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Home My WebLink AboutPermit Building 2006-9-8 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .. .- CITY OF ~rKml..t' lJ'.,LU Building/Combination Permit PERMIT NO: cOM2006-01020 ISSUED: 09/08/2006 APPLIED: 08/09/2006 EXPIRES: 03/08/2007 VALUE: $ 18,000.00 ~ SITE ADDRESS: 1621 LINDEN AVE ASSESSOR'S PARCEL NO.: 1703273201700 Spriogfield TYPE OF WORK: Interior TYPE OF USE: Alteratioo PROJECT DESCRIPTION: Convert partial storage space into living space Owner: JAMES ARMOUR Address: 1621 LINDEN AVE SPRINGFIELD OR 97477 Contractor Type General Electrical Plumhing I CONTRACTOR INFORMATION I Contractor SCHAR CONSTRUCTION INC THORNTON ELECTRIC INC CHAPIN ENTERPRISES INC License 24633 116329 81994 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Availahle: Special Instruction: Notes: I BUILDING INFORMATION I # of Stories: R-3 J}.el!J~J~M(~nctuh\UireS you to ATTENTIOT'y" pe of.Heat:the Oregon Utility \eo 'GulJ'~u u 1 t I rth VNo\loW ru 'Water Tvpe:se rules are se 0 . (.;ontef','u 52 001 NotilicatlOn Range Type:rough OAR 9 . - 52 M'\1_dO'" '" \ by in OAR 9 -Energy Path':'p"les 01 the ru es ..." (",,'+;:llp \jll . 0090. You rSprinkleil Build!n~:,e teleph(nl8' ... __ .a-h", ,-.ontp.r. lI\1Utt:.. ..,. _ _...:....."'" n,I"DEMEI;OFMENTJINEORMA '(ION I lienl\::H I;:) 1 .,-- Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Residential Phone Number: 541-521-2550 Expiration Date 09/28/2006 10/01/2006 05/06/2008 Phone 541-485-4977 541-686-4151 541-485-1146 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: ICE' F 1\-1E WORK ~~~ I'ERM\1 S\-\!\l~ ;X~~~~RM\1 IS N01 !\\J1\-10RIIED \JND~S !\B!\NDONED FOR ~~~~i~~~~ ~~R\OD. Paee 1 of 3 ~.",' ~.r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phooe 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garage conver. Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add; Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fixture Minimum/Adjustment Plumbing Plan Review Residential Plan Review/Residential Hourly Total Amount Paid Initial Review Structural Review 08/11/2006 08/11/2006 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-01020 ISSUED: 09/08/2006 APPLIED: 08/09/2006 EXPIRES: 03/08/2007 VALUE: $ 18,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $73.00 Square Footage or Bid Amount 180.00 Value Date Calculated Total Value of Project $13,140.00 $13,140.00 08/09/2006 FpP~, ~ Amount Paid Receipt Number 1200600000000001231 3200600000000000439 3200600000000000439 3200600000000000439 3200600000000000439 3200600000000000439 1200600000000001391 1200600000000001391 1200600000000001391 1200600000000001391 1200600000000001391 1200600000000001391 1200600000000001391 1200600000000001391 Date Paid $90.09 $5.50 $2.75 $4.40 $43.00 $12.00 $21.48 $10.74 $17.18 $169.80 $14.00 $31.00 $20.28 $90.00 8/9/06 8/18/06 , 8/18/06 8/18/06 8/18/06 8/18/06 9/8/06 9/8/06 9/8/06 9/8/06 9/8/06 9/8/06 9/8/06 9/8/06 $532.22 I Plan Reviews I 081ll/2006 09/06/2006 APP SKG APP DLM To Request an inspection call the 24 hour recording at 726-3769. 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 day. ~np{'tinn~ I 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. Paee 2 of3 -Wi . . CITY OF SPRINt.t<lJ!,LU Building/Combination Permit PERMIT NO: cOM2006-01020 ISSUED: 09/08/2006 APPLIED: ' 08/09/2006 EXPIRES: 03/08/2007 VALUE: $ 18,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 lnspectioo Lioe Final Building: After all required inspectioos have been requested and approved and the building is complete. Rough Plumbiog: Prior to cover and inclnding required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatioo 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, Buildiog Safety. I further certify that ooly 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 remaio on the site at all times during construction. ~~~~, fJwne~ or coo;ractors Signature - ...1104 Page 3 of3 -. . . \. ,/ . .' 0.. .." . Construction Contractors Board 700 Summer St NE Suite 300 PO BOI 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: COWl. z-ot IS - 0 ( () z- 0 Issued by: / b Z I Lt.A. Jr;,.r p~ AI/ 9/B/oro I Address: Date: Statement: Information Notice to Property Owners About Construction 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 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 appropriate blanks and initial boxes I and 2, and either box 3A or 3B: b2k-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. o 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. OR g( 3B. I will be my own general contractor. 