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Home My WebLink AboutPermit Building 2007-6-5 (2) . .CITY OF ~nur~'->-"I.t,LlJ Building/Combination Permit PERMIT NO: COM2007-00607 ISSUED: 06/05/2007 APPLIED: 04/26/2007 EXPIRES: ]2/0512007 VALUE: $ 43,749.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1595 RAMBLING DR ASSESSOR'S PARCEL NO,: 1703252209400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to single family residence Owner: JANICE LEE VANETTEN LIVING TRUST Address: 1595 RAMBLING DR SPRINGFIELD OR 97477 Phone Numher: 541-747-5257 Contractor Type General Contractor OWNER I <.VI' I "ACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMATION ~ # of Units: # of Stories: 1 Lot,~O': Primary Occupancy Group: R-3 ~~ht of Structure, 14.50 ~e~~\~ Floor: Secondary Occupancy Group: ,\\'t. ~'r~ of Heat: Forced Air~..s: ~~~Ioor' Primary Construction Type V.B, \~ \\ \~W){ter Type: O~ \'3-~ :!\e O,e ~ ~~ent: Secondary Construction Type: 'i:.i-'i'\"'\-'i''i:.\\~\ '(~nge Type, ~ O\eg 0 '0'1 ~ ,u\e'" ~!Jli~Carport # of Bedrooms: C~. S"'\>-\.\. ,,,,\S '):)~'i:.\) Energy Patl!~\O . oo-V\e ,\\I!Jl'i~ ~Q,'(\ ~~ fi~!b'\1,1<l ..\\),'\ <Q~\' \~\\::J'i:.\\ ,,\>-~\::J Sprin~i1'B~iDil~e(\\e" :\r:)rtjjO \e"'~c~.\W~ k\lJilI: \'" - <w" .~ \ .\~ - "" 1 .,t1 , r, -(\ _nO 'r" J"'.'C' ,W~"'\>\\\~~~\::J \>\\ ~~\::J' I DEVELOPMEN;F;'~'O~A~~~I~O\~\~\\'!~o.~'1' \>.'0 ,~~'i:.~ .....'t 'i'~ '. Ol"('-{Ol) to- . e(\t~ Q,O~ ':?:J~'~'!, REQUIRED PARKING ('C\\~' Rl \::Jl" ~d>,r:) \(\e CO O\e l:\\r?i Frontyard Setba~\ :\'0 Overlay I.IJSr. '~\\(\Q, \0' ~~~",F'trnge Total: Side 1 Setback: l>' 13.00 # Street TreefRl\~Je' re(\\e\ \ Handicapped: Side 2 Setback: Paved Drive ro)'d: v Compact: Rearyard Setback: 21.00 % of Lot Coverage: 28,00 Solar Setbacks: 0.00 483 ~PUBLlC IMPROVEMENTS I Street Improvements: Storm Sewer A vailahle: Special Instruction: Sidewalk Type, DownspoutslDrains: Notes: Storm tied to existing system, LC sanitarian responsibility form to Building Dept is required, Notified owner via phone msg, JLP APP 5/3/07 I Valuation DescriDti~n I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pace 1 of 3 . .CITY OF ~rKll~l."Ir.,LD' Building/Combination Permit PERMIT NO: COM2007-00607 ISSUED: 06/05/2007 APPLIED: 04/26/2007 EXPIRES: 1210512007 VALUE: $ 43,749,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellines V Wood Frame $103,00 483,00 $49,749,00 $49,749,00 04/26/2007 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $218,11 . 4/26/07 1200700000000000462 -Mechanical Issuance Fee-- $10,00 6/5/07 1200700000000000687 + 10% Administrative Fee $46,37 6/5/07 1200700000000000687 + 5% Technology Fee $27,58 6/5/07 1200700000000000687 + 8% State Surcharge $35.16 6/5/07 1200700000000000687 Building Permit $335.55 6/5/07 1200700000000000687 Fire SF Fee - Residential $24.15 6/5/07 1200700000000000687 Fixture $14.00 6/5/07 1200700000000000687 Minimum/Adjustment Mechanical $9,00 6/5/07 1200700000000000687 Miscellaneous Mechanical $36,00 6/5/07 1200700000000000687 Plan Review Minor - Planning $112,00 6/5/07 1200700000000000687 SDC SanitarylStorm Admin $6,23 6/5/07 1200700000000000687 Storm Drainage Impervious Area $124,51 6/5/07 1200700000000000687 Storm Sewer - 1st 50 Feet $45,00 6/5/07 1200700000000000687 Total Amount Paid $1,043,66 Initial Review Plannine Review Public Works Review Public Works Review I Plan Reviews I 04/27/2007 04/27/2007 APP LLH 04/27/2007 05/18/2007 APP TAJ 04/27/2007 04/27/2007 WI JLP Rcvd in PW 4/27107 05/03/2007 05/03/2007 APP JLP Storm tied to existing system, Lc sanitarian responsibility form to Building Dept is required, Notified owner via phone msg, JLP APP 5/3/07 04/27/2007 05/07/2007 APP RJB Structural Review 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, ~p.nlliredJnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement, Post and Beam: Prior to floor insulation or decking, Floor Insulation: Prior to decking. Paee 2 of3 . . CITY OF ~t'Kll'll\.JI'If.LD' Building/Combination Permit PERMIT NO: COM2007-00607 ISSUED: 06/05/2007 APPLIED: 04/26/2007 EXPIRES: 12105/2007 VALUE: $ 43,749,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Framing Inspection: Prior to cover and after aU rough in inspections have heen approved, WaU Insulation: Prior to cover, Ceiling Insulation: Prior to cover. Drywall: Prior