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Home My WebLink AboutPermit Building 2007-7-20 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: COM2007-00575 ISSUED: 07/20/2007 APPLIED: 04/1912007 EXPIRES: 01120/2008 VALUE: $ 52,736.00 SITE ADDRESS: 6967 Main ST ASSESSOR'S PARCEL NO.: 1702353309700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence I PUBLIC IMPROVEMENTS I NOTICE:' THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Storm drainage tiedJ\~Yxtig~~~qDItPP 4/24/07 Owner: MASON GEORGE W Address: 6967 MAIN ST SPRINGFIELD OR 97478 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 35.00 25.00 27.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone Number: 541-746-0364 I CONTRACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMATION. R-3 # of Stories: 1 Lot Size: Height of Structure: 17.00 Sq Ft 1st Floor: 512 Type of Heat: A~6N:1 youte Water Type: follow rules ad . on UtiI1tY Range Type: NotifiOAli n Can ~. *tortIt Ene:gy Path:.. In OARO 1001- l ih OAR 852-001- Spnnkled BuIldmg: 0090. may tei 61 the ruIeIbr I DEVELOPMENT INFORM~1D: th~IO;~;;Uti:.y ~~ Center il1~ PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: VB Sidewalk Type: Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00575 ISSUED: 07/20/2007 APPLIED: 04/19/2007 EXPIRES: 01/20/2008 VALUE: $ 52,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellin2s V Wood Frame $103.00 512.00 $52,736.00 $52,736.00 04/19/2007 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $248.53 4/19/07 2200700000000000555 + 10% Administrative Fee $45.30 7/20/07 2200700000000001175 + 5% Technology Fee $26.97 7/20/07 2200700000000001175 + 8% State Surcharge $34.19 7/20/07 2200700000000001175 Building Permit $382.35 7/20/07 2200700000000001175 Fire SF Fee - Residential $25.60 7/20/07 2200700000000001175 Plan Review Minor - Planning $112.00 7/20/07 2200700000000001175 SDC Sanitary/Storm Admin $8.59 7/20/07 2200700000000001175 Storm Drainage Impervious Area $171.84 7/20/07 2200700000000001175 Storm Sewer - 1st 50 Feet $45.00 7/20/07 2200700000000001175 Total Amount Paid $1,100.37 I Plan Reviews I Initial Review 04/20/2007 04/20/2007 APP LLH Plannin2 Review 04/20/2007 05/1112007 APP TAJ Public Works Review 04/20/2007 04/23/2007 WI JLP Rcvd 4/23/2007---Waiting in order PW rcvd for rvw.JLP WI 4/23/07 Public Works Review 04/24/2007 04/24/2007 APP JLP Storm drainage tied to existing system.JLP APP 4/24/07 Structural Review 04/20/2007 05/08/2007 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. ~eouireCUnsnections . Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00575 ISSUED: 07/20/2007 APPLIED: 04/19/2007 EXPIRES: 01/20/2008 VALUE: $ 52,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Drywall: Prior to taping. 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 of the property, and the approved set of plans will remain on the site at all times during construction. ~~ 7~&-o:7 Date Pa2e 3 of3 , . Construction Contractors Board 700 Summ~r St ~'Suite 300 PO Box 14140 Salem OR 97309-5052 - Phone: 503-378"'4621 Web Address: www.ccb.state.or.us Address: - Permit#: C oVV\-z..co 7 - 0 ~ l' 7 5 b 767 VV7 A-tr( s.) --:p ~ Date: 7/ ZCS /0 7 I / Issued by: Statement: Information Notice to Prc>perty Owners . . About Construction Responsibilities Note: Oregon Law: ORS 701.055(4) requires residentiatconstruction permit applicants whoare not. licensed with the C6nstruc~ion :C(mtractors Boardta sign the following statement before a building pf!rmi!can be issued. _ This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from iicensing under' OR~ 701.010(7), need notsubmit this statement. This statement will.befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box. 3A or 3B: , -.- , ~. ~2. I own, reside in, or will reside-in the completed structure~ ,. I understand that Iroust 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 ~B. 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 h.ave read and do understand the Information Notice to Property Own~rs abo~t Construction Responsibilities on the rev,erse side of this form. 7/62.# f (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner, doc 06-01-04 ,.- ~Actil1g,:as -Yo~t- eneral Contractor? ,. .'- INFORMATlbN~ .PROPERTY OWNERS \ \ \ - ABourCONSTRUCTION RESPONSiBILITIES ':" This Information Notice to Property Owners about Construction Responsibilities was developed by the Contractors Board in accordance with 701.055(5), passed by the 1989 Oregon Legislature. ! If you are acting as your own contractor to construct a new structure, you can prevent many problems by be'ing aware or make a substantial improvement to an existing following responsibilities and concerns. Employer , -. You win, in most instances, be ruled. to be "employer", you use contractors not licensed with the Construction construction <?r improvemen~ of a residential s}ructure. contractors,you yont!ast with will be "employees" if Board to do labor in constructing or to assist in the yo~ must comply with the foUovying: Oregon's employees are employees. Tax Law: As an employer, you must income taxes from empl~yee wages at the time You will be Hable for the tax payments even you don't actually withhold the tax from your more information, call the Departmeritof at 503-378-4988. .- Unemployment on the wages of Tax: As an employer, you are employees. For more information, the "- to pay a tax for unemployment insurance purposeS--. " Employment Department at 503-947-1488. "- Identification Number (BIN) is a number for both Oregon- Withholding and" Insurance Tax. To file for a BIN, 503-945-8091 or \\.'ww.dor.state.oLus/formsoav.htmll for the a~jJ!V}Jriate forms. . ; .... ' The Oregon Workers' and must Insurance: As an employer, you are to the Oregon Workers' Compensation Law, compensation insurance for employees. you fail to obtain workers' compensation you could be subject to perlaltiesand be iiable . c'osts if one ~fyouremployees is injured on the more call the Workers' . Division at 'the Department o{Constimer' and Business at 503-947-7815. job. Service: As an employer, you must the tax payment even if you didn't or visit their web site at income tax-:from ernployees' wage~ the tax. For a Federal EIN number, can the As the permit holder for this be brol.lgh~ to your attention you are responsible for resolving any failure to meet code Insurance: omis~~~.ns such as falling -',..',~ ", \,", ') ",- " sure you nave sufficient' time "to supervise . - agent to see if you have adequate insurance over spray, water damage from pipe punctures, fire or . ~ ""' -~ :- ,~~ and finish sure you the skills to act as to notify building officials as the contractor, to coordinate the work of rough-in times so they can perfornl the required inspections. questions call the Construction 97309-5052. 06-01-04 (503-3784621) or write the agency at PO 225 Fi(th. Street Sp'ringfield;Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001175 Date: 07120/2007 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - 1 st 50 Feet Plan Review Minor - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By GEORGE MASON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2025 In Person Payment Total: Page 1 of 1 1 :29:33PM Amount Due 25.60 171.84 8.59 382.35 45.00 112.00 26.97 34.19 45.30 $851.84 Amount Paid $851.84 $851.84 7/20/2007