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Home My WebLink AboutPermit Building 2004-9-28 (2) . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 710 Me Kenzie Crest Dr ASSESSOR'S PARCEL NO.: 1703234200700 . CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIEQ:08/18/2004 EXPIRES: 08/14/2005 VALUE: $ 412,407.00 """T.t'"..,I:t""-"_l'Jl',,.~"n law rt::4u,,"~ yv_ .. Springfield /'I 'n<~'(1""WURK: Sing1elFamilygResidence follow rules adopted Dy Ill:: U'_ uoo V",""th . "'er T!-mse rules are set 0; N(Il~P.Ii:tOF uSE: . New hOAR 95Resldential in OAR 952-001-0010 throug c.'vv, 0090. You may obtain copies of the rules by .. _ __.__ (""'0' thl' teleohone ~:~b~r'i~~ IheOregon Utility Notification Center is 1-800-332-2344). PROJECT DESCRIPTION: SFR Lot 95, River Glenn 3rd Add Owner: CHASE RODNEY & JACQULEIN Address: 862 MCKENZIE CREST DR SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor BOB FISHER ELECTRIC INC MARS HALLS INC JAM MAL INC Phone 541 -689- 7973 541-747-7445 541-484-7440 # 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: 12.00 5.00 21.50 72.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: License 96275 25790 158262 Expiration Date 01/25/2006 12/23/2005 01/12/2006 BUILDING INFORMATION I 1 R-3 U-l VN # of Stories: 2 Lot Size: Height of Structure 31.25 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: :"~: 9.~s ~M'M;~~l!.g~<;:arport Ene!gy,~Mh:>?tRi"i\1 S\-IF>.LPat.h\iIRE M\I~mt~~tvT Sprmkled'Buddmg: D UNDE\I!Ia\-llS P Occupant Load: ,.;t~ HI'KILC ,... ..,,(,,\~r, \-IlK . . . , ...~ . , ""\lJ' ...- , DEVELOPMENT,INF0RMATlON~I" .'\In IOU UP' . - Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 17,801 2,784 945 890 602 3 Yes 20.60 REQUIRED PARKING JrotaI: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Fully Improved Yes Storm drainage shall be directed to stub provided. Notes: Curbside 5' To Storm Sewer Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description DwelIines Garaee Tvpe of Construction V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1998 Building Permit 'Curbcut Permit Dryer Vent Exhaust Hoods Fixtu re Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas OuUets 4+ Heat Pump Plan Review Major - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family . I Valuation Descriotion I $ Per Sq Ft or multiplier' $92.40 $24.30 Amount Paid $1,028.89 $10.00 $235.59 $164.91 $306.00 $31.00 $-45.56 $1,582.90 $75.00 $6.00 $9.00 $28.00 $12.00 $30.00 $6.00 $1.00 $12.00 $103.00 $-30.00 $106.00 $171.00 $548.40 $721.20 $10.00 $865.31 $82.03 $174.80 $58.87 $772.49 $175.13 $75.00 $1,544.42 $50.00 $36.00 $1,000.00 Square Footage or Bid Amount 4,326.00 522.00 Total Value of Project Fpr< P1ilLl Date Paid 8/18/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28104 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 Paee 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 08/14/2005 VALUE: $ 412,407.00 Value Date Calculated $399,722.40 $12,684.60 $412,407.00 08/18/2004 08/18/2004 Receipt Number 2200400000000001066 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 ,2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 . CITY OF SrKll~ut<mLD I Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/1812004 EXPIRES: 08/1412005 VALUE: $ 412,407.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 7% State Surcharge Low Voltage - Residential MinimumlAdjustment Electrical + 10% Administrative Fee, + 7% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical $4.50 $3.15 $25.00 $20.00 $4.50 $3.15 $25.00 $20.00 2/8/05 2/8/05 2/8/05 2/8105 311105 311105 311/05 311105 Total Amount Paid $10,061.68 I Plan Reviews I Iniilal Review Plan nine Review 08/20/2004 08/20/2004 08/20/2004 09/14/2004 APP SKG APP TAJ Public Works Review 09/10/2004 APP MS Public Works Review 08/20/2004 08/24/2004 WE MS Structural Review 08/20/2004 09/08/2004 APP RJB 1200500000000000168 1200500000000000168 1200500000000000168 1200500000000000168 1200500000000000270 1200500000000000270 1200500000000000270 1200500000000000270 tax lots 17-03-23-421700 and 17-03-23-34/12500 are being consolidated by Lane County Assessor's Survey required. Intrusion of footings, eaves or any other portion ofthe proposed structure Into easement areas is prohibited. 