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Home My WebLink AboutPermit Building 2009-7-24 _~!,!Al!'lqP'I'!l!:\I:!,l 1~f> - " . _'j, '" Status Iss u ed CITY ,OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00873 ISSUED: 07/24/2009 APPLIED: 06/16/2009 EXPIRES: 01/2412010 VALUE: . $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6838 MAIN ST ASSESSOR'S PARCEL NO.: 1702353205313 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: 784 s.f. Covered Porch Addition- Hydric Soils. Residential Owner: Address: WEINHOLD ROBERT N & DONNA K 6838 MAIN ST SPRINGFIELD OR 97478 Phone Number: 541-746-7157 I CONTRACTOR INFORMATION I Contractor Type - General Contractor OWNER License Expiration Date Phone BUILDIr.:G INFORMATlO~ I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I Lot Size: 17.00 Sq Ft IsfFloor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/. Occupant Load: 10,454 VB 784 NOTICE: LDEVELOPMENTINFORMATlON I tHIS PERMIT SHALL EXPIRE: It- 1'111-- .. v...." , Frontyard S<illia~J{ORIZED UNDER THIS PERMIT ~~~2J Dist: Side I Setba<t<c8MMENCED OR IS J!1llloNDONED FtfJ51reet Trees Rqd: Side 2 Setbac&iN 180 DAY PERIO[jl..50 Paved Drive Rqd: Rearyard Seliiack: 62.00 % of Lot Coverage: 18.70 Solar Setbacks: 42.50 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Fully Improved I . renuires you to Yes' ATTEI'r:ION: O'D'6w.'lS~~Juts/Drains: Utility Curb and Gntter . .... . ...._....l'"'-qd...n~F:,C'.l\!llIOU'...~_.. Storm water to tIe mto eXlsltng systemlto.street,-No'new'exlstmg surfaces, set forth Notification Center. IIIUO~' uh~OAR- 952-001- in OAR 952-001-0010 throug of the rules by Y may obtain caples 0090. ou, ___'M 1~lnlp.' 1he telephone . ...,m. ".- -- . unt NOllTlCallUII I . ". ,,",,hp.r lor the Oregon I , Y ,valuatIOn DescrIptIOn. enter is 1_800-332-2344). Notes: Description Type of Construction $ Per Sq Ff or multiplier Sqnare Footage or Bid Amount Value Date Calculated / /? Pa2e I of3 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-00873 ISSUED: 07/24/2009 APPLIED: . 06/16/2009 EXPIRES: 01/24/2010 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Patio/Porch Use Bid Amount $1.00 15,000.00 $15,000.00 $15,000.00 06116/2009 Total Value of Project ~ ,,"pp<, P7ilU Fee Description Fire SF Fee - Residential Plan Review Residential + 12% State Surcharge + 5oio Technology Fee Bnilding Permit Plan Review Minor - Planning Amount Paid Date Paid Receipt Number $39.20 $120.09 $22.17 $15.19 $184.75 $119.00 6/16/09 6/16/09 7/24/09 7/24/09 7/24109 7124/09 2200900000000000680 2200900000000000680 1200900000000000836 1200900000000000836 1200900000000000836 1200900000000000836 Total Amount Paid $500.40 Public Works Review 06/18/2009 Initial Review 06117/2009 Public Works Review 06/24/2009 Plan nine Review 06/18/2009 Strnctural Review 0611812009 Initial Review 0711512009 Structural Review 07/16/2009 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 foll,owing work day. ~np('tion\', , Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00873 ISSUED: 07/24/2009 APPLIED: 06i16/2009 EXPIRES: 01124/2010 VALUE: . $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Bnilding: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. By signature, 1 state and agree, that 1 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 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspections are requested aUhe 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. oJ-~ /?