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Home My WebLink AboutPermit Building 2004-06-17Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00318ISSUED: 0611712004APPLIEDz 0312212004 EXPIRESz 1211712004VALUE: $ 98,498.00 SITE ADDRESS: 463 26th St Springfield TYPE OF WORK: Duplex ASSESSOR'S PARCELNO.: 1703361411800 TYPE OF USE: New Residential PROJECT DESCRIPTION: Duplex - addition to existing SFR. Address of existing residence is 465 26th Street Owner: KENNETH WILLIS Address: 3631 KEVINGTON AVE EUGENE OR 97405 PhoneNumber: 541-485-3355 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER ownER OWI\ER owllER License Expiration Date Phone )R INFORMATION m # of Units: Primary Occupancy Secondary Occupancy Primary Construction Secondary Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 12.00 0.00 o/o of Lot Fully Improved Yes According to applicant, storm to house. 0verlay Dist: # Street Trees Rqd: Paved Drive Rqd: I of Structure 17.00 Type of Heat: aseboard Electric Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,066 1ss 19.00 17.10 PARKING 4 Curbside 5' Curb and Gutter DEVELOPMENT INFORMATION Notes: Pase I of4 gutter. Sanitary to connect to existing \ l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00318ISSUED: 0611712004APPLIED: 0312212004 EXPIRESz 1211712004VALUE: $ 98,498.00 Description Dwellings Fee Description PIan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 7%o State Surcharge I Bath One & Two Family Addressing Assignment Building Permit Curbcut - Additional Driveway Curbcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Plan Review - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC I}{WMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Attached (duplex) Tvpe of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 1,066.00 Total Value of Project Amount Paid Date Paid Value $98,498.40 $98,498.40 Date Calculated 03122t2004 $365.14 $10.00 $8s.28 $s9.69 $14s.00 $31.00 $561.75 $3s.00 $3s.00 $75.00 $6.00 $9.00 $71.00 $106.00 $19.00 $2s8.15 $339.60 $10.00 $214.23 $314.63 $70.25 $s6.64 $727.42 $164.89 $508.81 $6.00 $924.00 3t22t04 6n7t04 6lt7t04 6n7t04 6n7t04 6n7104 6n7t04 6lt7l04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7t04 6n7104 6n7t04 6n7104 6n7t04 6n7t04 Receipt Number 1200400000000000357 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 2200400000000000807 Fees Paid Total Amount Paid $5,208.48 Paee2 of 4 Plan Reviews L}.l Valuation Descrintion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00318ISSUED: 0611712004APPLIEDz 0312212004 EXPIRESz 1211712004VALUE: $ 98,498.00 Initial Review Planning Review Planning Review Public Works Review Public Works Review Public Works Review 05t05t2004 03t24t2004 0st05t2004 0312312004 03t24t2004 APP LLH Please review with owner the requirements of owner doing work on property that is for Rent, Sale, or Lease. Application states the owner intends to do all work. Revised site plan meets my concerns, tara The structure needs a 10' rear setback, but the site plan shows 8'3'' (1' 9" Iacking). He also needs to provide a total of 4 off street parking spaces and it looks like only 2 are shown. This will require PW approval and may change the SDC's. Virginia will have to review again after it is revised. I called Ken Willis and he will revise his site plan and bring in two copies. tara Ken called me back and said he was going to redesign the project and it would be a couple of weeks until he could get the revised plans back in. tara Site plan does not show sanitary and storm sewer, easements, and one new driveway approach. Contacted property owner 3-30-04 regarding 2nd driveway, storm and sanitary server connection. Owner plans to come into the counter and change his siteplan, he has changed his mind on access to the duplex. Plans are on hold until siteplan is revised and applicant makes a determination as to the duplex sanitary sewer connection. Storm is to go to existing and outfall to street. Re-submitted siteplan and new driveway approach. Overwidth approved for up to 30 ft max for the throat. Mr. Willis came into the counter 41112004. Storm sewer to existing outfall to curb and gutter. Sanitary sewer to connect to existing house. Applicant is removing existing approach and placing two new approaches as per 2nd driveway application submittal. TAJ 03t24t2004 03t30t2004 WE VRJ 05nu2004 05nU2004 APP VRJ 04t02t2004 04t02t2004 APP \TRJ 05t0st2004 APP TCM Pase 3 of 4 APP WE Structural Review 03t24t2004 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00318ISSUED: 0611712004APPLIED: 0312212004EXPIRES: 1211712004VALUE: $ 98,498.00 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with Iinish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. red 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\CY 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 Signature Pase 4 of 4 Date \L}- Nq /C,/(, 225 Fifth Street Springlield, Oregon 97 47 7 541-726-3759 Phone C:ty of Springfield Official Receipt _ velopment Services Department Public Works Department RECEIPT #: 2200400000000000807 Date: 0611712004 2:42:3ePM Job/Journal Number coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-00318 coM2004-003r8 