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Home My WebLink AboutPermit Miscellaneous 2008-10-6 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO': COM2008-01333 ISSUED: 10/06/2008 APPLIED: 09/04/2008 EXPIRES: 07/22/2009 VALUE: $ 44,] 12.00 "'~ . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 880 S 57TH ST ASSESSOR'S PARCEL NO.: 1802041400800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Garage and reroof house Owner: SIMMONS BRADFORD G &JENNIFER Address: 4071 NORTH ST SPRINGFIELD OR 97478 Phone Number: 541-688-8578 I CONTRACTOR INFORMA TWN I Contractor Type General Electrical Plumbing '. Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFOR1~'I;\ TI<m I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 42,020 504 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: 'Total: 2 # Street Trees Rqd: Handicapped: . Paved Drive Rqd:' ^TTENTION: Oregon law H€Oi\1paciPU;O % of Lot Coverage.:'11 rules adopted by tM Oregon u~.ltYth 10 ow Those lulAs al e set ,01 Notification C:nt:~., n .I"n, "..I,"OAR 952-001- I PUBLIC IMPROVEME~:i;$f YoJ;;;;~y ~btain copies of thle r~'~~eUY \ . tl;~ ~entAr. (Note: the te ep . ca ling SldewalkT,ype:Utility Notification number for tne VIS,,'" 4) CD . .. ,- 't0~lDn_<\':\?-234 , . ,ownspon S ram~: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 60.00 10.00 Street Improvements: Storm Sewer Available: S .1"'11,,.'('1:.. peclaU nstructIon: Ill!S PERMIT S:JALL EXPIRE IF THE WORK Not~~UTH~~W~[!sm~8ER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction Estimate Garaee Estimate Garaee Fee Descriotion -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Boiler/Comp Up To 100,000 btu . Building Permit Garage/Carport Gas Outlets 1-4 Plan Review Minor - Planning Plan Review Residential Storm Sewer - 1st 50 Feet Vent Fan + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ . Add, Alter, Extend CircEa Add + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Fixture Perm Serv/Fdr 200 amps or less Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01333 ISSUED: 10/06/2008 APPLIED: 09/04/2008 EXPIRES: 07/22/2009 VALUE: $ 44,112.00 ., , I Valuation Descriotion I I $ Per Sq Ft , or multiplier I $1.00 1$28.00 I I Total Value of Project .~ I Square Footage or Bid Amount 30,000.00 504.00 Value Date Calculated $30.000.00 $14,112.00 $44,112.00 09/04/2008 09/04/2008 Amount P~id I $42.00 $57.52 , $69.~3 $34:n $15.~0 $289,03 , $167.18 $12.00 $1l9.~0 $252.71 I $52.00 . $40.00 $5.50 $6.60 $2.75 $50.00 $5.00 $39.12 $16.30 $36.00 $209.00 $81.00 Receipt Number Date Paid 10/6/08 10/6108 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6108 11118/08 11118/08 11/18/08 11/18/08 11/18/08 1126109 1/26/09 1126/09 1126/09 1/26/09 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 1200800000000001038 2200800000000001654 2200800000000001654 2200800000000001654 2200800000000001654 2200800000000001654 2200900000000000099 2200900000000000099 2200900000000000099 2200900000000000099 2200900000000000099 $1,601.45 I Plan Reviews I . Plannine Review 09/04/2008 09/0412008 'APP DDK Public Works Review 09/0412008 0910412008 APP TSS No Public Works issues. Storm water will connect to existing eaves. Structural Review 09105/2008 . 0910512008 APP CJC Approved as noted on plans Paee 2 of 4 . CITY OF SPRINGFIELD' Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-01333 ISSUED; 10/06/2008 APPLIED; 09/04/2008 EXPIRES; 07/22/2009 VALUE; $ 44,112.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. . ~irPi11{~\,~..tions I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Storm Sewer Line: Prior to filling trencb. 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 Final Electric: When all electrical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Paee 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01333 ISSUED: 10/06/2008 APPLIED: 09/04/2008 EXPIRES: 07/2212009 . VALUE: $ 44,112.00 By signature, 1 state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances ofthe 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 timeftnstruction. Owner or Contractors Signature Page 4 of4 Date -. . . . . . . . . " " '. " " .' 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 Permit #: C{;' ~ () /.3 :5::S .~ Address: XC;{J S.' 5~ '='Y""7\ .,u Statement: hlformation Notice to Property Owners About Construction Responsibilities Date,) - ::l(;~ ~ 0 '7 '. Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed 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 licensing under ORS 701.010(7),. need not submit this statement. This statement will be filed with thepermit. '. Fill in the appropriate blanksilnrl initiaI boxes I and 2, and. either box 3A or.3B: . ~l. o 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 i~ sold or : offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor thatall subcontractors who work on the strticture must be. licensed with the Construction Contractors Board. OR ~ 3B. I will be my own general contractor. If! 