The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-11-7 Status Issued 225 FIfth Street, Spnngtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2006-01292 ISSUED 11107/2006 APPLIED' ]0110/2006 EXPIRES: 05/13/2007 VALUE: $ 2,000.00 SITE ADDRESS 2725 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703254401900 Spllngtield TYPE OF WORK Electncal Work Only PROJECT DESCRIPTION Upgrade to 200 amp se'vlce & 8 CIrcuIts TYPE OF USE Owner JACK ANDERSON Address 915 SHERWOOD PL EUGENE OR 97401 I CONTRACTOR INFORMATION I LIcense Contractor Type General Electncal Contractor OWNER CHRISTENSON ELECTRIC INC # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Frontyard Setback SIde 1 Setback SIde 2 Setback Rearyard Setback Solar Setbacks 458 ~ BUILDING INFORMATION I # of Stones R-3 Height of Structure 1-1/ I l::h. I J'ype of Heat vNfol/ow rul~Water Typ~" IldVV requires you ,,' u_ uu JO, ",n by t/ v "'otlflcatlon~~,~~s~Y~'1, 1e Oregon Utility In OAR 952 Energy,Patb 'lse rules are set fortI W\JU'~ I 11(iU . 0090 You n~gn~~g,~~~:n: 1 OAR 9t,'){~OOl 'l~~"DEV.ELOPMENT''1NRORMA T.ION-Is b) - ~I "yon ut/lit N JS Centerlf\ l-Rnf) y otlflcatlon Overlay DlSt-332-2344) \ # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Repair ReSIdentIal Phone Number 541-484-6201 Expiration Date Phone 05/0112007 541-688-6121 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gal age/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact "{Jr THIS IlItlPuBLIC IMPROVEMENTS I PE/i, III ::'HAL AUTHORIZ L EXPIRE IF TH SIdewalk Type EO UNDER E WORK COMMENCED THIS PERMIT IS DownspoutslDrams ANY 180 DAY p~%:~~BANDDNED FOR NOT Street Improvements Storm Sewer AvaIlable SpecIal InstructIOn Notes Page I of3 -~.~ ... ' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO. COM2006-01292 ISSUED. 11107/2006 APPLIED' 10/10/2006 EXPIRES: 05/13/2007 VALUE: $ 2,000.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme I V a!~ation DescrmtlOn I DescrIptIOn Tvpe of ConstrnctlOn $ Per Sq Ft or multlplIer Square Footage or Bid Amount Value Date Calcul.ted Total Value of Project Jlpp~ P~\lU Fee DescrIptIOn + 10% AdmmlStratlve Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Clrc Ea Add + 10% Admmlstratlve Fee + 5% Technology Fee + 8% St.te Surcharge BUlldmg PermIt Amount Paid Date PaId ReceIpt Numher $630 $315 $504 $63 00 $240 $120 $192 $24 00 $450 $225 $360 $45 00 10/10/06 10/10/06 10110106 10/10/06 1l/7/06 1l/7/06 1l/7/06 ll/7/06 ll/13/06 11/13/06 11/13/06 11/13/06 1200600000000001509 1200600000000001509 1200600000000001509 1200600000000001509 3200600000000000571 3200600000000000571 3200600000000000571 3200600000000000571 1200600000000001643 1200600000000001643 1200600000000001643 1200600000000001643 Total Amount Paid $162.36 I Plan Reviews I To Request an mspectIOn calI the 24 hour recordmg at 726-3769. AIl mspectIOn requested before 7:00 a 10 wllI be made the same workmg day, inspectIOns requested after 7'00 a.m. wllI be made the followmg work day ~lrp:rI 'n~nprttn~ ElectrIC Service Approval reqUIred prIor to utIlIty compauy energlZmg servIce Rough ElectrIc PrIor to Cover Fmal Elect.,c When.1I electrIcal work IS complete Frammg InspectIOn PrIor to cover and after all rough m mspectlOns have heen approved Fmal BUlldlOg After all reqUIred mspectlOns have heen requested and approved and the bUlldmg IS complete Rough Plumbmg PrIor to cover and mcludmg reqUIred testmg Paee 2 01 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01292 ISSUED 11/07/2006 APPLIED. 