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Home My WebLink AboutPermit Building 2007-3-15 tol Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00172 ISSUED: 03/15/2007 APPLIED: 02/0612007 EXPIRES: 09/15/2007 VALUE: $ 12,960.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 723 ANDERSON LN ASSESSOR'S PARCEL NO.: 1703331100500 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Pole barn Owner: LEWIS EDWARD C & JULIA V Address: 723 ANDERSON LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Applicant General Contractor License SUMMIT CONSTRUCTION & REMODEL SUMMIT CONSTRUCTION 171492 BUILDING INFORMATION I Expiration Date Phone 541-206-7601 08/04/2010 541-913-5888 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: n/a Occupant Load: 480 VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe Total: Handicapped: Compact: 10.00 I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Downspouts/Drains:.e. S you to dIN 1';4u1 Special Instr~YfficE. AT1l::1\!', IV,-,:.VI.~8V" I the Oregon Uti~ti . . follow rUles adojJted by set fOl't Notes: Sto;r.wI&li'i<<RcMtqi8*i~*em\flftdin-l!I<tV,-.loc,al.HlQ distriJ)utionsys~q~.[mJ?~ifJ.o~se rules are 52 00' 1"1(,1.: ~r/t1L t" J Nt WUHK \lOllllliCWV "'hrough OAR 9 - AUTHORIZED UNDER THIS PERMIT IS NOT ;~ OAR ;52-001~~~~n(eoPies of the rules \ COMMENCED OR IS ABANDONED FOR 0090.,!oumay t r (Note: thetetepho~e ANY 180 DAY PERIOD. cahlllg ~h~:enOe.~f10n Utility Notifk:atlon number lor tIle l.~ ., 4) Center is 1-800-332,,234 . Page 1 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00172 ISSUED: 03/15/2007 APPLIED: 02/06/2007 EXPIRES: 09/15/2007 VALUE: $ 12,960.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I Description Garal!e Tvpe of Construction Garal!e $ Per Sq Ft or multiplier $27.00 Square Footage or Bid Amount 480.00 Value Date Calculated Total Value of Project $12,960.00 $12,960.00 02/06/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $85.02 2/6/07 1200700000000000119 + 10% Administrative Fee $19.98 3/15/07 1200700000000000277 + 5% Technology Fee $14.39 3/15/07 1200700000000000277 + 8% State Surcharge $14.06 3/15/07 1200700000000000277 Fire SF Fee - Residential $24.00 3/15/07 1200700000000000277 Garage/Carport $130.80 3/15/07 1200700000000000277 Plan Review Minor - Planning $112.00 3/15/07 1200700000000000277 SDC Sanitary/Storm Admin $11.93 3/15/07 1200700000000000277 Storm Drainage Impervious Area $238.62 3/15/07 1200700000000000277 Storm Sewer - 1st 50 Feet $45.00 3/15/07 1200700000000000277 Total Amount Paid $695.80 I Plan Reviews I Initial Review 02/07/2007 02/07/2007 APP NJM Planninl! Review 02/07/2007 03/14/2007 APP TAJ Public Works Review 02/2812007 02/27/2007 APP JLP Storm tied to existing system ending @ local H20 distribution system.JLP 2/27/07 Public Works Review 02/07/2007 02/07/2007 WI JLP Waiting in order PW rcvd for rvw.JLP Structural Review 02/07/2007 03/07/2007 APP DLM Approved as submitted 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. ~eouiredJnSDections , Footing: After trenches are excavated. 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. Storm Sewer Line: Prior to filling trench. Pal!e 2 of 3 Status Issued 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2007-00172 ISSUED: 03/15/2007 APPLIED: 02/06/2007 EXPIRES: 09/15/2007 VALUE: $ 12,960.00 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. ~~ ~er or Contra~ors Signature ---.. Pal!e 3 of 3 3~/~-c)7 Date 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 #: OJ\, \. )'L- Address: ~ 1-?J ArcbI.s00 Is~ued by: ~1^c0 " Date: f; c~ · I ~.if) . .' Statement: Information Notice to Property Owners. . About Construction Responsibilities 1 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: -!ifIJ I. . 1 own, reside in, or will reside in the completed structure. D 2.' F I Understand that I must become licensed as a construction contractor ifthe structure is sold or offered for sale before oion completion. 3A. My general contractor is ~ffi.l t 00\\ ~~w (Name) \, \4C{V (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board: . 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. 'f. 9'~~~ . 3-//'-6/ -- v - . (Signature of permit applicant) '.. . (Date). ' 1 .' I . . (White copy to issuing agency permit file, pink copy to applicant.) l . Property _ owner. doc 06-0 1 ~04 Acting as Your'Own .General Contractor? 'INFORMATION- NOTICE TO .PROPERTY OWNERS -', ABOUT CONSTRUCTION :RESPONSIBllITIES l :--. 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. p ~ ., . ,.... . I .' -. f . " . If you are acting as your own contractor to construct a new home 'or. make a substantial irnprovement to an. existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities . . . .~. . ~ - ' Y ouwill, inmost instancesJ be ruled to be ap "employer" and the contractors ypu c.ontract wit!). will be "employees" if you use~ontracto:rs. not licensed with the Construction Contractors Board to do labor in constru~ting or to assist in the construction or improyement of ~ ~esjdential struc~e. As, th~ employer, yo.u must comply with the following: Oregon's Withholding Tax t:~w: As k employer;you must Withh6ld inco~e ta~~s from employee wag~s ~t the time employees are paid. You will be liable for the tax.payments even if you d~n't actually withhold the tax fro1J:l 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 b.oth. Oregon 'Yithholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the appropriate form,s,;.. _ ,: . _ ~. ~ .. .. ". .. ,. r..:. '. 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, YOli'could be subject to penalties. and be liable forall claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensiition Division at the Depaitm~t 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 w\vw.irs.l!ov. . Other Responsibilities and Areas of Concerns, Code Compliance: As the permit holder for this project, you are responsible for resolving any"failure to meet code requirements that ~~y be brou~ht to your attention through inspections, . . Liability and Property Damage Insurance: 'Contact your' insuntnce 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. :.' -, r- " "-. ". . ~ ..... . - Expertise: Make sure you have the. 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. " r '.' . .' :,_;:1 Property _ owner.doc 06-01-04 225 Fifth Street . Spr.ingfield, Oregon 97477 541-726-3759 Phone ., of Springfield Official Receipt .a,.;velopment Services Department Public Works Department Job/Journal Number COM2007-00172 COM2007-00172 COM2007-00172 COM2007-00172 COM2007-00172 COM2007-00172 COM2007-00172 COM2007-00172 COM2007-00172 Payments: Type of Payment Check cReceint 1 RECEIPT #: 1200700000000000277 Date: 03/15/2007 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Garage/Carport Storm. Sewer - 1st 50 Feet Plan Review Minor - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JULIA LEWIS Item Total: Check Number Authorization Received By Batch Number Number How Received lIh 2442 In Person Payment Total: Page 1 of 1 1:36:31PM Amount Due 24.00 238.62 11.93 130.80 45,00 112.00 14.39 14.06 19.98 $610.78 Amount Paid $610.78 $610.78 3/15/2007