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Home My WebLink AboutPermit Building 2006-10-25 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: cOM2006c01250 ISSUED: 10/25/2006 APPLIED: 09/28/2006 EXPIRES: 04/2512007 VALUE: $ 4,560.00 ~ SITE ADDRESS: 2533 MAlA LP ASSESSOR'S PARCEL NO.: 1703251407900 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Patio cover Owner: JUDY ROCCAFORTE Address: 2533 MAlA LOOP SPRINGFIELD OR 97477 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction TYPE OF USE: Addition Residential . es'lOU'u _~ ,,,W feo.\llf __, IHIM . U\'l'v'~"- tneV'''''- . ,,,rtl f',\It:.N \ \ 'dopted b'l leS afe SIPlione;Number: 541-741-9666 101\OVl fule$ ~ntef. lnOse f\ Op.,Po 952-00 b "'"tilicatiO~ ~"1_00;OtnfO~,~", nl tM fU\es_ \ ~II"'I Ap..t'\ ~.J_ ~ _~I nbta\\' v""r_. .kt) te\e\J\'......: I eON'fRXO"FOR'INKORM'ATION,,1 NotilicatlOn call1[l':! ".- '1M OfegulO -';'?_2344). numbe{\Of t (IS "\_tEice'1se Expiration Date Phone cene BUILDING INFORMATION I U # of Stories: Lot Size: Height of Structure 12.00 Sq Ft 1st Floor:\<. Type of Hea-t\Cr:. l e"o\RSq,'Filili'd 'F.l~~~:. ".... \-rSRP-.l <cr.r - ~,C~\l\\ WaterT~l!.f:S PERM \ \S!q:!\~asement: , Range TYP~\ \-IOR\1.EO lINDER lH \i;fit'e!lf@lle/Carport Energy P~tlJ EO OR IS ~B~N t'j'F't Other: sprinkled(Jl.9'tlli\fg~~AY PE~(eO. Occupant Load: ..,{ H) I DEVELOPMENT'INFORMATION I . 240 VN REQUIRED PARKING 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date ealculated Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line PatiolPorch . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-0I250 ISSUED: 10/25/2006 APPLIED: 09/28/2006 EXPIRES: 04/25/2007 VALVE: $ 4,560.00 $1.00 09/28/2006 4,560.00 $4,560.00 $4,560.00 Use Bid Amount Total Value of Project Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Plannine: Review Public Works Review Structural Review ~ Amount Paid Date Paid Receipt Number $44.46 9/28/06 1200600000000001467 $12.54 10125/06 2200600000000001496 $5.67 10/25/06 2200600000000001496 $9.07 10/25/06 2200600000000001496 $68.40 10/25/06 2200600000000001496 $12.00 10/25/06 2200600000000001496 $45.00 10/25/06 2200600000000001496 $197.14 I Plan Reviews I 09/29/2006 09/29/2006 APP LLH 09/29/2006 10/20/2006 APP TAJ No Planning issues. 09/29/2006 10/17/2006 APP JLP No SDC's. Private & Public easements noted on plot plan.JLP 09/29/2006 10/25/2006 APP DLM See documents for plan review comments 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. ~~,~,~,r>ti~ Framing Inspection: Prior to cover a'nd after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Pa2e 2 of 3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRlj'ljuJ' lELD Building/Combination Permit PERMIT NO: cOM2006-01250 ISSUED: 10/25/2006 APPLIED: 09/28/2006 EXPIRES: 04/25/2007 VALUE: $ 4,560.00 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 'ermit card is located at the front of the property, and the approved set of plans will remain on the site at all times durin onstru .on. ~\li'\u ~~ ~\~,/ Owner or cont~ors Sig ature- "\ - Paee 3 of 3 \ C) - ;:).. J;) ~ f") &, Date -. . . \,.. .../ ", ." . Construction Contractors Board 700 Summer St NE Suite 300 PO BOil 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.ns Permit#: COWl z:..".- - O/Z-SO . Address: ZS-3 '3 ~i:T vY\ I- t A-- y) 10s:/" " Issued by: Date: 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 al'l"Ul',;ate blanks and initial boxes I and 2, and either box 3A or 3B: J<fl. ~ 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 ~ 3B. 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 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 trropel Owners about Construction Responsibilities on the reverse side of this form. ~ ~ Q '0U~ \'Y\\\ \C'\ -d")' D~ j Sign ture ofp it applicant) (Date) ite co to issuing agency permit file, pink copy to applicant.) ;'._.._n,:..owner.doc 06-01-04 ~ .. . 4t AdnlID~ ~~ 1( ([))1lllJl" ((J)WIID GelIDeJl"~n C([))lIDltJl"~(Clt([))Jl"? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES .. NOTE: This Information Notice to Property Owners about Construction Responsibilities was devaloped 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. lEmployer Responsibilities 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 constructing or to assist in the construction or improvement of a residential structure. As tbe employer, you must tomply with the followIng: Oregon's Withbolding Tax La';": As an e~ployer, 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 Department of Revenue at 503-378-4988. Unemployment Insurante Tax: As an employer, you are required to pay a tax for unemployment insurance purposes --.. on the wages of all employees. For more information, caIl the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, caIl 503-945-8091 or www.dor.state.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 worker~' c~,ul'wusation 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, caIl 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 wiIl be liable for the tax payment even if you didn't actuaIly withhold the tax. For a Federal EIN number, caIl the IRS at 1-800-829-4933 or visit their web site at www.irs.l!ov. . Other Responsibilities and Areas oJ Concerns Code Compliante: As the permit holder for this project, you are responsible for resolving any faiiure 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 generai contractor, to c'oordinate the'work of rough-in and finish trades, and to notify building officials as the appropriate times so they can 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 2~5.Fiftb Street , . Springfield, Oregon 97477 541-726-3759 Pbone Job/Journal Number eOM2006-0 1250 eOM2006-0 1250 eOM2006-0 1250 eOM2006-0 1250 eOM2006-0 1250 eOM2006-0 1250 Payments: Type of Payment ered iteard cReceinl1 RECEIPT #: . GpIUNG~..J;I!!!,I>,., .... Wit...... . "'. " ".' .- c;;IiI1Il of Springfield Official Receipt _Iopment Services Department Public Works Department 2200600000000001496 Date: 10/25/2006 Description " Fire SF Fee - Residential Building Permit Storm Sewer - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JUDITH ROeeAFORTE Item Total: L'heck Number Authorization Received.By Batch Number Number How Received djb 170263 In Person Payment Total: Page I of I 1:07:25PM Amount Due 12.00 68.40 45.00 5.67 9.07 12.54 $152.68 Amount Paid $152.68 $152.68 10/25/2006