HomeMy WebLinkAboutPermit Building 2008-5-15
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: COM2008-00526
ISSUED: 05/15/2008
APPLIED: 04/16/2008
EXPIRES: 11/15/2008
VALUE: $ 2,000,00
SITE ADDRESS: 758 S 57TH ST
ASSESSOR'S PARCEL NO.: 1802041104800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Owner remodeling inside
Owner: STEPHEN TAYLOR
Address: 758 S. 57TH
SPRINGFIELD OR
Contractor Type
General
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
# of Units:
Primary Occupancy Group:
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:
Phone Number: 541-746-0524
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
BUILDING INFORMATION I
R3
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: ...... Sq Ft Basement:
S~oregon,,""'" rutlfttf ~q Ft Garage/Carport
~TT lWilllllted by'" ~tclIWq Ft Othen
fO"~~rit~~rul88 ~ccupant Load:
~otifi .... R.l_0",,,,,,tth ILL
ifn.~m~-UY ~-- .........
I ~11~uw.!t~~ m
calling ~ceruer. '""Uluav ~..
cuam\m.fS\tflfli:. aaU).
# S~~es Rqd:
Paved Drive Rqd:
% of Lot Coverage:
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
MonCI: MIA" .....,._
~~NlWT.~~~'~ ~IS~
AUTHOA\ZEO UNDER THIS PERM" "".
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Pal!:e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Miscellaneous Mechanical
Penalty Fee - BWOP Plumbing
Total Amount Paid
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00526
ISSUED: 05/15/2008
APPLIED: 04/16/2008
EXPIRES: 11/1512008
VALUE: $ 2,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Pait( Receipt Number
$20.00 5/15/08 1200800000000000506
$22.80 5/15/08 1200800000000000506
$19.68 5/15/08 1200800000000000506
$11.40 5/15/08 1200800000000000506
$50.00 5/15/08 1200800000000000506
$64.00 5/15/08 1200800000000000506
$50.00 5/15/08 1200800000000000506
$64.00 5/15/08 1200800000000000506
$301.88
I Plan Reviews I
05/13/2008 05/13/2008 APP RWC
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.
Ul-eouire~nsnections I
Footing: After trenches are excavated.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Pal!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00526
ISSUED: 05/15/2008
APPLIED: 04/16/2008
EXPIRES: 11/15/2008
VALUE: $ 2,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work 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 locazed at th ront of the property, and the approved set of plans will remain on the site at all
times during construction.
~ 4- --h-- #-;7 -5- ( ') -() c6'
./ - "-
Owner or Contractors Signatufe
Date
Pae:e 3 of 3
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: A~tiiill?g)is~Y'OuF~(Own Gene1ral(Contractor?[~'
:\_? -. - _. \ '\. ~NFO.tnA,fu11~i0T!CE'TO PROPERTY ~WNERS11~'. ,
'I ,\ ~ V A!'lD.IJT. C~NSTRl.DC:rI()N, RESPONSiBIILiTI~~ - '. , "' \ .
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NOTE. This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORB 701.055(5), pasSed by the 1989 Oregon Legislature.
,., . _. I _ .
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If you are actmg as your own contractor to construct a new home or make a substantial hlll!~~)'yement to an eXIstmg
, ' -,- I
structure, you can prevent many problems by bei:ng,(aware of the followmg responsIblhhes and,concerns.
Employer RespoIDlsilb>Hit~es
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Y ou-gvJl!;,'1nJTl9st mSJ~11,~~s>\be ru!e4 to b~ ~~-"empll?ye( apd. the. ~~>ntractors y~~ ~ontra~t ~I!h wIll ~,e ::emptt?yees" If
you-use 'contractors not lIcensed With the Construction .contractors Board to do Ilabor m constructmg or to_assIst m the
w t ~ );. _ ~....,I t.& ~ ..,J; ~ . t ( "" .. J ; - . .a .. . _ ,..... ' I.. ~.. f .: ~ - 1 \ , _.. .' \ ... _ ~..... -
constructIOn'~I J1!!Pr?ct;T~n:~ of ~ 'r~~~dep~al. ~v:ucJure. .,);\.s' !he ~~pIQ~e.~ _you ~ust ~~~~pl'y' ~i~h ~~e fOU~~~?r
'l"'~~" '" .....~ ~.- ~~.~ -. - "r- - -,; ~~ -~ ""'"
Oregon's With601Cilng tax lLaw: As'in empioyer, you must ~ithhold 'mcome . ,axes from' employe~'.wages-at the time
I
employees are paId. You wIll b~_lia?}.e for the !~~ pa>;ment,~ ~~e,n \ If y:o~ don It act::~l1~_ wIt~old ~he,,~ fr~?:n Y9ur
employees. For more mfonnatIOn;call'the Department of Revenue\ at 503-'378-41988. . - ,'n - " . '. \ '. -
,~
Unemployment Insurance Tax: As an employer;fyou are required to'pay a 'tax. for 'unemploYment insurancepurpose0
on the :ag:~.~f,al: emplo~e:s. ~or :no~~ I~f~~~~~~ofn,,~~?: ,the O:eg~o~ Employment Depa:rrnent at.503-9~7-1488. '~
0....-- ~ ?" ~ ...,:..,) ').:.0 .......-t...:'-__ ...~ ~~ 1 ..li.!....."l_ _:: . ~ ~ _ _"- .'.0 'If ~.. ~ _ ~;: ~,_.,.' '.
