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Home My WebLink AboutPermit Building 2009-9-8 Status Issued CITY OF SPRIl'it..t< iJi.LI) Building/Combination Permit PERMIT NO: COM2009-00852 ISSUED: 09/08/2009 APPLIED: 06/12/2009 EXPIRES: 03/08/2010 VALUE: $10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone ~ 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 213 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO,: 1703274401000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair PROJECT DESCRIPTION: BWOP - Complete interior remodel, new trnsses; wiring, plmb, etc, Residential Owner: OSTERBERG CAMILLE M Address: 1979 JEFFERSON ST EUGENE OR 97405 Phone Number: 345-6215 I CONTRACTOR INFORMATION. Contractor Type Contractor License Expiration Date Phone I, BUILDING INFORMATION I 2 #01' Stories: Height of Structure Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: 2 25,00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 816 816 o o o # of Units: Primary Occupancy Group: , Secondary Occupancy Group: Primary IConstru~tion Type , Secondary Construction Type: I # of Bed'rooms: R-3 VB Electric Electric No I DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard 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 ATSidewalk Type: I t:1~ I IUN: Uregon law re u' folloDowrispo.u.!~Dr~a~ns: h q Ires you to Notification Cent; Th uy t e Oregon Utility in OAR 952-001,001 O/hose rules are set forth 0090. You ma ob ,. rough OAR 952-001_ calling the c~nte~~li~~fel,ej~~ft~~:::~~e_s by "_'''U~' 'v, "'B uregon Utility Notiiicati~n I Valuation Descriotion I , Center IS 1-800-332-2344), Street Improvl\lements: (]TU:~' Storm Sewer-Av,ailaIj(e! Special Instr~ctiiJ'n~ERMIT SHALL EXPIRE IF THE W AU I HORIZED UNDER T . ORK Notes: COMMENCED OR /S AB~/~;ERM/T IS NOT ANY 18n nilV DCI">,,,~ ONED FOR Description Ty'pe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Poee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project !<'pp<. P~i~ J Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Dryer Vent Exhaust Hoods Fixture Miuimum/Adjustment Mechanical Minimum/Adjustment Plumbing Penalty Fee - BWOP Building Penalty Fee - BWOP Electrical Penalty Fee - BWOP Mechanical Penalty Fee - BWOP Plumbing Plan Review Residential Amount Paid Date Paid $78.00 $32,50 $55,00 $18,00 $ 136,00 $9.00 $26,00 $57,00 $23.00 $1.00 $136,00 $73,00 $58,00 $58,00 $88,40 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 9/8/09 Total Amount Paid $848,90 I Plan Reviews I Initial Review 06/12/2009 06/12/2009 10 LLH Initial Review 07/15/2009 07/15/2009 APP LLH Structural Review 07/15/2009 08/05/2009 APP RWC CITY OF ISl"KINl.l'lJ'..LD Building/Combination Permit PERMIT NO: COM2009-00852 ISSUED: 09/08/2009 APPLIED: 06/12/2009 EXPIRES: 03/08/2010 VALUE: $ 10,000.00 Receipt Number 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 2200900000000001017 Received call from Robert Castile that this structu re is being completely rebuilt. he has notified, the owner plans are required, Value in qnestion, Complete rebuild according to Robert Castile, 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. ~n~,np('tin~ Footing: After trencbes are excavated, Post and Beam: Prior to 1100r insulation or decking, Floor Insulation: Prior to decking, Pa2e 2 of3 CITY OF SPRINGFIELD Status Issued Building/C~mbination Permit PERMIT NO: COM2009-00852 ISSUED: 09/08/2009 APPLIED: 06/12/2009 EXPIRES: 03/08/2010 VALUE: $ '10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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. 'v Roofing: Prior to installing any roof covering. Roof Sheathing Drywall: Prior to taping, Roof SheathinglNailing: Before ,covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate byan approved agency to be provided to City Building Inspector prior to placement. 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 Pail, 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. Final Plumbing: When all plumbing work 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 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 who are iu compliance with ORS 701.005 wilfbe 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 "".z:;;J~ A'7~ . 9- 0 fi'"'- 0 '7 Owner or Contrac;o;s Signature /' Date Pa2e 3 of3 e, , , , ' , , , , "., ,,' " ,." '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,#: (}cj,- 052- , ~-&7/L-~ Date: 0'/0/0 '7 A_.j:~A, a , :I;sued-hY". nL . I U Statement: Information Notice to Property,Owners About Construction Responsibilities . , ; Note: Oregon Law, ORS 701,055(4) requires residential construction permit applicants whotire not licensed with the Construction Contractors Board to sign the following statement before a building permit cgn be issued, ,This statement is requiredfo.r residential building, ele,ctrical, mechanica! and plumbing permits, Licensed architect and engineer applicants, exempt from licensing under .ORS 701,010(7), need not submit this statement, This state"!ent will be filed with the permit, Fill in the appropriate blanks and initialboxes I and2, a,nd eith~r box 3A or 3B: !)rl. D I own, reside in, or will reside in the completed structure, 2. 