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Home My WebLink AboutPermit Building 2007-8-7 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01159 ISSUED: 08/07/2007 APPLIED: 08/07/2007 EXPIRES: 02/07/2008 VALUE: $ 7,776.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1955 16TH ST ASSESSOR'S PARCEL NO.: 1703252402200 Springfield TYPE OF WORK: Garage TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Convert carport in to garage Owner: NEAL MOORE Address: 1955 16TH ST SPRINGFIELD OR 97477 Phone Number: 541-520-4096 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: UNOTICE:U# o~~~s~ori~~'!)(~E IF THE WORK THIS PER 3\tlH1S PERMIT IS NOT VB AUTHORI t ~:ABANDONED FOR COMMENmi&lgQ~ r- ANY 180 8~ OD. Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %_~~.age: _..-ftft ,.. ~ftt\ UU\\\'l -"rnntt U1av-~.....1 "'A Ulav-" ~........ '" ,-,. 8,GOP'vQ "':. .. ... "Ill" ..c:r: to\\?", ~:8cen\er. ~NTS I Street Improvements: No\i~ 952.oo1~\8\n ooP\88 o1~one Storm Sewer Available:~. 'IOU :~. \No\~ tl~ Special Instruction: ca\\\nO tot \hi Ot~2a44)' Notes: ~Cef\\lr" '\ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Sidewalk Type: Downspouts/Drains: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01159 ISSUED: 08/07/2007 APPLIED: 08/07/2007 EXPIRES: 02/07/2008 VALUE: $ 7,776.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garal!:e Garal!:e $27.00 288.00 $7,776.00 $7,776.00 08/07/2007 Total 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 $10.15 $5.07 $8.12 $101.48 $65.96 8/7/07 8/7/07 8/7/07 8/7/07 8/7/07 Receipt Number 2200700000000001252 2200700000000001252 2200700000000001252 2200700000000001252 2200700000000001252 Total Amount Paid $190.78 I Plan Reviews ~ Planninl!: Review Public Works Review 08/07/2007 08/07/2007 08/0612007 08/07/2007 APP APP EMM BRC Applicant had previously been charged SDC's for carport. No new SDC's. Approved as noted on teh plans Structural Review 08/07/2007 08/07/2007 APP DLM 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. I Reouired Insoections I Foundation: After forms are erected but prior to concrete placement. 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. , /Jr;.~ 1~-7-tJ7 Owner or C~actors Signature Date Pal!:e 2 of2 , . 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 Permit #: COW\ z.o-o 7 - 01/ S- <1 /b-l-"'- I 9 sS- ~~. 5t- 8/7/D7 Address: Issued by: . Date: . I Statement: Info. mation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants.whoare 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: ~. . 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 th~ structure must be licensed with the Construction Contractors Board. , OR '''~B. 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 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<pro~~truction Responsibilities on tbe reverse Slde;~h:~:: (Sign'ature of permit applicant) (Date) (White COP)! to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 I . , ( 1.1 '.:' "". Actl~g\iis-Ytidrr 'Own GeneraLC.ontractor? , -'iNFORMAT~N 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 ~ubstantial improvemenf to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns." Employer ~esponsibiliti~s 4,. ... . .. You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use yontra~tors not licel1sed' with the Constructi()n Contractors Board to do fabor in constructing or to assist in the con~truciion or improye~.e.pt ofa (esidenti~l structure. As the'employer, you must; comply with the_ fonowing: , Olregon's Withholding Tax La~: As~an employe~, youmu~t wiililiold income taxes: from ,;,ul}Jloyee wages at the time' . e~ployees are paid. You will be 1i.ab1e for the tax payments even if you don'tactually ~tJ1ho1d the tax from your employees. For more infonnation, 'call the Department of Revenue at 50)':.378-4988; "'.." ~ Unemployment Insurance Tax: As an employer, yoU' are required to.pay a tax for imemploymentinsurance 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 combi.11e;4 ~\1urpber f9r. poth, OregoJ? Withholding and '"" Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or ww\v.dor.state.or.us/formsoav.htmll for the appropriate forms. ,. . Workers' Compensatiou Unsmrance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain <"workers' cOll1pen~ation insurance for your employees. If you fail to obtain workers' compensation insurance, you' could be sUbject :topenalties and be liable for air claim costs if one o{yomemployees iSin]ured on the job. For more information, call the Workers' CompensatiOll Division at the' Department of Consumer and Business Services at 503-947-7815. U.S. Intemai Revenue Service: As an employer, you must withho1d~federal income .tax' from 'emp16yees' 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 " IRSaU-800-S29-4933 ot'visittheir.web site ahV\vwjrs.gov.<~ " .. . '.:, '. Ottherr- Re~poilll~ilbUii1t~e~itllJldl'.Alf-~a~ of t~llJltC~rID1S ,: . . Code Compliance: As the permit holder for this project, you are responsible for res61vingany failure to meet code requirements that ma~ be:: brought to your attention throug~ inspectio~s. ., ~ ~ Liability and Property Damage ][nsulrance: Contact your "insuranc"e ~gent to'see iLyou have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage'fr9m pipe punctures, fire or work that must be redone. . ' , . , ~ .' . .,J Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your ~)wrigener~l contractor~ t6 coo~dinate 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\Vl1cr.doc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01159 COM2007-01159 COM2007-01159 COM2007-01159 COM2007-01159 RECEIPT #: Description Plan Review Residential Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard NEAL MOORE cReceintl City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001252 Date: 08/07/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 03540B In Person Payment Total: Page I of I 10:35:03AM Amount Due 65.96 101.48 5.07 8.12 10.15 $190.78 Amount Paid $190.78 $190.78 8/7 /2007