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Home My WebLink AboutPermit Building 2004-4-14 . . Ul i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00327 ISSUED: 04/14/2004 APPLIED: 03/24/2004 EXPIRES: 10/14/2004 VALUE: $ 32,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ~ 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1141 MAIN ST J Springfield ASSESSOR'S PARCEL NO.: 1703354107200 TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Structural repairs & remodel Owner: KRAMER STEPHEN P Address: 42113 DEERHORN RD SPRINGFIELD OR 97478 I CONTRACTv"'m~ORMATION I Contractor Type Contractor License Expiration Date Phone General OWNER Electrical THINK ELECTRIC 154326 02111/2005 541-232-1212 Mechanical OWNER Plumhing TUCKER PLUMBING CO 109801 11/07/2004 541-343-8008 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Flnor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Downspouts/Drains: Stor~ S,\\'Ter~~~i!~I~:Oregon law requires you 10 Spec18lrL~fY.~"!m~~ adopted by the Oregon Utility N t \Iotification Center. Those rules are set for1 o es: . In OAR 952-001-0010 through OAR 952-00 0090. You may obtain copies of the rules I calling the center. (Note: the telephone number for the Oregon Utility Notification '...:~ 1.QI'\I'\.<l<l?-?::l44\. NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I 00 -iiif. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Dryer Vent Fixture Inspections - Investig. Bldg Inspections - Investig. Electr Inspections - Investig. Plumb Minimuml Adjustment Mechanical Tntal Amount Paid Initial Review Planninl! Review Public Works Review Structural Review . 03/25/2004 03/25/2004 03/25/2004 03/25/2004 ~ . CITY OF SnUl'l\.Jt<1J<.LU Building/Combination Permit PERMIT NO: COM2004-00327 ISSUED: 04/1412004 APPLIED: 03/2412004 EXPIRES: 10/14/2004 VALUE: $ 32,000.00 I Valuation Descriotion I S Per Sq Ft or multiplier SI.OO Square Footage or Bid Amount 32,000.00 Value Date Calculated Total Value of Project S32,000.00 $32,000.00 03/24/2004 F pp< PiWIJ Amnunt Paid Date Paid Receipt Number SI72.48 S10.00 S38.03 $26.62 S265.35 $6.00 S70.00 S45.00 S45.00 S45.00 $39.00 3/24/04 4/14/04 4/14/04 4/14/04 4/14/04 4/14/04 4/14/04 4/14/04 4/14/04 4/14/04 4/14/04 1200400000000000379 1200400000000000476 1200400000000000476 1200400000000000476 1200400000000000476 1200400000000000476 1200400000000000476 1200400000000000476 1200400000000000476 1200400000000000476 1200400000000000476 S762.48 I Plan Reviews , 03/25/2004 APP LLH DON Please note this property has a tag placed nn it by Tom Marx, there is work on this property that is bein! done without permits. No Planning review required 04/0212004 03/31/2004 APP TAJ APP VRJ 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. L.PpollirerUnsnections I I Footing: After trenches are excavated. 2 Post and Beam: Prior to 1100r insulation or decking. 3 Floor Insulation: Prior to decking. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Wall Insulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. Pal!e 2 of3 ~ ~- ~ _......... ........... u.... ....'-&.L 'Il ........... .....L:.I..L.J...., . . B.ing/Combination Permit PERMIT NO: COM2004-00327 . ISSUED: 04/14/2004 APPLIED: 03/24/2004 EXPIRES: 10/14/2004 VALUE: $ 32,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 7 Drywall: Prior to taping. 8 Final Building: After all required inspections have been requested and apprnved and the building is complete. 9 UnderOoor Plumbing: Prior to insulation or decking. 10 Rough Plumbing:. Prior to cover and including required testing. 1I Shower Pan. Prior to covering and including required testing. 12 Final Plumbing: When all plumbing work is cnmplete. 13 Rough Mechanical: Prinr"to Cover ' . 14 Final Mechanical:. When all mechanical work is complete. . .. . . - - .,. _. . . . By signature, I state and agree, that I have carefully examined the cOD.pleted application and do bereby 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 Sp;ingfield and the Laws of the State of Oregnn pertaining tn 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 frnm the street, that the permit card is located at the front of the property, and the apprnved set of plans will remain on the site at all times during construction. ~. >>J _ v Owner or Contractors Signature 't -1,/-6'(' Date Paee 3 of3 -. . . . . \. ./ " " '. " . .' ~ Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.cch.state.or.us Permit#: ~~C:t?327 Address: -/Jd:.1 .l#A-pL,)'J; Issued by: Date: 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 be filed with the permit. Fill in the app.vp.;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~L ft1 2. ~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. 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 % 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. X I 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 Responsihilities on the reverse side of this form. ~/' _ lj-/V-oy v 'v (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) 0/ Property _ owner.doc 03/11/03 . . Aic~nlIDg ~~ '1{ ((1)\lllIr OWlID .<GelIDeIr~n C((1)lIDtIr~Ct((1)Ir? . . INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . . NOTE: This Information Notice to Property Owners about Construction Responsibifities 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 Responsibilities 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: Oregou'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 a State Business ID number, call the Business Information Center at 503-986-2200. 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. 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 866-816-2065 or fax them at 801-620-7115. Other Responsibilities and 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 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. 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 03/11/03 225 Fifth Street Springfiel'd, Oregon 97477 541-726-3759 Phone . ap,~.... ! ~ ~ty of Springfield Official Receipt Wevelopment Services Department Public Works Department Job/Journal Number COM2004-00327 COM2004-00327 COM2004-00327 COM2004-00327 COM2004-00327 COM2004-00327 COM2004-00327 COM2004-00327 COM2004-00327 COM2004-00327 RECEIPT #: 1200400000000000476 Date: 04/14/2004 Description Building Permit Fixture Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- +' 7% State Surcharge + 10% Administrative Fee Inspections - Investig. Bldg Inspections - Investig. Plumb Inspections - Investig. Eleclr Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Nnmber How Received Check 4/14/2004 STEPHEN P KRAMER dim 479 In Person Payment Total: Page I of I 8:59:35AM Amount Due 265.35 70.00 6.00 39.00 10.00 26.62 38.03 45.00 45.00 45.00 $590.00 Amount Paid $590.00 $590.00