~ 7-,;'1'- 0:7 Owner or Contractors Signature Date Paee 3 of 3 e- . - . - - - - . " " . - - . Construction Contractors Board 700 Suiiuner St NE Suite 300 PO_Box 14140 Salem OR 97309-5052 _ Phone, 503-378-4621 Web Address; www.ccb.state.or.us Pennit#: (e! ~ Y/~ ' Ad~ess::~6~r maW? ,5-;-' . lssue~~ ~ "\ - - - Dale: 7 r-';;'-'7' ,0 7' /CJ . Statement: Informa~ion Notice to;-property Owners'-", . About_Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constructionpermitapplicants whoare not 'licensed with the Construction Contractors Board to sign the following statement before a building per'rlit can be'issued. This.':statement is'i:equiredfo.r residential building, electrical, mechanical and - plimibing permits. Licifhsed architect and engineer applicants, exempt from- licensing under ORS 701. 01 0(7)._pee1,npt submit this statement. This statement will be filed with the permit '" - Fill ~ the appropriate blanks aiIdiniti1l1 boxesl and, 2, and either_ box 3A or 3B: .. .~ ," ., . , j2Sl '0 1.,.. I own,.reside m,orwilLreside in the.completed structur~.... . .- '- '- ,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. . . _OJ .., ~)&j 3A. My general contractor.is (Name) (CCB #) I will.instructmy general contractor that ~l subcontractors who work olrthestructure 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 contr~ct with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the conti-actor. . - .- I"hereby certify that theabove,information is correct and that lhave:read and do understand the Information Notice to Property Owi1ers aboofConstruction Responsibilities 00 the reverse side of this form. . . - . . , . -"" ~~ .;r.?~~.e ". 7-~"'-c/ (Signature ofpeimit applicant) : '. . (Date) (White copy to issuing agency permi~jile, pink copy to applicant.) " ' " . - '- ,.,' . ' - . Property _ owne~.doc 06-0 I ,04 - - , " ~ ,-:-. - -- -.jo-~ . '- ." - \, , Acting:~s'Y oU;r'Ow'n~'General.contractor?; -,' - ". '1~'FdRM;:Tio~N(fnCE TO;PROPEIUY OW'~ERSo,:;:'- ; . ,," " ABou~'gm~SJ.Rq~T"qNiRESPONSIBILlTIES ;,~: .' \ \," .... 4- -'. "\~". ~'.' J' _ ~ --, NOTE: This Information Noiice to Property Owners about Construction Responsibiliifes was deveioped by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature., . '. .....,:.., : ..., '-"~">:'~_.'~"">~",i).}~' ", _,i ,', .,...;. -1:;.... ',.'~. ..~ .' . If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, yoilcan prevent:ma~y'~i-obieths'6'y. beihgav.:a~e;of tlie' followi~g resPonsitiiIities imdconcems. . EmployerResponsibiliti~s ,). \.~ ..1.";';_: \: "I. "'''/~., -:,..'..1 .,...,,"i~. l'.'. .~""'.'....'.I_:. vt'-.,,:..-. .,.... ',.' ..,..." You ~i1l, inm!isj in~tances, pe,rule4to J:le. a~,"e!llployer"..apdt~~ yo~l1tract~r~,Y<?ll:c.\wtra~t ,,:,it~ wi1l.~e ',:~mplo!,ees" i' you,use contractors noUicensed with the. Construction Contractors Board to do labor.in constructing or to assist in tbe ,_. \..~:.,.. .' .T." .,>1 '.,.~ "".' .,...... ',',' i _ 1.'\". ,......."'.'.' ",,-,_..:,.~ ',' \".- '~... '.' , "V~'r . construction.(l!" i)l1pr()y,~w,ent qf.a resi~eI!tial.s!f.l!ctl!fe. As t.lie ~iypl,!y'er; yo~ ~nst cO,mply wit,Ii.,~he,foIlQ>yfng: . t,.,,,. -,-.,. ~\. .....,,,... ___"_\." ..-':L, '" ~.}......_I ~. . .;-.... ,'.. .".:~';'" ... . . ;-..~'.,. ~,~'-:,..'"f'.: _,.~' ',', , ."","-;.')\' ,....',:..1\."", '.\ 4.\ ."" .._' '.. \.'.1 '...r~' Oregon's Withholding Tax Law': As an' employer, yo.u' must withhold income taxes froniemployee wages at the time employees are paid. You will be Iiableforthe. tax_paYment~ evenifyou.di>n't actually wit]1hold.the tax from yow employees; For more' inforrnation;~cail'the Depa'ri::niciit ofRe~enii'~ a"t 50j"378~988:;;"1 ~:- ~,t' <"r:::, -jt,; ",;, c' ., Unemployment Insurance Tax: ,As an employeF; .you are;feq\iir~d'to:pay'~ laj(:for uneinployment1insurarice purpose: :. on the wages of all employees. For more. information, call the Ore'gon EmploymeJ)t Department at 503-947-1488. 