HomeMy WebLinkAboutMiscellaneous Correspondence 2005-12-19
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DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
December 19,2005
Max Norris
PO Box 311
Lowell, Oregon 97452
Enclosed is a copy of the revised building and plumbing permit for foundation repair and
redirecting the sanitary sewer at 7034 Main Street, Springfield, Oregon.
When you or your contractor obtained your permits, we neglected to properly complete
the permit. I have added your phone number on the revised permit. I am enclosing a
copy for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Lisa Hopper
Building Safety Supervisor
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01739
ISSUED: 12/19/2005
APPLIED: 12/15/2005
EXPIRES: 06/19/2006
VALUE: $ 3,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7034 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353100900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Foundation and wall for shortened bldg. Redirect san.sewer for Parcelization (This is
Parcel 2)
Owner: NORRIS MAX E
Address: PO BOX 311
LOWELL OR 97452
Phone Number: 541-937-8158
I CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor
OWNER
CUTTING EDGE CONST
License
Expiration Date Phone
150438
02115/2006 749-0452
BUILDING INFORMA nON,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
ASlleEclalInstruction:
/-, NT/ON'Oreg I
folffiJr;, lJlGS' on aw reqUIres you to
N )tifjcat~on c:~::t~~ by the Oregon Utility
in OAR 952-001-001 0 t~se rules are set 10m
01 '90 Yo . rough OAR 952-001
cailing ~h:%~~~~I~c~~~~~~~~~ep~~~s b.
I umbe~or th~ Oregon Utility Notilicati~n
enter IS 1-800-332-2344).
Sidewalk Type:
DownspoutslDrains:
NOTICE'
THIS PERMIT S
;!~~1~~p~~1:;z~Z~~EFMD~HFT~SW~~K
ERIDD. DR
Paeelof3
.
. CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01739
ISSUED: 12/19/2005
APPLIED: 12/15/2005
EXPIRES: 06/19/2006
VALUE: $ 3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V~lilation Descrintion J
111111
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,500.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$3,500.00
$3,500.00
12/15/2005
]?pp(', P'1\I;U
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review Residential
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl1 00'
Encroachment Permit
Amount Paid
Date Paid
$11.96
$8,37
$60.60
$39.39
$45.00
$14.00
$130.00
12/19/05
12/19/05
12/19/05
12/19/05
12/19/05
12/19/05
12/20/05
Receipt Number
2200500000000001718
2200500000000001718
2200500000000001718
2200500000000001718
2200500000000001718
2200500000000001718
2200500000000001720
Total Amount Paid
$309.32
Plan Reviews I
Structural Review
12/15/2005
12/1512005
APP DLM
See documents for 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.
RPn~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
WaUInsulation: Prior to cover.
Final Building: After aU required inspections have been requested and approved and the building is complete.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Paee 2 of3
:iiir
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01739
ISSUED: 12/19/2005
APPLIED: 12/15/2005
EXPIRES: 06/19/2006
VALUE: $ 3,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ofany structure without permission of the Community Services Divisinn, 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 the front ofthe property, and the approved set of plans will remain on the site at all
times during construction,
Owner or Contractors Signature
Date
Paee 3 of3
-~~
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01739
ISSUED: 12/19/2005
APPLIED: 12/15/2005
EXPIRES: 06/1912006
VALUE: $ 3,500.00
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7034 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353100900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Foundation and wall for shortened bldg. Redirect san.sewer for Parcelization (This is
Parcel 2)
Owner: NORRIS MAX E
Address: PO BOX 311
LOWELL OR 97452
, \ H)\~~.c?
~ \~.
I CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor
OWNER
CUTTING EDGE CONST
License
Expiration Date Phone
150438
02/15/2006 749-0452
I BUILDING INFORMATION"
# of Units:
Primary Occupancy Group:
~ Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
nla
I DEVELOPMENTlNFORMATION ,
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rcaryard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
'PUBLIC IMPROVEMENTS I
ATTEN.I'l~~~'!!)f.,,1JJ1~:,aw requires you to
follow rLDoWiI~pout.fijrains: Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: tile te'ephone
number for the Oregon Utility r\Olll'''~:ion
Center is 1-800-332-2344).
