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Home My WebLink AboutPermit Building 2004-07-22FIELD Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00806ISSUED: 0712212004 APPLIEDz 0710112004 EXPIRESz 0112212005VALUE: $ 6,573.00 SITE ADDRESS: 17016TH ST ASSESSOR'S PARCEL NO.: 1703363104701 PROJECT DESCRIPTION: Carport and 2nd driveway application Springfield TYPE OF WORK: Carport TYPE OF USE: New Residential PhoneNumber: 541-746-5127 Expiration Date Phone Owner: Address: SOTO HECTOR H 170 16TH STREET SPRJNGFIELD OR 97477 Contractor Type General U' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Type: Downspouts/Drains: REQUIRED PARKNG Total: U VN 396 nla 23.00 22.00 0.00 \S Street Improvements: Storm Sewer Available: Special Instruction:Storm Sewer to existing Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount TION Description Type of Construction Pase 1 of3 Value Date Calculated [.}- $r elc ttc u,, Valuation Description I Buitding/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2004-00806ISSUED: 0712212004 APPLIEDT 0710112004 EXPIRESz 0112212005VALUE: $ 6,573.00 Carport Carnort Fee Descriotion Curbcut - Overwidth Appl Plan Review Residential + l0o Administrative Fee + 7oh State Surcharge Building Permit Curbcut Permit Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $16.60 396.00 Total Value of Project Date Paid Receipt Number 2200400000000000888 1200400000000001027 120040000000000r 123 1200400000000001 123 1200400000000001123 1200400000000001123 1200400000000001 123 1200400000000001123 1200400000000001123 1200400000000001123 $6,573.60 $6,573.60 07t02t2004 Amount Paid $35.00 $s4.60 $12.90 $9.03 $84.00 $7s.00 $s9.00 $9.49 $189.72 $4s.00 7nt04 7t2104 7t22t04 7t22104 7t22104 7t22104 7t22104 7t22t04 7t22t04 7t22t04 $s73.74 tr'ees Paid Plan Reviews Initial Review Initial Review Planning Review Public Works Review Public Works Review Public Works Review Structural Review 07t08t2004 07t0712004 07t08t2004 07t08t2004 07t0712004 07t07t2004 07t08t2004 07t08t2004 07t0712004 APP 07n9t2004 APP 07tr312004 APP 0710712004 0utU2005 Hold for plot plan. Don Moore spoke with applicant at counter and the applicant said they would bring plot plan in showing the buildings on the property. The plan review routing is on hold until the plot plan is received. 711312004 - At building permit pickup, applicant shall show storm line location, and tie in location to existing on the plans. - MS Spoke with applicant over the counter 717107, they plan to tie storm sewer to existing, outfall is via weephole in the curb. 2nd driveway approved 71212004by transportation dept. WE LLH LLH TAJ MS IO VRJ APP TCM To Request an inspection call the24 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. Paee 2 of3 E T rF Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00806ISSUED: 0712212004APPLIED: 0710'1,12004 EXPIRES: 0112212005VALUE: $ 6,573.00 nsnections 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. Storm Sewer Line: Prior to lilling trench. Curbcut - Second: After forms are erected but prior to placement of concrete. 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. 7-.fl9- o/ Owner or Contractors Signature Date Page 3 of 3 Construction Contractors Board Permit#,@ofO6 Address l-c 6/L \ts Issued by:-l>-S Date 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us o Statement: lnformation Notice to Property Owners About Construction Responsibi lities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor 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 and2, and either box 3A or 38 t_W t. I own, reside in, or will reside in the completed structure.--\. ff2.I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. tr 3,A.. My general contractor is (Name)(ccB #) v I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general contractor. If I 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 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. 2-A (Signature of permit app licant) (lVhite copy to issuing ogency permit file, pink copy to applicant.) (Date) Properfy_owner.doc I 2-09-03 r Acting as llour orvn General contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRI.'CTION RESPONSIBILITIES)' If y,ou are acting as your own coptractor to existing saructure. you can prel.ent many problernS you w*r, in mosrinstances, **-;;HlH;l:ff"T:::1i*.",**N.irh w,r be ..ernployees,,ir yo,+ Ese c@tractors not licensed lvith the Constructior Contractors Board to dg labor in coaElructing or to assist in the construction or inprovement of a residential qtruchfe. As the employer, you rnust conply, w-ith ti'e fotfOwing: Oregon's lVithholding Tax Law: As an employer, you must withhold income taxes from empioyee wages at the time employees are paid. You will be.liable.for tfre tax llayments even.if 1,o-u don't actually rvithhold the tax lrpnr your employees.Formoreinformatidn,calltheDeparlrherrtofRevenuea'tS63l:ld-+988. ' : :":'j i:'-'"I Unemployment Insurance Tax: As an empldfer,;vorl are required to piiy a tax for unempToinhetrt'insritdnce purpgEi on the wages of all employees. For more information. call the Oregon Employment Departmentat 503-9d7-1488. ' - . : '. !:;;. _ .,,.r.f .,1,,,. ;.