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Home My WebLink AboutPermit Building 2019-09-27OREGON Web Address : www,springfield-or.gov Building Permit Residential Structural Permit Number: 81 1-19-002119-STR IVR Number: 811029889281 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGFIELD s Permit Issued: September 27, 20L9 Category of Construction: Manufactured Dwelling Submitted Job Value: $2,000.00 Description of Work: Ramp Type of Work: New Worksite Address 1125 sBTH ST SPC 9 Springfield, OR 97478 Parcel 1702342200100 Owner: Address Owner: Address: CULLINAN RONALD I & KAREN K 1125 5BTH ST SPACE 9 SPRINGFIELD, OR 97478 SUDDATH HENRY RANDAL 1125 58TH ST SPACE 3 SPRINGFIELD, OR 97478 Business Name OWNER - Primary License CCB License Number 000000 Phone Inspection 1999 Final Building 1260 Framing 1O2O Zoning/Setbacks 1110 Footing Inspection Group Struct Res Struct Res Struct Res Struct Res Inspection Status Pending Pending Pending Pending G Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track Inspections at www.buildingpermits.oregon.gov Call ortext the word "schedule" to 1-888-299-2821 use IVR number: 811029889281 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire if work is not started within 18O Days of issuance or if work is suspended for 180 Days or longer dePending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not' Granting of a permit does not presume to give authority to violate or cancel the Provisions of any other state or local law regulating construction or the performance of construction' ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center' Those rules ar€ set forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain coPies of the rules by calling the Center at (5O3) 232-t9A7. All persons or entities performing work under this permit are required to be licensed unless exemPted by ORS 701.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORs 693.O1O-O20 (Plumbing)' ptinted ont 9/2i /19 page 1 of 2 Cl\myReports/reports//production/01 STANDARD TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS Permit Number: 81 1-19-0021 19-STR Page 2 of 2 Fee Description Technology Fee Structural building permit fee Structural plan review fee State of Oregon Surcharge - Bldg (L2o/o of applicable fees) Ptinled on: 9/27 / 19 Page 2 ot 2 Quantity Fee Amount $8.42 $ 1 02.00 $66.30 $12.24 $ 188.96Total Fees: C : \myReports/reports//production/0 1 STANDARD FEES SPffNGTIELD www. springfield -or. gov Structural plan review fee Structural building permit fee State of Oregon Surcharge - Bldg (LZok of applicable fees) Technology Fee Record Fees 811-19-002119-STR 1125 58TH ST, SPC# 9, Springfield, OR97478 City of Springfield Development and Public Works 225 Fifth Street Springf ield ,OR 97 47 7 Phone: 541-726-3753 perm itcenter@spri ngfield -or. gov $66.30 $102.00 $t2.24 1 1 1 $0.00 $0.00 $0.00 Ea Ea Ea $66.30 $ 102.00 $t7.74 INVO]CED INVOICED INVOICED 1Ea $8.42 INVOICED $0.00 $8.42 Total Fees: Total Invoiced Fees Total Fees Paid: Total Balance Due: $188.96 $188.96 $0.00 $188.96 C : \myReports/reports//prod uction/0 1 STANDARD REPORTS/std_Fee_Payment_By_Record_pr. rpt 9/24/L9 12:05 pm Page 1 of 1 $ 0tEGotl Work Descriptionl Ramp contractor Provided Job Value: Fee $2,000.00 Fee Amt Fee Statusqtv Amt Paid Balance Due CrrY oF SPRTNGFTELD, oREGoN Structural Permit Application ffi22s Fifth Street I Springfield, OR 97477 . PH(541)726-3753 i FA-X(54i)7?6-3689 This permit is issued under OAR 918{60-0030. Permits expire if work is not started within 180 davs of suspended for 180 days. -\.!rxr-^; e or if work is .^[t DEPARTMENT USE ONLY Perm,t "o.,ll-$2\lQ I I Oarc:4 t3lrq LOCAL GOVERNMENT APPROVAL Date: This project has tlnal land-use approval. Signarure: This project has DEQ approval. Signature:Date: Zoning approval verified: I Yes X No Property is within flood plain: I Yes tr Xo CATEGORY OF CONSTRUCTION XResidential ! Government n Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: , /J-f 5,XtL .s+ #7 ciffOri n.,6,.c IJ S€Df,I ?LY 47t Subdivision: J Lot no.: Reference:taxtot: \'l67tL 1,L@lt PROPERTY OWNER Address:t! rst&:i4w1{Ciry5Pri",..Fi .-l{ Fax:d E-mail: 'J,r#:i^w;tr'w*rica'lion: n4UJinrtuttution is being made on residentiai or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name:(-) r^, 1n 7 g. Address: Cityt';n. .. * FJ . lJilr- .