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Home My WebLink AboutPermit Mechanical 2008-4-24 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00577 ISSUED: 04/24/2008 APPLIED: 04/24/2008 EXPIRES: 10/24/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 844 S 32ND ST ASSESSOR'S PARCEL NO.: 1802062110800 SPRINGFIETYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Install gas service and water heater TYPE OF USE: New Residential Owner: JAMES REDMOND Address: 844 S 32ND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION. Contractor Type Mechanical Contractor OWNER License BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary ConstructIon Type:. . 0 ~alfeii~s you to # of Bedrooms: I... I cNT1ON. rego ~ l ~. . follow rules adopted ?:i on.Utlllty / . ~,f)!ifiQation Center. Ttlol~ ~ 19m~orth n a In OAR 952 I t^' 'J I.~;' '" -, '.1}. 1- 0090 v. TION . 100 m calling the center. {Note: the telephone DUmber for the Oreg~Jrl~'DWp.tificatlon Center is 1-8~<5~H2A-'t~~.Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-744-1582 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK .%'THrRllE~ 1.1~lnt:D TI.II<: .DI=QMIT I~ NOT I Valuation Des&r;u\jlMf~ED OR IS ABANDONED FOR M~AY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Type of Construction Pa2e 1 of3 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00577 ISSUED: 04/24/2008 APPLIED: 04/24/2008 EXPIRES: 10/24/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $20.00 4/24/08 2200800000000000515 + 10% Administrative Fee $10.00 4/24/08 2200800000000000515 + 12% State Surcharge $12.00 4/24/08 2200800000000000515 + 5% Technology Fee $5.00 4/24/08 2200800000000000515 Appliance Vent $7.00 4/24/08 2200800000000000515 Fixture $16.00 4/24/08 2200800000000000515 Gas Outlets 1-4 $5.00 4/24/08 2200800000000000515 Minimum/Adjustment Mechanical $38.00 4/24/08 2200800000000000515 Minimum/Adjustment Plumbing $34.00 4/24/08 2200800000000000515 Total Amount Paid $147.00 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. L..Jleouirec:Unsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pae:e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00577 ISSUED: 04/24/2008 APPLIED: 04/24/2008 EXPIRES; 10/24/2008 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. vt R ~ 10'1- :! '-f -0 l?- own/ ;;~ontractors Signature Date Pa2e 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 Address: Perrmt#. COV11(:oo?-DO 577 $ 32,^d sl- Date: if / Z 'f ~ r t gC,ft{ 'blf Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residentzal constrnction permzt applzcants who are not lzcensed with the Constrnction Contractors Board to sign the followzng statement before a building permzt can be issued. This statement is required for residential building, electrzcal, mechanical and plumbing permzts. Lzcensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement This statement will be filed wzth the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 01. JLY' 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 ~B. I will be my own general contractor. In 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 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. Q I!~ O't-;}.Lf-og ~- (Si~ature of permit applicant) (Date) (Whzte copy to zssuzng agency permit file, pznk copy to applicant.) Property_owner doc 06-01-04 Acting as Contractor? INFORMATION PROPERTY OWNERS ABOUT CONSTRUCTION r ~. '----,----,-.-.- ,.. -- -.-..---.--.---------~-------- NOTE: This InformatIon Notice to Property Owners about Construction Responsibllrties was developed by the Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. are actmg as your O\VTI contractor to construct a new can prevent problems by being aware or make a substantial Improvement to an eXIstmg the following responslbllItles concerns. most you use contractors not constructlOn or to be an "employer" with the of a residential structure. As contractors you contract Will "employees" If to do labor In constructmg or to aSSIst m the you must comply IAlw: As an employer, you must mcome taxes from are pfud. You Win be lIable for the tax payments even you don't actually Withhold For more call the of at 503-378-4988. wages at the time tax from your Insurance purposes' Department at 503-947-1488 on the wages all As an employer, you are more ". Number To file for a number for both Withholding and or \'\r'ww dor_state.or.usifonnsoav.htmll. for the The Unemployment appropnate to the Oregon If you fail to costs one DIVISlOn at the CompensatIOn Law, workers' compensatlOn is Injured on the of Consumer Busmess Workers' and must workers' msurance, you could to Job. For more InlonnatIOn, can the Workers' SerVlces at 503-947-7815. u.s. As an employer, you must You hable the tax payment even If you IRS at 1-800-8294933 or VISIt web Site at \V\vw.US.g~l!, federal mcome tax tax. For a wages ',- can the Code holder for thIS to attentIOn you are responSIble any to meet code Contact your msurance omiSSIOns such as over 81 me you sufficaent hme to your sk1115 to act as your OWl! bmldmg offiCIals as to coordinate can the work of mspcctlons. times so the (503-3784621) or at 06-01-04 225 Fift!I Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00577 COM2008-00577 COM2008-00577 COM2008-00577 COM2008-00577 COM2008-00577 COM2008-00577 COM2008-00577 COM2008-00577 Payments: Type of Payment CredltCard cRecelOtl RECEIPT #: 2200800000000000515 Date: 04/24/2008 DescriptIOn Fixture Minimum/AdJustment Plumbing Appliance Vent Gas Outlets 1-4 MInimum/Adjustment Mechanical ~Mechanical Issuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JAMES REDMOND Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 006485 In Person Payment Total: Page 1 of 1 1l:44:15AM Amount Due 1600 3400 700 500 3800 2000 500 1200 10 00 $147.00 Amount Paid $147 00 $147.00 4/24/2008