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HomeMy WebLinkAboutPermit Building 2007-10-16 (2) -WE.~~.'~IQ.~u.;o,. . . .',. _. . , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 801 PRESCOTT LN ASSESSOR'S PARCEL NO.: 1703341409700 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01113 ISSUED: 10/16/2007 APPLIED: 07/27/2007 EXPIRES: 04/16/2008 VALUE: $ 1,000.00 SCANNED Springfield TYPE OF WORK: Accessory Building TYPE OF USE: Addition Residential PROJECT DESCRIPTION: New structure over 10' - bwop Owner: MALONEY DOYLE D Address: 801 PRESCOTT ST SPRINGFIELD OR 97477 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: U Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Phone Number: 541-954-5992 eel I CONTRACTOR INFORMATION 1....- ATTENTION: Oregon ~nse ~~tion Date Phone 4_11....... ....1__ _--'_,__,'" l\."f'~ A/'_.~' BUlDmMTlaN~~X~~OOd~ II, vAn.."",-MI,-wIJWIS~CM~ OI1l1R,s~i!lCY ~ ~~,,@'3~~(]jze: 1feI\!iOOlttmM'l&re: ~cm: Cilo '7~~jr 1st Floor: ~fm.~ OrG19011~~ 2nd Floor: Water ~ b ~~"), Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: 5.00 # Street Trees Rqd: Handicapped: PaW,!I:llr..oorsqd: Compact: % ~~~RM<<~AU1lW'1Y1~W~~ ^JdilBnEl'i 1t\\~f:1 ~~ ~IlCJlrr W Mil I PUBLIC ~\l!,ll!.ll ClfWtIDO\"Jft1 \>UW ~~ ~@'Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction DownspoutsfDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 013 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Penalty Fee - BWOP Building Plan Review Residential Total Amount Paid Initial Review Initial Review Plannine Review Public Works Review Structural Review . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01113 ISSUED: 10/16/2007 APPLIED: 07/2712007 EXPIRES: 04/16/2008 VALUE: $ 1,000.00 $1.00 1,000.00 $1,000.00 $1,000.00 0713112007 Total Value of Project Fpp{',~ Amount Paid Date Paid $10.00 10116107 $5.00 10116107 $4.00 10116107 $50.00 10116107 $50.00 10116107 $32.50 10116107 $151.50 I Plan Reviews I 0713112007 0713112007 APP LLH 0812112007 0812112007 WE DJB 1011512007 1011512007 APP TAJ 1011512007 1011512007 APP BRC 0713112007 1011512007 APP DLM Receipt Number 2200700000000001595 2200700000000001595 2200700000000001595 2200700000000001595 2200700000000001595 2200700000000001595 Received plans for building already constructed by owner. Will forward to Robert Castile - BWOP Owner told to provide additional drawings for review. No Planning issues Public Works OK. Plans forwarded to Robert Castile for BWOP. Approved as noted on submitted drawings and attachments. 101l5107dlm. See documents for Plan review comments. 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. ~ RIF'Ir1l1irl[1.I~li',nlli3'li"tilnll\1.l 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. Paee 2 of3 . -l!...,-~ - Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01113 ISSUED: 10/16/2007 APPLIED: 07/27/2007 EXPIRES: 04/16/2008 VALUE: $ 1,000.00 By signature, I state and agree, that I have carefully examined tbe 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 ofthe 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 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. / ~.J?3~ Owner-:;r Contra~rs Sign~ Paee 3 of3 jO( 16. o/} Date (I), , , \. .f '. .' , .. \ . 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 Address: permit#:i~A7~ 01113 ~I ~ar-L~)/ T j') c:? Date: l'u)6!u"" - ;r' I Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constrnction permit applicants who are not licensed with the Constrnction 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 app'VI,,;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. ~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. 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 abnut Construction Responsibilities on the reverse side of this form. x ~s~afQ~-Q-~ If), f/lt 01 (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner, doc 06-01-04 A~ttnnn~ tal~ '([J)1J1lIJ ([])wnn GtennteIJ:IDll ~nnttIJ:ID~tt([J)IJ? !,:INFORI1IlATION 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 substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. lEm.fi}lloyeIr IRef!lfi}oImf!lnllJilllilrrile!ii You will, in most instance~, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not li~ensed with the Construetion Contractors Board to do labor in constructing or to assist in the construction or improve!I1l:11t of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax LllW: As an employer, you must withhold income taxes from employee wages at the time employees are paid. Yoll 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 'fax: 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. i' 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.doLState.or.uslformsnav.htmll for the appropriate forms. , Wor!{crs' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workerf 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 JRevenueService: 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,~ov. l(j)tllllerr IRe5Jlll~rrn5n/blnllnll:ii.<e5 ramll Arrera5 of <CilJlITIl~<errrm5 Code Complillnce: 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 l:nd Property ][}amage 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: 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 the work of rough-in and finish trades, and to notify building officials as the apI" up' ;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 14140, Salem, OR 97309-5052. Property _ owner.doc 06-01-04 225 Fifth Street Springfrelll, Oregon 97477 541-726-3759 Phone . -;:..~~.. . '. Wit., , .~ , , . ,. -' .. ..~. ~ . ~ ~f Springfield Official Receipt dl!IJI(lopment Services Department Public Works Department Job/Journal Number COM2007-01113 COM2007-01113 COM2007-01 I 13 COM2007-0 1113 COM2007-01113 COM2007-01113 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: 2200700000000001595 Date: 10/16/2007 Description Plan Review Residential Building Permit Penalty Fee - BWOP Building + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By HYUNG LEE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 09668B In Person Payment Total: Page I of I 1:33:31PM Amount Due 32,50 50,00 50,00 5,00 4,00 10,00 $151.50 Amount Paid $151.50 $151.50 1011612007