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Home My WebLink AboutPermit Building 2001-10-4 \ , . -.'; I Job# 01-00976-01 I . Page 1 of2 TRANsn:Ol-0006907 DATE:OCT 04 2001 AMT RECD:2 $ 432.24 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00976-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1946 Lomond Ave Spr Assessors Map#: 17032512 Lot: 800 Block: Addition: Tax Lot #: 00800 Subdivision: Owner: Jay Richards 1946 Lomond Ave Phone Number: CitylStatelZip: Springfield, OR 97477 New Value: $11,016 Address: Scope Of Work: Carport Carport Contractor Type General Contr Registration # Expiration Date Phone 111350 3/19/2003 O~541-384-5444 ,}G'-l~ -<' "G'\"Io- ,,.. ~()' ),',v. ~\\ ,- To request an inspection call the 24 hour recording at 726-3769. All in,spections ~egu~1ted)tffiforeJ(90 a.m. will be made the same working day, inspections requested a!\~!J(:OO a.m,!;will beirrlide t~!1;tollowing working day. \'\\'0".' <"~~ '" ~\\),,=-'?-- o."-~\)\) \~ 0"" \)\~ \>-V' R . d I ."c, ,10- ....~\) - ,c., eqUlre nspectlo~~o"'- 'V V" ~, I B 'Id' "-\)"1 ,,,G~ ,~o UI Inll I' ,,,r,y :-\ ~.;. -After trenches are excavated. CO~,. \?," \'~. - Prior to cover. i' .",\ - -When all required inspections have been approved and the building is complete, Contractor Triple C Service Po Box 838, Condon, OR 97823 Footing Framing Final Building , Zoning: LDR FloodPlain? D Wetlands? D Journal numbers Overlay District: # of Street Trees: Land Use: ,-c'."'o . Pave Driveway?"D.:\ ',' . . ., -~ -." -"., ,..' _,.r'~ -' >.... ~ 3' ... {\'" ~. 1 ....\ -. ,'0r~ . _\ .r". \\ ~:,:,S,J'" '0'.1 #t"'C.., . c.....'t- "'~".'i'\ .\'....S .",-f"'~ "r'c._0.>....,.O...-.1..,";\v. ~'(v''''''' t \ II:,... ,"\ ... \,~~n... C\ \~, ~""O\\'3 . ..' ( n\. ~ I \ ....'& ~.. ,\' . {\ r..r\'"-' "1'-'\' ':~..\.J\"" :,v.".... n~\:.....'. c:o.\\O Additional Requiremimts:il.'O-,f.,.\'),_.\i. ,\,\0\\\\ ~" . :J '.;:..;'- '^~ \J \\~.' "\\'\) '~ Required ~tt3ch'!Jerits:c::\\~(.~,.:., \..~.,!:.~., . \\ ~...C. \ t\\e O\....~~ :~,J- Source Locn: ~\X',\"J . (\"e. \-OC,IJ\) . C(.Io. r"I~ ,0 ~ \'3 Matenal: (\\l$\$~ G$(\'"' 3: 1: Comments: 2: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: 1153 of 2975 Glenwood Area? D Flood Plain FEMA: X-White ; . ,/' . I Job# 01-00976-01 I . Page 2 of 2 Construction Types:(VN) Wood Frame Occupancy Groups:Garage/Shed # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory720 # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units:1 Total:720 Fee Paid On Receipt# Plan Check 09/10/2001 6646 ValuelQuantity Fee Amount Residential Plan Check Total Plan Check 11,016 $74.88 $74.88 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 10/04/2001 6907 10/04/2001 6907 10/04/2001 6907 11,016 $123,00 $8,61 $9.84 $141.45 Residential - Single Family - Storm SDC Administrative Fee Total System Development System Development 10/0412001 6907 10/04/2001 6907 840 $229,32 $11,47 $240.79 Planning Plan Review Total Planning Grand Total Plan Check Type Planninll 10/04/2001 6907 1 $50,00 $50.00 $507.12 Checked By Date Completed Comment Engineering-Res Planning-Res Structural-Res Steve Templin Sam Gollah Historical Review-Res Bob Barnhart 09/18/2001 09/28/2001 09/26/2001 09/12/2001 Tom Marx By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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, I further state that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project 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, ()) ~\/ ~_ _ OCT 7" ;2(7(; / Signature Date . Address: q'<( /1.(2,.-0. /1'f ? ~ IIAn-11 dlJ~ Date: Z.//u/r7 Permit #: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered 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 registration 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 I and 2, and either box 3A or 3B: Y-~ to I. I own, reside in, or will reside in the completed structure. 2, I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. o 3A. My general contractor is (Name) Contractor regis, # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board, OR '{ iXJ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, [ will contract with a contractor who is registered 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 NotiCr7lr ?/j about Construction Responsibilities on the reverse side of this form. V UtlJ/r4&11 - ~ ~-/o,q1 , (Slgna(ure of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicanl) .-.,...-. '. ,.... . -"... . '0 .... " . \. .....in~or.mation Notice to Property Owners ., Abou~ Construction Responsibilities ,,'J :' . . " Note: This Information Notice to Property Owners about Constructioll Respo/Jsibi(iries was developed by the COllStructioll Colltractors Board ill accordallce with ORS 701,'055(5). 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 areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. 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 infoffilation, call the Oregon Dept. of Revenue at 945-8091. 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 378-3524. Worker's 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 may be subject to penalties and will 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 945-7888. 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 more information, call the Internal Revenue Service at 1-800-829-1040, OTHER RESPONSIBILITIES AND AREAS OF CONCERN: 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 overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise our employees, Expertise: Make sure you have the expenise to act as your own general contractor, to coordinate the work of rough-in and finish trndes, and to notify building officials at the a,-".~t'.;ate times so they can perform the required inspections, If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem. OR 97309.505'2, 503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem prop-own.pm4 1/94 SP..Q01