HomeMy WebLinkAboutPermit Building 2014-4-1 •
SPRINGFIELD---r 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
lir-474$. Phone: 541-726-3753 •
S^ OREGON Building I Residential Permit Inspection Phone: 541-726-3769
. Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00694
www.springfield-or.gov permitcenter @springfield-or.gay
PROJECT STATUS: Issued ISSUED: 04/01/2014 EXPIRES: 09/28/2014
STATUS DATE: 04/01/2014 APPLIED: 04/01/2014
SITE ADDRESS: 5172 D ST,Springfield,OR 97478 SCOPE: Garage/Carport
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ASSESOR'S PARCEL NO: 1702332403900 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Structural corrections and completion for expired permit S2011-00345
OWNER: DELGADO SALVADOR CARLOS Phone Number:
ADDRESS: 5172 D ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
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Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
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INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved. _
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
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 Stale or 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.
SQIUUdor CG(J/its.S _ ) • 1/ • / /%
Owner or Contractor Signature Date
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ATTENTION: Oregon law requires YOU to
follow rules adopted by the Oregon Utility
NOTICE: Notification Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-001 o through OAR 952-001-
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
number for the Oregon Utility Notification •
ANY 180 DAY PERIOD. Center is 1-800-332-2344).
Springfield Building Permit 4/1/2014 9:26:57AM Page 1 of 1
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SPRINGFIELD - CITY OF SPRINGFIELD
1 . of 225 Fifth St
f‘"e6GON TRANSACTION RECEIPT Springfield.OR 97477
541-726-3753
811-S P R2014-00694
www.springfield-or.gov 5172 D ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000700 RECORD NO:811-SPR2014-00694 DATE:04/01/2014
!DESCRIPTION'° - . - _ - -ACCOUNT ACCOUNTCODE/TRANS CODE-.�,�.= _AMOUNT_DUE_•
State of Oregon Surcharge(12%'of applicable fees) 821-00000-215004 1099 9.60
Structural Building Permit Fee 224-00000-425602 1002 80.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
LP-AYMENT TYPE r PAYOR ' CASHIER ccARPENTER ' =`COMMENTS_:_` ` ` , AMOUNT..PAID ' -N€
Cash DELGADO SALVADOR CARLOS 93.60
TOTAL PAID: 93.60
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Information Notice to Owners About
k Constructoon Responsob000toes
(ORS 701.325 (3))
Homeowners acting as their own general contractors to construct a new home
or make a substantial improvement to an existing structure, can prevent many problems
by being aware of the following responsibilities: .
• Homeowners who use labor provided by workers not licensed by the Construction Contractors
Board, may be considered an employer, and the workers who provide the labor may be considered
employees. As an employer, you must comply with the following:
A'
• Oregon's Withholding Tax Law: Employers 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: Employers 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.
• Oregon's 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 go to
http://www.oregon.gov/DOR/BUS/docs/211-055.pdf for the appropriate forms.
• Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation
Law, and must obtain Workers Compensation Insurance for their 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 workers 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.
• Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from
employee wages. You may 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 website at www.irs.gov.
Other Responsibilities of Homeowners:
• Code Compliance:As the permit holder for a.construction project, the homeowner is responsible
for notifying building officials at the appropriate times, so that the required inspections can be
performed. Homeowners are also responsible for resolving any failure to meet code requirements
that may be found through inspections.
• Property Damage and Liability Insurance: Homeowners acting as their own contractors should
contact their insurance agent to ensure adequate insurance coverage for accidents and omissions,
such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not
otherwise covered as employees by Workers Compensation Insurance.
• Expertise: Homeowners should make sure they have the skills to act as their own general
contractor, and the expertise required to coordinate the work of both rough-in and finish trades.
CONSTRUCTION CONTRACTORS BOARD
700 Summer St NE, Suite 300, PO Box 14140, Salem, OR 97309-5052
Telephone: 503-378-4621 —Fax: 503-373-2007
Website Address:www.oregon.gov/ccb
f/property_owner adopted 9-23-08 This Copy for Permit Applicant
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. Property Owner Statement
• Regarding Construction -Responsibilities
Oregon Law 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. (ORS 701.325 (2))
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.
