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Home My WebLink AboutPermit Building 2004-4-16 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00334 ISSUED: 04/16/2004 APPLIED: 03/26/2004 EXPIRES: 10/16/2004 VALUE: $ 19,450.00 SITE ADDRESS: 507 VALLEY VIEW AVE ASSESSOR'S PARCEL NO.: 1803022101100 PROJECT DESCRIPTION: Remodel Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Owner: DAVID BELYEA Address: 507 VALLEY VIEW AVE SPRINGFIELD OR 97477 Contractor Type General I CONTRACTOR INFORMATION I Contractor ALAN A CODDINGTON License 41499 # of Stories: Height of Structure Type of Heat: Water T~ee: ~~~~<\ 0~ ~o ~0' 00 .,N ~ ()~0 ...~0 .d'l: _ \ 0~0'r~v'l~xr~N~~~TION I -\:O~ ~0S Oc;,"" ~~ 0" R\ (I ~ ,(\oy.' ~p~ "~If:-~O . 0'b ~~~\~$j'l>' ~' ~'l>' ~0'<.' ~O~ ~~~~~~.. Total: {'~ '<.~0 u0~VOO i>\~ ~tt)Sl~e~(ct'~s.~Rqd: Handicapped: O~O~ 7J.~O~n'OO ,,0'0'" ~.~IO~W~~'Ne Rqd: Compact: ~ .~\Ci '!J<jv ~'lJ.'j ~,0 0~ ('_~ ~O~ b..<<'- ~ '" 0 (j0 0'<. io/J'of Lot Coverage: Of" ~O ~ 1f:-0 ". \~ ("\~O. "'~~ "'O'<.~ d,,'or:- _ 'Wt: \NO~v... v (j~~'Q0' r' -I PUBLIC IMPROVE~_ 1\ \.,\.. 't.~~\Wt, ~~W\r\ \~ ~\J \ '(\. \'t6.~ ~ S\'\~ ~~~?~ fOR \\,\\S ?~~ 1~$ \)~ ~r\\~tl6\1t.O ~\)\r\O~~Ct.\) g)l.~~outslDrains: COW\\'.J\t Or-." ~t.\\\O · ~~'{ \ ~Q # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Bid Amount Use Bid Amount BUILDING INFORMATION. R-3 VN I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 19,450.00 Total Value of Project Pa2e 1 of3 Remodel Residential Phone Number: 541-521-3332 Expiration Date 02/1612006 Phone 541-484-1886 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Value Date Calculated $19,450.00 $19,450.00 03/26/2004 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Exhaust Hoods Fixture Pellet Stove/Insert Vent Fan Total Amount Paid Initial Review Plannin2 Review Public Works Review Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00334 ISSUED: 04/16/2004 APPLIED: 03/26/2004 EXPIRES: 10/16/2004 VALUE: $ 19,450.00 ~ Amount Paid Date Paid $120.51 3/26/04 $10.00 4/16/04 $29.54 4/16/04 $20.68 4/16/04 $185.40 4/16/04 $18.00 4/16/04 $56.00 4/16/04 $30.00 4/16/04 $6.00 4/16/04 $476.13 I Plan Reviews , 03/29/2004 03/29/2004 APP LLH 03/29/2004 04/02/2004 APP TAJ 03/29/2004 03/31/2004 APP VRJ 03/29/2004 04/14/2004 APP DLM Receipt Number 1200400000000000391 1200400000000000494 1200400000000000494 1200400000000000494 1200400000000000494 1200400000000000494 1200400000000000494 1200400000000000494 1200400000000000494 No Planning Review required. No change in plumbing fixtures or impervious surface. See Documents for plan review comment. 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. ~eauiredJnSDections I 1 Footing: After trenches are excavated. 2 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 3 Drywall: Prior to taping. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Underslab Plumbing: Prior to filling the trench and including required testing. ' 6 Rough Plumbing: Prior to cover and including required testing. 7 Final Plumbing: When all plumbing work is complete. 8 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 9 Rough Mechanical: Prior to Cover 10 Final Gas: When all gas work is complete. 11 Final Mechanical: When all mechanical work is complete. 12 Freestanding Pellet Stove: After instaUation. Pae:e 2 of3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00334 ISSUED: 04/16/2004 APPLIED: 03/26/2004 EXPIRES: 10/16/2004 VALUE: $ 19,450.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 of the property, and the approved set of plans will remain on the site at all times during construction. o\_\~ Owner or Contractors~re +/~~/~ Date Pal!e 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 #: COtMZC -( - (:) 0 'S -:3> L-/ Address ,>0 I V A I ( 7 . ..J I t;:1.V' Issued by' J::)? Date, Y ~/o L{ 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 appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ 1. ~ 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 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. 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. , ~~4- II v e of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 03/1l/03 Acting as' Your 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 o\vn 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. Employer 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 <:omply with the 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 a State Business ill number, call the Business Information Center at 503-986-2200. Unemployment Insnnmce Tax: As an employer, you are required to pay a tax for unemployment insurance purposel?, on the wages ofal1 employees. For more information, can 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 insl!rance' for your ~mployees.. If you fail to obtain workers' compensation insurance; you could be subject to penalties and be liable for an claim costs ifone 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, can 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' responsib1e" 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 sure7YQu\h:'ive,~~ufficient time to supervise your employees. . . "'I" . . . .~:-:(-, I -.r.~ ..'., ~ . ,. . ......~ .~ Expertise: Make sure you have the skills to act as your own general contractor, to ~oordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so theycan 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 . , t ~ 225 Fifth.Street Spr.ingfield, Oregou97477 541-726-3759 Phone Job/Journal Number COM2004-00334 COM2004-00334 COM2004-00334 COM2004-00334 COM2004-00334 COM2004-00334 COM2004-00334 COM2004-00334 Payments: Type of Payment Check 4/16/2004 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Building Permit Fixture Vent Fan' -Mechanical Issuance Fee- Exhaust Hoods Pellet Stove/Insert Paid By DAVID BELYEA r~ty of Springfield Official Receipt lelopment Services Department Public Works Department 1200400000000000494 Date: 04/16/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2526 In Person Payment Total: Page I of I 1:40:48PM Amount Due 20.68 29.54 185.40 56.00 6.00 10.00 18.00 30.00 $355.62 Amount Paid $355.62 $355.62