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Home My WebLink AboutPermit Building 2006-10-11 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-0 1172 ISSUED: 10/1112006 APPLIED: 09/12/2006 EXPIRES: 06/18/2007 VALUE: $ 18,720.00 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: Garage TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Garage Owner: JANICE LEE VANETTEN LIVING TRUST Address: 1595 RAMBLING DR SPRINGFIELD OR 97477 Phone Number: 541-747-5257 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor OWNER SUNSET ELECTRIC INC OWNER License 08699 158859 Expiration Date Phone 12/18/2006 02127/2008 541-915-4883 I BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U 1 Lot Size: 12,00 Sq Ft 1 st Floor: .'('''''' Type of Heat: Sq F1'Jjt'2i1i1 Floor: -< \. ,,\\\\ Water Type: x;Sq Ft asement: Range Type: 'i:.i-~\~ ,~~,~t!G~~~~~/Carport Energy Path:. r.1C.', ~I>-\-\- \y..\7> Sq "!t.Qther: Sprinkled,Bqilding:~\\ 7> "'iJLiI, ,,~O~)1pant Load: ~v ~(:.'" _ 'I'" _ "Q,I" 720 # of Stories: Height of Structure VN Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 50,00 5,00 -'" I DEVELOPMENTiINRORMAHu""1 ~\J\)' \W' ~\.\...v ~ 'IV' r\)~ " \)1' Overlay Dist:J. ~'l \~\> Urban Fringe # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I REQUIRED PARK1N9 O~', Total: _(\1\\\0" 'I \)\~I\'l ~ Handi~PP.&:a~O\'l 0\\0 :\ ~wn~CI:>O\ ,0'" rl;r:JJ .O\0~ o'O'I""~~\0"~\l-~~1'j ~\0"'? ~,.\O~' OO~\e ~'(\0,,0 '!()~'(\ 0 ~ \'(\0 \ 0\'11 ......~~ ,_c,~ ,.,(, . ,,,\0 . .c.0 ,,,,O~ ,', ,\'I p:'. ..:l \V' c,1:I'" ,,~'\" COV'- ''SI0 'v 'i..1'lv~ ,,\0 '0\'1 ~\-v '~\'I ~0" ' ~O ~O $\C'3-\:.r.rl:\J O'O\~ ~O $\\\\\'1 :..110'\. ~1..deOW~~,'1'Y~~(\'3-'10\'1\0\' (\0\'1 r ':b?:'t.:r' .(\ -./0 ~"C; 0\0... ,,,.3 Down~p:ouJs/D",iils:~0 ,,€urb and Guttcr ~\J- ,,\I\'I~ \0\'-' \" C~ :00\ \'1\0\ \'I~~ c,e 10,00 0,00 Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes Notes: Storm to curb & gutter, JLP Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Gara2e Type of Construction Gara2e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Plan nine: Review Public Works Review 09/13/2006 09/1312006 09/13/2006 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01 I 72 ISSUED: 10/1112006 APPLIED: 09/12/2006 EXPIRES: 06/18/2007 VALUE: $ 18,720.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $26,00 Square Footage or Bid Amount 720.00 Value Date Calculated Total Value of Project $18,720.00 $18,720.00 09/12/2006 FpP~ PqirlJ Amount Paid Receipt Number 1200600000000001402 1200600000000001518 1200600000000001518 1200600000000001518 1200600000000001518 1200600000000001518 1200600000000001518 1200600000000001518 1200600000000001518 1200600000000001518 3200600000000000559 3200600000000000559 3200600000000000559 3200600000000000559 2200600000000001716 2200600000000001716 2200600000000001716 2200600000000001716 2200600000000001716 Date Paid $115.44 $25.86 $11.13 $17,81 $177.60 $36,00 $112,00 $11.88 $237,62 $45.00 $12,60 $6,30 $10.08 $126,00 $4,90 $2.45 $3,92 $43.00 $6.00 9112106 10111106 10/11106 10/11/06 10111/06 10/11/06 10/11/06 10/11/06 10/11/06 10/11106 10/31/06 10/31/06 10/31/06 10/31/06 12/18/06 12/18/06 12/18/06 12/18/06 12/18/06 $1,005,59 I Plan Reviews I 09/13/2006 10/05/2006 10/05/2006 APP LLH APP T AJ WE JLP Waiting for contractor to call back.JLP Pa2e 2 of 4 Building/Combination Permit PERMIT NO: COM2006-01172 ISSUED: 10/1112006 APPLIED: 09/12/2006 EXPIRES: 06/18/2007 VALUE: $ 18,720,00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Pnblic Works Review 12105/2006 1210512006 JLP Puhlic Works Review 10/05/2006 10/05/2006 APP JLP Structural Review APP RJB 09/13/2006 0912512006 . CITY OF ~rKINl..H~LD- Contractor came in to discuss options for storm water drainage, I discussed wlSteve Graham. Called Walt hack@ 513-0320, Told him, drywell will not work due to min setback requirements, Possihlilty of overloading Septic sytem as well, Must take lines out to curb & gutter. (He plans to not complete storm