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Home My WebLink AboutPermit Building 2005-11-15 . . Ul~. OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2005-01490 ISSUED: 11/15/2005 APPLIED: 10/21/2005 EXPIRES: 07/03/2006 VALUE: $ 36,991.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1022 NANCY AVE ASSESSOR'S PARCEL NO.: 1703272205700 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Garage eonversion Owner: Address: CATHY RAMOS 1022 NANCY AV SPRINGFIELD OR 97477 Phone Number: 541-463-7957 Contractor Type General Electrieal Mechanical Plumbing ATT~~~~~~~":~~ ~:'~~~A TI?Nl~1 Contractor follow rules adopted by the orUi~~n~~~\f}thEXPiration Date Phone I !lara''''''' , n OWNER Notification Center, Those ru 6. AR C\5~f'f11- OWNER in OAR 952-001-0010 through 0 vrl"'-n~ ~- OWNER 0090. You may obtain copies of t~: h;ne Y OWNER ""lIino the center. (Note:the .t~_.,P:~~';M . ;; Lr':'.. \.."'"......1:... :''''''L" .. nU"''iJUILDlNG'lNFORMAliION'1 ...........-. -- # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Seeondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Oecupant Load: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbaeks: Overlay Dist: Total: # Street Trees Rqd: Jandicapped: Paved Drive Rqd: ~~ompact: % of Lot Coverage: ~'fr \\\i""" @l~ -1\~~ -...~ ~.~~~~ I PUBLIL~~jUt~~~ ~~ Fully Improved \'~~~~ ~\Qgiidewalk Type: No ~~.~~ DownspoutslDrains: Curbside 5' Curb and Gutter Street Improvements: Storm Sewer Available: Special Instruction: Notes: SDC for fixtures only-interior remodel 10/25/2005 CAS Paeelof3 . . CITY OF SPRINGN.t.LU" Building/Combination Permif Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S41-726-37691nspection Line PERMIT NO: COM2005-01490 ISSUED: 11/15/2005 APPLIED: 10/21/2005 EXPIRES: 07/03/2006 VALUE: $ 36,991.00 I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier $71.00 Square Footage or Bid Amount 521.00 Value Date Calculated Garaee Conver. Garaee Total Value of Project $36,991.00 $36,991.00 10/2112005 . ~ Fee DescrIption Amount Paid Date PaId Receipt Number Plan Review Residential $191.49 10/21105 1200500000000001587 -Mechanicallssuanee Fee- $10.00 W15/05 3200500000000000641 + 10% Administrative Fee $38.46 W15/05 3200500000000000641 + 7% State Surcharge $26.92 W15/05 3200500000000000641 Building Permit $294.60 II/IS/OS 3200500000000000641 Fixture $42.00 W15/05 3200500000000000641 Minimum/Adjustment Mechanical $39.00 II/IS/OS 3200500000000000641 Minimum/Adjustment PlumbIng $3.00 W15/05 3200500000000000641 Sanitary Sewer - Improvement $133.49 WI 5/05 3200500000000000641 Sanitary Sewer - Reimbursement $175.49 W15/05 3200500000000000641 SDC Sanitary/Storm Admin $15.45 W15/05 3200500000000000641 Vent Fan $6.00 W15/05 3200500000000000641 Refund - Plumbing $-36.00 W28/05 VOUCHER #97615 Refund - Surcharge $-3.15 11/28/05 VOUCHER #97615 + 10% AdmInIstrative Fee $4.90 1/3/06 2200600000000000003 .' " + 8% State Surcharge $3.92 1/3/06 2200600000000000003 Add, Alter, Extend Cire $43.00 1/3/06 2200600000000000003 Add, Alter, Extend Circ Ea Add $6.00 1/3/06 2200600000000000003 Total Amount Paid $994.57 I Plan Reviews I Initial Review 10/24/2005 10/24/2005 APP LLH Plannine Review 10/24/2005 10/26/2005 APP TAJ No Planning Issues Public Works Review 10/24/2005 10/25/2005 APP CAS SDC for fixtures only-Interior remodel 10/25/2005 CAS Structural Review 10/24/2005 WI 0/2005 APP DJB Structural Review 11/23/2005 11/23/2005 IO DLM Owner deleted bathroom from garage conversIon. Bathroom now to he a walk-In closet 11/23/2005 dIm . 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. Paee 2 of3 . . CITY OF ~rlUl~ljt<l~LD Status Issued Building/Combination Permit PERMIT NO: COM2005-01490 ISSUED: II/1512005 APPLIED: 10/21/2005 EXPIRES: 07/03/2006 VALUE: $ 36,991.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line IRf'IlU~ Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after aU rough in inspections have heen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. FInal Building: After ail required inspeetions have been requested and approved and the building is eomplete. Rough Plumbing: Prior to cover and includIng required testing. Final Plumbing: When ail plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. , . By signature, I state and agree, that I have carefully examIned the completed application and do hereby eertlfy that all information hereon Is true and correct, and I further certify that any and all work performed shail be done in accordance with the Ordinances of the City of Springfield and the Laws of tbe 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 ail 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. 