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 notify '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 ;?' ="",. C".""".,, R~po,"b,".".. 0" m_ "";;:2 ... (Signature of permit applicant) (Date) , (White copy to issuing agency permit file, pink copy t() applicant.) . . Property _ owner.doc 06-0 1-04 .- '. { --: t Actillg.:.as"Y oui .pwn'Gell1l.eral Contractor?'. .+ '. ("'" ........ ~', '~', ". '.,.': 1':. r" .._' . . . INFORMATION. NOTICE TO PROPERTY OWNERS.>,., __ .' . . _ A~O~T;~O~N~!.~UCJION:RESPONSIBILlTlE:~_. . , . '/ -'.. .... . ~ , .' . ., . ~ .... NOTE: This Information Notice to Property Owners about Construciion Responsibiiities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. :,}; . . ;'! .::: 1 -...', " If you are acting as your own contractor to construct a new home or make a substi\nt(al irnprovemerit to ail existing structure, you can prevent many problems by being aware of die following responsioili ties and concerns. . Employer Responsibilities .... ..:.."-' j'",.,\.:,'_,_" ." 't' . ';. I ~ .' ~..1.-.~... .....','..~' .."~d~" . ,j.", 'i:~ You ::viii, in m,?st jns4ln.c~.s, be rul~d to be a~ "employer:' anq\th~c~pt:r!lct?rs. you~OI*act_ ?1th will be ';~mployees" if you use contractors not licensed with the Construction Contractors Board. to do labor. in constructing or to assist in the . ,; ...... ,- ;. - ,,- ~. ',,' ",',..:. _ . >,. .., r' . ,.' .'. . '. .. - - -~... construction or j'Ppr-,QV:~;\ll~t of.~ '~~si~eIJ~~1 ,s~c!p!~' .;\s t,he e~plore!, you mu~~ ~.op1ply rt!t~t,he followhig: Oregon's Withholdhig T~ La~: ~s:in em~lo~~~;y6u"'rt;uit withhold in~onie taX:esfrofn ethpl~;ee\vages at the time employees are paid. You will be liable for the tax paxments even if you dOT! 't actually withj10ld the tax from yo,!, employees. For more information;cjaIHhe'Dep&trnerii'JfReve~ue at 503-.3"'78-4988. .. " .., .. -'. L Unemployment Insurance Tax: As an employer; youiare n:quitedto pay a t:ix for unemployment insurance purposeS<' , . on the wages of all employee~. For more information, call the Oregon Employment Department at 503-947-1488. t.' ,~-r;,- ," . .~'f' -I;~J ~':;':;~f'- ~;t;,j:,....- . ".-:~"!~. ...': I. :;:'-Jt..'~......':~' .'s The Oregon Business Identification 'N~mber (BIN) is a combined..Il.umber fQr~both;Oregon Wit!1holding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.doLstate.or.us/formsoav.htmll for the appropriate forms. ...~ . .,' .~ I : .,.' I Workers' Compensation Insurance: As an employer; you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your empl~yees. If you fail to obtain workers' compensation . = < ".. ,.. < '. .. ~. " .., .'.' . ,. .. '.' .' _ _ I -.. . . . .' .' '. , .' . insurance, y6u could be'su15jecfto penalties and be Wible for all claim costs if omrof your employees 'is injured on the job. For more information, call the Workers' Compe';sation Division- at the Departmen\:'OfConsumer'and Business Services at 503-947-7815. ., '- U.S. Internal Revenue Service: As an.employer, you'must Withhold fedeiaFincome tax fromempioyees' 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 of.visit.their:web siteat.www.irs.\!ov.' .,. . .~-..: ' . . ,. ~...' ~.~~."'ll':::'" ,..l ~. ;1"&1:." "..~ .,...,-.,\ ''.It,'' '. . : ,,' : ~ .Othel);.lResponsibilities ai1ld..Ar~as' of.CoQcerll1~ .' .-:.-.,. . " .'. ',l. . .'. . Code Compliance: As the permit holder for this project, you are responsible for resolving any'failure'tomeet code requirements that may be brought to your attention through inspections. ; "..' '" t.,....; '\ ." -. ..'. '. ~ . .. .. ,-...<< .' .' _ ' ,-' ," ,,-' ,.'.-., ,", . ..... ,-l,' _ -.... C' '/ .' . ~ . -,.{ ... . . -'. ": ' Liability and Property Damage Insurance: . Contact your"insurance agent to"see H'you have adeguat_,< insurance coverage for acciden.ts and omissions such as falling tools, paint over spray, water damage from pipe p'unc.tures, fire or work that must be redone. " -, '- '. - - \~." ~,,~\_<:' - -.-- - ", .' Time: Make sure you have sufficient time to supervise your employees: I'.., . ..','~ ' r: , . ,l1., '... _' {, f . I t," . " ''', ,." .~, . . '. ',' " Expertise: Make sure you have t1ie skills to act a{your' own g'eneral contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write 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' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000099 Date: 01/26/2009 . 1:10:29PM Payments: Type of Payment CreditCard Paid By'. Item Total: Check Number Authorization Received By Batch Number Number How Received . "',( Amount Due 209.00 81.00 36.00 16.30 39.12 $381.42 Job/Journal Number COM2008-01333 COM2008-0 1333 COM2008-0 1333 COM2008-01333 COM2008-01333 . Description' ": ': Fixture.' ' Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12,!"o State Surcharge Amount Paid BRAD SIMMONS NJM 081208 In Person Payment Total: . . $381.42 $381.42 , " f. .1 . :' ~ cReceiotl Page 1 of 1 1/26/2009