8/2412004 - Roof overhang is shown to be in the 20 foot drainage easement (PUE). No portion of the overhang or structure shall be allowed to encroach In the PUE. Contacted the contractor via telephone, and he said he wants to talk with the applicant before deciding how to go about fixing the encroachment. Waiting reply back from the contractor. - MS 8/24/2004 - Storm Drainage shall be directed to the stub provided to the property, and not to weephole in curb or a drywell. - MS ' Engineered plans - No plan review comments. To Request an inspection call the 24 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. IRp~ Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Paee30f4 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 08/14/2005 VALUE: $ 412,407.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When'all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Low Voltage: Prior to cover. Ufer Electrical Ground: 'Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. ErosionlGrading Inspection: After all erosion measures are in place. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Sbower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attacbed to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is Installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. By signature, 1 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 ofthe 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 tbat 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 during construction. Owner or Contractors Signature Date Paee 4 of 4 . LlJ f OF SPRINut<1J!.LU Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 08/08/2005 VALUE: $ 412,407.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 710 Me Kenzie Crest Dr ASSESSOR'S PARCEL NO.: 1703234200700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: SFR Lot 95, River Glenn 3rd Add Owner: CHASE RODNEY & JACQULEIN Address: 862 MCKENZIE CREST DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Plumbing Contractor License Expiration Date BOB FISHER ELECTRIC INC 96275 0112512006 MARSHALLS INC 25790 12/23/2005 EUGENE EXCA V A TION & PLUMBING IN!; ,~~a!!~0'te9 '1?~,~1I3/07l2005 I B~JLmNflrefoRW.;j;i~NliP(egu~'s~,oim . leS at..lJr . ihose tJes al 952-00\- 10llnfg ,WiO!l!\\et. \l'IlOUgl'l O"~ !\111!t9~1Ze: NO ll~W\O?ies~l~ 1'I~!ftlstFloor: ' \1\ @ ob\8.'fl\I\'(l\4l~r(d~e.?i:"'~clff 2nd Floor: o te tili\!:cel'\el. \'~ l' \)ti\i\~ll\O\i' ~q Ft Basement: RlJ1\~R'!,Ymr\l'Ie Olego 0-332.-~A). Sq Ft GaragelCarport ~.al!nteliS \-e\) Path 1 Sq Ft Other: SprinklecYjfiiilding: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 1 DEVELOPMENT INFORMATION I Residential Phone 541-689-7973 541-747-7445 541-988-0868 17;801 2,784 945 890 602 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING 1rotal: 2 Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.00 5.00 21.50 72.00 0.00 3 Yes 20.60 Street Improvements: Storm Sewer Available: Special Instruction: . 1 PUBLIC IMPROVEl\>,,,,,, '.31 Sidewalk TYI1e:J'/OR\\ Fully Improved ~Oi\C{:'. L r'j.P\\-\t \~ .':,:: Ie. NOl Yes <; I'rRM\1 S\-I!\L ,Down~~outslDrall\~: Storm drainage shall be dlrecij;lIi~o stub\prOVi!!eiD\:R \ 11\"NDON\:D rOR , F>.\.\I\-\IJt\ ~C~D OR IS F>.6F>. COMM\:NO DF>.'{ p\:RIOD. F>.N'{ 18 Notes: Paee 1 of 4 Curbside 5' To Storm Sewer Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction DweIlines Garaee V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1998 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fixture Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Plan Review Major - Planning PW Mull Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Rcimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WiIlamalane Single Family . I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 4,326.00 522.00 Total Value of Project FpPf. PlIilIJ Amount Paid $1,028.89 $10.00 $235.59 $164.91 $306.00 $31.00 $-45.56 $1,582.90 $75.00 $6.00 $9.00 $28.00 $12.00 $30.00 $6.00 $1.00 $12.00 $103.00 $-30.00 $106.00 $171.00 $548.40 $721.20 $10.00 $865.31 $82.03 $174.80 $58.87 $772.49 $175.13 $75.00 $1,544.42 $50.00 $36.00 $1,000.00 Date Paid 8/18/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28104 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28104 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28104 9/28104 9/28/04 9/28104 9/28/04 9/28/04 Paee 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 08/08/2005 VALUE: $ 412,407.00 Value Date Calculated $399,722.40 $12,684.60 $412,407.00 08/18/2004 08/18/2004 Receipt Number 2200400000000001066 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 08/0812005 VALUE: $ 412,407.00 . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% AdmiJlistralive Fee + 7% State Surcharge Low Voltage - Residential Minlmum/Adjustmellt Electrical $4.50 $3.15 $25.00 $20.00 2/8/05 2/8/05 2/8/05 2/8/05 Total Amount Paid $10,009.03 I Plan Reviews I Initial Review Plan nine Review 08/20/2004 08/20/2004 APP SKG APP TAJ 08/20/2004 09/14/2004 Public Works Review 0911012004 APP MS Public Works Re,'iew 08/20/2004 WE MS 08/24/2004 Structural Review 08/20/2004 09/08/2004 APP RJB 1200500000000000168 1200500000000000168 1200500000000000168 1200500000000000168 tax lots 17-03-23-421700 and 17-03-23-34/12500 are being consolidated by Lane County Assessor's Survey required. Intrusion of footings, eaves or any other portion of the proposed structure into easement areas Is prohibited. 8/24/2004 - Roof overhang Is shown to be In the 20 foot drainage easement (PUE). No portion of the overhang or structure shall be allowed to encroach in the PUE. Contacted the contractor via telephone, and he said he wants to talk with the applicant before deciding how to go about fixing the encroachment. Waiting reply back from the contractor. - MS 8/24/2004 - Storm Drainage shall be directed to the stub provided to the property, and not to weep hole in curb or a dryweIl. - MS Engineered plans - No plan review comments. To Request an inspection call the 24 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. UI~lnllirlp.~ CurhcJlt - Standard: After forms are erected but prior to placement of concrete. Sidemdk - Curbside: After forms are erected but prior to placement of concrete. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Fill.IMechaJlical: When all mechanical work is complete. Rough Electric: Prior to Cover Paee 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 08/08/2005 VALUE: $ 412,407.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Low Vult age: l)rior to cover. Ufer Elcclrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Erosion/Grading Inspection: After all erosion measures are in place. Footing: Arter trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Ileam: Prior to Ooor insulation or decking. Floor Insulation: Prior to decking. Sh,'ar Wall Nailing: Before covering sheathing with finish materials. Framing Inspl'etion: Prior to cover and after all rough in inspections have been approved. "'nlllnslllation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs IllStalled: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Firwl Building: After all required inspections have been requested and approved and the building is complete. Und,'rtloor Plnmbing: Prior to Insulation or decking. Rough PllIllIhing: Prior to cover and including required testing. Shower 1'<111. Prior to covering and including required testing. Watcr Linc: Prior to filling trench and including required testing. Sallit:lr~' Sewer Line: Prior to filling trench and including required testing. Storm Sl'\\'l'r Line: Prior to fiUing trench. FinalPlnmhing: When all plumbing work is complete. Underlloor ~ Icchanical. Prior to insulation or decking and including required testing. UlIlkrlloor Cas: After line is installed and required testing and capped ifnot attached to an appliance. Rongh Gas: Arter line is Installed and required testing and capped ifnot attached to an appliance. Gas Ser\'ire: A fter line is installed and line has been connected to a minimum of one appliance Including required testing, Pn'slIrc test done at this point. By signalllre, I stale alld agree, that I have carefully examined the completed application and do hereby certify that all Informati,," hcre,," is I rue and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinallees "I' the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUI'..\NCY will be made of any structure without permission of the Community Services Division, Building Safety. I further l'crtif\' Ihat ,,"ly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further :lgrl'l' to ensure that all required inspections are requested at the proper time, that each address is readable from the street, thai the pL.,.lIIill'a,'d is located at the front of the property, and the approved set of plans will remain on the site at all times during eon~tnll:li()n. Owner or ConlrllL'l4Jrs Signature Date Paee 4 of 4 .~ ~ I \' -Wi~. . 