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Home My WebLink AboutPermit Building 2004-6-18 ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . J4. SITE ADDRESS: 2815 MANOR DR ASSESSOR'S PARCEL NO,: 1703233201300 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: . COM2004-00642 ISSUED: 06/18/2004 APPLIED: 06/0112004 EXPIRES: 12/1812004 VALUE: $ 5,000.00 Springfield TYPE OF WORK: Garage Conversion PROJECT DESCRIPTION: Garage conversion Owner: LOBDELL ROBIN Address: 2815 MANOR DR SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: TYPE OF USE: I CONTRACTOR INFORMATION I License l:J;;j~~'i0 ~~ ~C<c90l'IUtll\tV ~~~~~(.~~~:t ~iBRwmNgilWoW~Pf FOO l)\f U. _WriJIM-\' . . oto. th0ieie,pnono ~ ~QfmllPTes\\'l lR\1itY No\itlcatlOa R-3 ~~f@f.!!I~4s44l. @!~c\t)-a:e8~ VN Water Type: Range Type: Energy Path: Sprinkled Building: nla I DEVELOPMENT INFORMATION I Alteration Residential Phone Number: 541-338-8607 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: ~iCapPed: Paved Drive Rad: \l"t. \f ""t. act: % of~~age~ $"~ll Ei-~ ~t.RtilI1 \$ 1\1\$ ~~j~~n \l~OEI\ ~~~\no~W fOR I PUBLIC IM13Vji~~ ~~~~oo. , . , ~~'{ 'SO U~, Sidewalk Type: Downspouts/Drains: Page I of3 Status Issued' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcbarge Buildiug Permit Fixture MinimumlAdjustment Mechanical Minimum/Adjustment Plumbing Vent Fan Total Amount Paid . . ulfOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00642 ISSUED: 06/18/2004 APPLIED: 06/0112004 EXPIRES: 12/18/2004 VALUE: $ 5,000.00 I Valuation Descrintion I $ Per Sq Ft or mnltiplier $1.00 Square Footage or Bid Amount 5,000,00 Value Date Calculated Total Value of Project $5,000.00 $5,000.00 06/01/2004 Fpp< PIilLI Amount Paid Date Paid Receipt Number 1200400000000000830 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 1200400000000000935 $44.46 $10.00 $15.84 $11.09 $68.40 $28.00 $39.00 $17.00 $6.00 6/1/04 6/18/04 6/18/04 6/18/04 6/18104 6/18/04 6/18104 6/18/04 6/18/04 $239.79 I Plan Reviews I Initial Review 06/0212004 06/0212004 APP LLH Plannine Review 06/0212004 06/15/2004 APP TAJ No Planning review necessary since its an interior conversion only. Public Works Review 06/0212004 06/07/2004 APP VRJ Structural Review 06/0212004 06/07/2004 OK TCM To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~r,',~ In~ Post and Beam: Prior to Door insulation or decking, Floor Insulation: Prior to decking, Framing Inspection: Prior to cover and after all rough in inspections have been approved, Walllnsulation: Prior to cover, Ceiling Insulation: Prior to cover, Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Rougb Plumbing: Prior to cover and including required testing, Paee 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Final Plumbing: When all plumbing work is complete, Underfloor Plumbing: Prior to insulation or decking. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00642 ISSUED: 06/18/2004 APPLIED: 06/01/2004 EXPIRES: 12/1812004 VALUE: ,$ 5,000.00 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 descrihed 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 wbo 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 d ' construction Owner or Contr c rs Signature ~ Paee 3 of3 6/;,daf Date -' . , \" ,.J " " . . . ,Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.cch.state.or.us Permit #: c..oVVl.\ -COG'i Z. Issued by: ZY/)" iI'l1~l'I(}(L 'btS ~a... Date: 6-/8-01{ Address: 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 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 befiled with the permit, Fill in the app<vp.;ate blanks and initial boxes I 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, Ifl hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board, If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately nolify 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 N~r~e~ OwJ~rs about Construction Responsibilities on the reverse side of this form. ~ ') '-;;t;:/,-d // .P ~-I-Ot/ '- pgnatiire of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) , F.v..,u/_owner.doc 03/1 1103 . Actnrrng 3l~ INFORMATION NOTICE TO PROPERTY OWNERS. ABOUT CONSTRUCTION RESPONSIBILITIES " !MW . (())wrrn Gerrnenllll (C)omtll-31ct~W? , , 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, lEmployer Responsibilities You will, in most 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 construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you m,!st 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 0regon Employment Departmei:tt 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' 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' CV"'I'~usation Division at the Department of Consumer and Business Services at 503-947-7815, .t.. . . ..J. .' " ;. . 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 801-620-7115, . ..' ..' \ I:. i.)";" r '. Other Responsibilities and Areas of Concerns " 1 '. .', .', . Code Compliance:' As the permit holder for tliis project, you are responsible for res!Jlvirii any f~ilure to meet code requirements 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: Make sure you have sufficient time to supervise your employees. " " . J< 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 riotifY 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 . 225 Fifth Street . Springfield, Oregon 97477 541'.;726-3759 Phone ~. ~y of Springfield Official Receipt .elopment Services Department Public Works Department JoblJournal Number COM2004-00642 COM2004-00642 COM2004-00642 COM2004-00642 COM2004-00642 COM2004-00642 COM2004-00642 COM2004-00642 Payments: Type of Payment Check 6/18/2004 RECEIPT #: 1200400000000000935 Date: 06/18/2004 Description Building Permit Fixture Minimum/Adjustment Plumbing Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By ROBIN LOBDELL Received By djb Page I of I Item Total: Check Number Authorization Batch Number Number How Received 2423 In Person Payment Total: 2:05:45PM Amount Due 68.40 28,00 17.00 6.00 39.00 10.00 11.09 15,84 $195,33 Amount Paid $195.33 $195.33