10/10/2006 EXPIRES: 05/13/2007 VALUE $ 2,000.00 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Fmal Plumbmg When all plumhmg work IS complete Floor InsulatIOn PrIor to deckmg Wall InsulatIOn PrIor to cover By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certlly that all mformatlOn hereon IS true and correct, .nd I further certify that any and all work performed sh.1I be done m accordance WIth the Ordmances of the CIty of SprIngfield and the Laws of the St.te of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn 01 the CommunIty Services DIVIsIOn, BUlldlllg Safety I further cerlIfy Ihal only contractors and employees who are m comphance WIth ORS 701 005 will be used on thIS project I further agr'1e to ensure that all reqUIred mspeclIons are requested at the propel time, that each addl ess IS readable from the "''''. "" ". ,,,.,, ,,,' .. ~'~ ", 'roo< ."" ,ro ,,">. '"' '" ."roo" '" "' ",", will "m= "" ", "" " ," times dUfmg I ilnstructlOn ,",,~,--,(J "", /1 -I :s- oL Owner 0 Paee 3 of 3 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ;~~~~~ :~--, ~ C,-- of Sprmgfield Officml Receipt L Jopment Services Department PublIc Works Department RECEIPT # 1200600000000001643 Date. 11/13/2006 Job/Journal Number Description COM2006-01292 + 5% Technology Fee COM2006-0 1292 + 8% State Surcharge COM2006-01292 + 10% AdminIStrative Fee COM2006-01292 BuIlding Permit Item Total Payments Check Number Authorization Type of Payment PaId By Received By Batch Number Number How ReceIved Cash JACK ANDERSON dJb In Person Change JACK ANDERSON dJ-b In Person Payment Total Job/Journal Number Descnptlon COM2006-01292 + 5% Technology Fee COM2006-0 I 292 + 8% State Surcharge COM2006-0 1292 + 10% AdminIStrative Fee COM2006-01292 BUIlding Permit Item Total Payments l:heck Number AuthorizatIOn Type of Payment Paid By Received By Batch Number Number How Received Cash JACK ANDERSON dJb In Person Change JACK ANDERSON dJb In Person Payment Total cRecclOtl Page I of I 3 14 02PM Amount Due 225 360 450 4500 $55 35 Amount Paid $60 50 ($5 15) $55 35 Amount Due 225 360 450 4500 $55 35 Amount Paid $60 50 ($5 15) $55 35 11/13/2006 - 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 Perrmt# COMZO:'~~ _ 0/2.9 Z Z,z)" ~l""v\lA--1 Date ///17f{; D'f' Issued by Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) reqUires resldentzal constructIOn permit applzcants who are not lzcensed With the ConstructIOn Contractors Board to Sign the followzng statement before a bUIldzng permit can be Issued This statement IS reqUired for resldentzal bUlldzng, electrzcal, mechamcal and plumbzng permits Licensed architect and engzneer applzcants, exempt from lzcenszng under ORS 701 010(7), need not submit thiS statement This statement will be filed With the permit Fill m the ayy.vy..ate blanks and InltIal boxes I and 2, and either box 3A or 3B al ~ I own, reSide m, or will reSide m 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 mstruct my general contractor that all subcontractors who work on the structure must be licensed With the ConstructIOn Contractors Board ~B OR I WIll be my own general contractor If! hIre subcontractors, I will hire only subcontractors licensed With the ConstructIon Contractors Board If I change my mmd and lure a general contractor, I Will contract With a contractor who IS licensed With the CCB and wIllunmedlately notIfy the office Issumg thiS bUlldmg perrrut of the name ofthe contractor I hereby certify that the above mformatIon IS correct and that I have read and do understand the InformatIOn Notice to Prop" Owners a~ont ConstructIOn ResponSIbilitIes on the reverse Side of thiS form. C) / / - /3 ~ 0 & t ~l~t) (Date) (WhIte copy to Issumg agency permit file, pmk copy to applzcant) Property_owner doc 06-01-04 A~iiiig' ~s-\ our 'Own General Contractor? \ ~ \ !' ,~ INFORMATIONjNOTICE TO PROPERTY OWNERS ~ , \ \ '. , ' \ \ ABOU,T,CONSTRUCTlON RESPONSIBILITIES ' _', _ \ 4- ~.