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Home My WebLink AboutPermit Building 2005-5-26 . - .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3933 S REDWOOD DR ASSESSOR'S PARCEL NO.: 1802061109800 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00542 ISSUED: OS/26/2005 APPLIED: 05/06/2005 EXPIRES: 11/26/2005 VALUE: $ 19,880.00 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Garage conversion Owner: SCOTT COPELAND Address: 3933 S REDWOOD DR SPRINGFIELD OR 97478 Contractor Type General Electrical Contractor OWNER OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Pbone Number: 541-747-2580 I CONTRACTOR INFORMATION I to . n,!llW reqUires yOU. . p.l1ENTlON: Or~~ tW~!l@regoE~'~On Date Phone ~\I()\l'J rules ad~~. lhose rules are :S2.()01. l\I^.ifi"~on ce ..ir.'" +htn,!oh OAR I. . ..." ~Thll~,,-('L iesOlU....~--' I B 'gG.JU ("!~ O~".thete\ep\lO~ ......:"^,,,he Ce~\Jt' .\"" Notilica\iOO # qJlMOI:IeS_~- he Oregon II., ) Lot Size: ~~\it'iA 1-001)-332-2344 . Sq Ft 1st Floor: Type of Hfa'l!'ter Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: Fully Improved Yes Downspoutsffirains: Curbside 5' Curb and Gutter NmIC~ AA 1~~H~~~i~ ~~~~~ ~~~~~~~~TEI~~OT COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. Notes: Interior remodel no SDC fee's 5/12/2005 CAS Paee I 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Cire Ea Add Building Permit Plan Review Residential Total Amount Paid Initial Review Plan nine Review Public Works Review Structural Review Structural Review . . CITY OF SrKll~\.J.l'l~LU Building/Combination Permit PERMIT NO: COM2005-00542 ISSUED: OS/26/2005 APPLIED: 05/06/2005 EXPIRES: 11/26/2005 VALUE: $ 19,880.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 19,880.00 Value Date Calculated 05/23/2005 . $19,880.00 $19,880.00 Total Value of Project Fpp< PamJ Amount Paid Date Paid Receipt Number $44.46 $23.14 $16.20 $43.00 $3.00 $185.40 $76.51 516/05 5/26/05 5/26/05 5/26/05 5/26/05 5/26/05 5/26105 1200500000000000586 1200500000000000670 1200500000000000670 1200500000000000670 1200500000000000670 1200500000000000670 1200500000000000670 $391.71 I PIan Reviews I 05/09/2005 05/09/2005 05/09/2005 05/06/2005 05/13/2005 05/12/2005 APP SKG APP TAJ APP CAS No Planning review needed. Interior remodel no SDC fee's 5/12/2005 CAS Plans forwarded to Jason Bush for Review Approved as noted on plans 05/09/2005 05/19/2005 10 LLH 05/19/2005 05/23/2005 APP JB 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~ Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough In Inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Paee 2 of3 . . CITY OF ~rKJ1'\jul'l~L1J Building/Combination Permit PERMIT NO: COM2005-00542 ISSUED: OS/26/2005 APPLIED: 05/06/2005 EXPIRES: Il/26/2005 VALUE: $ 19,880.00 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 tbe building is complete. Rougb 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 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 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. //t 4/1~} ~{J Owner or 6Intractors Signature Date Pal!e 3 of3 (f). . . \ i \; ," . .' ", .," . . 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 pennit#:(:O/,4'1"t-A- 0(:) ~'Z.. Q./::!'ctvJ' 0 0 d Date: ~ I z,ro/o s- 3733 s. ~~ Address: Issued by: 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. ~3B. OR I will be my own general contractor. IfI 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 ahove 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. 7ntU5.,eb<---f 4;J;J ,<Signature or permit applicant) S"o&"oS- (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 06-01-04 . . ,.' AdnITIl~ tal~ Yl @1illrr (Q)WITIl CG<eITIl<errtalll CC@ITIl~rrtal~~@rr? INFORMATION NOTICE YO 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. JEmjpnoyer JResjponnsftlbinfttries 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 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.state.oLus/formsnav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Cv.....~..sation 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 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 1-800-829-4933 or visit their web site at www.irs.Qov. Otrllner JResjponn!ln1b>nllntrne!l 2lllllirll All"e21!l OJ[ <CollllCernn!l Code Compliance: As the permit holder for this project, YO\1 are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. > Liability and Property Damage Rnsurance: 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. ' Tine: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you ,bave 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 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 06-01-04 225 Fifth S(reet Springfield, Oregon 91477 541-726-3759 Phone . ~~_Gl!I_ . ~f-:"~'~'.'.-."...'- .....1.... ',.-- .., 1. 1 . ~ ~, ...., -....'. .. ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00542 COM2005-00542 COM2005-00542 COM2005-00542 COM2005-00542 COM2005.00542 Payments: Type of Payment Check .. 5/26/2005 RECEIPT #: Date: 05/26/2005 1200500000000000670 Description Plan Review Residential Building Permit Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By SCOTT COPELAND Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3789 In Person Payment Total: Page I of I IO:I4:24AM Amount Due 76.51 185.40 43.00 3.00 16.20 23.14 $347.25 Amount Paid $347.25 $347.25