Please check the appropriate box: -•
•
I own, reside in, or will reside in the completed structure and my general contractor is:
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Name CCB# Expiration Date
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I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
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VI will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. 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 select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
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_Sawa de; Y rnv/oS ;The/gain
Print Name of Permit Applicant
Sato°deY Celt/t,5 'P' /O — — /3
Signature of Permit Applicant Date
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Permit#: O F O
Address: :=at u/.
in %all:Et:47
Issued by: Date: 859
• This Copy for Permit Offices
SPRINGFIELD 225 Fifth St
� ' .° -Y .t CITY OF SPRINGFIELD Springfield,OR 97477
'T^`-�- yt g" Phone: 541-726-3753
l��
OMEGOA Permit & Inspection Summary Inspection Phone: 541-726-3769
Fax: 541-726-3676
wwwspringfieltl-ocgov PERMIT NO: 811-SPR2011-00345
perm itcenter@springfield-ocgov
IVR Number: 811137798970
PROJECT STATUS: Expired ISSUED: EXPIRES: 02/28/2012
STATUS DATE: 03/27/2012 APPLIED: 03/04/2011 VALUE: $29,874.24
SITE ADDRESS: 5172 0 ST, Springfield, OR 97478-6040 SCOPE: Garage/Carport
ASSESOR'S PARCEL NO: 1702332403900 WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Attached garage
OWNER: DELGADO SALVADOR CARLOS Phone Number: 541-746-6746
ADDRESS: 5172 D ST
SPRINGFIELD OR 97478
.. __ -.__ ._ __ _ _CONTRACTOR,INFORMATION '
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
VALUATION-DESCRIPTION w_
Description Type of Construction Unit Amount Unit Type - Unit Cost Value
U Utility, misc. VB 792.00 Sq Ft 37.72 29,874.24
$29,874.24
.FEES PAID .
. __ _ _ P
Description Amount Paid Date Paid Receipt Nbr
Structural Plan Review Fee Residential $82.06 03/04/2011 2011000403
Residential Fire(.05 Per Sq Foot) $39.60 04/05/2011 2011000660
SDC: Reimbursement Cost-Storm Drainage $228.00 04/05/2011 2011000660
SDC:Improvement Cost-Storm Drainage $331.73 04/05/2011 2011000660
Admin fee (10%of applicable fees) $3.96 04/05/2011 2011000660
Plan Review ew Adjustment- Residential $125.19 04/05/2011 2011000660
Garage Carport $318.85 04/05/2011 2011000660
SDC: Total Sewer Administration Fee $27.99 04/05/2011 2011000660
Planning-Minor Review-City $119.00 04/05/2011 2011000660
Technology fee(5%of permit total) $22.20 04/05/2011 2011000660
State of Oregon Surcharge(12%of applicable fees) $53.28 04/05/2011 2011000660
Total Paid $1,351.86
,. .-__._..__.______.. PLAN REVIEW i
Department Received Due Date Completed Result Reviewer
Application Acceptance 03/08/2011 03/04/2011 03/04/2011 Application Accepted David Bowlsby
Initial Review 03/08/2011 03/08/2011 03/08/2011 Approved David Bowlsby
Public Works Review 03/11/2011 03/08/2011 03/08/2011 Approved Kaye Wilson
Comments: Received on 3-9-2011/Storm water to existing/no easements found
Planning Review 03/30/2011 03/08/2011 03/30/2011 Add'I info required Tara Jones
Comments: returned permit to Chris Carpenter, the plot plan is inaccurate and it looks like the garage cannot meet minimum
side yard setback (it appears to be 4 feet where 5 feet is required)
Permit 8 Inspection Summary 4/1/2014 8:20:58AM Page 1 of 3
SPRINGFIELD 225 Fifth St
c CITY OF SPRINGFIELD Springfield,OR 97477
° '~ l> Phone: 541-726-3753
-'' OREGON Permit & Inspection Summary Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.springfield-or.gov PERMIT NO: 811-SPR2011-00345
pe rm i tcenter @sp ringfield-o r.gay
IVR Number: 811137798970
PROJECT STATUS: Exuired ISSUED: EXPIRES: 02/28/2012
STATUS DATE: 03/27/2012 APPLIED: 03/04/2011 VALUE: $29,874.24
SITE ADDRESS: 5172 D ST.Springfield,OR 97478-6040 SCOPE: Garage I Carport
ASSESOR'S PARCEL NO: 1702332403900 WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Attached garage
Permit Issuance 04/05/2011 04/04/2011 04/04/2011 Issued Chris Carpenter
Structural Review - 04/04/2011 03/08/2011 03/08/2011 Approved Kip Kaufman
Structural Review 03/08/2011 03/08/2011 03/08/2011 Waiting Internal Kip Kaufman
Planning Review - 04/01/2011 03/08/2011 03/30/2011 Approved Tara Jones
Comments: The plot plan is in accurate, according to Assessor's Map, the lot is 73'x 150 not 74 x 149 as shown. The
garage must have a minimum setback of 5'. A survey will be required if the side property line cannot be
adequately verified in the field.
