HomeMy WebLinkAboutPermit Mechanical 2007-10-10
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 739 S 70TH ST
ASSESSOR'S PARCEL NO.: 1802022201000
Springfield
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01534
ISSUED: 10/10(2007
APPLIED: 10110/2007 '
EXPIRES: 04/10/2008
VALUE:
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Extend gas line and install on demand water heater and pool heater
Owner: LARRY RUHE
Address: 739 S 70TH ST
SPRINGFIELD OR 97478
Residential
Phone Number: 541-746-3149
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Plumbing
Contractor
OWNER
OWNER
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
License
Expiration Date Phone
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
NOTICE:
Frontyard SetbrJilS PERMIT SHALL EXPIRE IF ~mOMt:
Side 1 Setback: AUTHORIZED UNDER THIS PERMAiJr$J}JQ"kes Rqd:
Side 2 Setback: COMMENCED OR IS ABANDONEIDd\Q8lDrive Rqd:
Rearyard Setba~y 180 DAY PERIOD. % of Lot Coverage:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
AI 'l:.mON: Oregon law requires you to
foI~ rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
~AR 952-OO1-OOfOthrough OAR 952-001.
· You may obtain COpies of the rules b)'
~~! the center. (Note: the telephone
n......,. for the Oregon Utility Notification
Center II 1-800-832-2344).
Notes:
Pa2e 1 of3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
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
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Furnace - Unit Heater
Gas Outlets 1-4
Minimuml Adjustment Mechanical
Minimuml Adjustment Plumbing
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01534
ISSUED: 10/10/2007
APPLIED: 10/10/2007
EXPIRES: 04/10/2008
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.00 10/10/07 2200700000000001568
$10.00 10/10/07 2200700000000001568
$5.00 10/10/07 2200700000000001568
$8.00 10/10/07 2200700000000001568
$16.00 10/10/07 2200700000000001568
$14.00 10/10/07 2200700000000001568
$5.00 10/10/07 2200700000000001568
$31.00 10/10/07 2200700000000001568
$34.00 10/10/07 2200700000000001568
$143.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~e(]uiredJnSDections ,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa!!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01534
ISSUED: 10/10/2007
APPLIED: 10110/2007
EXPIRES: 04110/2008
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Paee 3 of 3
/c.? ~ /0 .- 0 7
Date
Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
Address:
Permit #: C.O/l1.A -1.-'-' 0 7-1 C /$:3 c.f
70ft....
Date: I~~ 7
/ I
i3Cf
D'\
.s
\
j
Issued by:
Statement: Information Notice to Pro'perty Owners'
, I
About Construction Responsibilities
"
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not .
II I .'
licensed with the Construction Contractors Board to sign the following ~tatement before a. building
permit can be issued. This statement is required for residential building, electrical, mechanical and
. I: I
plumbing permits. Licensed architect and engineer applicants, exempt Aom licensing under .
ORS 701,010(7), need not submit this statement. This statement will,ibe filed with the permit.
. :' I .
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A ort 3Bl
. . I
ffl.
f2r' 2.
I own, reside in, or will reside in the completed structure.
; '1
I
I understand that I must become licensed as a construction contraCtor if the structure is soid or
offered for sale before.or on completion. !
I
D 3A. My general contractor is
i
I .
. .. . I .
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board. 'I..
(Name)
(CCB #)
OR
.if'3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed wiih tJe Construction Contractors
Board. If! change my mind and hire a general contractor, I will contr~ct with a contractor who is
I
licensed with the CCB and will immediately notify the office issuing this buYding permit ofthe
name of the contractor.' . J ;'
I hereby certify that the above information is correct and that I have read and dl understand the Information
\
Notice to Property Owners about Construction Responsibilities on the reverse; side of this form.
, ., I .
I
~I'/ M/'~ .')0 ~/o. 07
\/(Si~~~'~ermit applicant) . i (Date) ,
( (White copy to issuing agency permit file, pink copy to ap)licant.)
Property _ owner. doc 06-01-04
Acfing as -"X-out,COwn General Contractor?
/" +. ", \. - \.) j \ ' . ~ .. .
,.. -, IN/FORMATION NOTICE TO PROPERTY OWNI:RS .-
Y 6 '.\, \,,;,,\ ABOUjf. PONSTRUCTION RESPONSIBILITIES . .
.. _., '-"4_ . , , .
\
----
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 o'Wn contractor to co~struct' a new home or make a substantial impr~vement to an existing
structure, you can prevent many problems by being aware of the following responsibilities and concerns.
.Employer Responsibilities
You will, in most instances, be ruled to bean "employer" and thecQntract9r.s you contract .with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to d~) labor. in constructing or to assist in the
construction or improvem~nt of a resident~al structure. As the emp~o~er, you must. comply ~ith ~~e following:
Oregon's Withholding Tax Law: Asan 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';'calhheDepartment of Revenue at503-378-4988. "
Unemployment Insurance Tax: As an employer, you are required to pay a tax for uriemployment .insurance purpose~."...
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 f<?r both. Oregon. Wjtl$olding and.
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the
. appropriate forms.
; -\
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, ,
and must obt~in. workers' ~ompensation insur~nce . for YOllT empl<?yees, If you fail, to obt~in workers' t;:,o~pensation
insurance, you could be subject to pemilties and'be'liable for all claim costs if cine 'ofy6u.reinp~oyees is injured on the'
job. For more information, can the Workers' Compensation DIvision at the Departmen(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'atl.-800-829493} or visit their web site at w\Vwjrs,lw~. .' ,
- Oth.er.Respo'nsibilitiies anrllAIreas ofConce~ns
Code Complhmce: As the permit holder for this project, you are responsible for r~~6Iving any failure' to meet code
requ~rements that may be brou~ht to your attention thr<?ugh jnspecti~ns.
. ~ . ". t "... . ... .. _. . . ... :~ -" . . r '. . _
Liability and Property Damage Insllrancc: Contact your in'surance 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 ml~_be redo~e. '. : . ", :~. \.. '\'. "." \... \'. < '.
'. -~ 4' .\ .:~J ..:. ., '.~.. I )....~\.;.".
Time: Make sure you'have sufficient time to supervise your employees'. ','.~ ., ,,\ \
,
Expertise: Make sure you have the skills to act as yo'ut own general contractor, to coordimite the work of rough-in
and finish trades, and to notify building officials as the appropriate times so they can perforn1 the required inspections.
If you have additional qllestions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
Property _ owncr.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
COM2007-01534
COM2007-0l534
COM2007-0l534
COM2007-0l534
COM2007-0l534
COM2007-0 1534
COM2007-0l534
COM2007-01534
COM2007-01534
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001568
Date: 10/10/2007
Description
Fixture
Minimuml Adjustment Plumbing
Furnace - Unit Heater
Gas Outlets 1-4
Minimuml Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LARRY RUHE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 860820 In Person
Payment Total:
Page 1 of 1
11 :48:40AM
Amount Due
16.00
34.00
14.00
5.00
31.00
20.00
5.00
8.00
10.00
$143.00
Amount Paid
$143.00
$143.00
10/1 0/2007