HomeMy WebLinkAboutPermit Building 2006-4-21
Status
225 Fifth Street, Springfield, OR
541,726,3753 Phone
541.726-3676 Fax
541-726.3769 Inspection Line
SITE ADDRESS: 869 RIVER HILLS DR
ASSESSOR'S PARCEL NO.: 1703341211500
PROJECT DESCRIPTION: Add window
Owner: ROBERT HOUSTON
Address: 869 RIVER HILLS DR
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occupancy Group: R.3
Secondary Occupancy Group:
Primary Construction Type VN
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
.
a:ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00476
ISSUED: 04/2112006
APPLIED: 04/2112006
EXPIRES: 10/2112006
VALUE: $ 300.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
Residential
Phone Number: 541.988.1160
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I CONTRACTOR INFORMATlON"IU; O,\R s~.2'OO~
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BUI LDINGlJNFORMAlfION' IgoU~.332.i344).
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# of Stories: Lot Size:
Height of Structure Sq Ftlst Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:NOT1C.E: MIT SHf\LL EXPIRE IFilll~I)NOR~
# Street Tree~n~~:PER ZED UNDER THIS PERH1lild~a~~eiI:
Paved Drive R411: HORI OR IS f\Bf\NDON~\!)1fPJt'Ct:
% of Lot covmgtiMENCED D
f\NY 180 Df\Y PERIO .
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
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.ITY OF SrK1r~t.J<1J'.,LD
Building/Combination Permit
PERMIT NO: COM2006-00476
ISSUED: 04/21/2006
APPLIED: 04/21/2006
EXPIRES: ]0/21/2006
VALUE: $ 300.00
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541,726,3676 Fax
541,726,3769 Inspection Line
Estimate
Estimate
$1.00
300.00
$300.00
$300.00
04/21/2006
Total Value of Project
L.Fp.p.<. P'~\lU
Fee Description
+ 100/0 Administrative Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
Receipt Number
$4.50
$3.60
$45.00
4/21/06
4/21106
4/21106
3200600000000000212
3200600000000000212
3200600000000000212
Total Amount Paid
$53.10
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.
~irp.d IlI.snp.ctions 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 tbe building is complete.
By signature, I state and agree, that I have carefully examined tbe completed application and do bereby certify tbat all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb
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 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, tbat eacb address is readable from tbe
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.
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~21-?Jh
Owner or Contractors Signature
Date
Paee 2 of 2
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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
Address:
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Pennit#: (.01"12..<::>_- 0047 b
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Issued by:
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Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential constroction permit applicants who are not
licensed with the Constroction 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 app.vp.:ate blanks and initial boxes I and 2, and either box 3A or 3B:
--Er 1.
-e 2.
I own, reside in, or wiIl 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
A 38. 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 wiIl 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 of this form.
~~~.4 /~Ud~
t./-.:l. / -06
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
7'_'-_';J_owner.doc 06-01-04
Adnrrng '~i3 '@llll]]" (Q)wrrn G~rrn~]]"~ll (C'rrn~]]"~~~@]]"?
INFORMATION' NOTICE TO PROPERTY OWNERS
'. _ " AB9UT 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.
IEmjplloyer lRe~jpollll~nlMllntnes
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:
Oregon'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 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 fOl' a BIN, call 503.945-8091 or www.dor.state.or.us/fonnsnav.htmll for the
appropriate fonus.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Worke.s' Compensation Law,
and must obtain workers' cv,u!-,vusation 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 www.irs.QOv.
(())tl;ltner Resjporrn!lnlbftHntl;fte!l arrnidl Areas oj[ Corrn~eJrJrn!l
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 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 the skills to act as your own' g~neral 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 06.01.04
225 ~ifth ,S~reet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006.00476
COM2006.00476
COM2006.00476
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
.Iii~
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Building Permit
Paid By
ROBERT HOUSTON
Cillf Springfield Official Receipt
D opment Services Department
Public Works Department
3200600000000000212
Date: 04/21/2006
Item Total:
{;heck Number Authorization
Received By Batch Number Number How Received
djb
2162
In Person
Payment Total:
Page I of 1
1I:58:2IAM
Amount Due
3.60
4.50
45.00
$53.10
Amount Paid
$53.10
$53.10
4/2112006
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t Storage Room t
Header: 4'1~ long by 6" height by 5.5" width
Alternating (3)2x6 boards and la"plywood = 5S width
Shingles on fell on 1x4 on 2x6 rafters@24"Ce.
WeslWall
tapsiding on 3/4" plywood on
2x6 Studs @ 16~ ce. ~
2x6 attached to 2x4 INS @
24-oc.
,
.
2x4 studs @ 16~OC................ 69.5"
'..
3/4" undertaymenl on
2x10 JOlst@ l6"oe ~
I1II \n
\
SiU: 43- long (2)2x6 boards
29whigh
1f"-(2)2x6
1~2)2X4
<II." _
(2)G'0: "'"
II
2X4IruS@24"ol.1
II
::arage~ II
13'xS' .
G,,,,,. I I
_ _ 2x6Sluds@16"oc. -----:: 19'x21
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