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: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 03/28/2005 VALUE: $ 412,407.00 Status Issued SITE ADDRESS: 710 Me Kenzie Crest Dr ASSESSOR'S PARCEL NO.: 1703234200700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Lot 95, River Glenn 3rd Add Owner: CHASE RODNEY & JACQULEIN Address: 862 MCKENZIE CREST DR SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical Plumbing J_C~~RlQllillftD';;!.I~nN .. ~narn~bvineOI~m~ Contra,~ fU\eG adopted thOse rules,are s~~~e BOB FI~:;;;;:~6\hfOugh OAR 9 - MARS~~i'oi~~COPie9 otthe, r 'It V EUGENJa!l2(J;~~...u~lt6lI'N~,Pffl~~;l ~~W-~IImlI'I~A.T{OI'fl """.~ 1& l~~'-' . 1 c:;e~ of Stories: 2 R-3 Height of Structure 31.25 U-l Type of Heat: Forced Air Gas VN Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: nla Expiration Date 01125/2006 12/23/2005 03/0712005 Phone 541-689-7973 541-747-7445 541-988-0868 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: \ Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other, Occupant Load: 17,801 2,784 945 890 602 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Overlay Dist: Total, 2 # Street Trees Rqd: 3 _~!!nJ!!~_l<. Paved Drive Rq~O"CE: ~ E'l.PIP.tpndpil~. 01 % of Lot CoveraffilS PERMli SI~UO~ 1\-115 PERNlI1 IS N A\.lI\-10R\I~O_ UN~ Ie:. ABt>.NOONEO fOR _-::'1.:l,r.,wE~ 'l I PUBLIC IMPROVEM~S 00 Ot>.'l PERIOD. ~\ll. g . F II I d Sidewalk Type: u y mprove Yes Storm drainage shall be directed to stub provided. I. DEVELOPMENT INFORMATION I 12.00 5.00 21.50 72.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: DownspoutslDrains: Curbside 5' To Storm Sewer Notes: Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction V Wood Frame Garal!e Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1998 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fixture Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Plan Review Major - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family . I Valuation Deseriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 4,326.00 522.00 Total Value of Project Fpp<. PIiILI Amount Paid $1,028.89 $10.00 $235.59 $164.91 $306.00 $31.00 $-45.56 $1,582.90 $75.00 $6.00 $9.00 $28.00 $12.00 $30.00 $6.00 $1.00 $12.00 $103.00 $-30.00 $106.00 $171.00 $548.40 $721.20 $10.00 $865.31 $82.03 $174.80 $58.87 $772.49 $175.13 $75.00 $1,544.42 $50.00 $36.00 $1,000.00 Date Paid 8/18/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28104 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28104 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 9/28104 9/28/04 9/28/04 9/28/04 9/28/04 9/28/04 Paee 2 of4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 03/28/2005 VALUE: $ 412,407.00 Value Date Calculated $399,722.40 $12,684.60 $412,407.00 08/18/2004 08/18/2004 Receipt Number 2200400000000001066 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 2200400000000001213 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 03/28/2005 VALUE: $ 412,407.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,956.38 I Plan Reviews I Initial Review Plan nine Review 08/2012004 08/20/2004 SKG TAJ 08/20/2004 09/1412004 APP APP Public Works Review 09/10/2004 APP MS Public Works Review 08/20/2004 MS 08/24/2004 WE Structural Review 08/2012004 09/0812004 APP RJB tax lots 17-03-23-421700 and 17-03-23-34/12500 are being consolidated by Lane County Assessor's Survey required. Intrusion of footings, eaves or any other portion of the proposed structure into easement areas Is prohibited. 8/24/2004 - Roof overhang is shown to be in the 20 foot drainage easement (PUE). No portion of the overbang or structure shall be allowed to encroach In the PUE. Contacted the contractor via telephone, and he said he wants to talk with the applicant before deciding how to go about fixing the encroachment. Waiting reply back from the contractor. - MS 8/24/2004 - Storm Drainage shall be directed to the stub provided to the property, and not to weephole In curb or a drywell. - MS Engineered plans - No plan review comments. To Request an inspection call the 24 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. I Rpnllirptf TnWI~I'"tilnl"'\J Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Paee30f4 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01027 ISSUED: 09/28/2004 APPLIED: 08/18/2004 EXPIRES: 03/28/2005 VALUE: $ 412,407.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Erosion/Grading Inspection: After all erosion measures are in place. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trencb and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 wbo 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 tbe front of the property, and the approved set of plans will remain on the site at all tim~n. Owner or Contraci\,rs Signature cC:; t ~ r; b>< / /J<!