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Home My WebLink AboutPermit Building 2006-10-6 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-01126 ISSUED: 10/06/2006 APPLIED: 08/30/2006 EXPIRES: 04/06/2007 VALUE: $ 19,008.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5972 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802032308400 Springfield TYPE OF WORK: Deck TYPE OF USE: New Residential PRO.JECT DESCRIPTION: Elevated deck Owner: .JERRY COX Address: 5972 MT VERNON RD SPRINGFIELD OR 97478 Phone Number: 541-747-7792 Contractor Type Geueral Contractor OWNER I CONTRACTOR INFORMATION I License 08699 BUILDING INFORMATION I Expiration Date Phone 12/18/2006 VN # 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 GaragelCarport Sq Ft Other: Occupant Load: 1,056 # of Units: Prim'''')' Occupancy Group: Secondary Occupnncy Group: Primal")' Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/n I DEVELOPMENT INFORMA nON I Frontynl'd Setbnck: Side I Setbnck: Side 2 Setbnck: Renl')'nrd Setbnck: Solnr Setbncks: 15.00 Overlny Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Totnl: Handicapped: Compnct: I PUBLIC IMPROVEMENTS I Street Improvcments: Storm.sf.~'er Available: ~~JiL\il'Hstruction : THIS PERMIT SHALL EXPIRE IF THE WORK ~m~ORIZED UNDER THIS PERMIT IS NOT -'--r\[f'^[" ~n ," ^lJHmnN~nFnR \JUIWI' ,\..... -.. .- ANY 180 DAY PERIOD. I Valuation DescriDtion I Sidewalk Ty'p,e:egurll~w requireS you to ATH::N IIUI'J,,-,' ~ . . follJl.'1'f!!ffi9'llU~~llhUbY the Oregon Ulillty Notification Center. Those rules are set fort~ , OAR 952-001-0010 through OAR 952-001 ~090. You may obtain copies of the rules b) ," _.L _ ___'M IM,,'o' th.. t91eohone n~~b;rf~~the Oregon Utility Notification Center is 1-800-332-2344), DescriPtion Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Dnte Calculnted Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fnx 541-726-3769 Inspection Line DecklBalconv Deck Fee Description Plnn Review Resideutial + 100/0 Administrative Fee + 5'Y. Technology Fee + 8% Stnte Surchnrge Building Pel'lnit Fire SF Fee - Residential Totnl Amount Pnid Initinl Review Plannine Review Plnnnine Review Public Works Review Structurnl Review . . CITY OF ~nur~GFIELD Building/Combination Permit PERMIT NO: COM2006-01126 ISSUED: 10/06/2006 APPLIED: 08/30/2006 EXPIRES: 04/06/2007 VALUE: $ 19,008.00 $18.00 1,056.00 $19,008.00 $19,008.00 08/30/2006 Total Value of Project FpP\",~ Amount Paid Date Paid $120,51 8/30/06 $23.82 10/6/06 $9.27 10/6/06 $14.83 10/6/06 $185.40 10/6/06 $52.80 10/6/06 $406.63 I Plan Reviews I 08/31/2006 09/01/2006 APP LLH 09/01/2006 09/25/2006 WE TA.J 09/25/2006 09/25/2006 APP TA.J 09/01/2006 09/08/2006 APP .JLP 09/01/2006 09/28/2006 APP DLM Receipt Number 1200600000000001356 1200600000000001497 1200600000000001497 1200600000000001497 1200600000000001497 1200600000000001497 left message for owner 9/25. Need verify information since plot plnn is inaccurate. Verified deck location with owner. No other Planning issues. No SDC's. No RIW issues. 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. ~e{]llir~~ In~~ections I Frnll1ing Inspection: Prior to cover and after all rough in inspections hnve beennpproved. Finnl Building: After all required inspections have been requested and npproved and the building is complete. Paee 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01126 ISSUED: 10/06/2006 APPLIED: 08/30/2006 EXPIRES: 04/06/2007 VALUE: $ 19,008.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fnx 541-726-3769 Inspection Line By signllture. I stnte nnd ngree, thntl hnve cnrefully examined the completed application and do hereby certify that all inforll1ntion hereon is true and correct, and I further certify that any and all work performed shnll be done in accordance with the Ordinllnces of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, nnd thnt NO OCCU PANCY will be mnde of nny structure without permission of the Community Services Division, Building Snfety. I further certify thnt only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further ngree to ensure thnt all required inspections nre requested nt the proper time, that ench nddress is rendnble from the street, thnt the permit card is located at the front of the property, and the approved set of plans will remain on the site at nil times during construction. CUA7A/' 4;c Owner or Contrllctors Signature (0 - 00 - ,.1 OOG:> Date Paee 3 of 3 e, , , \. ../ ", " , , . Construction Contractors Board 700 Summer St NE Suite 300 PO BOI 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Pennit l \gyyO. -(') l/ L~ Address:50;)" Y\A.-"I I/13T2.NorJ ~ Issued bY:~tz (Lo Date: l oj O~r lorJo Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law. ORS 70],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 70],0] 0(7), need not submit this statement, This statement will be filed with the permit, Fill in the al'l"VI',;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: g/'1. o 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. 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! 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. ~C4 lO-Ob-olCO~ (Signature of permit applicant) (Date) (White copy to issuing agency permit file. pink copy to applicant.) Property_owner,doc 06-01-04 ~ . . AdnlID~ ?a\~ 1[ @unIr ((>>Wlill G~lID~Ir?a\n C@lID~Ir?a\~~@Ir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT C,ONSTRUCTION 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, lEmjplloyeIl" RelljpOrrnllfilb>fimfiell 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 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/formsnav.htmll for the app&Vp..;ate 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, cal1 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 actual1y withhold the tax, For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at www,irs,Q:ov, Otlliell" Re!lpmD.!lfilbfillhfies 31lllG:ll All"ellls oft" COIlllCell"IlllS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requiremcnts 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 fal1ing 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 fmish trades, and to notify building officials as the ayy. VI" ;ate times so they can perform the required inspections, )fyou 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 SpH~gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1126 COM2006-0 1126 COM2006-0 1126 COM2006-0 1126 COM2006-0 1126 I'nymenls: Type of Payment Check C\{CCClnll RECEIPT #: .~~ Description Fire SF Fee - Residential Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ALICIA D, COX C.f Springfield Official Receipt ~opment Services Department Public Works Department 1200600000000001497 Date: 10/06/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 1947 In Person Payment Totnl: Page 1 of I I :56:50PM Amount Due 52,80 185.40 9,27 14,83 23,82 $286.12 Amount Paid $286,12 $286.1 Z 10/6/2006