The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-8-19 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-01244 ISSUED 08/19/2008 APPLIED 08/19/2008 EXPIRES' 02/19/2009 VALUE' Status Issued 225 F,fth Street, Sprongfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe SITE ADDRESS 507 VALLEY VIEW AVE ASSESSOR'S PARCEL NO 1803022101100 SprlDgfield TYPE OF WORK Bathroom PROJECT DESCR[PTION Relocate bathroom fixtures TYPE OF USE AlteratIOn Resldentoal Owner BELYEA DAVID R Address 507 VALLEY VIEW AVE SPRINGFIELD OR 97477 , CONTRACTOR INFORMA TION , ContractOl Type Generdl PlumblDg Contractor ALAN A CODDINGTON JAM MAL INC License 41499 158262 BUILDING INFORMATION' # of U mts # 01 Storoes Promary Occupdncy Group R-3 Height of Structure Secondary Occupancy Group IY e of Heat Promdl y Con,to l~~. Oregon1lW requires ~pe Secondary ConlRi~d~"fui'8'll'ildopted by the Oregllfla ' pe # 01 BedlOoms Notification Center. Those Nles Nt ~f~ath In OAR 952-'l01-OO10 tt\rOU!~ ~ the frit BulldlDg n/a UIJlIU ,,,,,...-, aBWIa--r~. . celilng the center. (Hal . ~ . T INFORMATION I I\lIIllb8f tor the Oregon M.<.n ' .. Center 111 800 33i~ Front yard Setback Overlay Dlsl S,de I Setback # Street Trees Rqd Side 2 Setback Paved Drove Rqd Rearyard Setbdck % of Lot Coverage Solar Setbdcks ," Street Improvemenb Storm Sewer AVdllable Specldl InstructIOn I PUBLIC [MP~O.VEMENTS' Expiration Date 02/[ 6120 I 0 01/12/2010 Phone 541-484-1886 541-484-7440 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact S,deWdlk Type Downspouts/DralDs Notes NOTICE: ~R1:f-~ THIS PERMtT S14~i~ THIS PERMIT IS NOt AUTHORIZED UONR IS ABANDONED fOR COMMENCED ANY 180 DAY PERIOD. Paee I of 3 -u~:;tij ..... .' Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme I V aluatlOn Des~rlDtlOn I DescriptIOn $ Per Sq Ft or mu'"pher Square Footage or BId Amount Tvve of ConstructIOn Total Value of Project L.Fpp< P<n1J Fee DescrIptIOn + 10% AdmmlStralIve Fee + 12% State Surcharge + 5% Technology Fee FIXture MlmmumlAdJustment Plumbmg Amount Paid Date Paid $520 $624 $260 $5100 $100 8119/08 8119/08 8/19/08 8/19108 8119108 Total Amount PaId $66 04 Plan RevIews .1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-01244 ISSUED. 08/1912008 APPLIED: 08/1912008 EXPIRES: 02/19/2009 VALUE: Value Date Calculated ReceIpt Number 1200800000000000885 1200800000000000885 1200800000000000885 1200800000000000885 1200800000000000885 To Request an InspectIOn call the 24 hour recordIng at 726-3769 All 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. I Rpfllllrprl 'n~rprtln"i.l Rough Plumbmg Prior to cover and mcludmg requIred testmg Shower Pan Prior to covermg and mcludmg reqUIred testmg Fmal Plumbmg When all plumbmg work IS complete Paee 2 of 3 -~ CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED. EXPIRES: VALUE. COM2008-0I244 08/19/2008 08/19/2008 02/19/2009 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIDe By SIgnature, I state and agree, that I have carefull} examIDed the completed apphcatoon and do hereby certofy that all IDformatlOn hereon IS true and correct, and Ilurther certIfy that any and all work perlormed shall be done ID accordance wIth the OrdIDances of the CIty of SprIDgfield and the Laws of the State of Oregon pertaIDIDg to the work described hereID, and that NO OCCUPANCY WIll be made of any StruCtUl e wIthout permISSIon of the Commumty ServIces DIVISIOn, BUlldlDg Safety I further certofy that only contractors and employees who are ID comphance wIth ORS 701 005 WIll be used on thIs project I further agree to ensure that all reqUIred IDspectlOns are requested at the proper tome, 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 remam on the SIte at all times dunng constructIon n. Q~?? OwneJ or Contrdctors Signature {S-l9.- 2..CdS Date Paee 3 of 3 - Construction Contractors Board 700 Summer St NE SUite 300 PO Box 14140 Salem OR 97309-5052 Phone' 503-378-4621 Web Address www ccb state or us Pemnt # C OWl ~ ca g- - 0 I Z-l.(t.f Address ~ I \J t> [16-/ \J'I Evv' A v' Issued by "l'-.,r( I Date ~/ Q ~ Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requIres resIdential constructIOn permIt appltcants who are not ltcensed wIth the ConstructIOn Contractors Board to SIgn the followmg statement before a bUlldmg permit can be Issued ThIs statement IS reqUIred for resIdential bUlldmg, electrical, mechamcal and plumbmg pernllts LIcensed architect and engmeer appltcants, exempt from ltcensmg under ORS 701 010(7). need not submIt thIs statement ThIs statement wIll be filed with the permIt FIll ill the app,upuate blanks and 1ID11al boxes 1 and 2, and eIther box 3A or 3B ..I2r 1 62 I own, resIde m, or WIll resIde m the completed structure ~ 3A My general contractor IS I understand that I must become hcensed as a constructIOn contractor If the structure IS sold or offered for sale before or on complel1on ( C\J),~<-L____ - (Namej AL- 4/l( i 7 (CCB #) I wIll mstruct my