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Home My WebLink AboutPermit Demolition 2004-8-26 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01061 ISSUED: 08/26/2004 APPLIED: 08/25/2004 EXPIRES: 02/26/2005 VALUE: \. \ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 159 C ST ASSESSOR'S PARCEL NO.: 1703352311400 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: PROJECT DESCRIPTION: Demolish Barn Owner: BOWLSBY FAITH H & DAVID Address: 159 C ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Contractor OWNER License I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of.Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type V1hr Water Type: Secondary Construction Type: Range Type: # of Bedrooms:' Energy f~th: ON' Oregon law requirs}b-~.eWBuilding: n/a .^Tii=NTI. u u~\..:. ~',,:,:nn , Itl~ltv. _ follow ~u\es adoPt\h;~iME~OPMENT\fNFORMATlON I NotificatIon Center. h QAH ~OG-VV 1 OAR 952-001-001 0 thro~9 thA r~es bV Front yard Setbal!R: y U may obtain copies of t)V'er ax.PJsf: Side 1 Setback: 0090.. 0 the center. (Note: the ~Pe '(tr~nes Rqd: Side 2 Setback: ca\lIng the Oregon Utility tP~~lPF)rlve Rqd: Rearyard Setback: number for ter is 1_800-332-23~M Lot Coverage: Solar Setbacks: Cen I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Demolition Residential Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: n~OTIClE: Downspouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR I,,\~ l 1':"-' -:,:'S fCnlOO. I Valuation Description I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa2e 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01061 ISSUED: 08/26/2004 APPLIED: 08/25/2004 EXPIRES: 02/26/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Amount Paid Date Paid $4.50 $3.15 $45.00 8/26/04 8/26/04 8/26/04 Receipt Number 1200400000000001265 1200400000000001265 1200400000000001265 Total Amount Paid $52.65 I Plan Reviews I 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. I Reouired Insoections , Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. 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. .- I ::>~./J,/(______ Owner or Contractor~gnat;re ~/Zb~~ D~tl I Pal!e 2 of 2 .. 225 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1 061 COM2004-0 1061 COM2004-01061 Payments: Type of Payment , 'Cash ,,' 8/26/2004 RECEIPT #: Description Demolition + 7% State Surcharge + 10% Administrative Fee Paid By DAVE PUENT ""~ty of Springfield Official Receipt ..:velopment Services Department Public Works Department 1200400000000001265 Date: 08/26/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received IIh In Person Payment Total: Page 1 of 1 7:28:51AM Amount Due 45.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65 . 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 Pennit#: ('0l\'l\2fL \..- O\DLo. ~ Address: \ ~ 0\ C- <S-h'ff' J3 ISsued by: D3"I ~t-.nate: j'-yl'Llo a Statemen.t: Infolll ~ation Notice to Property Owners About- Construction Responsibilities Note: C?regon 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 e~gineer applicants, 'exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with thepermit. Fill in the appropriate bianks and initial boxes'l and 2, and either box 3A or 3B: D 1. D 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. 0R 0B. will be my own ge~ contractor. ~ In hire subcontrac ors, WI re on y subcontractors licensed with the Construction Contractors Board. In 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 ofthis form. ~. '~~a-~ ~ .' g-/iG~1 . (~ature of permit applicant) I I (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 \., } <" ..' -r ~ . , ' . ~cti~g, ~'~)(O~F!@Wll General'Co~tractor?~~<'~, .: .: '.':f;NF6RlviATlriN-NbT!CETOPROPERTVOW~ERS '~~--,.';. . ~'\' ,'AaouT CONS;rRU~TIQN' RESPONSIBILITIES, , ' j -- '- j . "..'.', ~ ' * - - .' . .. 'J .: 1 '.l ,- . 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. . ,",' '. ~ ". ...~.:L...".;~~..., If you are acting as your own contractor to construct a new home or make' a substantial imp.ovement to' an existing structure, you can prevent many problems by being aware 6fthe foIlowing,responsibilities and concerns. Employe.r Responsibilities You will, in most in,stances) be ruled ~o be an "emp!oyer" and the c~ntractors you contract .with will be "empioyees" if you use contractors net licensed with the Construction Contractors Board to doJabqr in constructing or to assist in the construction or iu.p.ovement of a re~ideTIti.al struchrre.. As tb~ employer,y~u ~ust. compiy witb the followi:{l.g: ' . '. . .. -.; .: ...... '. .~ . , ':! . Oregon's Withholdi~g Tax Law: As ~n einploye~,'you must withhold income taxes from employee wages at the time employees are paid. You will be .liable for the ~x payments even if you don't actually withhold the tax from your employees. For more information, can the Department of Revenue 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 numb~r for. both, Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state..or.us/fonnsoav.html1 for the appropriate forms. ' Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Cvmpensation Law, and must obtain wor~ers' compensation ins!lrance for. your employees. If you fail to obtain workers' compensation insurance, you couid be subject to penalties and be liable for all'claim costs if one 'ofyour e~ployees is injl;ired on the job. For more information, call the Workers' Compensation Division at the I?epartmerit of Consumer and Business Services at 503-947-7815. . \ ' . ,-- U.S. Internal Revenue Service: As an employer, you Il1ust-withhold:federal iricome 'tax7from eUlployees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN numb~r, call the IRS at 1-800-829-4933 or visit their web site at w\vw:irs.l!ov." . , . . . . Other. Responsibilities aJlll<<:!1'Areas of Concerns _' '. Code Compliance: As the permit holder for this project, you are responsible for reso'rvi.ng:;mY~failure to meet code requirements that may be brought t9' your attention through inspections. . . .i~'"? - - .~ ~ . ..' ., ~ 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 re~one. \. Time: Make sure you' have 'sufficient time to supervise your employees: '. , " ". Expertise: Make sure you have the skills to act as your' own gene~al contractor, 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_o-.vner.doc 06-01-04