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Home My WebLink AboutPermit Building 2008-1-14 -~=iiiI Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 334 BROADWAY ST ASSESSOR'S PARCEL NO 1703263404600 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00055 ISSUED. 01/14/2008 APPLIED' 01/14/2008 EXPIRES' 07/14/2008 VALUE' $ 1,00000 Spnngfield TYPE OF WORK Smgle Family ReSIdence PROJECT DESCRIPTION Add mtenor wall for new bedroom Owner ROACH-BRENINGHOUSE W W & D B Address 334 BROADWAY SPRINGFIELD OR 97477 TYPE OF USE AlteratIOn ReSldenllal I CONTRACTOR INFORMATION I Contractor Type General Electncal Contractor OWNER OWNER License ExpiratIOn Date Phone BUILDING INFORMATION I # ofUUlts Pnmary Occnpancy Group Secondary Occupancy Group Pnmary Construcllon Type Secondary Constl uctlOn Type # of Bedrooms R-3 # of Stones HeIght of StructUl e Type of Heat Water Type Range Type Energy Path Spnnkled BUlldmg VB n/a Lot SIze Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Garage/Carport Sq Ft Other Occupant Load I DEVELOPMENT INFORMATION I Frontyard Setback S.de I Setback Side 2 Setback Redryal d Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dllve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer Available SpecIal InstructIOn Notes NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I of 3 REQUIRED PARKING Total Handicapped Compact Sidewalk Type A~ml'6'i-l'uef~g8hnfilw requires you to follow rules adopted by the Oregon Ulility NotificatIOn Center Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtaro copies of the rules by callrog the center (Note the telephone number for the Oregon Utility Noliflcatlon Center IS 1-800-332-2344). Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00055 ISSUED 0I/14/2008 APPLIED. 01/14/2008 EXPIRES' 07/14/2008 VALUE. $ 1,000.00 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspecllon Lme I ValuatIOn DescrmtlOn I B,d Amount Use BId Amount $ Per Sq Ft or multIplIer $100 Square Footage or B,d Amount 1,00000 Value Date Cdlculated DescrIptIOn Tvpe of ConstructIOn Total Value of Project $1,00000 $1,00000 01114/2008 Fpp" ~ Fee DescnptlOn + 10% AdmmlStrallve Fee + 12% State Surcharge + 5% Technology Fee BUlldmg PermIt Plan ReVIew ResldenIlal Amount PaId Date PaId ReceIpt Number $500 $600 $250 $50 00 $32 50 1114/08 1114/08 1114/08 1114/08 1/14/08 1200800000000000032 1200800000000000032 1200800000000000032 1200800000000000032 1200800000000000032 Total Amount PaId $96 00 I Plan Reviews I Structural ReView 01114/2008 01114/2008 APP DLM All plan review comments J.re on the submitted documents To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7 00 a m Will be made the same workmg day, mspectlOns requested after 7:00 a.m. Will be made the followmg work day. I Rpf1ll1rprlln~,nechonl\ I Frammg InspectIOn PrIor to cover and after all rough m mspectlOns have been approved Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete Rough ElectrIC PrIor to Cover Fmal Eleclllc When all electrIcal work IS complete Paee 2 of 3 By Slgndture, I slate and agree, that r have carefully examlDed the completed apphcatlOn and do hereby certify that all IDformatlOn heleon IS trne and correct, and I further certify that any and all work performed Shdll be done ID accordance wIth the OrdlDances of the CIty of SprlDgfield and the Laws of the State of Oregon pertallung to the work descllbed hel elD, and that NO OCCUPANCY WIll be mdde of any structure wIthout permiSSIOn of the CommuDlty ServIces DIVISIOn, BUlldlDg Safety r further certify that only contrdctors and employees who ale ID comphance WIth ORS 701 005 WIll be used on thIS project 1 further agl ee to ensure that all reqUIred IDspectlOns al e requested at the proper time, that edch add 1 ess IS readable from the street, that Ihe permIt card IS located dt the Iront of the property, and the approved set of plans WillI emalD on the sIte at all times durmg construction ~jd _M~ I1h / V' v_V f/- Owner or Contractors SignatUl -_.,.."~~ ~ Status Issued 225 F,fth Streel, SprlDgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe Page 3 of 3 CITY OF ~t'Kll""l..l'iELD Building/Combination Permit PERMIT NO: COM2008-00055 ISSUED 01/14/2008 APPLIED' 01/1412008 EXPIRES. 07/14/2008 VALUE: $ 1,000.00 JlJN /1 ot Date - 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 Perrmt# ('AJYPP 2-6lr9'ib -0 ~o ;,-..) Address .?~~ /0~)>4'~ Issuedby .