1 ," ~..., ~~.'tF', -f. ...r;r",J,-.~ :-, 1..'.1.";. .~ _..I -'. ,";1'. '''\'. '.- ..,.. '-.'q":l.- -...... ,.H . (.~ . . . ," ,..... ".-'<. ...,...... ,"~.__. ... ~......_.. ..:~.,... "_ ~. .,.....,.<-.i">-C"...~ t.'y..,..... Wo. The Oregon ,Business, Identification Number (BIN) is a comQined"l}l!l]1b~r for, both Or<;gO!\! Wi!hl1olding am Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.oLus/tonnsoav.htmll for the appropriatefortl1s,.~_. _. __. ___.._. :_c_ _'.._. _ ..___ _ .: ;,.," .~.,'.(,.., _,;, . ,", ," ,/ . {..' -..... . f'r'" ',' . . Workers' Co!rtp~nsation Insurance: As an employei,'you' are subject to tbe Oregon Workers' Compensation Law and mustqbtai!l workers' .coIPpensation insurance for your employces, If you fail to obtain workers' .compensatior insuranc~, ytu cb1ildbe'si1bj~ct to"pe~a1ti~s'aIid b~'i;able"foi: ail' claim c6~t~if6ne ilfy01,lr'f~i6ye~s-iJ;ltijured on the job; For more InfonTIation, cali'tbe Workers' Compensation Divis'iOl1at the Department ot C6nsumer'and Busines: , Services at 503-947-78l5~ -., J-.. U.S. Internal Revenue .Service: . As: an employer; 'you mustwithhold'feaei'al 'incoriie:tix.froril'employees' wages I You will be liable for the tax payment even if you didn '.I actually withhold the tax. For a FederatEIN number, call th, IRS:at:r-,800-8i9c4933'-oivisiftheir'Web site at W\'Lw:irs.;gov." ',' f'):;-r; ""',.,;.', fC'.' ., .' " l.i . .' ;V;l:"'.[..,.J-;~'/'''': ", ~.:~"v'. ii::;,~f,l'; .1-'..11;'. .~..,._., ...,.l.~~...-.i~~,,~ ~~.. 'j,., , _'...,:".,:Othe.r.ResponsJbiUties,andAr;eas of.Conc~rIlS ~,:. ~:.."" - . . . , , ' . .. . ~ ~ .~' - - Code Compliance: As the petinitholder for this"pn:iject, you are responsible for resolvingany"failure"to meet code requirements th~t may be brol}ght tq your ?ttention througb inspections, .- '.... .:~ ' r:.4....h_. !:'.:-;fl~ ...~_ .."....'...)1..,,'. .,;,....1_.:-:..1 .'I_i:,:;' ,1' :~J "'.' I",.~~l~. ',..~~--:. -'\;. Liability and PropertY'Danllfge'Inslirillicei,'C6ntac\ youriristirihce'~genito~'~ee'Jif you have'adeqliate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage frompipepunctures, fire 01 work that must be red(ine, " . . . ' .' . "..-, " '.' " Jo'_ :,:\ ,,' 't- - -............ i-. Time: Make s~r~yoil~hUves~fficient timet~ ;up~rvi;e-;~;;~~ployees. j' ;"'" , , , I ."" o;,.,~, '. f ~ , 0: ~ _" .\ ":',' ~~. . '(';. .. ',< ~\'7'" ~,;~\"...,~-f \1-' ,'l'>,-,\,"'-.""'H _ . ," .~. . Expertise: Make sure yoiihave' the skijls.to act, as' yobr owf:t"genefal coritiaclOr, to coordinate the work of rough-in . and finisb trades, and}onotifY building officials as *e appropriate times so they can perform the required inspections. If you have additional questions caB the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052, ,. . ; ~-~. :'j '. ..:.. ",,-' , Property_owner.doc 06-01-04. 225 Fifth. Street Springfield, Oregon 97477 541-726-3759 Phone "Job/Journal Number COM2009-00873 COM2009-00873 COM2009-00873 COM2009-00873 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt -Development Services Department Public Works Department 1200900000000000836 Date: 07/24/2009 Description Plan Review Minor - Planning Building Pennit . + 5% Technology Fee + 12% State Surcharge Paid By ROBERT WEINHOLD Item Total: Check Number Authorization Received By Batch,Number Number How Received njm 4553 In Person Payment Total: Page 1 of I 1:50:19PM Amount Due 119.00 184.75 15.19 22.17 $341.11 Amount Paid $341.11 $341.11 7/24/2009