HomeMy WebLinkAboutPermit Building 2005-12-23 (2)
'-
CITY OF SPRINGFIELD"
Building/Combination Permit'
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01617
ISSUED: 12/23/2005
APPLIED: 11/16/2005
EXPIRES: 06/23/2006
VALUE: $ 29,376.00
SITE ADDRESS: 1406 CARTER LN
ASSESSOR'S PARCEL NO.: 1703253309200
Springfield TYPE OF
Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Residential
Owner: JAMES GALLOWAY
Address: 1406 CARTER LN
SPRINGFIELD OR 97477
Phone Number: 541-746-0124
I'
Contractor Type
General
Contractor
JOSEPH J CARR
ATTENTION: Oregon law requires you to
TOIIOW rUles aaopleu uy lilt: VI t:!::IUII U lllllY
I CON~m'fal1a,ltli)1WA11ml'l1Ies are set forth
in OAR 902-U01-U01 u mrough OAR 952-001-
0090. You may obmikm$~S ofWt"pwatiolv Date
calling the cente7J~440te: the tele~111v.:f3f2006
I BUILD1NG~~!l~1~3~1~~~31~~)l:llcauull
Phone
541-344-7331
# of Units: # of Stories: 1 Lot Size:
Primary Occupancy Group: R-3 Height of 14.00 Sq Ft 1st Floor: 306
Secondary Occupancy !ype of Heat: 'orced Air Electric Sq Ft 2nd Floor:
Yrimary Construction Type VN Water Type: Sq Ft Basement:
Secondary Construction Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Path 1 Sq Ft Other:
Sprinkled n/a Occupant Load:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
I DEVELOPMENT INFORMATION I
RtJm;~; XP Rt f tHE WdMWUlRED PARKING
lJ~iRM'T SHALL E I ",
~;:AlllffiU\'ZEO UNDER THIS PERMIT IS R ~~~~capped:
Pavt{l~O OR IS ABANDONED Fa Compact:
% of~Y<100GAV:PERIOD. 42.70
44.00
!pUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains
Curbside 5'
Curb and Gutter
Notes: Storm drainage piped to curb face 11/17/2005 CAS
I Valuation Description'
. Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 3
-:jlF.;.fiI
wac.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGf11ELD
Building/Combination Permit
PERMIT NO: COM2005-01617
ISSUED: 12/23/2005
APPLIED: 11/16/2005
EXPIRES: 06/23/2006
VALUE: $ 29,376.00
DweJlinl!s
V Wood Frame
$96.00
306.00
$29,376.00
$29,376.00
11/16/2005
Total Value of Project
Fees Paid-l
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amount Paid
Date Paid
Receipt Number
$164.87
$25.37
$17.76
$253.65
$85.00
$7.53
$150.53
11/16/05
12/23/05
12/23/05
12/23/05
12/23/05
12/23/05
12/23/05
1200500000000001729
1200500000000001857
1200500000000001857
1200500000000001857
1200500000000001857
1200500000000001857
1200500000000001857
Total Amount
$704.71
I Plan Reviews I
Initial Review
Planninl! Review
Public Works Review
11/16/2005
11/16/2005
11/16/2005
11/16/2005
11/29/2005
11/17/2005
APP LLH
APP T AJ
APP CAS
Storm drainage piped into existing
to curb face 11/17/2005 CAS
Structural Review
11/16/2005
12/21/2005
APP RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00
3.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insnections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
2 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMITNO: COM2005-01617
ISSUED: 12/23/2005
APPLIED: 11/16/2005
EXPIRES: 06/23/2006
VALUE: $ 29,376.00
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 701.005 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 win remain on the site
at al~es during construction.
(~h/oOP /J~_ /A-~~-~<
ie; or Co~traetors S;;n~ -
..,
Date
3 of 3
Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us .
Permit #: CO /IV\ 'Z..D~, S - 0 /61 7
Address: ill 0 b c;1 <L \Efl
Issued by:
bv:S
L;/
( z../2-7/0 r
I I
Date:
,~tatement: Information Notice to Property Owners
. About COlJstruction Responsibilities
~ ., , . .
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed With the Construction ContraCtors Board to sign the following statement before a building
permit dm 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 stq.tement. This statemen,t will be filed with the permit.
Fill in the appropriate blanks and,initial boxes I and 2, and either box3A or 3B:
Kl.
~.
Iff 3A. My general contractor is
---.
I own, reside in, or will reside in the completed structure.
I understand that I mu~t become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
~ <SJ C~/+. crAIl-I/'--
(Name)
7 7 ~ Cf(
(CCB #)
. ,
I will instruct my general contractor that all subcontractors who work on the structure must be
..licensed with the Construction Contractors Board, .
OR
.1J1: 3B. I will be my own g~neral contractor.
)
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If! change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately riotify 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 do un.derstand the Information
Notice to,Properi)r.Owners about Construction Responsibilities on the reversesid~ oft~is form.
-?7~ 0,Jfl ~ j~-::J,~ -6,\
. / (Signature of permit ~ant) , (Date)
,/ . (White copy to issuing agency permitfile, pink copy to appl~cant)
Property _ owneLdoc 06-01-04
Acting '''a s' Your: Own eneralContractor?
J ,~, , ~
, -. iNFORMATrbN NOTICE PROPERTY OWNERS.
. ;,. , ~ A~OUT CONSTRUCTION ,RESPONSIBILITIES
~.~
,... NOTE: This Information Notice to Properly Owners about Construction Resp~nsibil~les was de~elo;ed 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 concerns.
Employer Responsibilities
You will, in most instances, b~ 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 of a residential structure. As the employer, you must comply with the foHowing:
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 Department of Revenue' at 503-378-4988.. .
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes"'"
on the wages of an employees, For more information, can the Oregon Employment Department at 503-947-1488.
-'"
The Oregon Business Identification Number (BIN) is a combined number for both 'Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.html1 for the
'" ... ... \-
appropriate forms. " . .
Workers' Compensation Insurance: As. an employer, you are subject to the Oregon Workers' Compensation Law, .-
and must obtain workers' compensation i~surance for your employees. If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be liable for allc~aim costs if one of your employees is injured on the
job. For more information, can the Workers' Compensation Division at the Department of Consumer and Business
Services at 503-947-7815.
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 1-800-829-4933 or visit their web site at www.irs.gov.' .
'.
, '..1.
Other ,Responsibilities and 'Areas 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 yOU! attention thro~gh inspections.
Liability and Property Damage Insurance: Contact your imiurand~ agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone.
l
Time: Make sure you have sufficient time to supervise your employees...
.J .~:-
. ., . .., .~. ~ .
Expertise: Make sure y~u have the sk1ns'to act as yout o~' gerieral contractor, to cootdinat~ the. work of rough-in
and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections.
If you have additional questions can the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
Property_owne'r.doc 06-01-04
225 Fifth Street
SpriIigfieid, Oregon 974':17
541-726-3759 Phone
'ty of Springfield Official Receipt
.a.1evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-01617
COM2005-01617
COM2005-01617
COM2005-01617
COM2005-01617
COM2005-01617
P~yments:
Type of Payment
Cl~eck
..
l'
I
;1
M
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f!{;,
'I
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12/23/2005
:1
RECEIPT #:
1200500000000001857
Date: 12/23/2005
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SONYA GALLOWAY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 7098 In Person
Payment Total:
1 of 1
9:13:49AM
Amount Due
150.53
7.53
85,00
253,65
17.76
25.37
$539.84
Amount Paid
$539.84
$539,84