7~ ~ j-]- 0(., Owner or Contractors Signature Date : Pae.e 3 of3 o i 225 Fifth Street \ Springfield, Oregon 97477 '~5~1-726-3759 Phone .~ .. . J:<!.F1::..~~. ~, ~.. I aty of Springfield Official Receipt ""evelopment Services Department Public Works Department I r. I RECEIPT #: 2200600000000000003 Date: 01/03/2006 2:12:08PM '" eJ,Job/Journal Number r.~' COM2005-0 1490 .,. WCOM2005-0 1490 (~C'OM2005-0 1490 1 QOM2005-0 1490 ~ ~~ Pllyments: Type of Payment CreditCard Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By RICARDO TURCIOS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 165439 In Person Payment Total: Amount Due 43.00 6.00 3.92 4.90 $57.82 Amount raid t i $57.82 $57.82 ~ i;i I i l:. ~;'~ ""'.. ~.j J b :: i ~ :' ~ ~ .' :..' ,.. , ,\ J I, ,/ I~ V ~ , 1< '/ f' ~~. \:.., ' *". \,..1 ;,1 .j _I .. i'i. ~, 1"f Id ,. v , " ~ 'y..', H ~ of \ .., ',',l II ,. l, .1 1/312006 Page I of 1 -. . \.-11 r OF SPRIN\.d'Il!..LD Building/Combination Permit PERMIT NO: COM2005-01490 ISSUED: 11/15/2005 APPLIED: 10/2112005 EXPIRES: 05/15/2006 VALUE: $ 36,991.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1022 NANCY AVE ASSESSOR'S PARCEL NO.: 1703272205700 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: PROJECT DESCRIPTION: Garage conversion ,. Owner: CATHY RAMOS Address: 1022 NANCY A V SPRINGFIELD OR 97477 Phone Number: 541-463-7957 Contractor Type General Meehanleal Plumhing Contractor OWNER OWNER OWNER 'CONTRACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMA nON I # of Units: Primary Oceupaney Group: Secondary Oeeupaney Group: Primary Construction Type - Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Oecupant Load: R-3 nla I DEVELOPMENTlNFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I Setbaek: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Co)\ccage: Solar Sethacks: ' I t:NTION' 0 ~. _ fOllow" "". . regon law '''_.' , -.vlle ..._,.. -~VfJleab "'-~YUU10 " THI.'S 'f: I PUBLIC IMPROY.,EMENIJJS:lmter. T Y the Oregon Utili A RfJ:.! " , ""~ UO 1 hose r!ll,," ty "St,teel. I'fp"ell}~nts' 0090 - -OOSldewalk TVpellre set f h C "~'11.l r "~~, . Fullv Improved '. You may ob ". .." vugrr OAR 95 Or! Curbside 5' , 'NCSi1lr1f-{Yif:/b,~[ilf.JrP/Re No calling the Cent t.D'iJWDsPOl!t@!Arm~S:12-001'curb and Gutter _ S'nta'lJ'VAr p Pf#?s'AIH/S Pc: THe WOR numbe~:or the ~~g~O~;,i~e telep~o~: by Notes: sDf!lIB~xt~61IJ't1r.lfDfoliJfodel 10/25/2005 CAS nter IS 1-800_332_~~0)tlflcation FOR 4. Paee I of3 . . CITY OF :srKlf\jljt<lI!.LD Building/Combination Permit. PERMIT NO: COM2005-01490 ISSUED: 11/15/2005 APPLIED: 10/21/2005 EXPIRES: 05/15/2006 VALUE: $ 36,991.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone - 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction Garaee Conver. Garaee $ Per Sq Ft or multiplier $71.00 Square Footage or Bid Amount 521.00 Value Date Calculated , Total Value of Project $36,991.00 $36,991.00 10/2112005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $191.49 10/21/05 1200500000000001587 -Mecbanical Issuance Fee-- $10.00 11/15/05 3200500000000000641 + 10% AdmInistrative Fee $38.46 11/15/05 3200500000000000641 + 7% State Surcbarge $26.92 11/15/05 3200500000000000641 Building Permit $294.60 11/15/05 3200500000000000641 Fixture $42.00 11/15/05 3200500000000000641 Minimum/Adjustment Meebanical $39.00 11/15/05 3200500000000000641 Minimum/Adjustment Plumbing $3.00 11/15/05 3200500000000000641 Sanitary Sewer - Improvement $133.49 11/15/05 3200500000000000641 Sanitary Sewer - Reimbursement $175.49 11/15/05 3200500000000000641 SDC Sanitary/Storm Admin $15.45 11/15/05 3200500000000000641 Vent Fan $6.00 11/15/05 3200500000000000641 Total Amount Paid $975.90 I Plan Reviews , InitIal Review 10/24/2005 10/24/2005 APP LLH Plan nine Review 10/24/2005 10/26/2005 APP TAJ No Planning Issues Public Works Review 10/24/2005 10/25/2005 APP CAS SDC for fixtures only-interior remodel I 0/25/2005 CAS Structural Review 10/24/2005 11/10/2005 APP DJB 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. IRp~ Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rougb in inspections bave been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Paee 2 00 ,. