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Home My WebLink AboutPermit Building 2007-3-1 (2) . Status Issued 225 Fifth Street, Springfield, OR 541 ~ 726-3 753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7293 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802022101700 Springfield PROJECT DESCRIPTION: Adition to existing sfr Owner: SMITH RONALD T & JUDY C Address: 7293 FORSYTHIA ST SPRINGFIELD OR 97478 .11 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00077 ISSUED: 03/0112007 APPLIED: 01117/2007 EXPIRES: 09/0112007 VALUE: $ 21,630.00 TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Phone Number: 541-726-3921 I CONTRACTOR INFORMATION I Contractor Type General Mechanical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Pri!"ary Occupancy Group:, Secondary Occupancy Group: Primary Construction Type ' Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: R-3 VB Lot Size: 32.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path I Sq Ft Other: n/a Occupant Load: 210 I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Sid,e 2 Setback: Reitryard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: StJrm Sewer Available: you to S . I I t 'T'J:c~1110N'OlegolllaW requires pecta ns rucllon: . urt 'y follow rules adopted by the Oregon I l.. Notes: Notification Center. Those rules are set fo.. '0 OAR 952-001-001 0 thrOugh OAR 952-001 '0090. You may obtain copies of the rules I calling the center. (Note: the tel~~ho~e number lor the Orogon Utility NotificatIOn Center is 1-800-332-2344). Page I of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDralns: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR /S ABANDONED FOR ANY lBD DAY PER/DO. Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-,726-3769 Inspection Line Description . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00077 ISSUED: 03/01/2007 APPLIED: 01/17/2007 EXPIRES: 09/01/2007 VALUE: $ 21,630.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 210.00 DweIIines Tvpe of Construction V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee-- + 10% Administrative Fee + 5% Technology Fee + 80/0 State Surcharge Building Permit Fire SF Fee - Residential Miscellaneous Mechanical Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Plannine Review Public Works Review ,Public Works Review Structural Review Total Value of Project Fpp< ~ Amount Paid Date Paid Value Date Calculated $130.65 $10.00 $30.15 $14.55 $23.28 $201.00 $10.50 $45.00 $45.00 1/17/07 3/1/07 3/1/07 3/1107 3/1107 3/1/07 3/1/07 3/1/07 3/1/07 $21,630.00 $21,630.00 01117/2007 $510.13 I Plan Reviews I 01118/2007 01/18/2007 APP NJM 01118/2007 APP 01118/2007 01/1912007 WI JLP 02/16/2007 02116/2007 APP JLP 01/18/2007 01/24/2007 APP LLH Receipt Number 1200700000000000036 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 2200700000000000282 No Planning issues. Waiting in order PW rcvd for rvw.JLP No change in DFU's /Impervious area / SDC's.JLP2/16/07 Plans revlewd by Shawn Eaton 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. Rpnllirprlln~nections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Paee 2 of 3 . .CITY OF ~n(fNGFIELD ' Building/Combination Permit PERMIT NO: COM2007-00077 ISSUED: 03/0112007 APPLIED: 01117/2007 EXPIRES: 09/0112007 VALUE: $ 21,630.00 Status Issued 225 Fifth Street,'Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rougb Mechanical: Prior to Cover , Final Mechanical: When all mechanical work 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 tbe Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wlII be made of any structure without permission of the Community Services Division, Building Safety. I fur,ther certify that only contractors and employees who are in compliance with ORS 701.005 wlII 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 wlII remain on the site at all times during construction. , .~t/cJ~-~/ Own'er or Contractors Signature Date .~/~/ // Paee 3 of 3 225 Fifth Street- Springfiela, Oregon 97477 541-726-3759 Phone .~~ Qaof Springfield Official Receipt _lopment Services Department , Public Works Department Job/Journa) Number COM2007-00077 COM2007-000n COM2007-00077 COM2007-00077 COM2007-00077 COM2007-00077 COM2007-00077 COM2007-00077 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Fire SF Fee - Residential Building Permit Storm Sewer - 1st 50 Feet Miscellaneous Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RONALD SMITH 2200700000000000282 Date: 03/01/2007 1:42:14PM Item Total: l.:heck Number Authorization Received By Batch Number Number How Received IIh 306450 In Person Payment Total: Amount Due 10.50 201.00 45.00 45.00 10.00 14.55 23,28 30.15 $379.48 Amount Paid $379.48 $379.48 Page I ofl 3/1/2007 I). . . . . . . ".. .... ", ..' . 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 .. (Yl~0f") Address: 0Aq '?J +6fS~ ~ - ~ Issued by: \l~ Date: ~.\m Pennit #: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constrnction permit applicants who are not licensed with the Constrnction 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 befiled with the permit. Fill in the al'l',ul'riate blanks and initial boxes 1 and 2, and either box 3A or 3B: i(J 1. o 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. tf) 3A. My general contractor is r (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 o 3B. I will 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 I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side ofthis form. ~ ~1r:~Jdu~~/;~7 I (Signahtre<lfpenmt applicant) 1Da~ . (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 , , "01.(' .'..,1.., . Adnlffi~ '31.~'1l ~unll" ((J)wrrn Gerrnell"31ll .CiIJ)rrntll"31~tiIJ)ll"? I .' \.! ' ' , INFORIVIATIONNOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES - . ~ J '. It. I 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 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 concerns. lEmplloyer ResjpollD.si]l)ili~fies 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 ~he e!Dployer, you must comply with the following: 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 more information, call 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 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' 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 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 ww\v.irS,l!Ov. Other JResjpoID.snbnHitnes anndl Areas of Conncernns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention tlu:ough inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as faIling tools, paint over spray, water damage from pipe punctures, fire or work that must pe redone. Time: Make sure you have'sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general co~tractor, 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_owner,doc 06-01-04