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Inspection 05/20/2011 04/05/2011 04/05/2011 In Process Robert Castile
Comments: Inspection in process
Inspection 03/27/2012 04/05/2011 04/05/2011 Expired Lisa Hopper
Comments: No request for inspection was received to verify progress on project. This permit is expired. If work is to be
completed, a new permit and inspections will be required.
Close Out 03/27/2012 03/27/2012 03/27/2012 Closed Lisa Hopper
Comments: No request for inspection was received to verify progress on project. This permit is expired. If work is to be
completed, a new permit and inspections will be required.
INSPECTIONS'REQUIRED ,i• ••I
Inspection Type Insp Date Result Inspector Name
1520 Interior Shearwall Not Scheduled Pending
Comments: na
1630 Roof Sheathing Not Scheduled Pending
Comments: na
1999 Final Building Not Scheduled Pending
Comments: na
4500 Rough Electrical 'Not Scheduled Pending
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Comments: na
4999 Final Electrical Not Scheduled Pending
Comments: na
1118 Footing Drain 05/20/2011 Cancelled Robert Castile
Comments: cancelled per Carlos
1110 Footing 05/20/2011 Cancelled Robert Castile
Comments: cancelled per Carlos
1160 UFER Ground 05/23/2011 Denied Robert Castile
Comments: not ready
Permit 8 Inspection Summary 4/1/2014 8:20:58AM Page 2 of 3
SPRINGFIELD 225 Fifth St
1 d - field,OR 97477 Springfield,OR CITY OF SPRINGFIELD p g
4 - ��� Phone: 541-726-3753
Inspection Phone: 541-726-3769
OREGON
Permit & Inspection Summary
Fax: 541-726-3676
www.springfield-ar.gov PERMIT NO: 811-SPR2011-00345
permitcenter@springfield-or.gov
IVR Number: 811137798970
PROJECT STATUS: Expired ISSUED: EXPIRES: 02/28/2012
STATUS DATE: 03/27/2012 APPLIED: 03/04/2011 VALUE: $29,874.24
SITE ADDRESS: 5172 D ST, Springfield,OR 97478-6040 SCOPE: Garage/Carport
ASSESOR'S PARCEL NO: 1702332403900 WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Attached garage
' —1777— _.��
__ _ _ ___ INSPECTIONSREQUIRED •
Inspection Type Insp Date Result Inspector Name
1110 Footing 05/23/2011 Denied Robert Castile
Comments: not ready
1150 Slab/Flatwork 05/24/2011 Approved Robert Castile
Comments: None
1160 UFER Ground 05/24/2011 Approved Robert Castile
Comments: None
1110 Footing 05/24/2011 Approved Robert Castile
Comments: None
1020 Zoning/setbacks 06/13/2011 Approved Robert Castile
Comments: None
1120 Foundation 06/13/2011 Approved Robert Castile
Comments: None
1260 Framing 07/11/2011 Denied Robert Castile
Comments: 1)electrical not installed
2)provide truss clips on each truss
1530 Exterior Shearwall 07/11/2011 Denied Robert Castile
Comments: renail all exterior walls with the edges at 6 inches on center and the field at 12 inches on center
1260 Framing 07/14/2011 Denied' Robert Castile
Comments: not ready electrical not installed
1530 Exterior Shearwall 07/14/2011 Approved Robert Castile
Comments: all corrections complete
1260 Framing 07/22/2011 Cancelled Robert Castile
Comments: canceled per Carlos
1260 Framing 09/02/2011 Partial Robert Castile
Comments. structural approved
note existing electrical main power to the building is laying on the roof.Will send the electical inspector to
investigate
1550 Firewall 09/02/2011 Denied Robert Castile
Comments: not ready
Permit 8 Inspection Summary 4/1/2014 8:20:58AM Page 3 of 3