The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2004-5-18 . Status Issued 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeclion Line SITE ADDRESS: 2306 MAlA LP ASSESSOR'S PARCEL NO.: 1703251302400 PROJECT DESCRIPTION: InslalI AC . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00575 ISSUED: 05/18/2004 APPLIED: 05/13/2004 EXPIRES: 11118/2004 VALUE: Springfield TYPE OF WORK: Healing System TYPE OF USE: New ResidenliaI Owner: SUlTTS RICHARD 0 & KATHRYN L Address: 2306 MAlA LOOP SPRINGFIELD OR 97477 Contractor Type Eleclrical Mechanical Contractor OWNER MARS HALLS INC # ofUnils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN I CONTRACTOR INFORMATION I License Expiration Date Phone 25790 12/23/2005 541-747-7445 I BUILDING INFORMATION 1 # of Stories: Height of Slructure Type of Heal: Waler Type: Range Type: Energy Palh: Sprinkled Building: _Of' n/a Lot Size: Sq Fllsl Floor, Sq FI 2nd Floor: Sq Ft Basemenl: Sq Ft Garage/Carport Sq FI Other: Occupanl Load: I DJMi1EO~Mtlm' INFORMATION 1 _.......dJO \S. OW\iI" e\\L\ . 0I"":-...~t19 ~es ,. Frontyard Selback: ~ tU' ISb~ Side 1 Setback: ~~~~ ~t;l" ;:A~etllfr~fl. Rqd: Side 2 Selback: \Q\~~C8 ~$\O ~ieSl'b~~.lliId: Rearyard Setback",~~.oO ~~0\8" ~ ~J\l\~erage: Solar Selbacks: \J\~~-COU~~:~ ~~~). ~ \01 tI9 ~ \.flptllILic IMPROVEMENTS I Slreellmprovemenls: iJ;I;U" Slorm Sewer Available: SpeciaIlnstruclion: Noles: Description Type of Conslruction REQUIRED PARKING Tolal: Handicapped: Compact: Sidewalk Type: Q~~ DownspoutslD~ifls~\'\~ ~ ~Q\ ~'1-?\~ ~~\\ ~ \\\)"'\t~~~\, CO~:;~~ ,\'\\~~~~~~\) ~Q~ ,\,\\'0 ? ,,~1.t.\) ~ "to'O ~~t>i t-:;. \~ ~\Jt.v ~\\)\I' I Valuation DescriDtin~~~\) \)~?tl $ Per Sq FI Square Foolage or multiplier or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Descriplion ....Mechanical Issuance Fee- + 10% Administrative Fee + 7% Slale Surcharge Air Handling Unil Up 10 10,000 MinimumJAdjuslment Mechanical + 10% Adminislralive Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjuslmenl Electrical Total Amount Paid . Total Value of Projecl Fee~ tiWU Amount Paid $10.00 $4.50 $3.15 $8.00 $37.00 $4.50 $3.15 $43.00 $2.00 $115.30 I Plan Reviews I Dale Paid 5/13/04 5/13/04 5/13/04 5/13/04 5/13/04 5/18/04 5/18/04 5/18/04 5/18/04 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00575 ISSUED: 05/18/2004 APPLIED: 05/13/2004 EXPIRES: 11/18/2004 VALUE: Receipt Number 2200400000000000553 2200400000000000553 2200400000000000553 2200400000000000553 2200400000000000553 1200400000000000752 1200400000000000752 1200400000000000752 1200400000000000752 To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~ Rellllirerl Tmnedinn~ I' 2 Rough Mechanical: Prior to Cover 1 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. By signa lure, I state and agree, that I have carefully examined Ihe compIeled applicalion and do hereby certify Ihat all information hereon is Irue and correct, and T furlher certify thai any and all work performed shall be done in accordance wilh Ihe Ordinances of the City of Springfield and the Laws of Ihe Slate of Oregon pertaining 10 Ihe work described herein, and Ihal NO OCCUPANCY will be made ofany slructure wilhout permission oflhe Community Services Division, Building Safety. I further cerlify Ihat only contractors and employees who are in compliance with ORS 701.005 will be used on Ihis project. I furlher agree to ensure Ihat all required inspeclions are requesled al the proper time, Ihat each address is readable from the slreet, that Ihe permil card is Iocaled at Ihe fronl oflhe property, and the approved set of plans will remain on Ihe sile al all limes during construclion. ~L/ L? J:;;4 Owner or Conlraclors Signa~.i: Pal!e 2 of2 ~~~/p;y Dale -. . . \ .: " ," " " . .. . . ConstructIOn Contractors Board 700 Summer St NE Suile 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.slate.or.us Permit #: C:OtM~ - C:J:::)S7 :;- Address: 230b M~/A L~ Date: 5/18~'-t I / ""'hCS;: Issued by: Statement: 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, exempt from 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 1 and 2, and either box 3A or 3B: -el. ~ 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 .---Er 3B. I will be my own general contractor. If I 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. ~/ ~ ..L~# . (Signature ot1Yermit applicant) J;'i~h..y (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 03/11/03 " '- -e. ,)' . , A,.l~tnlfD.g @l~, 1{~lillIr ~wrrn Gerrnenllll CorrntIrmdoIr? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , , -' 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 own contractor to construct a new home or make a substantial improvement 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 be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contraclors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an 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 a State Business ID number, call the Business Information Center at 503-986-2200. 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. 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 and be liable for all claim 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 503c947-7815. 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 at 866-816-2065 or fax them at 801-620-7115. Other Responsibilities and 4-reas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agenl 10 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. Time: Make sure you have sufficient time to supervise your employees. .~... Expertise: Make sure you have the skills to act as your own general contractor; to coordinate the work of rough-in and finish trades, and to notifY building 'officials as the appropriate times so'lhey can perform the required inspections. [fyou have additional questions call the Construction Contractors Board (503-378-4621) or write Ihe agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 03/11/03 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Joh/Journal Number COM2004-00575 COM2004-00575 COM2004-00575 COM2004-00575 Paymenls: Type of Payment Check 5118/2004 RECEIPT #: .~ ~ Jiiiiy of Springfield Official Receipt Wvelopment Services Department Public Works Department 1200400000000000752 Date: 05/18/2004 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Exlend Circ Minimum! Adjustment Eleclrical Paid By RICHARD SUITTS Item Tolal: Check Number Authorization Received By Batch Number Number How Received djb 1223 In Person Payment Total: Page I of I 9:55:38AM Amount Due 3.15 4.50 43.00 2.00 $52.65 Amount Paid $52.65 $52.65