--,Fax: E-mai1: CCB license no.: Print name: Signature: Mechanical FEE SCHEDULE l. Valuation information l(tr i(a) Job description: y- Occupancy Constn:ction rype: foot: Square feet: Cost per Other information: Type of Heat: Energy Path: D new Dalteration I addition (b) Foundation-only permit? ! Yes f] No s-9 oncr ITotal valuation: 2. Building fees S(a) Permit fee (use valuation table): s(b) Investigative fee (equal to [2a]): (c) Reinspection (S perhour): (number ofhours x fee per hour)S (d) Enter I 2olo surcharge (. I 2 x [?a-2b+2c]):S S(e) Subtotal of fees above (2a through 2d): 3. Plan reYiew fees S(a) Plan review (65% x permit fee [2a]) (b) Fire and life safery (65% x permit fee [2a]):s (c) Subtotal offees above (3a and 3b):5 4. Miscellaneous fees (a) Seismic fee, I % (.01 x permit fee [2a])$ S(b) Tech fee, 5o/o (.05 x permit fee[2a]+PR fee l3cl) $TOTAL fees and surcharges (2e+3c+4a+b): SUB.CONTRACTOR INFORMATION J,lame CCB License #Phone Electrical Plumbing Last edited 5-5-2019 BJones S.tOe:qn 4", Propefi Owner Statement Regarding Construction Responsibilities Oregon Law 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. (ORS 7o1.325 (2ll I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities' and t hereby certify that the information on this homeowner statement is true and accurate. tion oll C,4 lli h .r d Print Name of PermitAPPlicant ?/tsl i r Signature of Permit APPlicant Date \10 ?3i ?zaotoo 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 be filed with the permit. Please check the aPProPriate box I own, reside in, or will reside in the completed structure and my general contractor is Name CCB#Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that lwill reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. Permit #:\1 -ooa\\q Address:?.{ sbt'- lssued by: -- Date: This Copy for Permit Offices 0 X lnformation Notice to Owners About Construction ResPonsi bi I ities (oRs 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309'5052 Telephone: 503-3784621 - Fax: 503-373-2007 Website Address: www.oreoon. gov/ccb general contractors to construct a new home in existing structure, can prevent many problems the following resPonsibilities: Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, anO the workers who provide the labor may be considered employees. As an employer, you must comply with the following: Oregon,s Withholding Tax Law: Employers 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 *itnnoro the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. unemployment lnsurance Tax: Employers are required 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 -1 488. Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon withiolding and Unemployment lnsurance Tax. To file for a BlN, go online to the oregon Business Registry. For questions, call 503945-8091' Workers compensation lnsurance: Employers are subject to the oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division it tne Departmeni of Consumer and Business Services at 800-452-0288. Tax Withholding: Employers must withhold social security Tax and Federal lncome Tax from emptoyee *rg""i. you'may be liable for the tax payment, even if you didn't actually withhold the tax- For a Federal EIN number, go online to www.irs'gov' Homeowners acting as their own or make a substantial improvement to bY being aware of a a a t e a Other Responsibilities of Homeowners : Gode compliance: As the permit holderfor a construction project, the homeowner is responsible for notifying building ofiicials at the appropriate times, so that the required inspections can be performed.-Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections property Damage and Liability lnsurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, painl overspray, water damage from pipe punctures, fire, or work that must be redone. t_iability lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance. Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. a a €li-^^^+, ^..,-a. :r{anta.i q-7n1 6 This Copy for Permit E W ti- Lane t,'I IJ l-1tr Lane l*+tr \i li Ii )OJf, LaneI,illrt ;-T wI E q!!ll I Ir l/t E.'.t-. I d I.t _t -,*L'p lAe"--- t. I OregoI fr { \ f:ft*, r\ L \/ n4ob,'L Hon -- tl =tl a'!q-/S1-7 g'3" 37't u)7x ,o 4,,, HI + \,l 1\ to ground , ) , ( \ _t ,lt -+ a.r.t\f I I rtt*y R-n -)(-.3p' tlxU 2 ,rt az,ru)\ ql\I t^ rl ld- t^si n* tL'-- 6l(o,^r'lq .3" D..l( S7- \ It \ I I \ I -=UL k*,*1 --ft \\I 7) syj_" bn-.-t. ?-d, J4"x1("y SlLt' *. srnool\ frc.n5iflsn sn ,^sl o€ ( *l-,- R \ E -r,.r, p - - *Z <o*--,t il^ [ "r- - - to - ]---'- t^- s -J. - + r*<--. c. 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