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Home My WebLink AboutPermit Building 2008-4-21 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 PERMIT NO: COM2008-00340 ISSUED: 04/21/2008 APPLIED: 03/12/2008 EXPIRES: 10/21/2008 VALUE: $ 2,880.00 SITE ADDRESS: 942 S 32ND PL ASSESSOR'S PARCEL NO.: 1802062107000 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: BWOP owner built attached shed TYPE OF USE: Owner: GONZALEZ MARTIN Address: 942 S 32ND PL SPRINGFIELD OR 97478 Owner: GONZALEZ MARIA Address: 942 S 32ND PL SPRINGFIELD OR 97478 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: R-3 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 Available: Special Instruction: Notes: !~T i E:-: nON' Qrp~nn 19IiiM.t"~bN'i U to f~G0l'1W~{\~(If.Q~J:;p n:, i ~rrt ~OLlTlCatlon Center. Those rure~ are set f~~ In OAR 952-001-001 0 throug~~2-o0f.:"piration Date 0090., You may obtain Copies of the rule',) tw 3!.11~.!H. ,I'l".I.H.u'-') . ephone nil I 'f' ;i . tllcation Center IS 1-800-332-2344) # of Stories: . Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building Phone n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I~~VELOPMENT INFORMATION. REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rq,d: N~~ive Rqd: TH~PEffrSltrS'A~tL EXPIRE IF THE WORK AIITHORIZED UNDER THIS PERMIT IS NOT ~UmJOOI(lwm~~fNDONED FOR AI\IY IOU Urn t'l:t\lVU. S'd lk T I ewa ype: Downspouts/Drains: Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00340 ISSUED: 04/21/2008 APPLIED: 03/12/2008 EXPIRES: 10/21/2008 VALUE: $ 2,880.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,880.00 Value Date Calculated Total Value of Project $2,880.00 $2,880.00 04/21/2008 Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Penalty Fee - BWOP Building Amount Paid Date Paid Receipt Number $11.72 $7.03 $5.86 $58.58 $58.58 4/21/08 4/21/08 4/21/08 4/21/08 4/21/08 1200800000000000378 1200800000000000378 1200800000000000378 1200800000000000378 1200800000000000378 Total Amount Paid $141.77 I Plan Reviews I Structural Review 04/21/2008 04/21/2008 APP RWC over counter To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. I Reauired Insoections , Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. 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 will remain on the site at all times during construction. "9 r \ A!\.W1)1t.; ~ Owner or Contractors Si nature L1 &4:> D6 Date Pa2:e 2 of 2 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 #: COW\z-OC6 ~ 0 0 :) 40 94Z s: S Z ~cL PL, 't\ << Date Lf /ZL /0 5' / t Address. Issued by: Statement: Info. mation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requzres residentzal construction permit applicants who are not lzcensed with the Construction Contractors Board to sign the followzng statement before a buildzng permit can be issued. This statement IS requzred for residential buddzng, electrical, mechanical and plumbzng 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 the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~. fl2. 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 (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 yJB. I will be my own general contractor. If! 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 ofthe 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 of this form. -.. \~f\GNCL n:~ , (Sign'1VUre of penh it applicant) bL{ :d'11 VB (Date) I (White copy to issuzng agency permlt file, pznk copy to applzcant.) Property_owner doc 06-01-04 ~cfin~('as Your;Own General Contractor? } \, -lINFORMATIONJ NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES J __ ....._ ____._~~_.._.___::..._.:__.._._. ,_'____v NOTE. This Information Notice to Property Owners about Construction Responsibilities was developed by the I /" Construction Contractors ::.::.ard 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 Respolllsibilities . ' You wlll, In most Instances, be ruled to be an "employer" af!~ the contractors you contract WIth WIll be "employees" If you use contractors not lIcensed with the Construction Contractors Board to do labor m constructing or'to assist In the . -' construction or Improvement of a resIdentIal structure, As the employer, you must comply with the following: . . - ~ ~ \ Oregon's Withholding Tax l,aw: As an employer, you-must wlthhold Income taxes from employee wages at the tlme employees are paId, You WIll be liable for the tax payments eyen IIf you don't actually WIthhold the tax from your employees. For more Information, call the Department of~~venue at 503-378-4988. U nempJoyment 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 number for b.o~h Oregon WIthholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or wW\\'.dor.state.or.us/formsnav.htmll for the appropnate forms. . .. Workers' Compensation insurance: As an employer, you are subject to the Oregon Workers' CompensatIOn Law, and mu.st obtain workers' compen~atIOn iJ:!suranc~ for your employees. If you fall to obtain workers' cVUlpensatIon msurance, you could be subject to penaltIes and be lIablc for alt' claim costs If one of your employees IS mJured on the Job For more InformatIon, call the Workers' CompensatIOn DIV1sIOn at the Department of Consumer and Busmess ServICes at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must wIthhola federal.mcome tax from' employees' wages> You will be lIable for the tax payment even If you dIdn't actually WIthhold the tax. For a Federal ElN number, call the ~ IRS an-800-8294933 or vlsit theIr web SIte at '0l\\/W lrs.gov Other Resp~IDl~ibftDnties, aIDldl ^rea~ off C({)rrJl.CeIrIDlS Code Compliance: As the permIt holder for thIS proJect, you are responSIble for resolVIng any faIlure to meet code reqmrements that may be brought to your attentIOn through mspections. ~ - i- ' Liability and Property Dam,age Insurance: Contact your msurance agent to see if you have adequate msurance' coverage for aCCIdents and omISSIons such as fallIng tools, pamt over spray, water damage from pIpe punctures, fire or work that must be redQne Time: Make sure you have sufficient time to supervIse your employees. Expertise: .Make srne you have the skIlls to act as your own general contractor, to coordinate the work of rough-m and fimsh trades, and to notIfy budding offiCIals as the appropnate hmes so they can perform the reqUIred mspectIOns. If you have addItIonal questIOns call the ConstructIon Contractors Board (503-3784621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-37S9 Phone . Job/Journal Number COM2008-00340 COM2008-00340 COM2008-00340 COM2008-00340 COM2008-00340 Payments: Type of Payment Check cRecemtJ RECEIPT #: Description BUIldIng Permit Penalty Fee - BWOP BUIldIng + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By MARIA GONSALEZ City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000378 Date: 04/21/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 1111 In Person Payment Total: Page I of 1 8:37:10AM Amount Due 5858 5858 586 703 11 72 $141.77 Amount Paid $14177 $141.77 4/21/2008