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Home My WebLink AboutPermit Building 2007-12-12 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01699 ISSUED: 11/19/2007 APPLIED: 11/19/2007 EXPIRES: 06/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6557 E ST ASSESSOR'S PARCEL NO.: 1702341300326 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: 200amp service change and add 15 circnits, plumbing and mechanical Residential Owner: KIRK VANDEHEY Address: 2555 MANGAN ST EUGENE OR 97402 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Plumbing Contractor EASTSIDE ELECTRIC INC OWNER OWNER License 117770 Expiration Date 10/04/2009 Phone 541-915-9828 VB _, ~,I,",~I' nrepan laW requires y~~,!;. BUILDINGINF(,RMl f1d~~t~~ ~a':;'~et forth ,,\i p :; ~~~~ v';"_0010t!",jllugh OAR 952-001- ! # of Stori.&~ t.~~..tain copies of the rUl~~ize: OCl{eigiij1or-St\\{.gf~f.e (Note: the tele~h~ Ft 1st Floor: 1fYWfiOml :&~ Oregon Utility Notlfica\i~"'t 2nd Floor: IwiiWfl n\:er is 1_800-332-2344). Sq Ft Basement: Range e: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: o/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # StI~eet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: E \NO?'\( _ '" f I\?f ,~i\\ \t.:'f' I PUBLIC IMPRQwM~,TItT S\\~\.\.1\\\S PE?'W\\\ ~? ~1~O?\lEO U6W{~A~~"EO f CO\'J\W\f."CE~ ~f\\0g.outs/Drains: (l$'" 80 O~ Notes: \ Paee 1 of 3 -WC.fi Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01699 ISSUED: 11/19/2007 APPLIED: 11/19/2007 EXPIRES: 06/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V ~Iu,a,~,io~, Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fp~., ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $13.00 11/19/07 1200700000000001417 + 5% Technology Fee $6.50 11119/07 1200700000000001417 + 8% State Surcharge $10.40 11/19/07 1200700000000001417 Add, Alter, Extend Circ Ea Add $60.00 11/19/07 1200700000000001417 Perm Serv/Fdr 200 amps or less $70.00 11/19/07 1200700000000001417 -Mechanical Issuance Fee- $20.00 12/12/07 2200700000000001819 + 10% Administrative Fee $10.00 12/12/07 2200700000000001819 + 5% Technology Fee $5.00 12/12107 2200700000000001819 + 8% State Surcharge $8.00 12/12/07 2200700000000001819 Fixture $32.00 12/12/07 2200700000000001819 Furnace - up to 100,000 htu $14.00 12/12/07 2200700000000001819 Minimum/Adjnstment Mechanical $36.00 12/12/07 2200700000000001819 Minimum/Adjustment Plumbing $18.00 12/12/07 2200700000000001819 Total Amount Paid $302.90 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. UenlJirerUnSDectjon~ I , Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover aud iucluding required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Paee20f3 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 descrihed 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 timeSdn~~{2:0n'l J~~ /~~ ~~i:1...~'.F'I. ~'i'II...... .~. I ~.I Status Issued 225 Fifth Street, Springfield, OR 541-726~3753 Phone 541-726-3676 Fax 541-726-3769 luspection Line Final Mechanical: When all mechanical work is complete. Owner or Contractors Signature Pa2e 3 00 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01699 ISSUED: 11/19/2007 APPLIED: 11/19/2007 EXPIRES: 06/12/2008 VALUE: /./2- - / 2. -0'7 Date ;~Construction Contractors Board 700 Summer St NESuite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Pennit #: (Ov1/1-Zooi -0/6'77 b y')( r:- st p (f Date: I Z- It Z. Ie'll I , -. ~ . . ~ . . '. o' ". '.. . " Address: Issued by: State.l11ent: -Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are 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, exemptfrom 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 I and 2, and either box 3A or 3B: ~l. g;. 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. 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 ft~3B. I will be my own general contractor. If! 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 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 of this form. Kf A (k /2- -/;2.. -[) '7 (Signature of permit ap (Date) (White copy to issuing agency permit file, pink copy to applicant.) f'_y_.:j,_owner.doc 06-01-04~ , Acting as Your~()wn ~General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . -, NOTE: This Information Notice to Property Owners about Construction Re~po~sibilities 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 improvemenfto an existing structure, you can prevent many problems by being aware of the following responsibilities and concems~ Employer Responsibmtie~ You will, in most instanc\'ls, be ruled to be an "employer" and the conJ:r~ctors YOll contract with Wjll be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the .: ,', . . construction or improvement of a residential structure. As tbe ePlployer;.you ~ust c;omply witb the follow~ug: ',.' . ..' '., : . ~ ~ Oregon's Withholding Tax Law: As an employer, You niust;"ithh~ld iiicoiIie'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: As an employer, you 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. ,~ The Oregon 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 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 obtain workers' compensation insurance for your employees, If you fail to obtain workers' compensation insurance, you could be subject to penalties imd~be liable for aU claim costsifone 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 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold Jederal 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, caU the IRS at ,]-800-829-4933 or visit their web site at www.irs:l!ov. . Other Responsibilities and Areas of Co~cerns . Code Compliance: As the permit holder for this project, you are responsible for res6iving any failure to meet code requir~ments that may be brought to your attention through inspections, ~ .' Liability and Property Damage Insurance: Contact your insUrance 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 must be redone. 'j \ " Time: Make sure you have sufficient time to supervise your employees;. ~ . . . Expertise: Make sure yoil~have the skills to act as your own general contractor, to coonlinate the work of rough-in and finish trades, and to notifY building officials as the appropriate times so they can p",I""H 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. .,.>..".,,;1 Property_owner.doc 06-01-04 225 Fifth Street Springfield, Oregon 97477 -, . 541-726-3759 Phone Job/Journal Number COM2007-01699 COM2007-01699 COM2007-0 1699 COM2007~01699 COM2007-01699 COM2007~01699 COM2007-0 1699 COM2007 ~O 1699 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001819 Date: 12/12/2007 II :57:55AM Description Fixture Minimum/Adjustment Plumbing Furnace - up to 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + ] 0% Administrative Fee Amount Due 32.00 18.00 14.00 36.00 20.00 5.00 8~00 10~00 $143.00 Paid By KIRK VANDEHAY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 115760 In Person Payment Total: $143.00 $143.00 Amount Paid Page I of I 12112/2007