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Home My WebLink AboutPermit Building 2003-6-19 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00407 ISSUED: 06/1912003 APPLIED: OS/23/2003 EXPIRES: 12/19/2003 VALUE: $ 4,000.00 SITE ADDRESS: 1580 W QUlNAL T ST ASSESSOR'S PARCEL NO.: 1703273200113 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition and remodel Owner: HUNTFORD THOMAS E & LINDA D Address: 1580 W QUlNALT ST SPRINGFIELD OR 97477 0::' '~II"""'LUIL'~ju:III!I,~VIUllf.,.. 101lv.1 (Ulus <wuptelJ hy llll! Or (/[, ~JlIUt.;-"tlUlj t..:: lIte . : 11(\' ; , II' ' .:.....":""'.H..,.".-Ullr-UIJI. I '-'I.;' J'\ I CONTRACTOR INFORMATION" n1".' nht"flo . ,. ;;... ',1""11 ,~ \ ,...-..,..,..... '",,'. . . , , , , -." \ . '. \' ' '~. "" . I . Ulcen'Slf ~;1~ 'Expiratio"i>ate, ,Phone C:"'nt:,,'u-;. ~ " . " Contractor Type General Electrical Owner Contractor OWNER OWNER HUNTFORD THOMAS E & LINDA D # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: BUILDING INFORMATION I # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Bascment: Ran~01~ef: Sq Ft Garage/Carport Enerw,l&fIERMIT SHALL ~P1~E IF~~M AUTHORIZED UNDER THIS PERkWf''S'')qtTfurface Area: I DEVELOP'NitNi1~iiMMtl~NDONED FOR , fl'." IJw .1.,.\ II!,ltUJ. REQUIRED PARKING 33.00 Overlay Dist: Total: 2 26.00 # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Sidewalk Type: DownspoutslDralns: Paee I of3 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00407 . ISSUED: 06/19/2003 APPLIED: OS/2312003 EXPIRES: 12/19/2003 VALUE: $ 4,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Description Bid Amount Tvpe of Construction Use Bid Amount Square Footaee 4,000.00 $ Per Sq Ft $1.00 Total Value of Project I Fppo PIilLI Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter. Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Plan Review - Planning Amount Paid Date Paid $39.39 $11.56 $8.09 $43.00 $12.00 $60.60 $59.00 5/23/03 6/19/03 6/19/03 6/19/03 6/19103 6/19/03 6/19/03 Total Amount Paid $233.64 Initial Review I Plan Reviews , OS/24/2003 WE LLH OS/24/2003 Initial Review 06/02/2003 LLH 06/0212003 APP Plan nine Review 06/0212003 AJD 06/13/2003 APP Public Works Review Structural Review 06/12/2003 06/02/2003 06/13/2003 APP 06/17/2003 APP DJW TCM Value $4,000.00 $4,000.00 Date Calculated 05/23/2003 Receipt Number 1200200000000001322 2200200000000001085 2200200000000001085 2200200000000001085 2200200000000001085 2200200000000001085 2200200000000001085 Plot plan not submitted with plans. David Bowlsby has requested plot plan in order to route/review plans. Plans on hold until plot plan has been received. Plot plan submitted by owner on 5/30/2003 Zoning confirmed as LDR. Addition outside of any Flood PlaIn Hazard along the channel. No SDC fee's required. 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. I Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Floor Insulation: Prior to decking. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Wall Insulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. Paee 2 of3 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00407 ISSUED: 06/19/2003 APPLIED: OS/23/2003 EXPIRES: 12/19/2003 VALUE: $ 4,000.00 225 Fifth Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 7 Drywall: Prior to taping. 8 Final Building: After all required inspections have been requested and approved and the building is complete. 9 Rough Electric: Prior to Cover 10 Final Electric: When all electrical work is complete. By signature, 1 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 performcd shall be done in accordance with the Ordinances of the City of Springficld 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. . :i/.", /" -Il, ~/ - .' /1 - Owner or Contractors Signature (0//9/0 :3, Date Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-o0407 C0M2003-o0407 COM2003-00407 COM2003-00407 COM2003-00407 COM2003-00407 Payments: Type of Payment Check '~ ~: Wit..- Receipt #: 2200200000000001085 Description Plan Review - Planning Building Permit Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By THOMAS E. HUNTFORD Received By ddk Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department. Public Works Department Date: 06/19/2003 11:53:26AM : Amount Paid Item Total: 59,00 60,60 43.00 12.00 8.09 11.56 $194.25 How Received Amount Paid In Person Payment Total: $194.25 $194.25 . . ~' ," . Construction Contractors Board 700 Sununer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 PbODe: 503-378-4621 Web Address: www.ccb.state.or.us (8' , , \. ,f '. .' . .' Permit #: CO (.V\ '2..& - 00 40 7 Address: I 580 v./ G2.......,,,,,4-\..j. Issuedby: '~l~ Date: (p-Iq -O~ Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the app.up.;ate blanks and initial boxes I and 2, and either box 3A or 3B: I tlnderstand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. t>~ 3A. My general contractor is ~I. ft2. f& I own, reside in, or will reside in the completed structure. (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 3B. I will be my own general contractor. In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. :.~$ A~ ~ ~f..-::'1 S ) 23/6.3 V (Signature ofp~ appJ#mt) (Date) (White copy to is)ting agency permit file, pink copy to applicant.) Property_owner,doc 03/11103 , . . Adnnng ~~.1{ ~1illll" ([J)wnn GenneIr~n CC~nnttIr~~tt~Ir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES ,.r,.. I' li 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, yqu can prevent many problems by being aware of the following responsibilities and concerns. ,: ;1 You will, in'IDost 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 constructiol1. or improvement of a residential structure. As the employer, you must comply with the following: Employer Respmnsfibilfttftes 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 a State Business ill number, call the Business Information Center at 503-986-2200. 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. . 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' compensati<?n . " insurance, Y9u 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, 1 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 866-816-2065 or fax them at 801-620-71 15. Other Responsibilities ami Areas of COllllcems Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirement~' 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: Mak~: 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 finish trades, and to notif'y 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 03/11/03