general contractor that all subcontractors who work on the structure must be hcensed wIth the ConstructIOn Contractors Board OR o 3B I WIll be my own general contractor If! hIre subcontractors, I wIll hIre only subcontractors hcensed wIth the ConstructIOn Contractors Board If I change my mmd and lure a general contractor, I WIll contract wIth a contractor who IS hcensed WIth the CCB and wIll ImmedIately nol1fy the office Issumg thIS bUlldmg penmt of the name of the contractor I hereby certIfy that the above mformatlon IS correct and that I have read and do understand the InformatIOn Notice to Property Owners about ConstructIon Responslblhtles on the reverse SIde of thIS form. Q O~ o@Y-l"t-'"2.c:d) / (SIgnature ofpe~lcant) , (Date) (WhIte copy to Issumg agency permIt file. pmk copy to appltcant) Property_owner doc 06-01-04 Ading:'a-s '\"Y OUfJl" OWHll GeHllerai Contractor? \.. ,- \1 \IN~O~MATI6N- NOTICE TO PROPERTY OWNERS " S -::.' \ - ,\ :>. A~Q~T CONSTRUCTION RESPONSIBILITIES \ NOTE This Informat,on Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board In accordance with ORS 701 055(5), passed by the 1989 Oregon Legislature If you are acting as your own cOl;tract~r to construct a new home or Inake a substanllalllnprovement to an eXIsting structure, you can prevent many problems by being aware of the followlngresponslbllllles and concerns EmpBoyer Responsibilities You WIll, In most Instances, be ruled to be an "employer'~ and the contractors YOIL contract WIth wIll be "employees" If you use contractors not licensed WIth the Construction Contractors Board to do labor m c'onstructlng or to assIst In the . , construcllon or Improvement of a resldenllal structure As the employer, you must comply with the followmg: . - . ' Oregon's Withholdmg Tax Law: As an employer, you must WIthhold Income taxes from employee wages at the lime employees are paId You WIll be hable for the tax payments even If you don't actually WIthhold the tax from your employees For more mformallon, call the D"l-'a,;,;,eht of Revenue at 503-378-4988 ""- Unemployment Insurance Tar As an employer, you are reqUIred to pay a tax for unemployment Insurance purposeS'..., on the wages of all employees For more mformatJon, call the Oregon Employment Department at 503-947-1488 ~ The Oregon BUSiness IdenllficatlOn Number (BIN) IS a combmed number for both Oregon WIthholding and UnemployrQent Insurance Tax To file for a BIN, call 503-945-8091 or WW\\ dor state or us/formsnav htrnll for the appropnat;forms'-.\ _ / _ ~ _ I t)I,,) ').\h. j' ~ \ \ Workers' CompensatIon Insnrance. As an employer, you are subject to the Oregon Workers' Compensallon Law, and must obtain workers' compensatIOn msuranye for your eplployees If you fat! to obtain workers' compensatJon Insurance, you could be subject to penallles and be liable for all claIm costs If one of your employees IS Injured on the Job For more mformatlOn, call the Workers' Compensallon DIVISIOn at the Department of Consumer and BUSiness ServIces at 503-947-7815 . '1 ~ U.S. Internal Revenue Service: As an employer, you must WIthhold federal Income tax from employees' wages 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 at 1-800-829-4933 or VISIt then web sIte at www liS !!OV Other. Responsibmties amI Areas of COll1lcems , Code Compliance. As the perlOlt holder for thIS proJect, you are responsIble for resolVing any faIlure to meet code reqUIrements that may bc brought to your attentIOn through Inspecllons LIability and Property Damage Insnrance: Contact your Insurance agent to see If you have adequate msurance coverage for aCCIdents and onusslons such as falling tools, pamt over spray, water damage from pIpe punctu~s, fire or work that must be redone ' - :..) S-! C7" ..., ') ,.. J)~ J4J ....-~)( _' .z-' ......r-->I-'~ '-r_y - I ~- --~~ - " Time Make sure you have suffiCIent lime to supervIse yom employees .., Expertl~e Make sure you have the slalls to act as your own general contractor, to coordmate the work of rough-In and fimsh trades, and to notIfy bUIlding offiCIals as the appropnate times so they can perform the reqUIred inspectIOns If you have addItional questIOns call the ConstructIOn Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052 Property_owner doc 06-01-04 225 FIfth Street SprIngfield, Oregon 97477 541-726-3759 Phone 8~, Wic ~. -' CIty of Sprmgfield Official ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-0 1244 COM2008-01244 COM2008-0 1244 COM2008-01244 COM2008-0 1244 Payments Type of Payment Check cRecelOtl RECEIPT # 1200800000000000885 Date' 08/19/2008 DescriptIOn FIxture MInImum/AdJustment PlumbIng + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By DA VID BeL YEA Item Total <":heck Number Authorization Received By Batch Number Number How Received dJb 3176 In Person Payment Total Page J of I I 20 08PM Amount Due 5100 100 260 624 520 $66 04 Amount Paid $66 04 $66 04 8/1 9/2008