~~~ Date ~/~~tlfj Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requtres restdentlal constructIOn permit applzcants who are not licensed with the ConstructIOn Contractors Board to szgn the followzng statement before a bUlldzng permit can be zssued This statement zs reqUired for residential bUlldzng, electrical. mechanical and plumbzng permits Lzcensed architect and engzneer applzcants, exempt from lzcenszng under ORS 701 010(7), need not submit thzs statement This statement wzll be filed wzth the permit Fill m the appropnate blanks and ImtIal boxes 1 and 2, and either box 3A or 3B 1&1 %2 I own, reside ill, or will reside ill the completed structure I understand that I must become licensed as a constructIOn contractor Ifthe structure IS sold or offered for sale before or on completIOn -0 3A My general contractor IS (Name) (CCB #) I will mstruct my general contractor that all subcontractors who work on the structure must be licensed With the ConstructIOn Contractors Board OR 1Sr 3B I will be my own general contractor / If! lure subcontractors, I will hire only subcontractors licensed With the ConstructIon Contractors Board If I change my mmd and lure a general contractor, I will contract With a contractor who IS licensed With the CCB and will Immediately notify the office IssUIng thiS bUlldmg permit of the name ofthe contractor ) I hereby certIfy that the above mformatIon IS correct and tbat I have read and do understand the InformatIon Non;) ;:.~ Ow~~R7['--"Wiliti~"fu.~~;~r.~;': I? (Slgnaturt?lofp~lt applicant) - (Date) (WhIte copy to zssuzng agency permzt file, pznk copy to applzcant) Property_owner doc 06-01-04 'Acting' as -Your Own General Contractor? " "(' ", . INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , , , , , , . NOTE ThIs Information 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 actmg as your own 'contractor to construct a ncw home or make a substanl1allmprovement to an eXIsting structure, you can prevent many problems by bemg aware of the followm~ responsIbilItIes and concerns Employer Responsibilities , You WIll, m most Instances, ,be ruled to be. an "employer" and th<; contractors you contra7,t With will be "employees" If you use contractors not lIcensed WIth the Construcnon Contractors Board to do labor m construcnng or to assIst m the constructIon or Improvement of a resIdentIal structure As the employer, yon must comply WIth the following: , ~ ~ \ , , . Oregon's WIthholding Tax Law' As an employer, you must WIthhold mcome 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, cal(the'Department of Revenue at 503-378-4988 ,,' Unemployment Insurance Tar As an employer, you'are reqUIred to pay a tax for unemployment msurance purpos~s. on the wages of all employees For more mformanon, call the Oregon Employment Department at 503-947-1488 . , " , t'i . , , } The Oregon Busmess Identlficat10n Number (BIN) 18 a combmed number- for both Oregon Wlth\1oldmg and Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or WW\\ dor state or us/tormsoav htmll for the apl-'iVj-'.L.iate forms .' Workers' CompensatIon In~urance: As an employer, you are subject to the Oregon Workers' Compensanon Law, and must obtam workers' cV"'I"",..sanon msurance for your employees If you fall to obtam workers' compensal1on ... , t ~ msurance, you could be subject to penalties and be lIable for all claim costs If one of your employee.s IS mJured on the Job For more mformatlOn, call the Workers' CompensatIOn DIV1Slon at the Department ofConswner.md Busmess ServIces at 503-947-7815 U.S. Internal Revenue ServIce: As an employer, you must WIthhold federalmcome tax from employees' wag~s You WIll be lIable for the tax payment even If you didn't actually WIthhold the tax For a Federal EIN nwnber, call the IRS at 1-800-829-4933 or ViSIt theIr web sIte atv;}vw )IS gov J 14, _ I , Other,Responsibi]ities.a~dl Areas of C01fllcems Code Compliance: As the permIt holder for tlus proJect, you are responsible for resolvmg any faIlure to meet code reqUirements that may be brought to your attention through m,pectlOns . Liability and Property Damage Insurance. ContaCt your Insurance agent to see If you have adequate msurancc , coverage for accldenB and omiSSIons such as fallmg tools, pamt over spray, water damage from pipe punctures, fire or " ; work that mus~ be redone , , , -./ , ,,--\ ~, \ , ,. '\ . , -~ ~- \.. Time: Make sure you have suffiCIent time to supervIse your employees r \ ...... \ ExpertIse' Make sure you have the slalls to act as your own generar-contractor, to coordmate the work of rough-m and fimsh trades, and to no!Jfy bUlldmg offiCIals as the appropnate !Jmes so they can perform the reqUIred mspectlOns rfyou have addItIOnal questIOns call the ConstructIOn Contractors Board (503,378-4621) or wnte the agency at PO Box 14140, Salem. OR 97309-5052 .' , Property_owner doc 06-01-04 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00055 COM2008-00055 COM2008-00055 COM2008-00055 COM2008-00055 Payments Type of Payment Check CRCtCIOI] RECEIPT #: Descnptlon Plan RevIew ResIdential BuIldmg Permit + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By WILLIAM BRENINGHOUSE ~. A~QFlno tiI ,." - =IlL- City of Sprmgfield Official Receipt Development Services Dcpartment Public Work~ Department 1200800000000000032 Date 01/14/2008 Item Total Check Number AuthorizatIOn Received By Batch Number Number How RClClVcd dim 2125 In Person Payment Total Page 1 of 1 12 07 39PM Amount Due 3250 5000 250 600 500 $96 00 Amount Paid $96 00 $96 00 1/14/2008