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Home My WebLink AboutPermit Building 1995-08-21CITY OF SPilNGFIEID, SPRIi.GFIELD RESIDENTTAI, PERI{IT APPLICATION CTTY OF SPRINGFIEI,D COMIITT'NITY SERVICES DTVISION BUILDING SAFETY Page 1 ilob Nurnber: 951181 225 North Fifth street Springfield, OR 97477 Location of Propoeed Work: 875 S 43RD ST Assessors t"tap #: L802052L Lot: Block: Office: Inspection Line: 726 -37 59 725-3769 Tax Lot #: 09100 Subdivision: Owner: HARRIS ,JACKSON Address: 875 SOUTH 43RD STREET Phone #: 747-2239 citylstate/zj-p: SpRTNGFIELD, OREGON 97478 Describe Work: PITMPHOUSE/SOAI STORAGE NEW General Contractor OWNER Const. Contractor #Expiree Phone 747 -2234 QUAD AREA: ZONING CODE VN SQ FOOTAGE: 5RSC : LDR 550 -- oFFrcE usE -- LAND USE: 1111 OCCY GROUP: M # OF BLDGS: 1 CONSTR. TYPE: To request, an inEpection, call the 24 hour recording aE 726-3769. A11 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. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOIII{DATION - Af t.er f orms are erected but. prior Eo concreLe placement. FRAUING - Prior to cover. FrNAL BUTLDTNG - when all required inspections have been approved and the building is complete. Item Main Garage STORAGE Total Value Building Permit Fee Surcharge/admin TOTAL FEE --- BUILDING PERMIT --- Sguare Feet x $,/Square Feet 150 14.a 62 .50 5.01 67 .5L(A) (Excluding EIectsrica1) unlegs othenvise noted --- TOTAL AITIOITNT DUE --- (A, B, C, D, and E combined)67 .51 --- BUILDING VAIJUE, PI'AIiI CHECK AI{D BUILDTNG PERMIT --- This permit is granted on the express condition that the said. construction shaLL, in all respects, conform t.o the ordinance adopted by the city ofSpringfield, including the Development Code, regulating the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances. Value 0.00 0.00 2,255 .OO 5 ,296 . OO SPFIl{GFIELD Job Number: 951181 CITY OF Page 2 Pfan Check Fee: 40.53 Received By: Plans Reviewed By: DON MOORE Building Site Reviewed By: LISA HOPPER Date Paid: 07/14/95 Date: o8/L5/95 Receipt Number . 1-8322 --- ADDITIONAL COMMENTS --- ANY ELECTR]CAL INSTALLATIONS WILL REQU]RE ADDITIONAL PERMIT. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is Erue and correct, and f further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and Ehe Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any sEructure without permission of the Community Services Division, Building Safety. I further certify that only conEractors and employees who are in compliance with oRs 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address j-s readabl-e from the sLreet, that the permit card is focated at the front of the property, and the approved set of plans will on the site at al-l- times during construction <-1-r,{- 7t 7q S gna Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: E*?/'29n* Permit #:/7<' Address: (Signature of permit applicant) (White copy to issuing qgency pennit file, pink copy to applicant) a?/72 Issued Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered 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 registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3,{ or 38 w 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3,A.. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. w 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that above information is correct and thatl have read and do understand the Information Responsibilities on the reverse side of this form. Date OR *al- Notice to (Date) b Informatiori Notice to Property Owners About Gonstntction Hesponslbil ities Nate: This lnfrtrm*tion Nrstice tg Prqperry Owners about C*ns*u$i*n Responsihilities wdr.s tteveluped by the Consiruitioi C*utractrsrs B*ard in *rc*rdsnce witlx ORS 70i -055(5). If you are acting as your swn contractor to construct a new home or make a suhstantial improvement to an existing structure, you can prevent many problems by being aware of the fbllowing responsibilities and areas of coucern. EMPLOYEH HESFON$IBILITIE$: If you hire persous not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most inslances, be ruled to be an employer and the people you hire will be employees" As the employer, you must comply with the following: Oregon's withholding 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 eyen if you don't actually withhold the tax from your employees. For more informaticn, call the Oregon Dept. of Revenue at 945-8091, Unernployment insurance tax: As an employer, you are required to pay a tax for unemplcyment insurance purposes on the wages of all employees. Fcr more information, call the Gregon Employment Division at the Departrnent of Human Resources at 378-3524 Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, anO #i obtain workers' compensation insurance for your eynployees. If you fail to obtain workers' eompensation insur4nce, you m&y be subject to penalties and will be liable for all claim costs if one of yr:ur employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax paymeilt even if you tlidn't actually withhold the tax. For more information, call the Internal Revenue Service at l-800-829-1040. OTHEH HE$PONSIBILITIES AND AHEAS OF CONCEHN: Code complianee: As th* p*rrnit holder for this project, you are respr:nsihl* frr r*salving ary failure lo meet code requir*ments that may be broughi t* yrxrr attentiein thrctlgh inspections. Liability and pr*perty damrge insurance; Contact your insurance agent to see if you have adequate insurance coverage far accidents and omissi6ns such as falling tools, paint overspray, water damage from pip* punctures, fire, or work that must be re-done. Time to supervise ernployees: N{ake sure you have sufficient tirne t* supervis* your empl*yees. Expertise: Make stire you have the expertise tn act as your orvn general contractor, to coordinate the work of rough-in and finish trades, and ro natify building officials at the appropriate times so they can perform the required inspections. lf you have additional questions, write or cell the Cr:nstructir"rn Contractors Bcard {PO Box 14140, Salem, OR 97309-5052, 50313?8-4{r?l). The Boaxi is l*cated at 70il Summer St. NE Suite 300, in Salem. prop-own.pm4 U94