The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2007-12-4 Status Issued CITY OF SPRINGFIELD - Building/Com bina tion Permit PERMIT NO: COM2007-01716 ISSUED: 11/21/2007 APPLIED: 11/21/2007 EXPIRES: 06/04/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 119130TH ST ASSESSOR'S PARCEL NO.: 1702303403000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair PROJECT DESCRIPTION: House rewire and replace waterline and water heater Residential Owner: ZURFLUEH DAVID Address: PO BOX 818 MARCOLA OR 97454 Phone Number: 541-606-0921 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . R-3 n/a I DEVELOPMENT INFORMA nON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: N' 0 I w requires you to AllcNTIO . regon a .. . Storm Sewer A va ilaRJHbw rules adopted by the Oregon Utility Special Instruction Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- Notes: 0090. You may obtain copies of the rules by calling the center. (Note: the tel~~ho~e number for the Oregon Utility Notification Center Is 1-800-332-2344). Sidewalk Type: DownspoutslDrains: NOTICE: THIS PERMIT SHA AUTHORIZED UNDk~ rP1RE IF THE WORK COMMENCED OR IS AS HIS PERMIT IS NOT ANY 180 DAY PERIOD. ANDONED FOR Pal!:e 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 Residence Wiring 1000 Sq Ft + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Water Line - 1st 50 Feet Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01716 ISSUED: 11/21/2007 APPLIED: 11/21/2007 EXPIRES: 06/04/2008 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Value Total Value of Project ~ Amount Paid Date Paid Receipt Number $11.70 11121/07 1200700000000001431 $5.85 11/21/07 1200700000000001431 $9.36 11/21/07 1200700000000001431 $117.00 11/21/07 1200700000000001431 $6.60 12/4/07 2200700000000001768 $3.30 12/4/07 2200700000000001768 $5.28 12/4/07 2200700000000001768 $16.00 12/4/07 2200700000000001768 $50.00 12/4/07 2200700000000001768 $225.09 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. ~eouiredJnsnections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Water Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Pal!:e 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01716 ISSUED: 11/21/2007 APPLIED: 11/21/2007 EXPIRES: 06/04/2008 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 witb the Ordinances of tbe City of Springfield and tbe 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 in spec io s are. equested at the proper time, that each address is readable from the street, that e..Rermit card is located at the fr of the 'roperty, and the approved set of plans will remain on the site at all time!'. riug i"/i /: .V /( IJ, <1/67 Ow;;;;: ., t.;,~~~,.", s;guaf~ Date . Pal!: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 #: (1t1 -\ '1 \ to Address\\q \ O~ ~ Issued bY:' ~~ ~ Date: lA 4 .()/ 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 befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ I . 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. OR. \JluM.,bU\ ~B. I will be my own goomI contractor. ~ . If! 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 above information is ~~I'~ct and that I have read an'd do understand the Information T2J2er:;~:4r;.nSibilities.n the reverse S~:it:b i: 7 L/ . (Signature1)fpetf,it aF'plicant) . (Date) (White cbPY"iSSUing agency permit file, pink copy to applicant.) Property- owner. doc 06-01-04 "i .:............. '-" NOTE: This Information Notice to Properly Owners Construction Responsibilities was developed by the Contractors Board in accordance with ORS 701.055(5j, passed by the 1989 Oregon Legislature. If you are acting as your ov;m contractor to construct a new you can many problems by being aware Of or make a substantial improvement to an existing following responsibilities and concerns. You in most instances, you use contractors not construction or mled to be an "employer" contractors you contract with win be <<employees" if with the Constmction Contractors to do labor constmcting or to assist in the of a residential structure. As must comply the following: Law: As an employer, you must vllithhold income taxes from employee wages at the time employees are paid. You will liable for the tax payments even if you don't actually withhold the tax from your more information, call the at 503-378-4988. Tax: As an employer, are For more information, call the to pay a tax unemployment insurance purpose~ Employment at 503-947-1488. Number (BIN) is a number for both Oregon Withholding and file for a BIN, 503-945-8091 or W\vw.dor.state.or.us/formsoav.html1 for the The Oregon Unemployment appropriate Workers' Insurance: As an employer, you subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable 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 503-947-78 u.s. Revenue Service: As an employer, you must federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the.tax. a EIN number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.f!ov. Concerns Code As the pennit holder for this project, you are responsible for resolving any failure to nleet code' may he brought to your attention through Contact your insurance agent to see if you have adequate paint spray, water damage from pipe punctures, or Damage and omissions such as redone. ; sufficient time to Make sure you have the skills to act as to notify building officials as . o~ geriedl contractor; 'to coordinate ~f rough-in so they can perform the required inspections. call the Construction 97309-5052. (503-378-4621) or "'Tite the agency PO Property _ovroer.doc 06-01-04 225 Fi~tb, Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01716 COM2007-01716 COM2007-01716 COM2007-01716 COM2007-01716 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Fixture Water Line - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DA VID ZURFLUEH City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001768 Date: 12/04/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 32427 In Person Payment Total: Page 1 of 1 2:15:22PM Amount Due 16.00 50.00 3.30 5.28 6.60 $81.18 Amount Paid $81.18 $81.18 12/4/2007