- f Date Paee 4 of 4 225 Fifth Str~et Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 I 027 COM2004-0 I 027 , COM2004-01027 COM2004-01027 COM2004-0 1027 COM2004-01027 COM2004-01027 COM2004-0 I 027 COM2004-0 I 027 COM2004-0 I 027 COM2004-01027 COM2004-0 I 027 COM2004-0 I 027 COM2004-0 I 027 COM2004-01027 COM2004-0 I 027 COM2004-0 I 027 COM2004-01027 COM2004-0 I 027 COM2004-0 I 027 COM2004-01027 COM2004-0 I 027 COM2004-0 1027 COM2004-0 I 027 \. COM2004-0 I 027 COM2004-01027 COM2004-0 I 027 COM2004-0 I 027 COM2004-0 1027 COM2004-0 I 027 COM2004-0 I 027 COM2004-0 I 027 COM2004-01027 COM2004-01027 . G~ wr.: JiiiY of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 2200400000000001213 Date: 09/28/2004 Description Willamalane Single Family Addressing Assignment Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sidewalk Permit Curbcut Permit PW Mull Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transpo Admin Annexed 1998 Building Permit 3 Baths One & Two Family Fixture Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 4+ Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Heat Pump Plan Review Major - Planning Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard ](A THRYN CHASE Check ](A THRYN CHASE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 045444 In Person djb 12410 In Person Payment Total: 9/28/2004 Page I of2 8:44:15AM Amount Due 1,000,00 31.00 106,00 171.00 75.00 75.00 (30.00) 1,544.42 721.20 548.40 175.13 772.49 82.03 865.31 10.00 174.80 58.87 (45.56) 1,582.90 306.00 28,00 12.00 36.00 9.00 6.00 1.00 6.00 30.00 10.00 12.00 103.00 50.00 164.91 235.59 $8,927.49 Amount Paid $8,000.00 $927.49 $8,927.49 RECEIPT. 2200400000000001213 .ate: 09/28/2004 8:44:16AM Job/Journal Number Description Amount Due COM2004-0 1027 Willamalane Single Family 1,000.00 COM2004-0 1027 Addressing Assignment 31.00 COM2004-01027 Residence Wiring 1000 Sq Ft 106.00 COM2004-0 I 027 Residence Wiring Ea Addtl 500 171.00 COM2004-0 I 027 Sidewalk Permit 75.00 COM2004-0 I 027 Curbcut Permit 75.00 COM2004-0 I 027 PW Mull Disc - 2nd Permit (30.00) COM2004-0 I 027 Storm Drainage Impervious Area 1,544.42 COM2004-01027 Sanitary Sewer - Reimbursement 721.20 COM2004-0 I 027 Sanitary Sewer - Improvement 548.40 COM2004-0 I 027 SDC Transpo Reimbursement 175.13 COM2004-0 1027 SDC Transpo Improvement 772.49 COM2004-0 1027 SDC MWMC Reimbursement 82.03 COM2004-01027 SDC MWMC Improvement 865.31 COM2004-01027 SDC MWMC Administration 10.00 COM2004-0 I 027 SDC SanitarylStorm Admin 174.80 COM2004-0 I 027 SDC Transpo Admin 58.87 COM2004-0 1027 Annexed 1998 (45,56) COM2004-0 I 027 Building Permit 1,582.90 COM2004-0 I 027 3 Baths One & Two Family 306.00 COM2004-0 I 027 Fixture 28.00 .. COM2004-01027 Furnace - up to 100,000 btu 12.00 COM2004-0 1027 Vent Fan 36.00 COM2004-0 1027 Exhaust Hoods 9.00 COM2004-0 1027 Dryer Vent 6,00 COM2004-0 I 027 Gas Outlets 4+ 1.00 COM2004-0 1027 Gas Outlets 1-4 6.00 COM2004-0 I 027 Gas Fireplace 30.00 COM2004-0 1027 -Mechanical Issuance Fee- 10.00 COM2004-0 1027 Heat Pump 12.00 COM2004-0 I 027 Plan Review Major - Planning 103.00 COM2004-0 I 027 Temp Power 200 amps or less 50.00 COM2004-0 1027 + 7% State Surcharge 164.91 COM2004-0 I 027 + 10% Administrative Fee 235.59 Item Total: $8,927.49 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard KATHRYN CHASE djb 045444 In Person $8,000.00 Check KATHRYN CHASE djb 12410 In Person $927.49 Payment Total: $8,927.49 9/28/2004 Page 2 of2 CITY OF SP!GFIELD SYSTEMS DEVELOPMENT~KSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2004-0 1027 Rodney Chase 710 McKenzie Crest Drive 17032342 Tax Lot 00700 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF' o tIl U..l Cl o U t>:: ~ tIl G ~ LOT SIZE (SF): 17860 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x I COST PER S.F, I CHARGE I 4982,00 I $0.310 = I $1,544.42 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I x I COST PER S,F, I x I DISCOUNT RATE I I I 0.00 I I $0.3 10 I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC $1,544.42 I 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFUs I x I 30 I COST PER DFU $24,04 B. IMPROVEMENT COST: I NUMBER OF DFUs I x I I 30 I I $18,28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC DISCOUNT $0,00 5 t ,544.42 11070 5721.20 11091 $548.40 I 11092 I =, . $1,269.60 ), TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9,57 I B, IMPROVEMENT COST: I ADT TRIP RATE I I 9.57 , I NUMBER OF UNITS I x I I I I I x I NUMBER OF UNITS I x I I I I I = , ITEM 3 TOTAL - TRANSPORTATION SDC 4, SANITARY SEWER - MWMf: A. REIMBURSEMENT COST: I~UMBER ~F FEU's I x COST PER TRIP $18.30 x INEW TRIP FACTORI I 1.00 I 5175.13 11093 I COST PER TRIP $80,72 5947.62 x INEW TRIP FACTORI I 1.00 I = , 11094 $772.49 ICOST PER FEU I $82,03 B. IMPROVEMENT COST: INUMBER 01 F FEU's I x ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE I~ I $4.673.42 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: = $82.03 1 1054 I = $865.31 1055 (545.56) 1054 $10.00 . 1056 $911.78 54,673.42 CHARGE $233,67 Matt Stouder TOTAL SDC CHARGES I 174,80 1079 I $58,87 11078 =, 54,907.09 PREPARED BY 8/2412004 DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE = I NUMBER OF NEW FIXTIJRES x UNlT EQUlV ALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET P-uUIIIVIIAL FIX11JRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BA TIlTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE I OIL / SOLIDS I ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER I MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION I ETC. 0 0 1 = 0 I RECEPTOR FOR COM, SINK I DISHWASHER I ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERciAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 2 0 2 = 4 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 URINAL. STALL I WALL 0 0 5 = 0 !OILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET. PRIVATE INST ALLA TION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 30 I .EDU (Equivalent Dwelling Unit) is a disc~ eQuivalent to a simde family dwcllinlt unit (20 DFU's) set at 167 gallons per day ~ MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5,29 $5,29 $5,19 $5,12 $4,98 $4,80 $4,63 $4.40 $4,07 $3,67 $3,22 $2,73 $2,25 $1,80 $1.59 $1.45 $1.25 $1,09 $0,92 $0,72 $0.48 $0,28 $0,09 $0,05 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 forYe" 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o 1998 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $94,92 x $0.48 ~, $45.56 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE /1000 CREDIT RATE $0,00 x $0,48 o 'TOTAL MWMC CREDIT $45,56 = . Permit #: CoWl 'ZO"~O I U z.. 7 Address: 7( 0 WI '-(Lt:o-tCJC::~ C.r 'Dr Date: 9/Uf'/0"1 ~(l e., \ l "'. .,' '. ..' 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 Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities 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 befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ~1. B 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 is sold or offered for sale before or on completion, ~A. My general contractor is ~A-tJ /~ II (Name) 5'1l{(7 (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR D 38. I will be my own general contractor. IfI 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 Notice to, Property Owners about Construction Responsibilities on the reverse side of this form. !i.A,A/7/YV1 (' ~t ~ q /~ f?' /04 v (SIgnature of permit applicant) '(Date) . (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 . ,". " .. Adnnng-tal~: 1? @lllIIr(Q)Wnn <GtennteIrtalll C@nnttIrtalll:tt@Ir?, "INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , . , ' ' NOTE: This Infonnation 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 contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. lEmplloyer Responnsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement'of a residential structure. As the employer, you must c~mply 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 even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes'. on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 5,03-945-8091 or www.dor.state.or.us/fonnsoav.htmll for the appropriate forms. ' , "., Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees, If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all chiitn costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. 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 their web site at www.irS,l!Ov. Otlhter Responsibfinntt:nes annidl Areas off Cmicernns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be .brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone, Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general 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. o If you havc 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