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Home My WebLink AboutPermit Building 2008-5-6 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00430 ISSUED: 05/06/2008 APPLIED: 03/31/2008 EXPIRES: 11/06/2008 VALUE: $ 3,750.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2721 G ST ASSESSOR'S PARCEL NO.: 1703361110900 Springfield TYPE OF WORK: Garage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Rebuild existing garage and storage area Owner: SABRINA HARDING Address: 2721 G ST SPRINGFIELD OR 97477 Phone Number: 503-312-8505 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 4.90 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 3,20 Street Improvements: -"J ..- O rlaWleL\ul\v"'J,)- I PUBLIC IMPROVEl\jl,EmS-IO~' re~od b the Oregon Utility tOll ow I \..lie.. ac?pL.,. _Y 'Ies are set forth NotifIcatIon C~iAAwalkJll}lpeh OAR 952-001- in OAR 952-0on~~~~tJ'~m&ne rules by 0090.. You may 0 Note: the tele~ho~e calling the center. ( Utility Notification numberci~~:~~ i~;:~g~-332-2344). Storm Sewer Available: Special Instr,uftWrulE: THis PERMIT SHALL EXPIRE IF THE WORK Notes: AUTHORIZED UNDER THIS PERMIT IS NOT OOi\~M~t:~~[' 00 I~ 8RAI\100NED FOR ANY 180 DAY PERIOD. I Valuation DescriPtion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00430 ISSUED: 05/06/2008 APPLIED: 03/31/2008 EXPIRES: 11/06/2008 VALUE: $ 3,750.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 3,750.00 $3,750.00 $3,750.00 03/31/2008 Total Value of Project ~ Fee Description Plan Review Residential Amount Paid Date Paid Receipt Number $43.65 3/31/08 2200800000000000376 Total Amount Paid $43.65 I Plan Reviews I Initial Review 04/01/2008 04/01/2008 APP LLH Public Works Review 04/01/2008 04/02/2008 APP LKW No SDC's/ interior remodel! rebuild Structural Review 04/01/2008 04/30/2008 APP Approved upon compliance with noted criteria. See documents for Plan review comments containing the criteria. Planninl! Review 04/01/2008 05/01/2008 APP T AJ Replacement of non-conforming setback allowed under Section 5.8-120A of the Springfield Development Code. The building may not become more substandard to the Code requirements. 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. ~eouiredJnSDections I 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. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00430 ISSUED: 05/0612008 APPLIED: 03/31/2008 EXPIRES: 11/06/2008 VALUE: $ 3,750.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~~ owne~ractors Signature Cd#( 0'"6 Date Paee 3 of 3 Construction Contractors Board 700 Sununer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us - Penmt #( ~nm ? JS7J r '"' (JCJt+3 0 Address 2'/& \ & s-r- issued by: A('J.r(l/J M, Date: 5 --- ~ -- 06" I \ L/T\ . U 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 buildmg permit can be issued. . This statement IS requiredfor residentzal building, electrical, mechanical and plumbing permits. Licensed architect and engmeer applicants, exempt from licensmg 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:_ ~1. D 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 (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 I hire subcontractors, I will hire only subcontractors lIcensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who IS licensed with the CCB and willllnmediately notify the office issumg 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 of this form. . '. ~~ ~M~~ ~gnature of permit applicant) (Date) (White copy to issumg agency permit file, pmk copy to applzcant.) Property_owner doc 06-01-04 Act~ng~ as Y o.u.rl General ContractoF? , \ INFORMATION 'Iro PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , I NOTE Information NotIce to Property Owners Construction Contractors Board in accordance with Construction ResponsibilIties was developed by the 701.055(5), passed by the 1989 Oregon Legislature. :- be ruled to be an "employer" use licensed with the ConsJrucfton construction or impro,vement o~ a reSidential 'As an employer, you be Jiable for tax call the Departri1erit of , - or make a'substantlallmprov!3ment to an eXlstmg the,Jollowmg responsibllIt1es <U.1d concerns. are as yo~r '-o"",n contractor to construct a new structure, you can many problems bybemg aware the_ ,?ontractors.you contract with wllrbe "employees" If Board to do labor m cons,truch.ng or tQ. assist m the you must c.o~ply with the following: '. ~ . ' , , . nicome taxes from employee wages at the time even If you don't actually vnthhold the tax from your , at 503-378.:4988: . on Tax: As an employer, you are For more mformation, call to 'pay a lax for unemploYment msurance purposes Employment Department at 503-947-1488 - ~;.t Identification Number (BIN) IS a Tax. To file a can 50 number,.. f~r both, Qregon Wlthholdmg and or \vww.dor.state.or us/fonnsnav.htmll for the The Oregon Unemployment ,,: -~.... . . ~ ~ . Insurance: As an employer, yvu are subject'to the Oregon Workers' CompensatIOn Law, I must obtam comp~satIOn m~.urance your you fall to obtam workers' compensation f ~~ ~, ' l ~.. ~ msurance, you could be subject to penalties and be lIable for an costs If one of your employees i8 injured on the l '. ~, ' Job more call the Workers' CompensatiOn 'at the Department of Consumer and Busmess SerVIces at 503-947-7815. U.S. Internal Revenue As an employer, you You 'WIn be lIable for the tax even If you at 1-800-829-4933 or.v,1sit their web SIte-at WIthhold federal mcome tax employees' wages-. wIthhold the tax. For a Federal EIN call the ~ , I I~ of. As the permIt holder for thIS project you are responSIble for resolvl~g -any faIlure'to meet code may \' br?ught to, your attention, coverage work Insurance: omISSIOns such as faIlmg YGlUr msurahce to see you have adequate insurance' over spray, water damage from pIpe punctures, fire or --.. ~ -.--- "~ Make sure sufficient tIme to supervIse .....;~ . " Expertise: Make sure you have the skIlls to act as your fimsh and to bmldmg offiCials as contractor, to c~ordmate the of rough-m hmes so can perform the reqmred mspechons. you have Box 14140, (503-378-4621) or wnte the agency at PO doc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00430 COM2008-00430 COM2008-00430 COM2008-00430 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: DescriptIon Butldmg Permit + 5% Technology Fee + l2% State Surcharge + lO% Admmlstratlve Fee Paid By THOMAS HARDING City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000597 Date: 05/06/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJm 092299 In Person Payment Total: Page 1 of 1 2:08:59PM Amount Due 67 l6 336 806 672 $85.30 Amount Paid $85 30 $85.30 5/6/2008