drainage, upon inspection, claims he will use the 180 repair period to apply for next additon & will tie the two additions together under the next phase, then will get this garage addition finaled)JLP Storm to curh & gutter.120 sqlft of existing concrete was deleted from foot print for SDC calculation, JLP 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches are excavated. Slah: To be made after all ins lab huilding service equipment, conduit piping and other equipment items are in place but prior to concrete, Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Hold Downs Installed: Special Inspection performed prior to placement of concrete, Provide report to City Building Inspector, Final Building: After all required inspections have been requested and approved and the huilding is complete, Storm Sewer Line: Prior to filling trench, Final Plumhing: When all plumbing work is complete, Rougb Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Paee 3 of 4 . . LIt l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01172 ISSUED: 10/1112006 APPLIED: 09/12/2006 EXPIRES: 06/18/2007 VALUE: $ 18,720.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I, 1 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made ofany structure without permission of the Commnnity Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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. Owner or Contractors Signature Date Paee 4 of 4 -. . . \. ./ , .' ", ,.' .. . c.onstructlon 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 #: C OvY\ Z-.::> Ci (. _ 0 117 L Address: /S9 \' ~o'L..(NL ~ Dale: /2/; 8/0 b / Issued by: I 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 befiled with the permit, Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: x If" 1. 7" 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 i)(~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. Property Owners about Construction Responsibilities on the reverse side of this form. G~ : r ,.., ,l )0.---- '>,d 0 _~~ I,:::).. --1ft -n ('" (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 '.. . Att~nnn~ ~~ y ((J)1illIr CC>>wnn CG~nn~Ir~n CC((J)nn~Ir~~~@Ir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This 'Information Notice to Properly 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. lEmJPllloyteIr Rte!iJPlorrn!iftlbim~ftte!i 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 iJUprovement 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 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 Identificatinn 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/fonnsnav.htmll for the appJ.Vl...~ate fOlms. 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 www.irs.l!ov. (Jl~l!nteJr Rlesj]lloll1lsnl!)nllfi1:nles 1111l1l1lll AJrlelllS olT Com:IeIrllDS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requiremenls 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. 'rime: Make 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 thc work of rough-in and finiSh trades, and to notify building officials as the appropriate times so they can perform the rcqUlred inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or writc the agency at PO Box 14140, Salem, OR 97309-5052. Property":owner.doc 06-01-04 225 Fifth Street I Springfil)ld, Oregon 97477 541-72(\-3759 Phone . -~,.. O"'IIU! .... Wi:' , . . . ~ . ; , , ,,' . - ".>n...... ". ..,,., _ of Springfield Official Receipt ftlfelopment Services Department Public Works Department Job/Journal Number COM2006-0 1172 COM2006-0 1172 COM2006-0 1172 COM2006-0 1172 COM2006-0 1172 Payments: Type of Payment Check cRcceintl RECEIPT #: 2200600000000001716 Date: 12/18/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JANICE V AN ETTEN Item Total: l.:heck Number Authorization Received By Batch Number Number How Received djb 6990 In Person Payment Total: Page I of I 10:42:27 AM Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27 Amount Paid $60.27 $60,27 12/18/2006