1fT hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I 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 hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side oftbis form. ~~~. t7 ~/V//J/ (Signature of permit applicant) I I (Date) (White copy to issuing agency permit file, pink copy to applicant.) - Property_owner.doc 06-01-04 . , . A~1l::fitmg ~~ 'l{@UllR" Owrrn CGerrneR"~n C@rrn1l:R"~~1l:@R"'l 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 Legis/ature. 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. lEmplloyer RespollRsill>ilities 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 con~tructing or to assist in the construction or improvement of a residential structure. As tbe employer, you must comply witb tbe following: Oregon's Witbbolding 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 D"I'",uuent 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 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 503-945-809\ or www.dor.stale.or.us/formsnav.htmll for the appropriate forms. 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 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 nwnber, call the IRS at 1-800-829-4933 or visit their web site at www.irs.l!Ov. 01l:Il11ell" ResjplolI1lsnlbnll[lI:nes am:ll AlI"eas of Com~ell"lI1lS 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 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 can perform the required inspections. Jfyou have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box \4140, Salem, OR 97309-5052. Property _ owner.doc 06-0 \-04 " . " . Septic System Responsibility Form Date 'f?b/!J6 F ( Property Owner JaP1e5 ISh; .,..Iev Nr M.D U Y r 16:J../ L/l/A€.-A./ /l &Ie- S"" r,' A/q,h 'e..ld v Twnshp I 7 , Range /'J l . Section ~ 7-1 ;>., \4 Section Site Address . Tax Lot (J (7 ocJ I certify that I have personally investigated the existing sewage disposal system on the above referenced ..._.._.;y and have identified the exact location of all parts of the septic system, including the: ,. Septic tank e Distribution box or drop boxes " Dralnfield lines associated treatment units ( e.g. sand f"tIter, and future septic system replacement area) The attached plot plan is an accurate representation of the location of the septic system, existing structure(s) and proposed structure(s) on the property; and, I have verified that the ..._.._.ed development meets all minimum setback requirements from the existing septic system and the future system replacement area (OAR 340-71-220 Table I), including, but limited to: ~ 10-foot separation distance from foundation lines to drainfield ~ 5-feet separation from foundation lines to septic tank. I further certify that I have, to the best of my abilities, thoroughly inspected the septic system and found no evidence of any failure, The system appears to be functioning in a satisfactory manner at this time. SIGNATURE , L~~ 'M /. ,_,~ _' . ' - , tf' #"" (;;;nertv Owner or Authorized Agent) Printed Name <1 ~M"'-<; M 'jJ r-/ltU2JA'(" Address / 6;1,/ L-;A/ de..- 11 Ve. 5frJA/,fI/e/ d, t;? It 9'74l 7 7 Lane County Land Management Division On-Site Sewage Program 125 East Sib Avenue Eugene OR 97401 H:\\LMDISANIT A T10N\FORMS\Owner Responsibility form ORF.doc 225 Fifth Street ... ." Springfield, Oregon 97477 541-726-3759 Phone · irji liIll of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2006-0 1 020 COM2006-0 I 020 COM2006-0 I 020 COM2006-0 1 020 COM2006-0 I 020 COM2006-0 1 020 COM2006-0 1 020 COM2006-0 I 020 Payments: Type of Payment Check cRcccintl RECEIPT #: 1200600000000001391 Date: 09/08/2006 Description Plan Review Residential Plan Review/Residential Hourly Building Permit Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JAMES ARMOUR Item Total: Check Number Authorization Received By Batch Number Number How Received djb 151 In Person Payment Total: Page 1 of 1 11 :04:04AM Amount Due 20.28 90.00 169.80 14.00 31.00 10.74 17.18 21.48 $374.48 Amount Paid $374.48 $374.48 9/8/2006