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Home My WebLink AboutPermit Building 2007-5-21 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00657 ISSUED: OS/21/2007 APPLIED: 05/07/2007 EXPIRES: 11/21/2007 VALUE: $ 6,600.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2037 HARBOR DR ASSESSOR'S PARCEL NO.: 1803112202300 Springfield TYPE OF WORK: Carport TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace demolished carport in new location Owner: Address: ALTERNATIVE FINANCIAL SERVICES INC Phone Number: 240 OAKW A Y CENTER S yOU \0 EUGENE OR 97401 __..-nnN.oregon \a~ r_e~~~~on Utility "" --"\__ ::\rjooteo uy ...- a.re seuUl' I CONTRACTOR'INFORMAif.10Nr.JSe ru~e~AR 952-00' "1t1I1UU"~ O~ .00W \nro~g 1 ~e rules \ ", uFS\ 952- icens.e.' COiFJ~pi<fa 'oD.\note '{ urn Y v.... . the \ .<it' '\Qf ,)090. . 0" the center. (NO\Ue't'\',ty Notilication ~~~~,.n~. :~. .h'" OreQon '. ,,,.A\ BUILDING INFORMATION I 541-517-3319 o Contractor Type General Plumbing Contractor OWNER OWNER Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U # of Stories: Lot Size: Height of Structure: 16.00 Sq Fllst Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: NO-iICE: Sq Ft Basement: . Range Type: IT SHALL S9ltl~~r~g~/~!!rp.0.9HK Energy Path: THIS PERM 8:q Ft Other' J IS NOT Sprinkled Buildiilg':TH 0 R I ZE~aJ N 0 E POt~J~a~t:~M~: .. __ ___ ......... ,1"\ An^~ln(u..\[:n CnQ 330 VB . . .......... ".... 'I VI' ..... ._. n I DEVELOPMENT INF?~MA =~oN"1 PERIOD. Frontyard Setback: Side 'I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 33.00 7.60 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: 43.00 10.00 21.30 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00657 ISSUED: OS/21/2007 APPLIED: 05/07/2007 EXPIRES: 11/21/2007 VALUE: $ 6,600.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Caronrt Carport $ Per Sq Ft or multiplier $20.00 Square Footage or Bid Amount 330.00 Value Date Calcnlated Description Tvpe of Construction Total Value of Project $6,600.00 $6,600.00 05/07/2007 L.l1pp< PiilU Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $54.60 5/7/07 3200700000000000256 + 10% Administrative Fee $14.55 5/21/07 1200700000000000599 + 5% Technology Fee $l2.05 5/21/07 l200700000000000599 + 8% State Surcharge $lO.32 5/21/07 1200700000000000599 Fire SF Fee - Residential $16.50 5/21/07 1200700000000000599 Garage/Carport $84.00 5/21/07 l200700000000000599 Plan Review Minor - Planning $112.00 5/21/07 1200700000000000599 Storm Sewer - 1 st 50 Feet $45.00 5/21/07 1200700000000000599 Total Amount Paid $349.02 Initial Review Plannin!! Review I Plan Reviews I 05/08/2007 05/08/2007 APP NJM 05/08/2007 05/18/2007 APP TAJ Not in FP or FW per FIRM map Panel # 1144. 05/08/2007 05/09/2007 APP JLP Rcvd in PW 5/9. No new impervious area. Plat shows no PUE's. No maps placed in file. No new SDC rees applied. Forwarded to Planning. JLP APP 5/9/07 05/08/2007 05/11/2007 APP RJB Public Works Review Structural Review 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. Rpnl\ir4t11o~nection~ I Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Pa!!e 2 00 Status Issued 225 Fifth Street, Springfield, OR 5~ l- 726-3 753 Phone 54l-726-3676 Fax 541-726-3769 Inspection Line . Storm Sewer Line: Prior to filling trench. . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00657 ISSUED: OS/21/2007 APPLIED: 05/07/2007 EXPIRES: 11/2112007 VALUE: $ 6,600.00 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 1 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 Slale of Oregon perlaining 10 Ihe work described herein, and Ihal NO OCCUPANCY will be made of any slruclure wilhout permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance wilh ORS 701.005 will be used on Ihis project. I further agree to ensure Ihat all req ired inspections are requested at the proper time, that each address is readable from the street, that Ihe permit card is loca d al the front of the property, and the approved set of plans will remain on Ihe site al all times7t;;;;;u~~ V Owner or Contractors Signature Paee 3 of 3 S/Q!/{J7 Dale -. . . \, .: o. 0" ". ." . .' . . 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 #: Issued by' C.7-~t;~7 2(), ~, /?t / Date: <..5);:).~/rf7 Address: U Statement: Information Notice to Property Owners About Construction Responsibilities I 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: ~l. Q( 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 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 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 N,." "j;; ~j1" C,_~" ~,~'"~;6rt,," ~. ."m. .,,;;~ ;:~ / ~ (Signature of permit applicant) (Date) (White copy to issuing agency permit file. pink copy to applicant.) r'_r_.:,_owner.doc 06-0l-04 Adhllga~ -AmJit,Owll1l GelllleJr'all Cfntr2ctiU>Jr? INFORMATION NOTICE TO PROPERTY OWNERS A~OUT 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 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. EmjpBoyer lRe!lpoIIR5ilbm1bie!l 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 \lr to assist in the construction or improvement of a residential structure. 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 information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are requited 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-l488. The Oregon Business Identification Number (BIN) is a combined number for both Orego!1 WithhQlding and Unemployment Insurance Tax. To file for a BIN, call 503-945-809l or www.dor.state.or.us/formsoav.htmll for the apt', ..,t'.~ate 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 503-947-78l5. 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 number, call the IRS at l-800-829-4933 or visit their web site at \V\vw.irs.!!ov. (()J~llner JResjporrnsilbiDJlfitnes arrnidl AIreas OJ[ COrrnCeIrllnS 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 bave 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. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box l4l40, Salem, OR 97309-5052. Property _ owner.doc 06-01-04 225 Fifth Street Spri~gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00657 COM2007-00657 ' COM2007-00657 COM2007-00657 COM2007-00657 COM2007-00657 COM2007-00657 Payments: Type of Payment Cred itCard cReceintl . RECEIPT #: ~,''!U>.'._~ ., lIk'~ . -' ...--..: ... "-, , C& of Springfield Official Receipt .Iopment Services Department Public Works Department 1200700000000000599 Date: OS/21/2007 Description Fire SF Fee - Residential Storm Sewer - 1st 50 Feet Plan Review Minor - Planning Garage/Carport + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ANDREW W ALER Item Total: t:heck Number Authorization Received By Batch Number Number How Received njm 05698b In Person Payment Total: Page I of I 2:SS:S6PM Amount Due 16.50 45.00 112.00 84.00 12.05 10.32 14.55 $294.42 Amount Paid $294.42 $294.42 5/21/2007