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Home My WebLink AboutPermit Building 2005-4-19 . . Building/Combination Permit CITY OF ~rK11"\jut<IELD , Status Issued PERMIT NO: COM2005-00334 ISSUED: 04/19/2005 APPLIED: 03/25/2005 . EXPIRES: 10/19/2005 VALUE: $ 5,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2950 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702190001101 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Patio cover Owner: STARK JAMES L & NANCY E Address: 2950 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 1'2.(p.,g\l ~ I CONTRACTOR INFORMATION' Contractor Type General Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: .# of Bedrooms: U I BUILDING INFORMATION' #Ho~ ShmNTION: Oregon law req' J.~t,;VW m. T elg IpH.g;r8lg~eadOPted by the o~~!.cii rJl~Nb;:~: ~:tll!lrJ!fiOn Center. Those rulesS! (Hit ~1H~nt: Ran F.!:952-o01-o010 through OS\ lFl~ Q~eJCarport Ene . t~DU may obtain copies ofs~fFf\(ljf6BV 324 Sprinkteillmd~penter. (lWAle: the ~1!e1l~i\nELoad: "1 Imhof' fn.. tho nrQnnn , ttiHh, ~lntHi,..o:tin" I DEVELOPMENT IIWmmA.'lI1mlUf"2-2344). REQUIRED PARKING VN Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' . Street Improvements: Storm Sewer Available: Special Instruction: Partially Improved No Sidewalk Type: Notes: Existing slab no SDC fee's 3/29/2005 CAS NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ...... . :',' IIJIII r'tIiIUU. I Valuation DescriDtion I DownspoutslDrains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of2 . . CITY 01< ~rKlNu1<lJ!,LD Building/Combination Permit PERMIT NO: COM2005-00334 ISSUED: 04/19/2005 APPLIED: 03/25/2005 EXPIRES: 10/19/2005 VALUE: $ 5,900.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 5,900.00 $5,900.00 $5,900.00 03/28/2005 Total Value of Project Fp.p.s Paid I Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $49.53 $7.62 $5.33 $76.20 3/25/05 4/19/05 4/19/05 4/19/05 3200500000000000108 1200500000000000471 1200500000000000471 1200500000000000471 Total Amount Paid $138.68 Initial Review Plan nine Review Public Works Review Plan Reviews I 03/28/2005 03/28/2005 APP LLH 03/28/2005 04/01/2005 APP TAJ 03/28/2005 03/29/2005 APP CAS 03/28/2005 04114/2005 OK RJB No Planning review required. Existing concrete slab no SDC Fee 3/29/2005 CAS Structural Review 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. Reouirp.d Insop.ctionsJ Footing: After trenches are excavated. 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. 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 oniy 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 ~urr co~ 1-('f....exr <hmu V C;..n".o "..mo Date Paee 2 of2 , . Permit #: c..o/lwz.A - 00 T3 '{ Address: Z 9 5""0 / H+'r'M:I\( 'j$> rL Issued by: )-, ~ Date: ':i - I '7 - 6 r -. . . \, ../ ". ,.' Construction Contractors Board 700 Summer St NE Solte 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us 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 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 81'....vl'riate blanks and initial boxes I and 2, and either box 3A or 3B: ~1. ~2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contr;lctor 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 ]a- 3B. I will be my own general contractor. In 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 bereby certify tbat tbe above information is correct and tbat I bave read and do understand tbe Information Notice to Property Owners about Construction Responsibilities on tbe reverse side of tbis form. ! ) th- ~~ 1-~17r'or- '(Signature of permit applicant) (Date) J (White copy to issuing agency permit file, pink copy to applicant.) Lvt'_..j,_owner.doc 06-01-04 Ii.. 0 - -~fIj . n. tr' 1f"1. ." .Kl.~~nrmg ~~ II ({])Uml"\UlWrm \l:rTtermteJr~ll ~({])rm~Jr~~~({])R" [ INFORMATION NOTICE TO PROPERTY OWNERS ABOUT 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. lEmlPnoyer lReslPolIll.Silbmties 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 comply with tbe following: Oregon's Witbbolding 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 required to pay a tax for unemployment insurance purposeS' on tbe wages of all employees. For more information, call 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, call 503-945-8091 or www.dor.state.or.usIformsoav.htmll. for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Cvu'l',"usation 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 503-947-7815. U.S. Internal Rcvenue 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 1-800-829-4933 or visit their web site at www.irs.!!ov. 01l:1h1eIr JRespollllsftbftHftll:ftes amll AIreas olT Com:eIrllllS Code Compliance: As the permit bolder 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 ovcr 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 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 14140, Salem, OR 97309-5052. Property_owner.doc 06-01-04 225 Fiftb Street &pringneld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00334 COM2005-00334 COM2005-00334 Payments: Type of Payment Check f 4119/2005 . RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By NANCY STARK WiIl!"'ira,!!!,.~,.IILD..,,,~._...,-- '....' . "......., ., " .' f . i , .G'~Ii.'.. i.', j - '; "i' , i! . .'.!. _':C ,_ City of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000471 Date: 04/1912005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4179 In Person Payment Total: Page I of I 1:15:56PM Amount Due 76.20 5.33 7,62 $89.15 Amount Paid $89.15 $89.15