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Home My WebLink AboutPermit Building 2007-05-03Status 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: COM2007-00481ISSUED: 0510312007 APPLIED: 0410312007 EXPIRES: 11/0312007VALUE: $ 10,400.00 OF PUBLIC SITE ADDRESS: 450 35TH ST ASSESSOR'S PARCEL NO.: 1702312411400 PROJECTDESCRIPTION: Carport Springfield #of Overlay Dist: # Street Trees Rqd: Pa o//o TYPE OF WORK: Carport TYPE OF USE: New Residential Phone 541-689-7148 PARKING Owner; Address: Contractor Type General LARRY AMES PO BOX l32l SPRINGFIELD OR 97477 PhoneNumber: 541-747-4343 DateContractor KENNETH V FLATT License 41557 D F.\ P t Basement: Garage/Carport bJ# 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:0.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: U VB 6re 520 nla Sq Ft Other: Occupant Load: r8.00 s.00 NN\ \Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount CONTRACTOR INFORMATION Description Type of Construction Pase I of3 Value Date Calculated \\\g \t "1 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/Combination Permit PERMIT NO: COM2007-00481ISSUED: 0510312007 APPLIEDz 0410312007EXPIRES: 11/0312007VALUE: $ 10,400.00 Carport Carport Fee Description Plan Review Residential + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Fire SF Fee - Residential Garage/Carport Plan Review Minor - Planning Storm Sewer - lst 50 Feet Total Amount Paid $20.00 s20.00 Total Value of Project Date Paid 4t3t07 5t3t07 5t3t07 st3t07 5t3t07 st3t07 5t3t07 st3t07 Receipt Number 2200700000000000476 1200700000000000499 1200700000000000499 1200700000000000499 1200700000000000499 1200700000000000499 1200700000000000499 1200700000000000499 $10,400.00 $10,400.00 04t03t2007 Amount Paid $74.88 $18.62 $13.61 $12.82 $26.00 $115.20 $112.00 $45.00 $418.13 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 04t04t2007 04t04t2007 04104t2007 04nu2007 APP APP LLH TAJ 04t04t2007 04t08t2007 APP JLP 04t04t2007 04t27t2007 IO LLH 04/27t2007 05t03t2007 APP LLH Carport poles may be no closer than 5' from the side property line and no portion of the eaves may extend more than 2' into that area. Entrance to the carport must be at least 18 feet from the front property Iine. Rcvd 4/4/2007--\Yaiting in order PW rcvd for rvw.JlP4l4l07 *** Per orthophotography, area already impervious. No new SDC fees. Storn H2O tied to existing system ending @ curb & gutter as per site plan.JLP APP4l8l07 Forwarded to the Building Department for structural review under contract with the City of Springfield. Plans reviewed by Dave Mortier with the Building Department under contract with the City of Springfield To Request an inspection call the 24 hour recording at 726-3769. AII 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. Page 2 of3 ET Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line Building/Combination Permit PERMIT NO: COM2007-00481ISSUED: 0510312007 APPLIEDz 0410312007EXPIRES: l110312007VALUE: S 10,400.00 nsnections 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after atl 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 filling trench. 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 Cify 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 uring co .5-30 Owner Signature Date Page 3 of3 Construction Contractois Board 700 Summer St ltE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:lgry.g$1!g!9.ry ao.-,-Oo LIE I L/so 3 5+L tl Permit #: Address: Issued by:3 Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensedwith the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, md either box 3A or 38: \ El-r. I own, reside in, or will reside in the completed structure. \\ N-- , I understand that I must become licensed as a construction contractor if the sffucture is sold or offered for sale before or on completion. Ll /Ss 1t(u3A. My general contractor is ^r{l ft*rr (Name)(ccB #) I will instruct my general confiactor that all subcontractors who work on the strucfure must be licensed with the Construction Contractors Board. OR tr 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the information is correct and that I have read and do understand the Information Notice to Construction Responsibilities on the reverse side of this form. *ga) applicant)@ate) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 Aeting as \{ur Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CON$TRUCTION RESPON$IBI I.ITIE$ -r +\ If you are acting as your own contractor to construct a new