Description Addressing Assignment Willamalane Attached (duplex) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Curbcut Permit Curbcut - Additional Driveway Curbcut - Overwidth Appl Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC IVIWMC Administration Building Permit I Bath One & Two Family Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- + 7%o State Surcharge + l0% Administrative Fee Plan Review - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin SDC Transpo Admin Amount Due 31.00 924.00 106.00 r9.00 75.00 35.00 35.00 339.60 258. I 5 164.89 727.42 314.63 2r4.23 10.00 561.75 145.00 6.00 9.00 6.00 10.00 s9.69 85.28 71.00 s08.81 70.25 56.64 Item Total:$4,843.34 Payments: Type ofPayment Paid Bv CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard KENNETH WILLIS djb 000413 002716 In Person $4,843.34 Paymentlslnl; @ 611712004 Page I of I CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET . SPRINGFIELD, OF'97477 o PH:(541)726-3753 o FAX: (541)726-3689 / ELECTRICAL City Job Number TION Date \ Permits are non-transferable and expire if work not started within 180 days of issuance or if work Suspended for 180 days. Electrical Contractor Address 4 tO U)a- llj's St- rC Phone 4S * L t/ ?/ SupervisorlicenseNumber 3 O / / 5 A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or pofon thereof ?KnManufact'dHome or Modular Dwelling Service or Feeder B. 3. I $106.00 $ 19.00 $50.00 rue w City Expiration Date Constr.Cont.Number / 6 Cl 5 O€ Expiration Date 7- t'oL Signature of Supervising Electrician C.x Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 63.00 $ 7s.00 $125.00 $163.00 $37s.00 $ 50.00 $ 43.00 $ 3.00 io@ \Di \:Owners N Address City OWNER INST TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ s0.00 E.I $ 50.00 $ 2s.00 $ 4s.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 7%o State Surcharge l0% Administrative Fee TOTAL aInspection Request: 7 26-37 69 Shared Drive(T:)/Building FormVElectrical Permit Application l-03.doc 1.LACATIAN COMPLETE FEE New Residential - Single or Multi-Family per dwelling unit. 2.$COI TRA()TOR INSTALI.ATION ON LY Services or Feeders - lnstallation, Alterations or Relocation: ? " rP I *ry;ffi*ZTffiUff\s "E / e-c./- | c Cor-, *, ^u or Feeders 4, SUB'TOT:ALOFABOVE o 2LSFNTHSTREET . SPRINGFIELD, OR 97477 o PH:(541)726-37s3 ELECTRICAL, City Job Number J. LEGAL A. JOB Permits are not started within 180 daYs of Suspended for 180 daYs. ,ble and if work is or if work is Zoning Date Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder has the following specific land use $106.00 s 19.00 ss0.00 @ t a B. 1 Cify Contractor Phone Supervisor License Expiration Date Constr. Contr Expiration of Supervising Electrician Owners Name Address City OWNER INSTALLATION is not intended for sale,lease or 200 Amps or less 201Amps olts 7% State Surcharge 10% Administrative Fee TOTAL $01r ll;ll \S Nut $l25.oo 1 H\S s37s.00 $ 50.00 hNY 1 s0D C. Installation, Alteration or Relocation 200 AmPs or less $ 50'00 201 Amps to 400 AmPS S 69'00 401 Amps to 600 AmPs Sl00'00 t Over 600 or 1000 Volts see "B" above D New Alteration or Extensign Per Panel One Circuit $ 43.00 50.00 $ s0.00 Limited s 25.00 s 45.00 Nlinim um Electric Permit Inspection Fee is $45'00 * Surcharges Phone @ 4. x Inspection Request: 726'31 69 I own which Shared Drive(T:)iBuilding Fonns/Electrical Permit Application 1'03'doc 3.00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt relopment Services Department- Public Works Department RECEIPT #: 3200s00000000000071 Date: 0212412005 11:06:33AM Job/Journal Number coM2004-00318 coM2004-00318 'coM2004-00318 Description Minimum/Adj ustment Mechanical + 7o/o State Surcharge + l0% Administrative Fee Amount Due 24.00 L68 2.40 Item Total:$28.08 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash KENNETHWILLIS nJm In Person Payment Total: $28.08 -sE:or Ltbv zb# # 2/24/2005 Page I of I ma tLi CITY SYSTEMS DEVELOPMEN] -,ORKSHEET SFD BUTLDTNG SrZE (SF) 0 LOT SrZE (SF): CHARGE $508.81 JOURNAL OR JOB NAME OR COMPANY: LOCATION: TAX LOTNTIMBER: DEVELOPMENT TYPE: NEW DWELLING INITS IMPERVIOUS S.F 0.00 NUMBER OF DFU's 15 B. IMPROVEMENT COST: NUMBER OF DFU's l5 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADTTzuP RATE 9.57 SUBTOTAL $2.s37.73 463 26th Street 17033614 tl I 1800 to SYSTEM COSTPER S.F s0.290 COSTPER S.F $0.290 COST PER DFU s22.64 COST PER DFU sr7.21 NTA4BER OF UNITS I NUMBER OF I.INITS I ADM. FEE RATE 5% DISCOUNTRATE 50% $508.81 DISCOI.NT $0.00 0 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS x x x x x x x ITEM I TOTAL - STOR]VI DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC $597.7s A. REIMBURSEMENT COST: xxCOST PER TRIP st7.23 COST PER TRIP $76.01 $892.31 NEWTRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBER OF FEU'S I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBTOTAL (ADD ITEMS 1,2,3, & 4) $s38.86 CHARGE $ I 26.89 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich 51tU2004 COST PER FEU $314.63 $2s8.1s $0.00 $2,664.62 1070 l09 t 1092 I 093 1094 1 055 I 056 079 078 a Irlo Udr!FU) or!