The Oregon Busmess IdentificatIOn Number (BIN) is a corn1?me_d nlJIDb~1 for,', bo.th 9!egqn Wit!1holdmg and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or vl\vw.Clor.state.or.us/fonnsoav,htmll for the
appropnate fonus. . . _ -. _ -\
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Workers' Compensation Insurance: As an employer,~you are subject to the Oregon Workers' Compensation Law,
and mU$:, ~~~!~ :;w~~~~rE; ~?~Wf~~f~~~gndr~}l~~9~~..~9& Yr'~?f _ernpl~~~~,~~}r ~~~I f~,;U~~~~~~:~ v ';:~~~~f?s; r~o~pensatIOn
Insurance, you could be suoJect to penalties and be'-l1able for all c1aIm,-co~ts Ifo~e ~fyo?r etpploye~S"1s"mJured on the
Job For more infonnatIOn, call the Workers' CVHlp~risatlon DiVIsion at-the Deparhherit of'€O'nsurner'antl Busmess
ServICes at 503-947-7815. ---cr.
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U.S. Internal Revenue Service: As an employer, you must wIthhola federa-l :Ihcome'ta~ frdm:employees'. wa~
You w1l1 be lIable for the tax payment even If you dIdn't actually WIthhold the ta"-. For a Federal EIN number, call the
IRS-af'l-800-8i914933-or viSIt theIr weD site~at,\~~v.\v:'l1:s:i!(j'(r:::iw ':"'~,'~' "l" IF ' ',-:-::' .-,- '~,'.J;;' ,.<1,,~ ' -
:1'''' .'" A~~l'J...~~ y" J ::z!r:r" " ~ ,y : -~... w.j} ?-fj:...,,/~; ~,~~r ~.:'t.._ :~~.:~~ .:':' ':1....2~.. .....~'". i:-....-.J
~~.~r . .,. ,:-r'Othet<Bespon.silbjlitieS:2IDld_^r~as'Qf7CQnic~ri!~ 3~~1', ,;.'
Code Compliance: As the pennIt holder for thIS proJect, you are responsIble Jor resol~rl'g any-faliur~i:fo' meet code
reqmreme1?ts tha,t may be brought to your attentIOn through mspections.
""u:. . t ' , ,) ...I 7 . r. ~ 1 , :;("- \- ,-.~~ z ..j -=
. - ,
lLiability and Property Damage Insurance: Confact your ll1surance agent- t@; see if you have adequate'msurance -(
coverage for'accl~cnt<; and omiSSIOns such as faIImg tools, pamt over spray, wat~r dama'g~ from,pIp'e, punctures, fire or
work that must/be'redone. _ -... ' : '.. h. " "
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___ _ ______ _ __ _~~ __.. __~ _. _ __ .. _..._~ ......~, ~____ _1__L _ r___~ 1_ "'_
Time: Make sure you,have suffiCIent tlme to supervise your employees. ,. - " . I. . , .
JExpcrdse: Make sure y~u h~lV; the' skIlls t~ ~ct 1s' ;our own g~hef~l'dmtracitcrt6 -co'ordi~~te the work of rough-m
and fimsh trades, and to nobfy bmldmg offiCIals as the appropnate times so they can perform the reqUired inSpectIOns.
If you have addItiOnal questIOns call the ConstructIOn Contractors Board (503-375-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
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Property_owner doc 06-01-04
225 Fifth Str-eet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00526
COM2008-00526
COM2008-00526
COM2008-00526
COM2008-00526
COM2008-00526
COM2008-00526
COM2008-00526
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000506
Date: 05/15/2008
DescriptIOn
BUlldmg PermIt
FIxture
Penalty Fee - BWOP Plumbing
Miscellaneous MechanIcal
-MechanIcal Issuance Fee-
+ 5% Technology Fee
+ ] 2% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
STEPHEN TAYLOR
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 09]014 In Person
Payment Total:
Page ] of]
2:56:27PM
Amount Due
5000
64 00
64 00
5000
2000
11 40
1968
2280
$301.88
Amount PaId
$301 88
$301.88
5/1 5/2008