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Home My WebLink AboutPermit Curb Cut 2004-07-21FIELD Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00901ISSUED: 0712'1.12004 APPLIEDT 0712012004 EXPIRESz 0112112005 VALUE: SITE ADDRESS: 342l Virginia Ave ASSESSOR'SPARCELNO.: 1702313403603 PROJECT DESCRIPTION: Curbcut permit for a second driveway Owner: LINVILLE RONALD D & DEBI B Address: 342MRGINIA AVE SPRINGFIELD OR 97478 Contractor Type Contractor Springfield TYPE OF WORK: Curbcut TYPE OF USE: New Residential Phone Number: 746-1503 License Expiration Date Phone CONTRACTOR INFORMATION BUILDIN( # 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 ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Fullv Improved Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Curbside 5' $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated LL Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00901ISSUED: 0712112004 APPLIED z 0712012004EXPIRESz 0112112005 VALUE: tr'ees Paid Fee Description Curbcut - Overwidth Appl Curbcut Permit Total Amount Paid Amount Paid $3s.00 s7s.00 $110.00 Date Paid 7t20t04 7t2u04 Receipt Number 2200400000000000948 1200400000000001r 1s Plan Reviews Public Works Review 07t20t2004 APP VRJ Transportation approved 2nd driveway application 7 120 12004. Left message for Mr. Linville to come into front counter and pick up curbcut permit. 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. Curbcut - Second: 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 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 ) ,-il/-/Y Owner or Date Pase 2 ol 2 I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Aty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 1200400000000001115 Date: 0712112004 8:08:38AM Job/Journal Number coM2004-00901 Description Curbcut Permit Amount Due 75.00 Item Total:$7s.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check RONALD LINVILLE vrj 1029 In Person $75.00 Payment Totat: --ffi6d 7/21/2004 Page I of I anma;tlD FIELD Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00901ISSUED: 0712012004 APPLIEDT 0712012004EXPIRES: 0112012005 VALUE: SITE ADDRESS: 3421 Virginia Ave ASSESSOR'S PARCEL NO.: 1702313403603 Springfield TYPE OF WORI(: Curbcut TYPE OF USE: New Residential PROJECT DESCRIPTION: Applicant is applying for a second driveway. Owner: LINVILLE RONALD D & DEBI B Address: 342MRGINIA AVE SPRINGFIELD OR 97478 Contractor Type Contractor Phone Number: 746-1503 License Expiration Date Phone CONTRACTOR INFORMATION BUILDIN( # 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 PARKTNG Total: Handicapped: Compact: PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated _*_f r r\rl\ | Valuation Description 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: COM2004-00901ISSUED: 0712012004APPLIEDz 0712012004 EXPIRESz 0112012005 VALUE: Fee Description Curbcut - Overwidth Appl Total Amount Paid Amount Paid $3s.00 $3s.00 Date Paid 7t20t04 Receipt Number 2200400000000000948 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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. By signaturer l 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 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 wilt 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 ofthe property, and the approved set of plans will remain on the site at all times ? ry-Ae,-o{ or Contractors Signature Date Paee2 of2 r ees raro Keourreo InsDectrons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ctty of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT #: 2200400000000000948 Date: 0712012004 1:24:50PM Job/Journal Number coM2004-00901 Description Curbcut - Overwidth Appl Amount Due 35.00 Item Total:$35.00 Payments: Type of Payment Paid By uhecl(Number Authorization Received By Batch Number Number How Received Amount Paid Cash RON LINVILLE vrJ In Person $35.00 Payment Totat : -53 5.-6T- 7120/2004 Page I of I tBFgriloltrLD 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: COM2004-00901ISSUED: 0712112004APPLIEDz 0712012004EXPIRES: 0112112005VALUE: $ 2,000.00 SITE ADDRESS: 3421 Virginia Ave ASSESSOR'S PARCEL NO.: 1702313403603 PROJECT DESCRIPTION: Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Curbcut permit for a second driveway and mono slab for future use Residential Owner: LN-VILLE RONALD D & DEBI B Address: 342MRGINIA AVE SPRINGFIELD OR 97478 Phone Number: 746-1503 Date PhoneContractor Type General Contractor OWNER bficiraftr # 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: Street Improvements: Storm Sewer Available: Special Instruction: Fully Notes: Description Type of Construction Foundation Only Use Bid Amount Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: S $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 2,000.00 Total Value of Project Downspouts/Drains: VaIue $2,000.00 $2,000.00 REQUIRED PARIilNG Total: Handicapped: Compact: Curbside 5' R-3 VN oAR 9s2-001- nla Date Calculated 07t2y2004 L ANY 1s0 DAY Valuation Description I Sq Ft Garage/Carport Sq Ft Other: Occupant Load: FIELD Buildin g/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: COM2004-00901ISSUED: 0712112004APPLIEDz 0712012004EXPIRES: 0112112005VALUE: $ 2,000.00 Fee Description Curbcut - Overwidth Appl + l0o Administrative Fee + 7%o State Surcharge Curbcut Permit Foundation Permit Total Amount Paid Amount Paid $3s.00 $4.s0 $3.1s $7s.00 $4s.00 $162.6s Date Paid 7t20t04 7t2y04 7t2y04 7l2UO4 7t2U04 Receipt Number 2200400000000000948 2200400000000000953 22004000000000009s3 1200400000000001 115 22004000000000009s3 Plan Reviews Public Works Review 0712012004 APP VRJ Transportation approved 2nd driveway application 7 120 12004. Left message for Mr. Linville to come into front counter and pick up curbcut permit. 