to taping, . Final Building: After aU required inspections have been requested and approved and the huilding is complete. Rough Plumbing: Prior to cover and including required testing, Shower Pan, Prior to covering and including required testing, Final Plumbing: When aU plumbing work is complete. Rougb Electric: Prior to Cover Final Electric: Wben aU electrical work is complete, By signature, 1 state and agree, that I have carefully examined the completed application and do bereby certify tbat aU information hereon is true and correct, and I further certify that any and aU work performed sban be done in accordance witb the Ordinances of the 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 witbout permission oftbe Community Services Division, Building Safety, I furtber certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure that aU required inspections are requested at the proper time, that each address is readable from the street, tbat the permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on tbe site at aU times during construction. f] '-- ~___O \ ~l'~ Owner or cont~r~ Signature d, -6'-15 7 Date Pal!e 3 of3 -. . . \. ./ " " '. .' . . . 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 Pennit #: COW\, .,_ 0 <J 607 ~,^",~(l-""? Date: b /t /07 I '; . 1:)7) '::A(J Address: Issued by: 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 701.0JO(7). need not submit this statement. This statement will be filed with the permit, Fill in the app,ul,,;ate blanks and initial boxes I and 2, and either box 3A or 3B: ~l. a-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 ~ 3B. I will be my own general contractor, If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. Ifl 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 bereby 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. ~(J J;~ ~ ~~'o7 (Signature.. fpermit applicant) (Date) ite copy to issuing agency permit file. pink copy to applicant.) PropertLowner.doc 06-01-04 " ,. ;. . A(C~nrrn~ ~~ .l[ \lDlllilT' ([J)wrrn GterrntelT'~n CC([Drrn~IT'~(C~([DIT''P INi=ORi\IlATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , NOTE: This InformatiDn NDtice tD Property Owners abDut CDnstructiDn RespDnsibilities was develDped by the CDnstructiDn CDntractDrs BDard in accDrdanca with ORS 701.055(5), passed by the 1989 OregDn 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. JEmjplllqJiyten- IRte!ljpliIJlllm~n]]}nllMfite!l 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 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 Rnsurance 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/timnsoav.htmll for the appropriate, forms. Wor:'ers'Compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must Qbtain 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. V,S, IlnternllllRevenue 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 W\V\v.irs.l!Ov. <<Jl;i;))eIr ;RS,efi;!~ount,)iilbiillii~iiet,) munidl AIrems ~jf CO::'.lti:eilIl1l!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 lI'roperty lIlllmllge ][nsurllncc: Contact your insurance agent to see if you havc 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: ~ake sure you have sufficient time to supervise your employees. !Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and tini~h trades, and to notify building officials as the al'l"VI,,;ate 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 14;40, Salem, OR 97309-5052. Property_owner.doc 06-01-04 2~5 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone .~~ C.Mi..of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2007-00607 COM2007-00607 COM2007 -00607 COM2007-00607 , COM2007-00607 COM2007-00607 COM2007,00607 COM2007-00607 COM2007-00607 COM2007-00607 COM2007:00607 COM2007-00607 COM2007-00607 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000000687 Date: 06/05/2007 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fixture Plan Review Minor. Planning Storm Sewer - 1st 50 Feet Minimum/Adjustment Mechanical Miscellaneous Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICHARD MASER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1108 In Person Payment Total: Page I of I 8:43:09AM Amount Due 24.15 124.51 6.23 335.55 14.00 112.00 45.00 9.00 36.00 10.00 27.58 35.16 46.37 $825.55 Amount Paid $825,55 $825.55 6/5/2007