>The Oregon Business Identification Number (BEil) is a combined:number for.both..lSregixt-rryitldrolding and Unemployment Insurance Tax. To file for a BIN. cali 503-945-8091 or E]+.gi.j_qr.srs!s.!Lusafb:m.:pay,[[d,1 for theappropriateforms. ,, : " _. Workers' Compensation Insurance: As an employ,:r, you are subject to the Chegon \\rorkers' Compensation Law, and must obtain tt'orkers'. compensation insurance for your employees. If you fail to obtain rvorkers' compensation insurarice, you could be subjeci to penalties and be liable for all claim costs if one of your employges is injured on thejob. For more infsrmation. call the \Vorkers' Compt:nsation Division at the Department ofC*,jnru,r", oi-rrt g,rrir"r, Serv'ices at 503-947-78 1 5. ! U.S. Internal Revenue Service: As an employer, )olr must withhold federal income tax from emplbyees' wugiL 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 st 866-81G2065 or fax them at 801-620-71 15. ,,-.' ,ii! , t,,,.. Other Responsi bilities and. Areas, of, C oncer.n$ Code Compliance: As the permit holder for this prcaect, you are responsibie for resolving any failure to meet code requir.ements that may be brought to your attention thr,rugh inspections. LiabiliQ and Propertv Damage fnsurance: Contact your insurance agent to see if you h'ave adequate insurance coverage for accidents and omissions such as falling trlols, paint over spray, water damage from pipe punctures, tire or work that must be redone. Time: Make sure you have sufficient time to supen'is,-. your employees. Expertise: Make sure you have the skills to act as ycur own general contractor, to coordinate the rvork of rough-in and finish trades, and to noti$ building officials as the appropriale times so they can perform the require6 inspections. If you have additional questions call the Construction (lontractors Board (503-3784621) or write the agency at pO Box 14140, Salem, OR 97309-5052. Property_owner.doc I 2 -09-03 NOTE: Tltis lnformation Notice ta Propefty Owqers about Canstrucion Respons'tbilities lyas devetaped by theConsfrucfibn Contractors Board in accardance wittt AR$ 701.055{5J, passed by the 19Bg Oregon Leg;stiture. 225 Fifth Street S rringfield, Oregon 97477 541-726-3759 Phone 6'::ty of Springfield Official Receipt ._relopment Services Department Public Works Department RECEIPT#: 1200400000000001123 Date: 0712212004 10:26:36AM Job/Journal Number coM2004-00806 coM2004-00806 coM2004-00806 coM2004-00806 coM2004-00806 coM2004-00806 coM2004-00806 coM2004-00806 Description + lYo State Surcharge + l0% Administrative Fee Curbcut Permit Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Storm Sewer - lst 50 Feet Building Permit Amount Due 9.03 12.90 75.00 189.72 9.49 s9.00 45.00 84.00 Item Total:$484.14 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check HECTOR SOTO djb 1081 In Person Payment Total: $484. l4 -54s4-Tt.- 7/2212004 Page I of 1 llttaxxaS,& City of Springfield Development S ervices Departrnent Community Services Division, Building Safety 541-726-3759 Phone 541-726-3676Fax August 1,2005 SOTO HECTOR H 170 I6TH STREET SPRINGFIELD, OR 97477 Date Permit Issued:7t22t2004 Permit Number:coM2004-00806 Location:I7O 16TH ST Project Description:Carport and 2nd driveway application Dear Permit Holder: Recently, our office sent you a letter noti$ing you that your permit(s) was about to expire. Because you did not contact us to request an inspection or to call us to verifu that progress has continued to be made on the project, your permit(s) has expired. This letter is a reminder that the above referenced permit(s) expired on712712005. Please contact our office at Springfield City Hall, 225Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between l:00 p.m. and 3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your project. There are additional permit fees that are due in order to complete your project. $ineerely, \0s, Lisa Hopper Building Safety Supervisor *pnurrlr.rig.D \ City of Springfield 225 Fifth Street, Springfield, OR97477' 541-726-3759 Phone 541-126-3676Fa;x June 30,2005 SOTO HECTOR H 170 16TH STREET SPRINGFIELD Job Number: Location: oR 97477 coM2004-00806 170 16TH ST Project Carport and 2nd driveway application Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 170 16TH ST which is set to expire on 712712005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you.that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration dpte, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervisor City of Springfield 225 Fifth Street, Springlield, OR97477' 541-726-3759 Phone 541426-3676Fa,x January 06, 2005 SOTO HECTOR H I7O 16TH STREET SPRINGFIELD Job Number: Location: oR 97477 coM2004-00806 170 16TH ST Project:Carport and 2nd driveway application Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 170 16TH ST which is set to expire on 1122/2005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 Sincerely, Lisa Hopper Building Safety Supervisor OF G Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676P'ax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00806ISSUED: 0710112004APPLIED: 0710112004EXPIRES: 01/0112005 VALUE: SITE ADDRESS: 170 16TH ST ASSESSOR'S PARCEL NO.: 1703363104701 PROJECT DESCRIPTION: 2nd driveway application Springfield TYPE OF WORK: TYPE OF USE: Curbcut use initials Owner: Address: SOTO HECTORH 310 MILL ST #3 SPRINGFIELD OR 97477 Contractor Type Contractor License Expiration Date Phone CONTRACTOR INFORMATION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated [3 L U llrl-rl1\ (r rN ,r UI1IYTryJ Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00806ISSUED: 0710112004APPLIEDz 0710112004EXPIRES: 01/0112005 VALUE: Fee Description Curbcut - Overwidth Appl Total Amount Paid Amount Paid $3s.00 $3s.00 Date Paid 71u04 Receipt Number 2200400000000000888 Plan Reviews 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. Reouired Insnections 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. Owner or Contractors Signature Date Paee2 of2 r ees raro I 225 Y'ifth Street Springfield, Oregon 97 477 541-726-3759 Phone -rty of Springfield Oflicial Receipt -aevelopment Services Department Public Works Department RECEIPT #: 2200400000000000888 Date: 0710112004 2:03:32PM Job/Journal Number coM2004-00806 Description Curbcut - Overwidth Appl Amount Due 35.00 Item Total:$3s.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash HERNANDEZSOTOHECTOR VRI In Person Payment Total: $3s.00 -$586d- 7/U2004 Page 1 of I rya