HomeMy WebLinkAboutPermit Building 2007-10-16 (2)
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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
.
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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
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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.
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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
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Wit., ,
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~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