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Home My WebLink AboutPermit Building 2006-11-9 Status Issued _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01442 ISSUED: 11/09/2006 APPLIED: 11/09/2006 EXPIRES: 05/09/2007 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1308 C ST ASSESSOR'S PARCEL NO.: 1703351412900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: sliding glass door in exiting wall Owner: ANN KRUTSINGER Address: 1308 C STREET SPRINGFIELD OR 97477 Phone Number: 736-7240 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer f.vjl~lilble: Downspouts/Drains: Special Instr~ib'ii~mON: Oregon Paw requfres ~ to follow rules adopted by the Oregon Utility Notes: Notification Center. Those rules are set forth NOTICE.. in OAR 952-001-0010 throuah OAR 952-001- uu~u. YOU may Obtain copies 0 III" rul~~ oJ "IVIII ~HALL EXPIRE IF THE W calling the centet (Note: the . n Deseri ~~M~M~E~N~ZCEEDDUO~RDfR THIS PERMIT IS ~ORTK nlAmberforthe Oregon Utility t{O~fi~ticm Square F~weet80 DAY lWlIOO'S ABANDODNfD ~nt~ Description T~~~1tiOOim-23i4 erltoqlo BOd A t nt ate titllitlated or u Ip ler or I moun . ~' Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01442 ISSUED: 11109/2006 APPLIED: 11109/2006 EXPIRES: 05/09/2007 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 1,000,00 $1,000.00 $1,000.00 11/09/2006 TotilI Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Plan Review Residential Amount Paid Date Paid $4.50 $2.25 $3.60 $45.00 $29.25 11/9/06 11/9/06 11/9/06 11/9/06 11/9/06 Receipt Number 1200600000000001631 1200600000000001631 1200600000000001631 1200600000000001631 1200600000000001631 Total Amount Paid $84,60 Plan Reviews I Structural Review 11/09/2006 11/09/2006 APP DLM All comments are on plans 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. LReauired Insoections I 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. 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. CJ '- Owner or Contractors Signature II" CJ~O(O Date Paee 2 of2 Constructio'n 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 #: (jJ/na?J~()1412- i ?0~ (~ ~r/ //f//fh Date: /I/~~ Address: 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 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. 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 .x 3B. I will be my own general contractor. If I 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 theCCB and will immediately notify the office issuingthisbuilding.permit of the name of the contractor. I hereby certify thatthe 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. //'~~~ //-q-alp \-/ (Signatuie~ofpe@it applicant) . (Date) (White copy to issuing age1].cy permit file, pink copy to applicant.) . ,. . Property _ owner. doc 06-01-04 Ac~ing as Your Own General Contractor? INFORMATION NOTICE TO .PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES ,< ' , - NOTE: This Information Notice to Properly Owners about Construction Responsibilfties 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 follov.r:ing responsibilities ~nd concerns. Employer Responsibilities , ' You will, in most instances, be ruled to be ap ~'employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the CQn.struction Contractors Board to do labor in constructing or to assist in the construction or improve~ent of a residential stru.c.ture. Asthee~ployer, you must comply .with the following: Oregon's Withholding Tax Law: As an employer, you must Withholdincorrte taxes frorn 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 Reverilie at 503-378-4988. ,.' Unemployment Insurance 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.us/formsnav.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 your employees. If you fail to obtain workers' cVJUpensation 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 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 w,vw.ii's.l!ov." . . ' " Other Responsibilities alu( Ar.eaS of Concerns , Code Coinpliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirem~nts that may be broug_~t to your att~ntion 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 d~mage from pipe punctures, fire or work that must be redone. Time: Make sure you'have sufficient time to supervise your employees: . Expertise: Make sure y~uha~e' the' skills to act" as ;~ur own generaf contractor, 't~ coordirtate th~ 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.c,loc 06-01-04 22~ Fifth 'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0l442 COM2006-0 1442 COM2006-0l442 COM2006-01442 COM2006-01442 Payments: Type of Payment Check ~ cReceintl RECEIPT #: Description Plan Review Residential Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ANN T KRUTSINGER ~ 'V of Springfield Official Receipt _ .;velopment Services Department Public Works Department 1200600000000001631 Date: 11/09/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received dIm In Person Payment Total: 3844 Page 1 of I 2:36:55PM Amount Due 29,25 45,00 2.25 3.60 4.50 $84.60 Amount Paid $84.60 $84.60 11/9/2006