& COST PER FEU s214.23 s37.73 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OFNEW FIXTTIRES x TINIT EQUTVAIENT: DRAINAGE FIXTT]RE UNITS FOR REMODELS, CALCULATE ONLY T}IE NET ADDITIONAI NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU ryPF NUMBER OF EDU'S TOTAL DRATNAGE FIXTURE UNITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE LTNITS 0 *EDU 1 0 3 3BATHTUB DRINKING FOLTNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 0LAT]NDRY TUB 0 0 2 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)0 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 1 0 2 2SHOWER, SINGLE STALL SHOWER, GANG (NLIMBEROF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SNK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 1 0 3 3 YEAR ANNEXED CREDIT RATE/SI,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / IOOO $0.00 CREDITRATE $5.04x l-$onb-'l CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.04 TOTAL MWMC CREDIT BEFORE 1979 $5.04 1979 $5.04 1980 $4.95 1981 $4.88 1982 $4.75 1983 $4.5 8 1984 $4.41 1985 $4.20 1986 $3.88 1987 $3.50 1988 $3.07 1989 $2.60 1990 $2.14 1991 $ l.7l 't992 $1.52 1993 $ 1.38 1994 $1.19 1995 $ 1.03 1996 $0.87 1997 $0.68 l 998 $0.46 1999 $0.27 2000 $0.09 2001 $0.04 l-o- I $o.oo Construction Contractors Board Permft#:@ v4zoL-^oO3l7 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us I Address: q69 Z 6+L- S J- Issued by:)bG Date:6*n _6r.i A Statement: lnformation 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 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, exemptfrom 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 md2, and either box 3A or 38: f,1. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3,A.. 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 conhactor. 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 notiff 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 Owners Construction Responsibilities on the reverse side of this form. 7-ay-or of permit applicant)(Date) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 03/ I I /03 A ( Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY oyI,NERs ABOUT CONSTRUCTION RESPONSIBILITIES NOTtr: This lnfornafion Notr'ce ta Prope$y Awners abouf Construction Responsibililres was developed by the Construction Cantractors Board in accardance with ORS 701.055(5J, passed hy the 1989 Aregan L,egistiture. If you are acting a$ your own contractor to construct a new home or make a lirbstantial improvement to an existing structure, you can prevent many protrlems by being arvare of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employerl and the contractors you contract wi& will be 'oemployees" if you use contractors not iicensed with the Construction Contractors Board to do labor in constucting or to assist in the construction or improvement of a residential sfructure. As the employer, you must comply with the following: Oregon's lYithholding Tax Larv: As an employer, you must withhold income taxes from employee wage$ at the tirne employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ID number, call the Business lnformation Center at 503-986-2200. \v Unemployment Insurtnce Tax: As an employer, you are required to pay a tax for unemployment insurance purpo{es on the wages of all employees. For more information, call the Oregon Employment Departmeat at 503-947-1488. \'- Workers' Compensation Insurance: As an employer, you are subiect to the Oregon \{orkers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you faii to obtain workers' cbmpensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on thejob. For more information, call the Workers' Cornpensation Division at the Department of Consumer and Business Services at 503-947-78 i 5. U'S. Internal Revenue Service: As an employer, yor.l must withhold federal income tax &om employees' wages. You will be liable for the tax payment evex if you didn't-actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7i 15."'\ Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for tlris project, you are responsible for resolving any failure to meet code requiranents that may be brought to your attention through inspections. Liability and Property Damage fnsurance: 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 frorn 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 notiS buitding officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-3?84621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_oumer.doc 03/1 I i03 E $98,498.00 E CERTIFICATE OF OCCUPANCY CITY OF SPRINGFIELD Community Services Division Building Safety This Certificate issued pursuant to the requirements of Section 308 of the Springfield Building Safety Codes Administrative Code certifuing that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use for the following: Building Address | 463 26th St Springfield Occ. Group: R-3 Dwelling Type of Construction : V-N Any Mat Owner: KENNETH WILLIS Owners Address: 3631 KEVINGTON A\rE Description: Duplex Sprinkled Building: Occripant Load: By EUGENE OR 97405 sp Value of Construction: Permit # : COM2004-00318 The Certificate of Occupancy shall be posted in a conspicuous place on the premises and sha[l not be removed except by the City Building Official or his designee David J Puent, Building Official E o om I Datelssued, ? -? 15 { ry"I J*u