'I understand that I must become licensed as a construction contractor ifth6 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 subco~tractors who work on the structUre must be " . _, '~ ., 1;' , , licensed with the Construction Contractors Board. . OR D 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 m)' mind and hire a general contractor, I will contract ~ith 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 Respo,!sibilities on the reverse side oC:this form. '., r' .~ /~)U~/ ,~}b~O~ (Signature of permit applicant~ (Date) (White copy to issuing agency permit file, pink copy to applicant.) , Property_owner.doc 06-01-04 I: " . . ~- -).. -..... ... \ .'.. .' " Acting~as Y our, Own Gelllerall Contrat.ctor? "...~\r- ._;" (" _' .\\ f', ',l-'~ .;.~ ....,.. , ;:\:" - - -;\If.jFORMATlON'~OTICE TO;PROPERTY OWNERS. " . ',' :'. ,\ A~Ql(Jr ,c~NsT~4,~rI9l" ~ESPONSIBILlTIES : :',: I - ",. ~ - ,~ " { ,--:. 1 , ,,;. '. . ;,J 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, 'c !. ~ ~ ," .' , ... ~,:,." '" ~ "'" "'.'). -"' ~. ':.. - , , '" ' If you are acting as your own contractor to construct a new home or make a substantial imjm:lVementto an existing structure, you can preventmany problems by bei?gaware ofthe following,responsibilitie's iwd1concems. Employer Responsibilities , . , . .,., .~., ~", . . ' . '," ,,", " .' You will, jn-most,instanc'es:be ruled to be an,"~mploye~",'and the contractors you co~tr~ct ~-ith:~ill b~ ;'employees" iJ . ~ ' ... '., . '" , , ...',' '. -' "-j', you use contractors not licensed with the Construction Contractors Board to. do labor in ciinstructing or to assist in the l. '_ . . _ .' ,',... ~" '_ . . ." - '" ~ , I. . ... '. . .. .', ,. >-\" ,', \1', '::, ' ,\ construction. or, ip:1pfOyementof a residential structure, Afthe employer, you lI!u.st comply with the followiug: ......_.. ,'\..... " ... ' . .~ '.' ..... ....' -' l ..' _' -',,' . , . " ~,~, ""1 ...,'. .. .,~ ,\ ..-'" ~,~ .,' ' t '. .. r 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 lil.lble for the tax paY,ffients even if you don't actually withhold the tax from your . , ,~.' -", .... , ,4 -_ , " t ' ", " " , . '_, . ..,. employees. For more mfonnatlOn;-'calJ-the D~I',..,,,,ent'ofRevei1.ue at 503-378-4988. ' '." : ' Unemployment Insurance Tax: As an employer;'you' are required' to'pay'a tax for unemployment insurance purpo~e~ :'; on the wages of ~ll employees, .For more information, call the ~egon E~ployinent Department at 503-947-1488, ,'...'~ ~ ";':~'~" ';' 'i~ _' _. ~ ..r,.<~ :.;,,~,_~, ;..1t:-~~','7,,'I' '"1 '. ,,'I' ! :{l"; "~- The Oregon Business Identification Number (BIN) is a combi~~:number, for b9tl). 'Oregon Withh()lding and Unemployment Insurance Tax, To file for a BIN, call 503-945-8091 or. www,dor.state,oLus/formsDav,htmll for the appropriate forms. ,- .~ ~I J;( :; ',>, , L .. --. : Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and mu~t ogtain ,workers' co~pensation insurance for your employees, If you fail to obtain workers'compensation insuranc~, 'yo~r could be . subje'cf to perialti~s' allcFbe'liable' f~t ,all clairri:costs if one 'of yourei~pl.oyee~ isinj'ui-ed on the job, For more'information, call 'the Workers' Compensation Division at the Department ofCimsumer and Business Services at 503-947-7815. ',.-, :1,' U.S. Internal Revenue' Service: ,As an employer, you must withhold, federal 'income; taX from ein'pioyees' 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'l-800-829-4933 otvisit their,_v;..eb site at'Www,irs;aov..:. , - " " . .' ,..,.0 , , .' ,',1 ,,' '. ;~. .' ,', ,..-, , , '" ~'t---> ',.,.-' . .: " . ~'Qtber-~esponsii>i1!ti~s allli! Areas of.Concerns :'. 2. . i~. " 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. . ,','".-;-~ ,~." '. , ;""'";~."~\ t . ~"'. ..' ~ , .,.",: ..~."': J "..., .,,' " ,:,~" Liability and Property Damage Insurlincc: "Coniactyouhnsurince' 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.. . -, - - . ~ 0 { " '- ~ h '0,' " '-.... -,' - -.;~_. -) ---~':-~ \',- -. Time: Make sure you ,have sufficient time to supervise your employees,. , ' -,> " - , ".' ,,' ..".. .. . , . .' -.' . . (" , , " .. ' Expertise: Make sure you have tHe skills,to act as your own geheral contractor, 'to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform t~e 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 Job/Journal Number COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009"00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 COM2009-00852 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 2200900000000001017 Date: 09/08/2009 Description Fixture Minimum/Adjustment Plumbing Penalty Fee - BWOP Plumbing Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Plan Review Residential Building Pennit Exhaust Hoods Dryer Vent Penalty Fee - BWOP Building Penalty Fee - BWOP Mechanical Minimum/Adjustment Mechanical + 5% Technology Fee + 12% 'State Surcharge Paid By CAMILLE M, OSTERBERGNJM Item Total: Check Number Authorization Received By Batch Number Number How 'Received 05531 B In ~erson Payment Total: Page' I of 1 ] :53:53PM Amount Due 57.00 LOO 58,00 55,00 18,00 73,00 88AO 136,00 26,00 9,00 136,00 58,00 23,00 32,50 78,00 $848,90 Amount Paid $848,90 $848,90 9/8/2009