HomeMy WebLinkAboutPermit Building 2006-2-10
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlon Line
SITE ADDRESS: 6942 IVY ST
ASSESSOR'S PARCEL NO.: 1802022306700
PROJECT DESCRIPTION: Elevated deck
Owner:
.. Address:
JULIA MCBRIDE
6942 IVY ST
SPRINGFIELD OR 97478
Contractor Type
General
Contractor
OWNER
" # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00075
ISSUED: 02/10/2006
APPLIED: 0111912006
EXPIRES: OS/I0I2006
VALUE: S 2,880.00
Springficld TYPE OF WORK: lhock
TYPE OF USE: Ad,:i:ioll
Residential
ATTENTION: Oregon law rf;~~::~;Z\~~~,~~: 541-736-1193
follow rule~ adopted by the ureyor uu"'y
Notification Center. Those rules are set forth
~ . ~ ArA M" ""',, th",..nh OAR 952-001-
'~','::"-":.- --: -'-'~;'l copies of the rules by
I CONTRACT~?~~~~/,:~I.~~~~I?~~Note: the telephone
b f.. thl> Oregon Iltilitv Notification
num er o'l~icensc .Exllira!i'!I1 Date Phone
Center IS 1-800-""" -.:::3,+'<J.
BUILOIi'iG Ii'iF()I.~.~~..~TION I
# of Stories: Lot SiZl':
R-3 Height of Structure Sq Ft 1 sl Fluor:
Type of Ileal: Sq Ft 2ml Fluor:
VN 'Yater TYfl(': Sq Ft BaselBent:
R",,~Q))lift€E: Sq FI Garage/Carport
Ene.r~H'3'tpt.RMIT SHALL E~PIRE 1FSfl.lil W~l':':
Sprmklcd Buildmg; UNDER -I at' dc!(l!;/f./,\llj!,'&ad:
i\UrtlUMILtiJ 1 /;-, PFRMIT <: ~lnT
, DEVELOI',tj~~~{lri~)NtMNDONED FOR
.----,.,t\'ltvv "n' ....trmJD':"'"' I(EQUlRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
, Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
.'
Description
Tvpe of Construction
Overlay nist:
# Slrel'l Trees R11d:
Pa\'l'd Drive I~lld:
0/0 of Lot CO\'l'rngl':
Tufal:
Handicapped:
COJllpact:
I PUBLiC IMI'ROVI~I\!ENTS ~
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
$ Per Sq FI
or multiplier
Sl)lIal'C Footage
or Bid Am01lllt
V:lllle
Date Catculated
Page I of2
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00075
ISSUED: (J2/10/2006
APPLIED: (J1/1'i/2006
EXPIRES: ()H/I 0/2006
VALUE: S 2,880.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
DecklBalcony
Deck
$18.00
160.00
S1.XXU.UO
0111912006
Total Vallie of Project
$2~X:Hl.l)U
F~~~_..~~~.id .1
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
R{,(,l'ipl N II 111 her
$34.32
$5.28
$4.22
$52.80
1/19/06
2/10/06
2/1O/U6
2/10/06
121111600111111000000058
22U%IIIIIIIIIIUOOOOOI96
12UII6UUUUUUUOOOOI96
22I1U6UUUUOOOOOOOI96
Total Amount Paid
$96.62
I Plan Reviell's ,
01120/2006 01120/2006 APP LLH
01/20/2006 01/26/2006 OK TAJ
0112012006 01123/2006 APi> CAS
Initial Review
. Plannin~ Review
Public Works Review
Structural Review
0112012006
0210912006
API' DLl\1
No PI:1I11!!!1g b~lIcs.
No SUC ke del'k over existing deck
1/1.1110\16 C. \5
See l'OlllllH'nfs for Plan review
l'UlIllllt'nlS.
To Request an inspection call the 24 hour recording al 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections J'l'q\ll'sted after 7:00 a.l11. will be made the following work
day.
I ReD.~~.ir~,~sne~.'i~~~J
Foundation: After forms are erected but prior to eoncrele placement.
Framing Inspection: Prior to cover and after all rough in inSpCl'tions have heen 3ppro\'('d.
Final Building: After all required inspections h:l\'(, ht'l'1I n:t)m'stl'{1 and :Ipprnn'tJ anti tilt, h!!:!dillg is complete.
'. By signature, I state and agree, that I have carefully examined the completed applicalion :lI1d do herehv certify that all
information hereon is true and correct, and I further certify that any Hud all work performcd shall be done in accordance with'
the Ordinances of the City of Springfield and the Laws of (11(' Stale of On'gon pcrtuining tu the work dcstTibed herein, and
that NO OCCUPANCY will be made of any structnre wilhout permissiou of the Community Sel'\'il'l's Ilh'ision, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 70 I.OOS will hl' used on this project.
I further agree to ensure that all required inspections are rcqllested al the proper time, that l'<Il'h lHidn.'ss is readable from the
street, that the permit card is located at the front of the prop,'rty, :lI1d the approved Sl't of pl"us will'Tm"in on the site at all
times during construction.
r-l~i~
Owner ~ontraetors Signature
.;L/ 10/ OlP
Date
I
P:t!!e 2 nf2
"
.
225 Fifth Street
.~.... ....
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00075
COM2006-00075
COM2006-00075
Payments:
Type of Payment
Check
If I
:t
-
'u
y"
.If,'
:(
'n,
'}'
.'
2/10/2006
'(
.
RECEIPT #:
Description
Building Pennit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JIMMIE & JULIA MCBRIDE
8~j
~:
..ity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
2200600000000000196
Date: 02/10/2006
1l:33:13AM
Item Total:
Check Number Autborization
Received By Batch Number Number How Received
njm 888 In Person
PaYIIll'lIt Total:
Amount Due
52.80
4.22
5.28
$62.30
Amount Paid
$62.30
$62.30
<;'
Page 1 of 1
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Pemrit#,(} ~.-b7 S
Address: D/14;;( =z:vy Sr-
Issued by:(l. mat MMDate: C) II b) 6 ~
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
_.i
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". .."
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential constroction permit applicants who are not
licensed with the Constroction 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 befiled with the permit.
Fill in the "pp,vp,;ate blanks and initial boxes 1 and 2, and either box 3A or 3B:
1:1.
~~2.
I own, reside in, or will reside in the completed structure,
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
i
(Name)
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. Ifl change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I herehy certify that the ahove 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.
ab~ ~ -tfl1e164 h
(Signature of permit applicant)
~4J!f-~
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 06-01-04
..
A.dnnn~ ~~
. ~ J .
INFORIIIlATION NOTICE TO PROPERTY OWNERS
ABO,UT. cq~ST~UCTION RESPONSIBILITIES
.-
Y <IDUllJr
.
(Q)WIID (QlelIDlell"~n C<IDnn~ll"~d<IDrr<?'
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 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.
JEmjpilloyeJr ReSjpiOIlDSnlbillWes
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 Contrac,tors Board to do labor in constructing or to assist in the
construction or improvement of a residential structur!l. 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 DepartmenfofRevenue 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 all employees. For more information, call the Oregon Employment Department at 503-947-1488.
The Oregon Business Identification Number (BIN) is a combined nwnber for both Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll. for the
at'pl."'pl.~ate fonns.
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 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 ofConswner 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 I -800-829-4933 or visit their web site at WWW.irs,l!OV.
OtllD.ell" JResIPollll~nlbnHW.es alllld! All"e21s of COIlnceJrllllS .
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 Insnrance: Contact your insurance 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. .
Time: Make sure you have 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 to notify building officials as the appropriate times so they cap 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 06-01-04