home or make a substantiai improvement to structure, you call prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You,will,.in most instances, be ruled to be &n "employer" and the contractors you contract tvith will be "_employees" if you use contractors not iicensed with the Construction Confractors Board to do labor in corrstructing or to assist in the conskuction or improvement of a ieqldential structure. As the.employer, you must comply with the following: Oregon's Withhotrding Tax Law: As an emp'loyer, you must withhold inpome taxes &om employee wages at the time employees are pai<i. You will be liable for the tax paynie*ts even if you don't actually wilhhold the tax from your employees. For m*re infq:rmation, call the Department ef Revenue at 5031378-4988. ,, i Unemployment Insurance Tax: As an employer, you are required to pay t tax for unemploymalrt insurance purpos'frJ on the wages of all employees. For more information, call the Oregon Employment Departmentat 5Q3-947-1488. andThe Oregon Business Identification Number Gf$ is a combined number for both Orggon, Withbolding Unemplpy-m?t Insurance Tax. To file for a BIN, call 503-945-8091 or rvww.dor.state.or.us/formspay.htmll for the approfriateforrrB. , ! - J 1_ -, t .. -, )i -\( Workers' Compensati*n trnsurance: As an employer, you are subject to the Oregon W'orkers' Ccmpensation Law, and must obtain rryorkers' compensation insurance for your empioyeeq- If you fail t* obtain wcrkers' compensation insurance, you could be subjeci to penalties and be liabie for all:claim costs if one of your errployees is injuied on tle job. For more infnr:nation, call the Workers' Compensation Division at the'Departmcnt of,'Consumerand Business Services at 503-947-7$ I 5. U.S. Internal Revexue $ervice: As an employer, y** must withhold federal income tax from employees' waged. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Feetreral ES.i number, call the IRS at 1-800-8294?33 or visit,their web site at $madJltgsy ,., .. l ; . Other RBsppnsibilities and Areas of Concerns Code Complianc*: As the permit holder for thrs proj*ct, you are responsible lbr resclving any faitrure to meet code requirements tliat rnay hc brought to your attention thror:gh inspectrons. Liability amrl Properfl Damage Insurancc: Contact your insurance agent to see if you have adequate insrndrtcc coverage flcr accidenti; anrJ omissions such as falling 1*r:1s, paint ov*r spray, water r{amag* fi*::r pi;:* pnncturss, {ire or work that nr*st he rcdono. \ ir. Time: Make sure y*u have sufficient time to supervlse y*ur employees. Expertise: Make sure you have the skills to act as your own general contractor, to cocrdinate the work of rough-in and linish kades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additio:rai questions call the Conskuction Ccntractors Board (503-3784621) or write the agency at PO Box 14140, Saiem, OR 97309-5052. ,.:.,..\ r, Properfy*owner.doc 06-* I -04 NATE: This lnf*rmation Notice to Praperty Owners abaut Construction Responsisilfies was developed by the Construction $onfracfors Soard in accordanea w?ttt ARS 7A1.055(5), passed by ttt* f $S9 Oregon Legislature. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C:\, of Springfield Official ReceiPt \ . elopment Services Department Public Works Department RECEIPT #: 1200700000000000499 Date: 0510312007 2232:23PM Job/Journal Number coM2007-00481 coM2007-00481 coM2007-00481 coM2007-00481 coM2007-00481 coM2007-0048r coM2007-00481 Description Fire SF Fee - Residential Plan Review Minor - Planning Garage/Carport Storm Sewer - lst 50 Feet + 5%o Technology Fee + 8% State Surcharge + l|Yo Administrative Fee Amount Due 26.00 I12.00 I 15.20 45.00 13.61 12.82 18.62 Item Total:$343.25 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard Check LARRY AMES LARRY AMES djb djb 1267 R65310 In Person In Person Payment Total: $243.25 $ 100.00 $343.2s Job/Journal Number coM2007-00481 coM2007-00481 coM2007-00481 coM2007-00481 coM2007-0048r coM2007-00481 coM2007-00481 Description Fire SF Fee - Residential Plan Review Minor - Planning Garage/Carport Storm Sewer - lst 50 Feet + 5%o Technology Fee + 8% State Surcharge + ll%o Administrative Fee Amount Due 26.00 I12.00 I15.20 45.00 13.61 12.82 18.62 Item Total:$343.25 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard Check LARRY AMES LARRY AMES djb djb 1267 R653 l0 In Person In Person Payment Total: $243.2s $ 100.00 $343.2s cReceint I Page I of I 51312007 {lsnrfl*$*trr,n