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01490 ISSUED: 11/15/2005 APPLIED: 10/21/2005 EXPIRES: 05/15/2006 VALUE: $ 36,991.00 - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to eover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Meehanieal: When all mechanieal work Is complete. By sIgnature, I state and agree, that I bave carefully examIned the completed application and do bereby certify that all ._ information hereon is true and correct, and I further certify that any and all work performed shall be done in aceordance with the Ordinances of the 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 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. .cT)_~, ~ o ....}.<-'I"'b , ~ X:Owner or Contractors Signature () ll-\s,-o S /bate Paee30f3 . . PemUt#: (1.o1Y16-0115 - 01#0 -. . , \. ,/ " .' '. " 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 Address: Issued by: q).J Ind.)... rJ~C-L-v u Date: II - IS -()':;,- 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 befiled with the permit. Fill in the al'l',ul'riate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ 1. o 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 o 3B. I will be my own general contractor. If! 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 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. L\) ',----- > \ I C'" 0 c- ~l"'__.. -. -\ :> - ~ (Signafiife ofpelfuit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property- owner.doc 06-01-04 . . A~~nIID~ ~~ 1:{ @lU!Ir CQ)WIID GlennleIr~n C@IID~Ir~~~@Ir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Con'ractors 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. IEJlll'D.fi}lloyer lRe!iifi}olIll!iiftlbftllfimie!ii 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 ofa residential structure. As the employer, you must comply wi~!l tbe following: Oregou'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 more information, call the Department of Revenue at 503-378-4988. 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. 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.dor.stale.or.us/formsoav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to lhe Oregon Workers' Cv.....~usation 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' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Rcvenue 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'l actually withhold the tax. For a Federal EIN number, call the IRS at 1.800-829-4933 or visit their web site at www.irS,l!Ov. 01Jlnu Re!iijpolID!iinlblnnn1ne!ii 2llIDidl Are21!ii OJ[ COlIDiCUIID!ii Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requiremcnts that may be brought to your attention through inspections, !Liability and Property Damage llnsui'll!lce: 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 thaI must be redone. ],hnc: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills 10 act as your own general contractor, to coordinate the work of rough-in and finish trades. and to notify 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 06-01-04 . . , i'25 l<ifth St~eet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-01490 Payments: :rype of Paymenl Check Cash , Jnb/Journal Number COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-0 1490 COM2005-01490 COM2005-0 1490 CpM2005-0 1490 COM2005-01490 .' COM2005-01490 COM2005-01490 P-nyments: ., T{pe of Payment Check Citsh 4' " :' :~ !f :, . . :1 lit. 'I 11/1512005 . ~I RECEIPT #: IIIIftij,ty of Springfield Official Receipt Whelopment Services Department Public Works Department 3200500000000000641 Date: 11/15/2005 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Minimum! Adjustment Plumbing Vent Fan Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By RICARDO TURCIOS RICARDO TURCIOS Received By Ikw Ikw Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Minimum!Adjustment Plumbing Vent Fan Minimum!Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By RICARDO TURCIOS RICARDO TURCIOS Received By Ikw Ikw Page I of 1 Item Total: Check Number Authorization Batch Number Number How Received 1126 In Person In Person Payment Total: Item Total: Check Number Authorization Batch Number Number How Received 1126 In Person In Person Payment Total: 10:39:22AM Amount Due 175.49 133.49 15.45 294,60 42,00 3.00 6.00 39.00 10.00 26.92 38.46 $784.41 Amount Paid. $84.41 $700.00 $784.41 Amount Due 175.49 133.49 15.45 294.60 42.00 3.00 6.00 39.00 10.00 26.92 38.46 $784.41 Amount Paid $84.41 $700,00 $784.41