HomeMy WebLinkAboutPermit Building 2007-7-11
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-01469
ISSUED: 07/1112007
APPLIED: 11/15/2006
EXPIRES: 0111112008
VALUE: $ 22,608.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 527 34TH ST
ASSESSOR'S PARCEL NO.: 1702312410801
Springfield
TYPE OF WORK: Garage
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Garage
Owner: SOTELO MARIA IGNACIA
Address: 527 N 34TH ST
SPRINGFIELD OR 97478
Phone Number: 541-337-7550
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
14.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
864
U-l
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setback~:
5.00
34.00
10.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: 21.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Curbside 5'
Curb and Gutter
Fully Improved
Storm SewM!r.:l~: Oregon law requtres y"Calto
Special In~1e8 adopted by the Oregon Utility
NoUftcatlon Center. Those rules are set forth.
Notes: Iit~1i4W~(.fJ~jJ~.uwPfi)Afit9&fltOG1.em ending @'Hy1'>~llilItter.JLP
0090. Vouml!YobtaIncopiesoftherule8by- '_\I~ D~RMIT SHALL EXPIRE IFTHEWORK
O8IIlng the center. (Nofe: me I ~'-',:j ~u I RIZED UNDER THIS PERMII I~ NU I
number for the Oregon UtIlity N Uitlion Descri i' ENCED OR IS ABANDONED FOR
Center 111-800-332- .
squ^Jrl~RAQ.~Y PERIOD.
. Va~e
or Bid Amount
Downspouts/Drains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Page 1 of3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01469
ISSUED: 07/1112007
APPLIED: 11/15/2006
EXPIRES: 0111112008
VALUE: $ 22,608.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Garage
Garage
Garage
Garaf!e
$26.00
$27.00
720.00
144.00
Total Value of Project
~
$18,720.00
$3,888.00
$22,608.00
06/13/2007
06/13/2007
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $115.44 11/15/06 1200600000000001654
+ 10% Administrative Fee $31.1 0 7/11/07 2200700000000001113
+ 5% Technology Fee $18.99 7/11/07 2200700000000001113
+ 8% State Surcharge $21.42 7/11/07 2200700000000001113
Fire SF Fee - Residential $43.20 7/11/07 - 2200700000000001113
Garage/Carport $208.80 7/11/07 2200700000000001113
Plan Review Minor - Planning $112.00 7/11/07 2200700000000001113
Plan Review Residential $20.28 7/11/07 2200700000000001113
SDC Sanitary/Storm Admin $22.13 7/11/07 2200700000000001113
Storm Drainage Impervious Area $442.68 7/11/07 2200700000000001113
. Storm Sewer - 1st 50 Feet $45.00 7/11/07 2200700000000001113
Storm Sewer Each Addtll00' $14.00 7/11/07 2200700000000001113
Total Amount Paid $1,095.04
I Plan Reviews I
Planning Review
Planning Review
Public Works Review
11/1712006
06/13/2007
11/17/2006
02/05/2007
06/13/2007
12/06/2006
APP TAJ
APP TAJ
WE JLP
Public Works Review
01/0912007
01/08/2007
APP JLP
Public Works Review
06/13/2007
06/13/2007
10 EW
Structural Review
11/17/2006
11/17/2006
APP DLM
Structural Review
06/13/2007
APP DLM
OK for revised site plan
Needs Storm drainage & driveway
location prior to PW review. Sent
letter to applicant. No phone #
found.JLP
Rcvd info from owner. Storm shall
be tied to existing operational
system ending @ curb & gutter.JLP
Received revised plans from Don
Moore. Revision shows additional
6x24. Made revision to SDC
worksheet and corrected fees added.
EW
See documents for Plan review
comments
Extendig building to 36 ft. long
(from 30')
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.
Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-01469
ISSUED: 07/11/2007
APPLIED: 11/15/2006
EXPIRES: 0111112008
VALUE: $ 22,608.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reouired Insoections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
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 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 from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
C~A-R1vS AP!44JV
'-" (7
Owner or Contractors Signature
;; / //- / 0 7
, -
Date
"
. Page 3 of 3
"
, Construction Contractors Board
I
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 #: ~ M.':Uf1) to -, D I L{-Iq 1
Address: 5~ 1 3+~ --$+v.u.J-
Issued by: ~v..J Date: It-IS - 0 7
Statement: Info. mation Notice to Property Owners
About Construction Responsibilities
,Note: Oregon Law,' ORS 701.055(4) requires residential construction permit applicants whoare not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This s-tatement 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 appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
cg.l.
G.- 2.
I own, reside in, or will reside in the completed structure.
I understand that I m~st become licensed as a construction contractor if the 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 subcontractors who work on the structure must be
licensed with the Construction Contractors Board. '
~,
OR
. I
3B. I wIll be my own general contractor.
IfI hire subcontractqrs, 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 contractpr.
I
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners abo~t Construction Responsibilities on the reverse side_of this form. " -
I -
rv/A~ 8~ ~~r-' {/-'7'- C/0
(Signatuf'e of permit applicant) / (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
,...~' \"0\."
Property_owner. doc 06-01-04 '
\
-' I( ,-
'i. ..
Acting as Y our Own General Contractor?
- INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION 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 responsi~i1ities and concerns.
Employer Responsibilities
You will, in most instances, be ruled to'be an "employer" and the contractors you contract ~ith Win be "employees" if
you use contractors not lic.ensed with the Construction Contractors Board to do ll;tbor in constructing or to assist in the
construction or ~mprov~inent of a residential structure. _ As the employer, you must comply with the following:
Oregon's Withholdiug Tax Law: As an employer, you must withhoid 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 fot Unemployment insurancepurposi$~
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488.
l_"" !F'~
- -:..J
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/formsoav.htmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compensation insurance for yom: employees. If you fail to obtain workers' cVUlpensation
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'fedenil income tax from employees' wag;~,_
You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call th~ -
IRS.at 1-800--829-4933 or visit their web site at wwwjrs.gov.. ,~.
Other Responsibilities and Areas of' Conc~rns
Code Compli~lDce: 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-th.at. mus.~'~oe~~:m~. \.' . ". -~ _~ "~ ~----~"--:-'~ 1S::-. -_ \''''' .-~_
'-"; . '->.. _ ~ \ ~ ._-~::S ::-.s- ~~~"';";,-.J _ '-.j~~-~'~'s~~. _ ...J ~,~~~~~~~).
Time: Make sure you have sufficient time to supervise your employees. '.. "" ' -.
Expertise: Make sure you' ha~e th~ skills' to act as your. own . gei1eralcontr~ctoi, 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 06-01-04
225 Fifth Street
,
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1469
COM2006-0 1469
COM2006-0 1469
COM2006-01469
COM2006-01469
COM2006-0 1469
CO M2006-0 1469
COM2006-0 1469
COM2006-01469
COM2006-0 1469
COM2006-0 1469
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2006-0 1469
COM2006-01469
COM2006-0 1469
COM2006-0 1469
COM2006-0 1469
COM2006-0 1469
COM2006-0 1469
CO M2006-0 1469
COM2006-0 1469
COM2006-0 1469
COM2006-0 1469
Payments:
Type of Payment
Cash
Change
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001113
Date: 07/1112007
Description
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Plan Review Minor - Planning
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Residential
Garage/Carport
Fire SF Fee - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARIA IGNACIA SOTELO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
In Person
In Person
Payment Total:
Description
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
Plan Review Minor - Planning
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Residential
Garage/Carport
Fire SF Fee - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARIA IGNACIA SOTELO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk In Person
In Person
Payment Total:
Page 1 of 1
I2:40:45PM
Amount Due
45.00
14.00
112.00
442.68
22.13
20.28
208.80
43.20
18.99
21.42
31.10
$979.60
Amount Paid
$1,000.00
($20.40)
$979.60
Amount Due
45.00
14.00
112.00
442.68
22.13
20.28
208.80
43.20
18.99
21.42
31.10
$979.60
Amount Paid
$1,000.00
($20.40)
$979.60
7/11/2007