. . . Permit No: q~,Lo ~ Add,,,. -3:!~:fJ( 111 ~~'1i Issued bYtJv(~ 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. Fill in the applicable blanks, and ini 'al boxes 1 and 2, and either box 3A or 3B: I f\ n.d, . Q... I d 1. I I o~esl e I ,r resl In tne comp ete structure. 2. I I I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. - .0.-.." .... i j 3. A. K-A My general contractor is (\ lrjr'LrYt .[}l,u r LJc\tl ~ / Contractor registration number [QCYJJf+ . 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. B.I I 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 reverses;::iS~ m~~ 32-~> ro"",, ofl"""" Aool'"" D", CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FJ.WiIIIIIII PINK COPY TO APPLICANT ~ . . " - '~ INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOfE: This Inforr~ation Notice to Property 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 or 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 nol 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, you must 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 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 insurance, you may be subject to penalties and will be Hable 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 actually withhold 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 resolviog any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, 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 appropriat.e times so they can perform the required inspections. If you have additional questions, write to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 ...----/ ~\10/24/89 ~- .. COMMERCIAL/lNDUSTRIAL PERMIT APPLICATION .. JOB NUMBER CJ =<'0,0; I~ ~ 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 3c>So G.o.J.....7 110'2. 2d.;l 0 OWNER' ~c:! ::r;. d...s./..~,s. ~.Ptl- L{ Nf.Q...J ADDRESS: 3o~o G".Jr.tu4 {DOn SF~ ~t II I ()t<. CiTY' STAT'" DESCRIPTION OF WORK' AdJi;-t-'-.oV\ n()O .,., --... NEW REMODEL ADDITION ....- DEMOLISH ASSESSORS MAP: ARCHITECT' NAME GMt fYIa,e - /Jf"C.k.. fe.d CONTRACTOR'S NAME ADDRESS GENERAl' c;;.,d :::r..d.4.j.,..;,3, C!.rtcPr+ (j...lo-J PLUMBING' MECHANICA' . 41 1 ELECTRICAl' PLUMBING NO, q Single Fixture Relocated Bldg. (new fix. addtl) Water Service Sanitary Sewer It. / - Storm Sewer I L~It. BackfJow Device TOTAL PERMIT OUAD AREA: '10 It )lU # OF BLDGS' OCCY GROUP' . OF STORIES' SQ. FTG MAIN SQ. FTG ACCESS SQ. FT. "2/~ SQ. FTG OTHER It. I FEE CHARGE I /0 rd>~.... 1 1 1 1 -:z :5:-1 1 1 1 1 I 1 ,&&:-1 INS PECTIO N LI N E: 726.3769 OFFICE: 726-3759 t<<,,, 1 , -S,';")",~" t.-d c! 0... I ' TAX LOT: . 97'177 ()::2,'I)(] PHONF' 7'11- 2tdJ5 ~ ; 00/ (1n.-k,e-f: ~'x>r.-.A./I/Y\cv,"::))o2R ZIP' 97'1'77 OTHER VALUE: ADDRESS PHONE CONST. CONTRACTOR' jJf,.. EXPIRES PHONE !JIll 7'11" 2,,"0.5 MECHANICAL I l""1-I.Q.Rnl= - \ 6. I I I I 1 I 3 I I I I $1000 1 /~ -=-1 NO """ I Furnace/ burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs I Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stat ionary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Permit Issuance TOTAL PERMIT M-A' -0f5C~~; LAND USE , ,~j) , . OF UNITS' CONSTR. TYP'" HEAT SOURCF' X $/SQ. FT. '7? Sa HANDICAP ACCESS: FLOOD PLAIN: tY' ) ZONING: LIGHTING POWER BUDGET: WATER HEATER' VALUE <9/.6// ~ PLAN CHECK FEE /ffi,/,03 ~~,... ~~"j( .~,. -.D #Ar(,Mir ~,..-y- RCPT' S<8Jb ~QIAL.YALUE OF PROJECT Zt::; ..8 ~ DATE~"" BY - ~" l-J&J..... - 1 BUILDING PERMIT 5% State SurcharQe MECHr~CtV:;;>) -ff_ 15% S-tate Surcharae 1 PAVI NG X X t,I?'~ -- PLUMBING € 5% State 2.,:::>. Surcharoe /4/1> - 1 FENCE /;~ ""'" VALUE $ .. ....~ 1 SIDEWALK . .,ro / ;7 FT. I CURBCUT ~4?r$ /7FT. ()Fl, ~5:'- ~2~ DEMOLITION I /I~_,~ 'J,'AfI'4I'1I!. .P"""-~~ 1 -.By. - 1 ~~.~ 1 'J N :1.-'1 =1-' 7.. .jft Sb-05W.. /3 5"6'9/. 5~ I ~ _".-- SUBTOTAL /J? -:;>".;> PERMITS _I SYSTEMS /2-.J <:::> DEVELOPMENT . TOTAL PERMIT FEES I EXCLUDING ELECTRICAl .. .. REQUIRED INSPECTIONS }1II1' It Is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call 726.3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, , ELECTRICAL & MECHANICAL: To be made before any work is covered. y FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel in place, but prior to placing concrete. CONCRETE SLAB: To be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but before any concrete Is placed. )( UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. \I UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. ~ POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. tx' FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Sleel location, bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. Y FINAL PLUMBING JI FINAL ELECTRICAL IX X FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENT~. ;( ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. PAVING: After gravel Is In place but prior to placing asphalt or concrete. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING:. During all bolt installation and tightening operalions. (306 a.6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.BC. STDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) *In addition to the inspec- tions specified, the Building Official may make or require other Inspections of any construction work to ensure compliance with the Building, City or Development Code. SITE PLAN REVIEW BOARD: Must be requested 2 days In advance of the date you wish inspection. All profect conditions such as landscaping, parking lot striping, etc. must be completed before requesting this Inspection. , 5~~/. 99.~l./ "\d ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing Inspection. )( FRAMING: To be made after the roof, all framing, fire blocking and bracing are In place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Division and posted on the premises. PLANS REVIEWED BY /./.&&i . ~AT~ r /y - f~~/' JI INSULATION & VAPOR BARRIER: To be made after all Insulation and required vapor barriers are In place but before any lath or gypsum board interior wall covering Is applied. - y FIRE & SEPARATION WALL: Located and constructed ~rding to pli'~;h l. ,-""/;>- 1R?';r~ TH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, Interior and exterior, Is In place but before any plastering Is applied or before gypsum board joints and fasteners are taped and finished. 7-/~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information herein 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 Slale of Oregon pertaining 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 701.055 will be used on this proJect. I further agree to ensure that all required Inspections are requested at the proper time, that project address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans wHl remain on "the site at all times during construction. Signature ~ew ~ IYlJ~ I VALIDATION: AMOUNT RECEIVED: RECEIPT #. tit .x SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavating complete and form work and sub-base material in place. .Y CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ,y Oat? 7-/-';:3 DATE PAID: RECEIVED BY: 7-/-::7~ --;:?' ~ ~/"' - ) " , 4 .,,/ .".. .".,~ .. eeoB NO. ,"1307'1" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: H>OlJ INOtJ$-r/lJES Cre.i;:.orr UN/DN LOCATION: 3o~o GR-rEWA'/ Loop /703?-7-"2-0 - 03600 DEVELOPMENT TYPE: Cc: AJ){?I-r/~N BUILDING SIZE: If, 57 So..Fr. LOT SIZF 1JDE. S ND" IWUtJpt; If""" f/~ 1. STORM DRAINAGE SQ. Ft. IMPERVIOUS SQ. FT. N. A . X $0.i92 PER SQ. FT. c ) - --- 2. SANITARY SEWER-CITY NO. OF PFU'S ~ X $39.78 PER PFU (See Reverse) fI1b 3. TRANSPORTATION 111 _/)/lJVf IN SfWIN6S ~ '-l>'t'" t., 2 ..,-: ~ CoDe "~2. ~~I.'E 1.4 8AI<l.(c:. [/tiP fVfre ~ rc.1Z. I6-S, NO OF UNITS X TRIP RATE X COST PER TRIP ~ X _'J8.tJu-X $401.05 -1. (A~/_ X t. n X $401.05 GZ7'6i;) ---- ---- ~-nv~ #!> ....... --- [{/' - '-16;8--- $ SUBTOTAL (ADD ITEMS 1,2, $ ,_ _. .......z.v Z '7 & 3) $ L~~ - .j.gt7 --- X X $401.05 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~" ($ ~) '}..<to :.-- .----.--- :z. TOTAL-CITY SOC $N'}..L/7~ ?oS'b ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S N. A. x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) Jt-!. ~~L".k -'() Kip Burdick SDC Coordinator ~/1/13 $ TOTAL-MWMC SDC~-lr ~ ~ ,-;---~ r c: I? TOTAL SDC $ 1~7'" ~ ~ '6 - ~7/1i1~ . /:::'~..k- , FIXTURE UNIT CAlCULATMABlE: Number of Ne~ Fixtures X Hivalent = Fixture Units (NOTI/' For remodels, calculate only the NET additional fixtures) \. .- \ . -'"- . FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Bathtub....... .................. .............. ......................... ...... Drinking Fountain..................................... ,.:...... ....... Floor Drain.....................................................::......... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/AutoWash/Etc..................' Laundry Tub /Clotheswasher............ ....................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, Commercial............................................. Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet Private............................................... Miscellaneous: 2 1 2 3 6' 2 6 6 1 3 2 l/Head 2 2 1 6 4 I ~ , 'rOTAL'FIXTURE,UNITS 7 CREDIT CALCULATION TABLE: jlCulate cred::;:rates. Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 .1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 .1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Improvement Cd after annexation date) X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ --b- Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS F(;>R STORM DRAINAGE Residential........................ ................. ............... 0.4 COmmercial..................,............:....,................. 0.9 IndustriaL..........:..........,.......... ......................... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT