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Home My WebLink AboutPermit Building 2009-4-13 . _&PIllI~!G'7IElc~' 4' , .. 1',~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00249 ISSUED: 04/13/2009 APPLIED: 02/20/2009 EXPIRES: 10/13/2009 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3769 Inspection Line SITE ADDRESS: 51230 ST ASSESSOR'S PARCEL NO.: 1702332406000 Springfield TYPE OF WORK: Accessory Building TYPE OF USE: Alteration PROJECT DESCRIPTION: Repair: engineered fix for failing structural beams. Add:Slab. Reroof. Residential Owner: ENGEL FAMILY TRUST 112 Address: PO BOX V SPRINGFIELD OR 97477 Phone Number: .541-330-9717 I C?NT~CTOR INFORMATlO~ . Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U R-3 VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 13.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 816 No I DEVELOPMENT INmRMATlON I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 16.50 17.75 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Yes 32.00 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special I nstruction: No Storm sewer to existing Sidewalk Type: Downspouts/Drains: Drywell - Provide Drywell Engineering Notes: l,valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of3 .' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Estimate Estimate' Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervions Area Total Amount Paid Plan nine Review 02/26/2009 Initial Review Public Works Review 02/23/2009 02/26/2009 Plannine: Review 02/27/2009 Structural Review 02/26/2009 Structural Review 03/27/2009 Structural Review 03/31/2009 $1.00 Total Value of Project 20,000.00 FpP~. P."IirlJ Amount Paid $151.78 $28.02 $5.95 $233.50 $40.80 $119.00 $35.60 $712.02 $1,326.67 1 Plan Reviews 1 02/26/2009 02/26/2009 02/27/2009 03/04/2009 03/27/2009 03/31/2009 Date Paid 2/20/09 4/13/09 4/13/09 4/13/09 4/13/09 4/13/09 4/13/09 4/13/09 APP . LLH APP BJG APP DDK WE 10 APP KLK CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00249 ISSUED: 04/1312009 APPLIED: 02/20/2009 EXPIRES: ]0/13/2009 VALUE: $ 20,000.00 $20,000.00 $20,000.00 02/20/2009 Receipt Number 3200900000000000109 2200900000000000365 2200900000000000365 2200900000000000365 2200900000000000365 2200900000000000365 2200900000000000365 2200900000000000365 KLK Met with contact, Jeff, he clarified the scope of work being done- 3/5/09. Project scope is I) replacement 'of existing overspanned, failing beams of shop. 2) Add carport slab. 3) Demo sheds and deck roof. Provide engineer's addendum and revision for column and beam (positive connections) hangers, ete... KLK Received revised engineering. To Request an inspection call the 24 hour recording at 726-3769. All jnspections 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. Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2009-00249 ISSUED: 04/13/2009 ApPLIED: 02/20/2009 EXPIRES: 10113/2009 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54Ic726-3769 Inspection Line I Re,!.~i~ed Inspections I Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requeste~ and approved and the building is complete. 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 furthy" ccrtify 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 during construction. /VI~ 'j I " Owner or G6nfractors Signature Vf(J3/oC} Date L Pace 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 Permit #:( -OM 2c;&Q - b)&?-- f-1 Address: -S- 1- 2--? ']) / SIRE: t:=-- ( Date: 4-/1--7/&1 'f . ~ ,L:::- Issued by: / Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law. ORS 701.055(4) requires residential construction permit applicants who pre not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is 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 be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ~ 1. I own, reside in, or will reside in the completed structure. ~~ 'j understand that I must become licensed as a construction contractor ifthe structure is sold or offered for sale before or on completion. o 3A. 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 if 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 Notice to. Property Owners about Construction Responsibilities on the reverse side of this form. (}J/-v y ) 1'5 (O~ / /(Slgnaturefofpermit applicant) (Date) (White copy to issuing agency permit file. pink copy to applicant.) Property _ owner.doc 06-01-04 Acting as Your Own General Contractor? <l'" ," , -. \ - . ." . INFORMATION NOTICE TO PROPERTY OWNERS J ABOUT CONSTRUCTION RESPONSIBiliTIES NOTE: This Inforination Notice to Property Owner;s about Construction Responsibilities was deveioped 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 homc or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. , Employer Re~ponsibilities You will, in most instances, be ruled to be an "employer" .and the contr~ctors you contract with will be "employees" i:' you use. contractors not li~ensed with the Construction Contractors Board to do labor in constructing or to 'assist in th( construction or improvement of a residential structure. As th.e employer, yo~ mus~ comply with the following: . ~ . . Oregon's Withholding Tax Law: As an employer, you must withhold incom~ 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 yoU! 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 purpo'ses. . on 'the wages of all employees. For more' information, c~lI 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 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain wo~kers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to lienalties and be liable for all claim costs'ifone of your. employees is injured on the job. For more information, call the Workers' Compensation DiVision at t!ie 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. '.' ~ " . . Other Responsibilities a!ld Areas of Concerns 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 nave 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. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency atPO Box 14140, Salem, OR 97309-5052. Propcrty _ owner.doc 06-01-04 '.1 225 Fifth Street Sptii1gfield, Oregon 97477 541- 726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00249 COM2009-00249 COM2009-00249 COM2009-00249 COM2009-00249 COM2009-00249 COM2009-00249 Payments: Type of Payment Check . cReceinl1 RECEIPT #: 2200900000000000365 Date: 04/13/2009 Description Fire SF Fee - Residential Stonn Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit + 5% Technology Fee + 12% State Surcharge Paid By JEFFREY DENGEL Item Total: Check Number AuthoriZlttion Received By Batch Number Number How Received 170 KLK In Person Payment Total: Page I of I 9:44:15AM Amount Due 4080 71202 35.60 119.00 233.50 5.95 28.02 $1,174.89 Amount Paid $1,174.89 $1,174.89 4/13/2009