- " .' NOTE This Information NotIce to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board m accordance wllh ORS 701 055(5), passed by the 1989 Oregon LegIslature ~ - .... - ~ F If you are actmg as your own contractor to construct a new home or make a subs~ntIallmprovement to an eXIstIng structure, you can prevent many problems by bemg aware of the followmg reBponslbIimes and concerns ? I _... , ,- , ,j ~" You ~Ill, m most mstances, be ruled to,be an "employer" and the contractors you contract With Will be "employees" If .... _ 1.. , you use contractors not licensed WIth the ConstructIon Contractors Board to do labor m constructIng or to assJs~ m the constructIOn or 11I!prj>vement of a reSidentIal structure As the employer, you must compiy with the following: . ,\ ~ - ! \ " , ~ \ . Oregon's Withholding Tax Law: As an employer, you must WltMold mcome taxes from employee wages at the llme employees are paid You Will be hable for the tax payments even If you don't actually Withhold the tax from your , employees For more mformatIon, call the Department of Revenue at 503-378-4988 ' . Employer Responsibilities j Unemployment Insurance Tax: As an employer, you are reqUITed to pay a tax for unemployment,msurance pmposes-- on the wages of all employees For more mformal1on, call the Oregon Employment Department at 503-947-1488 _ / '\ ". -.. ~""'..."'., . -+ The Oregon Busmess Idenlifical10n Number (BIN) IS a combmed number for both Oregon Wlthholdmg and Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or wwwdor state or uslfol11Thnav htmll for the app.~p..ate fonns . Workers' CompensatIon Insurance: As an employer,'you are subject to the Oregon Workers' Compensallon Law, and must obtam workers: compensallon msurance for your employees If you fail to obtam workers' compensation , ,1' I ~ ,.. msurance, you could be subject to penalties and be liable for all claim costs If one of your employees IS mJured on the Job For more mformatlOn, call the Workers' CompensatIon DIV1slon at the Department of Consumer and Busmess SerVIce. at 503-947-7815 U.s Internal Revenue Servtce: As an employer, you must Withhold federal Income tax from employees' wag~ You wIiI be liable for the tax payment even If you didn't actually Withhold the tax For a Federal EIN number, call the IRS at'l-800-829-4933'or VISit thelfweb sIte atwVI-'W IJ" l!OV' :" ,'., , " ",,' .' , . . ~ " . l-' . Other ~~sponsibilities and Areas of Concerns L . . Code ComplIance: As the permIt holder for thIS proJect, you are responSIble for resolvmg any failure to meet code requlfements tha.t may be brought to your attenllon through mspectlOns ~ . ... J. .:. l. ~. _ i . ~;~ " . ". . LIability and Property Dama'ge Insurance: Contact your miurance ageni'to see If you have adequate msunince coverage for aCCidents and onuSSlOns such as falling tools, pamt over spray, water damage from pipe punctures, fire or work that must be redone , ' r ~ ---r_, ,_n -__ ~ , Time Make sure you have suffiCIent tIme to supervise your employees I' .. ,~l; "'" \ 'J 11-' . ') \' . ~ '.r~ Expertise: Make sure you nave the skills t6 act as your own general contractor, to coordmate'the work of rough-m and firush trades, and to nolify bUlldmg offiCials as the appropnate limes so they can perform the reqUired mspectIons If you have additIOnal questIOns call the ConstructlOn Contractors Board (503-378-4621) or Vl-Tlte the agency at PO Box 14140, Salem, OR 97309-5052 I I" J~ Property_owner doc 06-01-04 I, \- G, > . I ' 0' ,..j.f" L . 11 ~- --~ - O {t-l i \'1,.J"r I (t.;' SV / \'" ~ V \ \\ 'f \., v_ I , -, * DR ~ f2.6T PE;rLM. \-r -. I L{ is- _CENTE?NNI~-~ f3Lvn I j- I I S - // i -~ -- 'v{) - :-. ~llL /~~ T~m.dj) ,. :;( , , ?ft-t{ f'L -1 - : ~u:l'- I . " ,?,It.!,,,~ '~J' L -:-.l. L_ ' d.lJJL H-lJ] ,^)lItJ j'~I, I'L L{II'l<c.yf I I , ~.....L _ 1_ _ --j I I j j l I I I ...., ,<. 5" "I ~r" I I' .' t- ----r =-- -- , L , 7(" " , 1- I _--'_ 6_ _'- ::J.. -j -, I - i I 1 , L I J 1 , ( 1 , t "_ r-, _ _ J _~-'- -~ -, -t--: _ ] u 1_ ~l - -I I ' L: - 1- _ . T - 1 I" 1 - . n~_~ _~I ~- [ -~ ~-:J I 1 ;- - J _ _~ ~_ ~ _ j I I I I ;-:----1- -!-~~___rT ~ J ~ SRVLlrJ-GFle.Ln--lr ' J J I I , ! . ow/Vi /L -= :trek AiJbf:it50iAI --I -T I , __J.. ~ - ~ , -, I ~ I -1 I r I I ~ , _ _ J I -' -- -1