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Home My WebLink AboutPermit Building 2003-6-20 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00424 ISSUED: 06/20/2003 APPLIED: OS/29/2003 EXPIRES: 12/20/2003 VALUE: $ 4,406.00 SITE ADDRESS: 496 scons GLEN DR ASSESSOR'S PARCEL NO.: 1703271305100 Springfield TYPE OF WORK: Carport TYPE OF USE: New Residential PROJECT DESCRIPTION: Carport Owner: MOIR CAROLINE HEATHER Address: 496 scons GLEN DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I . v + ';.' ,'-"' . Contractor ,.,\ ~,~ " License Expiration Date Phone OWNER J'c ~ ",,~,__., "..,~;. MOIR CAROLIN.~'H~ATHER" Contractor Type General Owner # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description ., ' " ,.' r~$..1 ,BUILDING INFORMATION' ',.. \v" ,'-,.... ,:.." ,-: _" ." ........ \v' "..,-.- "~ ..-,#ofStories:. . . ,- \." ., , U'U'" _~ -'~ Heigbt ofSlructure ,.' ;)_\'" ,,'.' Type of. Heat: VNJ - ',"',.,) Water Type: ,\ '-' ~\' Range Type: Energy Patb: 30.00 5.00 Lot Size: 11.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otbcr: I'R'!'ervious Surface Area: ...,\\ '"" I DEVELOPMENT INFORM A TION ~ "\~\ ,S ~$' ~~'<.. ~~~~ '<.\)~ Overlay Dist: ~\,\5<~s <(S)\)~~ # St~eet ...ee~'lli'; S>~~ ~~~ Pa)'.!! . vet :\::>~ \S ~ Y ~\) ~.~ ~ ~'S). es ~~~~~e.ll..~ ~q~~~ 25.00 ~:\;)\~~~~ 'V~ o :;t I PUBLIC IMY~Q.VEI\1ENTS I 288 REQUIRED PARKING Total: 2 Handicapped: Compact: 73.00 0.00 Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I Type of Construction Date Calculated $ Per Sq Ft Square Footaee Value Paee 1 00 . . CITY OF ~r1Ul'i\j1<l.J<.;LD Building/Combination Permit PERMIT NO: COM2003-00424 ISSUED: 06/2012003 APPLIED: OS/29/2003 EXPIRES: 12/20/2003 VALUE: $ 4,406.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Carport Carport $15.30 288.00 $4,406.40 $4,406.40 OS/29/2003 Total Value of Project Fpp< P~ilIJ Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review - Planning Amount Paid Date Paid $44.46 $6.84 $4.79 $68.40 $59.00 5/29/03 6/20/03 6/20/03 6120/03 6120/03 Receipt Number 1200200000000001356 1200200000000001601 1200200000000001601 1200200000000001601 1200200000000001601 Total Amount Paid $183.49 I Plan Reyiews I Initial ;Review Plan nine Review 05/3012003 05/30/2003 05/30/2003 06/11/2003 APP LLH APP AJD Whole parcel not shown on Plot Plan. Left message for Caroline Moir 6/11/2003, storm drainage not shown on site plan, asked for storm drainage information. According to message left by property owner 6/11/2003, they are rebuilding existing Carport, not adding a new Carport. No SDC's and storm Is connecting to existing system. Public Works Review 06/1112003 06/11/2003 WE VRJ Public Works Review 06/11/2003 06/11/2003 APP VRJ Structural Review 05/30/2003 06/20/2003 APP TCM 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. 1 Footing: After trenches are excavated. 2 Framing Inspection: Prior to cover and after all rough in inspections bave been approved. 3 Final Building: After all required inspections bave been requested and'approved and the building is complete. Paee 2 of3 . . CITY OF SPRINGFl.J<.;LU ' Building/Combination Permit Status Issued PERMIT NO: COM2003-00424 ISSUED: 06/20/2003 APPLIED: OS/29/2003 EXPIRES: 12/20/2003 VALUE: $ 4,406.00 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, tbat I bave carefully examined the completed application and do bereby certify that all information hereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance with the Ordinances of tbe City of Springfield and the Laws of tbe 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 tbis 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 tbe front of tbe property, and the approved set of plans will remain on tbe site at all times during construction. 0n \,f!\ A~VU \'X1,m'A Owner or Contractors Signature l o\Wlo~ Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00424 COM2003-00424 COM2003-00424 COM2003-00424 Payments: Type of Payment Check Description Plan Review - Planning Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By ANDREW HINKLE ~~],Ci;,";."'~~' '"I, '. '" ~, , -"~.' i . , ~ j '"t.",,..,.,,. ,.~. ,,.,...... .., Receipt #: 1200200000000001601 Received By djb Check Number Batch Number Authorlzation Number City of Springfield Official Receipt Development Services Department \ Public Works Department Date: 06/20/2003 1:49:37PM Amount Paid Item Total: 59.00 68.40 4.79 6.84 $139.U3 How Received In Person Payment Total: Amount Paid $139.Q3 $139.U3 . . I). . . . . \ l '. " '. .' " " - . - ' . I Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Pbone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: CO 'VI zo. . 00 '-t 2. Y 5co -fI-s &1 w Issued by: Y~b ),(f Date: bho/c.7 - 1 7' Address: 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 "Pp'Vl,,;ate blanks and initial boxes I and 2, and either box 3A or 3B: ~l. ft 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. 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 g 3B. I will be my own general contractor. IfI hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. IfI 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 Constrnction Responsibilities on the reverse side of this form. (\i\fu~,\ nt Lr'f\ffiA (Signature of permit applicant) LPlwlD3 (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 03/11103 ..4t - A~tnnng ~~ 1{ ([])umr(())wnn GenneIr~n <C([])nntIr~d([])Ir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . 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. lEmployer RespoBllsibinities 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 the employer, you must comply with the following: Oregou's Withholdiug 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 a State Business ID number, call the Business information Center at 503-986-2200. 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. 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 !he 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 !he tax. For a Federal EIN number, call !he IRS at 866-816-2065 or fax them at 801-620-7115. Other Respolllsibilities almdl Areas of Coxncems Code Compliance: As the permit holder for !his project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention 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 damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have !he 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 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 03/11/03