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Home My WebLink AboutPermit Plumbing 2003-10-24 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01081 ISSUED: 10/24/2003 APPLIED: 10/24/2003 EXPIRES: 04/24/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1747 CARTER LN ASSESSOR'S PARCEL NO.: 1703253217100 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace sanitary sewer Owner: RAY JENIFER Address: 1747 CARTER LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: R-3 ~ Height of Structure ,0 _.:$q Ft 1st Floor: ~ ~"rype of Heat: ~o..;:, ~'S8-Ft 2nd Floor: VN ~ {:> Water Type: 0':;) ~.;j #q~ B!,sement: ~ '" ~ ~~ange Type: ~ ~ 0 OJ ~~t,'G~age/Carport ~ # ~ Energy Path: ,(lj~ 0,0 ~ ~~q~ Ql~~ .o.$f ~ ~ rt ~0 '::,flJ':;) O~ ~n~~s Surface Area: 'I~'~ ~ ~ ",-: ..::t r. 10.. ~0 .x~ .;:y ~ <J:>~( DEVELOPMENT INFO~'~'l~..;:,~ 0':;) ~0"'" ~o~~. SETBACKS ~~<<; '2:J ~ no. .0 ~ ~ o~ 0~'# # REQUIRED PARKING ~ .:s '\: s::>v ~. o"<~. ~~ v Cf ~ 0; Front yard Setback: &. ~ $:) ~ ~ Overlay Dist: 0 ~~ # ~ ~l::- ~ ~ ~ Total: Side 1 Setback: ~ ~4f ~ ~ -A~ # Street Tr~~~:00 " if~. ~ ~- Handicapped: Side 2 Setback: ~ ~ _.f)~ 0~ <::)~. Paved Dri.4-Rq~:o''' ~ ~ 0~ 0,0 ~ Compact: ~~~~ ~~~~~v0~ Rearyard Setback: ~ ~ ~ % of Loi'"C~e~e'0 ~ ",,0 ~ ~v " \::5 ~ ,v '~3f ~o ~'~ Q' Solar Setbacks: G ~ ~ ~ . . ~ ,0 t.' ~ -~ ,9_S' \S:'i' t,(> I PUBLIC IMPROVE~~ f ,- Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pae:e 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtI 100' Total Amount Paid l Fees Paid I Amount Paid $5.90 $4.13 $45.00 $14.00 $69.03 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01081 ISSUED: 10/24/2003 APPLIED: 10/24/2003 EXPIRES: 04/24/2004 VALUE: Date Pliid Receipt Number 2200200000000001687 2200200000000001687 2200200000000001687 2200200000000001687 10/24/03 10/24/03 10/24/03 10/24/03 To Request an inspection call the 24 hour recording at 726-3169. All inspection 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 d~ ' n , I Reouired Insoections I 1 Sanitary Sewer Line: Prior to mUng t,rench and including required testing. 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 certif,y 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 701.005 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. - ~.~ ~/(~ Owner - ntrn~gnatnre (\ Pae:e 2 of2 ,,11<--n t:Y--o-S Date Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5057 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: C.D l--I\. . '- .:J ~ - 6 l 0 ,~ \ Address: l7. 4--"\ LN\Z-\ ~R 'lA-~~ Issued by: '.J t'A.. ? Date: (0 - L...~- C~ ~ Statement: Information Notice to Property Owners About Construction Responsibilities , ' Note: Oregon Law, ORS 701.05S(4) requires residential construction permit applicants who are not licensed 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 licensing under ORS 701.010(7),' need not submit this statement. This statement will be filed with the permit. ,Fill in th~ appropriate bJanks and initial boxes 1 and 2, and either box 3A or 3B: ~. 1. I own, reside in, or will' reside in the completed structure. D 2. ' I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. D ,,3A.My general contractor is (Name) (CCB #) '. - " I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. flf' OR 3B., I will be my own general contractor. If! hire subcontractors; I will hire only subcontractors licensed with the Construction Contractors Board: If! change plY mind and hire a general contractor, I will cO,ntract with a contractor who is licensed with the CCB and will immediately notify the, office issuing this building permit .of the name ofthe contractor. I hereby certify that the above information is correct and that I'have read and do understand the Information, ' Notice to Property'Owners al?out Construction Responsibilities on the reverse side of this fo~m. ~ \1-0 I d~'-()&-~U~ ature ofpcurlrapplicant) (Date) ite cop}}o issuing agency permitjile, pink copy to'applicant.) ~~ ~i Property- owner. doc 03/11/03 . Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information 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 0\V'll 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 concerns. Employer'Responsibilities ' You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement ofa residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an e~ployer, 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 a State Business ill number, call the Business Information Center at 503-986-2200. 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 Department at 503-947-1488. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensatjon insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties, and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 50J-947-7815. 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 a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. Other Responsibilities and Ar:eas of Concerns 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 Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water daniagefrom pipe punctures, fire or work that must be redone. , Time: Make,sure yotfluive sufficient time to supervise your employees. , . Expertise: Make sure, you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and t6 notify building officials as the appropriate times so they dm perform the required inspections. " If you have additional questions call the Construction Contractors Board (503--378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 03/11/03 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1 081 COM2003-0 1 081 COM2003-01081 COM2003-0 1 081 Payments: Type of Payment Check Receipt #: 2200200000000001687 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By JENIFER RAY Received By Jmp Check Number Batch Number Authorization Number 3460 City of Springfield.OfticUlI Receipt Development Services Department Public Works Department Date: 10/24/2003 11:58:37AM- Amount Paid 45.00 14.00 4.13 5.90 $69.03 Item Total: How Received In Person Payment Total: Amount Paid $69.03 $69.03