Storm Sewer Available:
SIlcciallnstructioJli,.
NOTII,;t;: '..:
Notes: THIS PERMIT SHAll mii~\: i~ THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee10f3
-~.fiI
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01739
ISSUED: 12/19/2005
APPLIED: 12/15/2005
EXPIRES: 06/19/2006
VALUE: $ 3,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,500.00
Value
Date Calculated
Descrintion Tvpe of Construction
Total Value of Project
$3,500.00
$3,500.00
12/15/2005
Fpp< PiilLI
Fee Description
+ 10% Administrative Fee
+ 7'V. State Surcharge
Illlilding Permit
PI"n Review Residential
Sanitary Sewer - 1st 50 Feet
, Sanitary Sewer Each Add11100'
Amount Paid
Date Paid
Receipt Number
$11.96
$8,37
$60,60
$39.39
$45.00
$14.00
12/19/05
12/19/05
12/19105
12/19/05
12/19/05
12/19/05
2200500000000001718
2200500000000001718
2200500000000001718
2200500000000001718
2200500000000001718
2200500000000001718
Total Amount Paid
$179.32
I Plan Reviews I
Strllctunll Re"iew
12/15/2005
12/1512005
APP DLM
See documents for 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.
Rpnnirptl fn~ne...tion~ I
Footing: After trenches are excavated.
Fonndalion: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
W..Ulnsulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Illlilding Inspector.
Pal!e 2 of3
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-01739
ISSUED: 12/19/2005
APPLIED: 12/15/2005
EXPIRES: 06/19/2006
VALUE: $ 3,500.00
"Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 fnrlhcr certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrthcr 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 aU
times during cunstruction.
_ fYi/;Mo f- ~
Owner or Confractors Signature
/2.) /'7/6 S/
Dati {
Paee 3 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.~
Wit,
Job/Journal Number
COM2005-0 1739
COM2005-0 1739
COM2005-0 1739
COM2005-0 1739
COM2005-01739
COM2005-0 1739
Payments:
Type or Payment
Check
':f
:'
:,
:C
.1
.'
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12/1912005
RECEIPT #:
2200500000000001718
Description
Building Permit
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Plan Review Residential
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MAX E NORRIS
Received By
dim
Page 1 of I
IlliiJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 12/19/2005
Item Total:
Check Number Authorization
Batch Number Number How Received
1551 In Person
Payment Total:
2:32:02PM
Amount Due
60.60
45.00
14.00
39.39
8.37
11.96
$179,32
Amount Paid
$179.32
$179,32
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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#: r:<; - b
Address: -"mS'~ ~v
Issued by: -Af7/{1/J'ie. Date: j2./;5)L
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:
fB I.
~ 2.
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
D 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
~ 3B. I will be my own general contractor.
If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. Ifl 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.
~ [ '1J....rvt.rc J)../tS/ O~
(Signature of permit applicant) , (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 06-01-04
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Adnrrng~~)rrfi':(Q)Wll1l (Q~rrn~Ir1alll (Drj)rrn~Ir1al~~([j)Ir?
~ ,~,.".\-. \,.-~,~.....
'~'~I\lF6RI\IfAA1t1.~KmCE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information 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.
lEmlPllloyell" lRe!}lPlo!l]!}fi!lJifillfi~fie!}
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 comply 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 D"I'<uuuent 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.usIformsoav.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 claim 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,jrs.l!Ov.
(J)1l:lh1el1' JRe!>lPolIR!>filbifillft1l:ftes 2llIRdl Al1'e21!l of COIIR<<:el1'lID!>
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 inspcctions.
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
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