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Permit Electrical 2013-6-14
. SPRINGFIELD 225 Fifth St kia._ CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01287 www springfield-or.gov perm itcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/14/2013 EXPIRES: 12/10/2013 STATUS DATE: 06/14/2013 APPLIED: 06/14/2013 SITE ADDRESS: 237 S 70TH PL,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702353406403 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Wiring for shed OWNER: SHUCK ANDREW J 8 VALERIE A Phone Number: ADDRESS: 237 S 70TH PL SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER BUILDER HOMES LLC COB 74979 06/19/2010 503-631-8007 INSPECTIONS REQUIRED - Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical 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 at 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 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. Owner or Contractor Signature Date 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 0 OAR You may obtain through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephoac COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. - Center is 1-800-332-2344). Springfield Building Permit 6/14/2013 9:41:56AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ;Ce TRANSACTION RECEIPT Springfield,OR 97477 ;Seel 541-726-3753 OREGON 811-SPR2013-01287 www.springfield-or.gov 237 S 70TH PL permitcenter @springfield-or.gov RECEIPT NO: 2013001241 RECORD NO:811-SPR2013-01287 DATE:06/14/2013 DESCRIPTION _ ` : 3 'ACCOUNS�C.ODE/TRANSCODE a `,' "_ : AMOUNT_DUE Branch circuits with service or feeder each circuit ...�. 224-00000-426102 1004 19.50 Services 200 amps or less 224-00000-426102 1004 89.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.02 Technology fee(5%of permit total) 100-00000-425605 2099 5.43 TOTAL DUE: 126.95 �.. PAYMENT TYPE `• PAYOR_ CASHIER;CCARPENLER -, COMMENTS'-..: ' AMOUNT PAID Credit Card SHUCK ANDREW J 8 VALERIE A - 126.95 363185 TOTAL PAID: 126.95 • • p. Information Notice to Owners About - Construction Responsibilities ,1\F\\ (ORS 701.325 (3)) • • V 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: • 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.odf 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.qov. 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