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. Curbcut - Second: After forms are erected but prior to placement of concrete. SIab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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 is located at of the property, and the approved set of plans will remain on the site at all times //-ry or Signature Pase 2 of 2 Date 7- TNfjD T I r ees raro I Construction Contractors Board permit g. CovvtTo- r(-oO ?O I 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 WebAddress:rybs.lg[e.or.uq sc/z( v,'/t<tr*I Issued by:\K Date 7-zt-o\ Address: Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed wilh the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement ts 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 -&, E2 I own, reside in, or will reside in the completed structure I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ?tt -M (s ignature of permit applicant)(Date) (l'frhite copy to issuing agency permit file, pink copy to applicant.) 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 -,K 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 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 reyerse side of this form. Property owner.doc l2-09-03 tr Acting as Your Own General C6-ntractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES .; If y*u arc ar:ting as your ox,n contractor to construct a new home or make a subptantial imprgvement to an existing strucaire. you can prev'ent rnany problems by being aware of the foll<iri'krg reiponsi&litits"i*A concems. Employer Responsibilities You,.ryill,'in rnost instances, be ruied to be an "employer" and the con8actors you confract rvith will be "employees" if you use coR,iractors nclt licensed with the Construction Contractors Board to do labor in constructing or to assist in the constructron or improvement of a residential structure. As the gmployer, you must Conply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes frorn employee wages at the time empioyees are pard. \'ou rvrll be liable lbr the tax payments even if you don't acrually withhold the tax from your emplovces. For more information. call the Departmeni of R..,.ou. at 5O:-:la-a9S8. '" "' tlnemploy'ment Insurance Tax: As an employer, you are req.rired to pay a'tarfor unemployin€nt insuranc" p*frseS on the wages of all employees. For more information. call the Oregon Employment Departrnent at 503-947-1488 The Oregon Business Identification Number Ahtr) is a combtned number for,both.OregortlMithholding and Unen:ployment Insurance Tax. To file tbr a BIli. call 503-945-8091 or u,x.rv.dor.state.or.uslforrnspav.htmll for the appropriate forms. | . ,. :. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain u,orkers' compensation insurance for your employees. If youfa{,to obtain rvorkers' compensation irtsurance. you could be subject to penalties and be liable for all claim costs if one o'!you'employges is injured on the job. For rnore inflormation. call the Worters' Compensation Divisitin at the Depzirtment of Consdmei and Busir:ess Services at 503-947-781 5. '\ .? [i.S. lntcrnal ltevenue Service: As an employer. you must withhold federal income tax from employ."r"*ug]. r You rvill be liable for the tax payment ev-en if you didn't actually *-ithhold the tax. For a Federal EIN number, call the IRS at 866-816:2065 or fax them at 801-620-7115. Other Responsibilities and Areas of Concerns Code Compliance: As the permit hoider for this project. you are responsible for r.*oiiirrg any failure to meet code requirements that may be brought to your attention through inspections. . i : ,.,, , , , : Liability and Propertv Damage fnsurance: Contact your insurance! agent to see if you have ade'quate insurance ooverage fcrr accidents and omissions such as falling tools, paint over spray, water damage fro4 pipe punctures, fire or work thatmust be redone ., -' . iJ Time: Make sure you have sufficient time to supen"ise your employi:es. Expertise: Make sure you have the skills to act as your owrl general contractor, tb coordinate the work of rough-in and finish trades, and to notii/ building officials as the appropriate times so they can perform the required inspections. If you have addrtional questions call the Construction Contractors Board (503-3784621) or write the agency at pO Box 14140, Saiem, OR 97309-5052. Property_orvner.doc I 2-09-03 NOfEr This lnformatian Notice to Propefty Owners about Canstruction Responsibi/dies was developed by the Construction Contractors Board in accordance with ARS 701.055{5J, passed by the 1989 aregon Legislature. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt , evelopment Services Department Public Works Department RECEIPT #: 2200400000000000953 Date: 0712112004 8:38:25AM Job/Journal Number coM2004-00901 coM2004-00901 coM2004-00901 Description Foundation Permit + 7o/o State Surcharge + l0% Administrative Fee Amount Due 45.00 3. l5 4.50 Item Total:$s2.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check DEBI LINVILLE djb 1030 In Person $52.65 Payment totat: -Tffi 7/2U2004 Page I of I aFBll{Or!aLO