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Home My WebLink AboutPermit Electrical 2007-10-2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01226 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 04/02/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4082 S Redwood Dr ASSESSOR'S PARCEL NO.: 1802061113900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Replace 200 Amp service and install gas for dryer, range and insert Residential Owner: LARINGTON MELISSA J & WILLIAM Address: 4082 S REDWOOD DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor License Expiration Date CHRISTENSON ELECTRIC INC 458 05101/2009 J LOGUE GAS WORKS INC 147111, _u ._n tA03/06/2009 Bl~mlB~ ia.t; . 'M~ · '~;:gon Utility . . Center. Those ru as are set forth liE' '1-0010 through OAR 952-emrSize: In \f 'ti\SWf1 copies of the rul~~t 1st Floor: 0'1: e . ere (Note: the tel~Fho.M...Ft 2nd Floor: ;iWfte Oregon Utility Noti~t Basement: nge~ 111-800-332-2344). Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-688-6121 541-345-7599 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VB I DEVELOPlVu,l'll INFORMATION I 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS' NOTICE: Sidewalk Type:QRK THIS PERM1T SHAtt EXmsDipfRlJ/~~y AUTHORIZED UNDER THI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Appliance Vent Fireplace (Listed) Gas Outlets 1-4 MinimumfAdjustment Mechanical Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01226 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 04/02/2008 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $7.00 $3.50 $5.60 $70.00 $20.00 $5.00 $2.50 $4.00 $7.00 $17.00 $5.00 $21.00 8/20/07 8/20/07 8/20/07 8/20/07 10/2/07 10/2/07 10/2/07 10/2/07 10/2/07 10/2/07 10/2/07 10/2/07 3200700000000000559 3200700000000000559 3200700000000000559 3200700000000000559 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 $167.60 I Plan Reviews I 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. ~e(]uiredJnsnections I Rough Electric: ' Prior to Cover Final Electric: When all electrical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pal!:e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-01226 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 04/02/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~~~M'\ \'(\~ ~ \~-^,- O'j Owner o-r C:n;r~ctors Sign~ture (j Date Pae:e 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 #: (' OJ/f,1 e:..c 0 7 - (::)/ Z Z-~ ~EJ...-CO d btL Date: / 6~ "Z-/o -, / I L(c?l S ~S Address: Issued by: Statement: Info. mation 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 be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ,/' )3/ 1. M2. I own, re~ide 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. ~ h1~~' L6r.v---~ etAS ~ 3A. My ge al contractor is S \S' (Name) !lf7/ ( ( (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR D 3B. I will be my own general contractor. If I 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 th.at 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. ~\~. '~ ~ . ~ --f") \ f\ . \ ~ ~ I \ \ \) -- ~ - \). \ - 19oa ure ofpennit apPli..er .- - (Date) . (White copy to issuing agency permit file, pink copy to applicant.) Property- owner. doc 06-01-04 . . . '. ; ~ -~ ~ .: Acting a's Y'our" Own General 'Contractor? > , INFORMATION "NOTICE TO -PROPERTY OWNERS ABOUT CONSTRUCTION, RESPONSIBILITIES NOTE: This Information Notice to Properly 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 oy being aware of the following responsibilities and concerns, EmployeR" RespoIDlsibiUties You will, in most instanc~s~ be ruled to be an "emp~oyer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Bo~rd to do Jabor In'constructing or to assist in the construction or imp! ovement oJ a residemial structure. ;\s.th.e J~mployeJr, you mU,st c~mply with the. following: .. .' .,' ,," , > Oregon's Withholding Tax Law: As ~ e~ployer, you must withhold income taxes'flv1~1 employee wages at the time employees are paid. You will be liable for the tax, }Jayments ~ven if you don't actually. withhold the tax from your employees, For more information, call the Depa.rtrnentofRevenue at 503..378-4988. " . Unemployment Insurance Tax: As an employer, you are required to pay a tax. {or 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 combin~.d - numpe~ for both: Oregon' Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.oLus/formsuav.html1 for the 'appropria~e fomis. ., ~ . , ! L' _ . . . Workers; Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and mu&~ obtain \yorkers' compensation insurance, for your employees. Iryo).! 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 arid Business Services at 503-947-7815. c.. U.S. Internal Revenue Service: As an employer, you must withhold federahricometax 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':'800-829493 J or visit their web site at www jrs.cl!:~~Y, - . ~. \. ~ OtheR" Respon.sibilita~s all!ld.,lir:~as of COllU~er~S, Code Compliance: As the permit holder for this project, you are responsible for resolVi~g' ~ny failure to meet code requirements that may be brought t<? your attention through ,inspections. \ - ~ .. - ',~ .. , ' , Liability and Properly Damage" hllsurancei Cahtaet your 'insurance agent to see if you have. adeqmite insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe pupctures, fi5e or work that mDst be redone,-, ,/'" .,.'! '. ' I ' . ). ,. h. _ .., J . _, '_ ..1. " J / J, .'. j , . " .,'; ../ ',.'- Time: Make sure you have sufficient time to supervise your employee~(- .. . . lExperttllse: Make sure you h~ve the' skills' to aCt as' yo~r' o\~ gener~i' co~tractor, . to cootdimite 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 Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01226 COM2007-01226 COM2007-01226 COM2007-01226 COM2007-0 1226 COM2007-01226 COM2007-01226 COM2007-01226 Payments: Type of Payment CreditCard cReceintJ RECEIPT #: 2200700000000001534 Date: 10/02/2007 Description Appliance Vent Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical ~Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By STEPHEN MEYER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 008336 In Person Payment Total: Page 1 of 1 9:31:30AM Amount Due 7,00 5,00 17,00 21.00 20.00 2,50 4.00 5,00 $81.50 Amount Paid $81.50 $81.50 10/2/2007