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Home My WebLink AboutPermit Building 2006-11-20 ':::ITY OF SPRINGFIELD' " Status Issued Building/Combination Permit PERMIT NO: COM2006-01441 ISSUED: 11/20/2006 APPLIED: 11/09/2006 EXPIRES: OS/20/2007 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6099 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343407200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Retaining wall for shed building' Owner: THOMAS W ALTER CUSTOM HOMES LLC Address: 2863 RIVERW ALK LOOP EUGENE OR 97401 Owner: DUANE LEAVITT Address: 3855 MARCOLA RD SPRINGFIELD OR 98478 Phone Number: 913-1691 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER NOTICE: :U:.~ >;:"lb\t/lt BUIL~fi~LtU t~XPIRE IF THE ' # ~UavCED DOER THIS PERMPP~ ~~~K ~~tftP8~t~.(eR IS ABANDONED~r9n~NDFloor: Type of Heat: I-'ERIOD. S"'<fJft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: License Expiration Date Phone # of Units: Primary Occupancy Group: U Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: '-....... Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELO;eL~lENT'INF0RMA~lQN.1 Not'$' -. :u,~ aClopted b h' reqUires you ll}EQUIRED PARKING ",cat,on C J Y t e Ore . tOv1lila:v tDjst: enter. Those rule gon Ut,lh'Potal: ''''!O'''.c::'-Q01 Sa J (#~SJ~~eyJ,~e~~qtI9010 through 0 re set foH:lDdicapped: Paved"Drive'Rq'tI:Jbtain cop,'s AR 952-00Gompact: "tllll ng ~h,a ,.. S 01 th ' 'Y,oyof,Lot eovel'agli:9r. (Nots' th e rules b} " oe6~:L~~_~ragon Uii1it:~~~f,~one I PUBLIC IMPROVEMENTS iU-332-2344)~"''''QUVC Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction : Notes: Pae:e 1 of 3 Status Issued 2ITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2006-01441 ISSUED: 11/20/2006 APPLIED: 11/09/2006 EXPIRES: OS/20/2007 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,000.00 Value Date Calculated Description Total Value of Project $1,000.00 $1,000.00 11/09/2006 ~ Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Foundation Permit Storm Sewer - 1st 50 Feet Amount Paid Date Paid Receipt Number $29.25 11/9/06 1200600000000001630 $9.00 11/20/06 1200600000000001672 $4.50 11/20/06 1200600000000001672 $7.20 11/20/06 1200600000000001672 $45.00 11/20/06 1200600000000001672 $45.00 11/20/06 1200600000000001672 Total Amount Paid $139.95 Plannin\?: Review 11/09/2006 Plan Reviews I OK T AJ Structural Review 11/09/2006 11/17/2006 APP DLM Retaining wall is outside the 10ft. PUE & slope easement. Retaining wall only, approved as submitted. Shed structure (96 s.f.)does not require a permit. 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. ~eouiredJnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Storm Sewer Line: Prior to filling trench. Pa\?:e 2 of 3 - '::ITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-01441 ISSUED: 11/20/2006 APPLIED: 11/09/2006 EXPIRES: OS/20/2007 VALUE: $ 1,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 t e front of the property, and the approved set of plans will remain on the site at all ( ~ lug coustrucHOU~ · II/Y> /ob Owner or Contractors Signature Date ( / Pa2e 3 of3 225 Fifth Street SpringfIeld, Oregon 9-7477 .. 5'41-726-3759 Phone Job/Journal Number COM2006-01441 COM2006-01441 COM2006-01441 CO M2006-0 1441 CO M2006-0 1441 Payments: Type of Payment Check cReceintl RECEIPT #: Description Foundation Permit Storm Sewer - 1 st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DUANE LEA VlTT C;> - of Springfield Official Receipt 1. Jopment Services Department Public Works Department 1200600000000001672 Date: 11/20/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3661 In Person Payment Total: Page I of I 1:48:51PM Amount Due 45.00 45.00 4.50 7.20 9.00 $110.70 Amount Paid $110.70 $]]0.70 11/20/2006 .;. () Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Sale~ OR 97309-5052, Phone: 503-378:..4621 Web Address: www.ccb.state.or;us Permit #: COM z..- o/~YI b09q (err1 h ,II Lo D (> 5' f FL/>) 0,( Address: Issued by: Date: StatQment: I~formation 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 aJ,ld 2, and either box3A or 3B: IZJ 1. o 2. lown, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor ifthe 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 IZI 3B. Iwill 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.! have read and do understand the Information . Notice ~en 7ErJjction Responsi~ilitie'on ilie reverse g~~~~h~Sio:' (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 ~;.'). ((.~..:::: ~ :~: Acting' as "'or :Own General c9ntraetor? <1~) .-<~ \ "1 Nf:bRMATldN': NOTICE TO PROPERTY OWNERS ' , , ABOUT CONSTRI.)CTIONRESPONSIBIUTIES , , NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the , Construction Contractors Board in accordence 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 90ncerns. ' 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 Contra~tors Board to do lapor in constructing or to assist in the construction or improvement of a residential struc,nrre. As the employe:r,you must comply with the following: Oregon's Withholding Tax Law: As an empioyer, 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, caIl the Department of Revenue at 503;3784988. Unemployment Insurance Tax: As an employer, you ate required to pay a tax for unemployment insurance purpose~'\ on the wages of all employees. For more infonnation, caB 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.uslfonnsDav.html1 for the appropriate fonns. 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 infonnation, can 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 1-800-8294933 or visit their web site at W\vw.irs.l!ov. Other Responsibilities and: Areas of Concerns Code Complian~e: As the pennit 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 aud Property D~mage Insurance: Contact your irisurance agent to see if you have adequ'ate insurance coverage for accidents flnd omissions such as falling tools, paint over spray, wa~er damage from pipe punctures, fire or ~ \ ' ~ I work that must be red,one. _ \., ' ~'. .,,/ ,_;; ..... J , ~ \ 1,'.,,; ,....' ,~: ~"\,, -'~. ' - .j,J':: ..)'...,.' 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 perfonn the required inspections. If you have additional questions call the Construction Contractors Board (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 06-01-04