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Home My WebLink AboutPermit Building 2007-4-10 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rJ(ll'1'-'l'l""LD Building/Combination Permit PERMIT NO: COM2007-00393 ISSUED: 04/10/2007 APPLIED: 03/16/2007 EXPIRES: 10/10/2007 VALUE: $ 1,000.00 Springfield TYPE OF WORK: Single Family Residence SITE ADDRESS: 5975 OBSIDIAN AVE ASSESSOR'S PARCEL NO,: 1802033102200 Residential PROJECT DESCRIPTION: Patio Cover TYPE OF USE: Addition Phone Nnmber: 541-744-8029 Owner: MILLS BART W & SHERI L Address: 5975 OBSIDIAN AVE SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: BUILDING INFORMATION I # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: NO rliYJl~ of Heat: Sq Ft 2nd Floor: THIS Wfter Type: Sq Ft Basement: AUT, llfiR1g.~ rt~e: Sq Ft Garage/Carport H~"'tflJ~ ~lItIi1LL EXp Sq Ft Otber: 240 A~~~Mt~fc~~I~iI~ilIl'Nfil:~~/F rrl! IAI,\~ Occupant Load: I jjEVEL0PM~J~j;,~>Ri\'M.':fID;,I;-IS NO~\ Vu.~lJ rUIl REQUIRED PARKING Overlay Dist: Total: 10,00 # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: 30,00 ,. [ Il::i~ % of Lot Coverage: '011 "V" " ('~~, "" '..... . "..... .: ) ' ,........ . ..1. ." _. ,,_ I, .... '. O;'ipUBLlC:IM'e~ovEMEN:fSILlr2S: . ')unr: -, -t '() J . \..' 'i-l en,...,... F II "I'" vn, -d ' "OOIV " "eo fUI.:;s ;,.~'Sidewalk Type: U v, mprove 1c?V' I lllrl,l! I '..HlS ("\~ Storm Sewer Available: . ~c.lf;/l~"Yie~. .. V!JI,1in c,,_,!J 10.41'" ,Do'l.nsp'outslDrains: 1/:i1 " tl'Jt ....'.......r!\ 1..... ~ 0 Special Instruction: I !~y:" {i,. i:~" .Or, (Nut' r..a Of Ih:"\ ......-.. 0 .... '" .tr ()~"i?' 9: U'S II . '.. JlJles i. .~:rtl~. I !..'Otp I 'It.. .. 'a,\p./.Jh... ' Notes: Storm H20 tied to existing system per Bartf@'2:4.?pm 3/29/(/7:'<!l0.n~ed't'Oll>ull plat maps) JLP 3/29/07 .'l,,"!,:? ~.. Vdr.:<"::3," ~.-:. ':f.'~,"'/n '''\:l_.'O'~ Street Improvements: Description Cu rbsidc 5' Curb and Gutter I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Type of Construction Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PatiolPorch Use Bid Amonnt Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit . Fire SF Fee - Residential SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid . . U 1 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00393 ISSUED: 04/10/2007 APPLIED: 03/16/2007 EXPIRES: 10/1012007 VALUE: $ 1,000.00 $1.00 1,000,00 03/1612007 Total Value of Project $1,000,00 $1,000,00 Fpp< P~irl J Amount Paid Date Paid Receipt Number $29,25 $10,20 $4,50 $7,20 $45,00 $12,00 $3,22 $64,44 $45,00 1200700000000000282 1200700000000000386 1200700000000000386 1200700000000000386 1200700000000000386 1200700000000000386 1200700000000000386 1200700000000000386 t200700000000000386 3/16/07 4/tO/07 4/tO/07 4/1 0/07 4/tO/07 4/1 0/07 4/1 0/07 4/1 0/07 4/1 0/07 $220,81 I Plan Reviews I Initial Review 03/2112007 03/21/2007 APP NJM Plannin!! Review 03/21/2007 04/05/2007 APP TAJ No Planning issues, Public Works Review 03/2112007 03/29/2007 APP JLP Storm H20 tied to existing system per Bart @ 2:45pm 3/29107, (no need to pull plat maps) JLP 3/29/07 Structural Review 03/21/2007 03/26/2007 10 LLH Forwarded to the Building Department for review Structural Review 03/26/2007 04/03/2007 APP LLH Plans reviewed by Dave Mortier with the Building Department under contract with the City of Springfield 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. l? PO II i rlP'rI , n~nections I Footing: After trenches are excavated, Framing Inspection: Prior to cover and after all rough in inspections have heen approved, Final Building: After all required inspections have heen requested and approved and the building is complele, Storm Sewer Line: Prior to filling Irencb, Paee 2 of3 . .ITY VI' ~rt(ll~l..I'.J!.LD Building/Combination Permit PERMIT NO: COM2007-00393 ISSUED: 04/1012007 APPLIED: 03/16/2007 EXPIRES: 10/10/2007 VALUE: $ 1,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I, I I 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 tbe work described berein, 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 wbo are in compliance with ORS 701.005 will be used on this project. I furtber 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 times during construction. '&-w-{VI~ 4/10/07 Owner or Contractors Signature Date Paee 3 of 3 -. , . . . \ / " " " " " " . 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#: COVV\Z_7-00 ~7 J Address: 57 7 S- ob ~ ,-t, A-r.f 'b '\ Date: l/~{/'/~ 7 I I Issued by: 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 al'l'<Ul'riate blanks and initial boxes I and 2, and either box 3A or 3B: ~, 90, 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, 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. ~v..y(Vrp t{(;O/D/ (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 . ' . A~~nIIDg tal~ 1( ((])Ullll" (Q)WIID <G~IID~nlln C([])IID~ll"tal~~([J)jr? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES -.", NOTE: This Information Notice to Properly 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, Emjpnoyu JRe~jpOIIll.~ll1blfill.Jitl:lle~ 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 tbe foUowing: 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 D,,}'~ ~uent of Revenue at 503-378-4988, Unemployment Ynsurance 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.usfformsDav.htmll for the appropriate forms, Wor!<ers' 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, V.S, internallRevenoe 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.irs.l!ov, <D~llnell" ~lesjplilJilffisfilbfilla~fi<es 2lIIllirll All"Ie21$ of CCOlffi<l:<ell"IIllS Codc Complisnce: 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 ll'roperty 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, [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' Springfield;Oregon 97477 541-726-3759 Phone . ~ IItiL ....., .. of Springfield Official Receipt "velopment Services Department Public Works Department Job/Journal Number COM2007-00393 COM2007-00393 COM2007-00393 COM2007-00393 COM2007-00393 COM2007-00393 COM2007-00393 COM2007-00393 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: 1200700000000000386 Date: 04/10/2007 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fire SF Fee - Residential Storm Sewer - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BART MILLS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 113163 In Person Payment Total: Page I of 1 II :34:28AM Amount Due 64.44 3,22 45,00 12,00 45.00 4.50 7.20 10.20 $191.56 Amount Paid $191.56 $191,56 4/1 012007