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Home My WebLink AboutPermit Electrical 2007-9-25 Status' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01307 ISSUED: 09/25/2007 APPLIED: 08/30/2007 EXPIRES: 03/25/2008 VALUE: $ 74,260.00 SITE ADDRESS: 3875 JASPER RD ASSESSOR'S PARCEL NO.: 1802061411001 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT' DESCRIPTION: Service mast reconnect; also Garage conversion & Adding 2nd story above (BWOP) Owner: RICHARD WILLIS Address: 3875 JASPER RD SPRINGFIELD OR 97478 Phone Number: 541-746-1998 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor OWNER JEM ELECTRIC INC OWNER License Expiration Date Phone 161235 09/07/2008 541-729-1074 VB ~raat~~~l~~~~~X~~i~:V N' iOD Center. Those rules a~ setlh . In e . 1-r010thrOUg~ 952- 6f~lze: ! 6 Miln co . t rul 'Ist Floor: 811 . nter. (Not' WMpho i i. 2nd Floor: n r the Oregon Utility NotificaWt Basement: angeC.r 18 1-800-332-2344\. Sq Ft Garage/Carport Energy Path: Path '1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: 400 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 2 140 I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: , NOTICE: DownspoutslDrainJ:..uE WORK THIS PERMIT SHAll EXPIRE It In AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Pa2e 1 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01307 ISSUED: 09/25/2007 APPLIED: 08/30/2007 EXPIRES: 03/25/2008 VALUE: $ 74,260.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Deck/Balconv Dwellin{!s Gara{!e Conver. Deck V Wood Frame Gara{!e $ Per Sq Ft or multiplier $19.00 $103.00 $76.00 Square Footage or Bid Amount 140.00 400.00 400.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $2,660.00 $41,200.00 $30,400.00 $74,260.00 09/21/2007 09/21/2007 09/21/2007 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $5.50 8/30/07 1200700000000001122 + 5% Technology Fee $2.75 8/30/07 1200700000000001122 + 8% State Surcharge $4.40 8/30/07 1200700000000001122 Service Reconnect $55.00 8/30/07 1200700000000001122 -Mechanical Issuance Fee- $20.00 9/25/07 1200700000000001235 + 10% Administrative Fee $110.82 9/25/07 1200700000000001235 + 5% Technology Fee $54.06 9/25/07 1200700000000001235 + 8% State Surcharge $45.25 9/25/07 1200700000000001235 Building Permit $515.59 9/25/07 1200700000000001235 Fire SF Fee - Residential $27.00 9/25/07 1200700000000001235 Minimum/Adjustment Mechanical $17.00 9/25/07 1200700000000001235 Penalty Fee - BWOP Building $515.59 9/25/07 1200700000000001235 Plan Review Residential $335.13 9/25/07 1200700000000001235 Wood Stove/Insert $33.00 9/25/07 1200700000000001235 Total Amount Paid $1,741.09 , Plan Reviews I Structural Review 09/24/2007 09/24/2007 OK RWC To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Temporary Electric: Approval required prior to Utility Company energizing pole. Footing: After trenches are excavated. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Pa{!e 2 of 3 CITY OF SPRINGFIELD - Status Iss u ed Building/Combination Permit PERMIT NO: COM2007-01307 ISSUED: 09/25/2007 APPLIED: 08/30/2007 EXPIRES: 03/25/2008 VALUE: $ 74,260.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: 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 Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Wood Stove: After Installation. 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 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 constructio\!. ~ t-/~ 9-J-';- -() 7 Owner or Contractors Signature Date Pa2e 3 of 3 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 Permit #: ~2CJr7?-6/30 7 3S3>7~~ ~dM/ ,k(), ~ Date: 1-zJ-a '7 Address: Issued by: Statement: Information Notice to' Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare 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 bejiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. ,~ I own, reside in, or will reside in the completed structure., 2.' I understand that I must become licensed as a construction contractor.ifthe structure is sold or offered for sale before or on completion. D 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. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. In 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 ofthis form. ;( ~ cJ~ tf-:J-1-o7 . \ (Signature o~permit applicant) (Date) (White copy to issuing agency permit jile, pink copy to applicant.) Property_owner. doc 06-01-04 - .~. ,. ~ .~)- l.\cting is .veuf-()wn General <;ontractor? . . ',:--. \" -:, 't"""'" ,(" ,\.' '," ./:' <INFORMA1'lor\i ;NOTICE TO PROPERTY OWNERS .> . ~ AB~.( CON.~TRUCTION RESPONSIBILITIES ~'t '-" 'r - 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 iH~p~ovement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. You ~ill, in most.i~stances, be ru.1edto be an "employe(:a~l(Ube'~o!ltractors y<?ucontract With,will be "employees" if you use cO!ltractors not licensed with the ,Co:p.struction C9ntractor~ Board to do labpr in constructing or to assist in the construction or improv~rnent of a residential structu~e. A~ die ,employer, y~m must cOll!Ply witb.tbe fonowin~: .' Employer Re~ponsibnities , . . ~.. . " . .. ' j ".. . ," -,' . Oregon's WithholdIng Tax Law: As an emp'loyer, you nlli~t \vithhold'income taxes froni effiployee wages at the time employees are paid. You will be liable for the tax payment~ even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-318-4988. Unemployment insurance Tax: As an employer, you are required to-.pay ,a tax .for unemployment inslirance purpos~S< . on the wages of all employees. For more information, can the Oregon Employment Department at 503-947-1488. , ~ >< '-, The Oregon' Business Identification Number (BIN) is a combi,ned number' for both, Oreg9n, Withholding and " Unemployment Insurance Tax. To file for a BIN, can 503-945-8091 or \v"\vw.dor.state.oLus/formsnav.htmll for the , ,appropriate forms. WOlrkcIrs'Compensation Insur:amce: As an employer; you are subject to the Oregon Workers' Compensation Law, and must,oQtain workers' compen~ation. insurance for your employees. If you fail to obtain workers' ~olt).pensation insurance; you could be subject t6 pcmalties and be'liable for aU claim costs'if oneofYOljr empl6yees isinjl;ln~d 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 Revenllle 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 w\vw.irs.l!ov. ' " " Otl11er Ri~~p@n,~ibn[ties ,talml{]l AJretal~' ~ff C@IDlCer-IDlS . . Code Compniance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. . . ' . . ' Liability and Property Da~age Ifnsunllllce: Contact your insurance agent to.... see if you' have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water dfllTIage from pipe,punctures, fire or work that must be.:redone, '-~,:' \ '. .' , _~ ..s . , 'fime: Make sure you have sufficient time to supervise your employees. . '. L ~ \ 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 notify building officials as the appropriate times so they can perfonn 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- o\vner .doc 06-01-04 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1307 COM2007-01307 COM2007-01307 COM2007-01307 COM2007-01307 COM2007-01307 COM2007-0 1307 COM2007-01307 COM2007-01307 COM2007-0 1307 Payments: Type of Payment Check cReceint 1 RECEIPT #: 1200700000000001235 Date: 09/25/2007 Description Fire SF Fee - Residential Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Plan Review Residential Building Permit Penalty Fee - BWOP Building + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICHARD WILLIS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 6585 In Person Payment Total: Page I of I 2:01 :25PM Amount Due 27.00 33.00 17.00 20.00 335.13 515.59 515.59 54.06 45.25 110.82 $1,673.44 Amount Paid $1,673.44 $1,673.44 9/25/2007