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Home My WebLink AboutPermit Plumbing 2008-5-12 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00676 ISSUED: 05/12/2008 APPLIED: 05/12/2008 EXPIRES: 11/12/2008 VALUE: 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line SITE ADDRESS 901 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.. 1703273402604 Spnngfield TYPE OF WORK Plumbmg Only TYPE OF USE' Repair Residential PROJECT DESCRIPTION, Replace water hne and fixture Owner R F MARQUESS REVO TRUST Address 82425 N SEARS RD CRESWELL OR 97426 I CONTRACTOR INFORMATION I Contractor Type Plumbmg Contractor OWNER License Expiration Date Phone VB BUILDING INFO.l'JJ.lttrn~,: Oregon raw requfres you to TOIIOW rules adopted by the Oregon Utility # of Stones NotificatIon Center. Tho~are set forth Height of StrIlH~AR 952-001-0010 thr&tgh CDADfQD2.001- Type of Heat0090. You may obtain cQJ1testafIthlfFrlUles by Water Type calling the center. (No~ 'tIiEBtalapbtme Range Type number for the Oregon ~IFWdWP"~&UIQlf)Ort Energy Path Center IS 1-800-~~~?~r. Sprmkled Bmldmg nla Occupant Load # ofUmts, Pnmary Occupancy Group Secondary Occupancy Group Pnmary Construction Type Secondary Construction Type # of Bedrooms R-3 I DEVELOPMENT INFORMATION I Frontyard Setback' Side 1 Setback Side 2 Setback: Rearyard Setback Solar Setbacks Overlay Dlst. # Street Trees Rqd: Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total' Handicapped Compact Street Improvements NOnCE: Storm Sewer AvaIlablel~~HPERMfT SHALL EXPIRE IF THE WORK Special Instruction C ORIZED UNDER THIS PERMIT IS NOT OMMENCED OR IS ABANDONED FOR ANY 180 DAY PER'OD. I PUBLIC IMPROVEMENTS' Sidewalk Type Downspouts/Drams Notes, I Valuation Description I DescnptlOn Tvpe of ConstructIOn $ Per Sq Ft or multipher Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00676 ISSUED: 05/12/2008 APPLIED: 05/12/2008 EXPIRES: 11/12/2008 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme Total Value of Project l Fees paid-.J Fee DescriptIOn + 10% AdmmlstratIve Fee + 12% State Surcharge + 5% Technology Fee FIXture Water Lme - 1st 50 Feet Water Lme - Each Addtl100' Amount PaId Date PaId ReceIpt Number $8.20 5/12/08 2200800000000000648 $984 5/12/08 2200800000000000648 $410 5/12/08 2200800000000000648 $16 00 5/12/08 2200800000000000648 $50 00 5/12/08 2200800000000000648 $16 00 5/12/08 2200800000000000648 Total Amount PaId $10414 I Plan Reviews I To Request an mspection call the 24 hour recordmg 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. I Reouired Insoections I Rough Plumbmg Prior to cover and mcludmg reqUIred testmg Water Lme Prior to fillmg trench and mcludmg reqUIred testmg Fmal Plumbmg When all plumbmg work IS complete By slgnature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certIfy that all mformatIon hereon lS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY wIll be made of any structure wlthout permISSIOn of the CommuDIty Servlces DJVlslOn, BUlldmg Safety I further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 wIll be used on thIs project I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable from the street, that the permIt card lS located at the front ofthe property, and the approved set of plans wIll remam on the sIte at all tImes durmg constructIOn ~~- ~ TOrs S.gnature 5 -- I:;?- -o~ Date Paee 2 of 2 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 Penmt # CO"" t:<sC ~-O C 67 b Issued by C;OI JJ "'b<f ~ ~~.'A-J Date Sj/z.--/a y / .. Address Statement: Info. mation Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requires residential constructlOn permit applzcants who are not lzcensed with the ConstructlOn Contractors Board to sign the followzng statement before a buddzng permit can be Issued This statement IS required for resldentzal buddzng, 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 appropnate blanks and ImtJ.al boxes 1 and 2, and eIther box 3A or 3B -0'1 ~2 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 ConstructJ.on Contractors Board OR ~B I wIll be my own general contractor If I lure subcontractors, I WIll lure only subcontractors lIcensed WIth the ConstructJ.on Contractors Board If! change my mmd and lure a general contractor, I WIll contract WIth a contractor who IS lIcensed WIth the CCB and wIllnnmedIately notify the office Issumg thIS buIldmg permIt ofthe , 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. ~.,.:r ~ !: -12 - (J) ~ /rSIgnature of permIt applIcant) (Date) (WhIte copy to ISSUzng agency permit file, pznk copy to applzcant) Property_owner doc 06-01-04 Acting as Your I eneral Contractor? , I INFORMATION NOTICE TO PROPERTY OWNERS I ABOUT CONSTRUCTION RESPONSIBILITIES I I NOTE ThiS InformatIon Notice to Property Owners Construction Contractors Board In accordance with Construction ResponslblIltles was developed by the 701 055(5), passed by the 1989 Oregon Legislature If you are as your own contractor to construct a new:homc or make a substantralImprovement to an eXIstmg structure, you can prevent many problems by beIng aware of the follOWIng responSIbIlItIes and concerns I Employer , - You m most mstanccs, be ruled to be an "employer" <ind the contractors you contract with wIll be "employees" If you use contractors not hcensed wIth the ConstructiOn Board to do labor ill con~tructmg or to assIst m the constructiOn or Improvement of a resIdential structure As you must comply with following: Tax As an employer, you wIthhold Income taxes from employee wages at the tIme You W111 be hable for the tax paym~nts even If you don't actually Withhold the tax from your more InfonnatiOn, call the Department of~evenue at 503-3784988 on to a tax for l..memployment Insurance purposes Employment Department at 503-947-1488 As an employer, you are more InformatIon, call \ I I The Oregon IdentificatIon Number (BIN) IS a number for both Oregon Wltbholdmg and Unemployment Insurance Tax To file for a BIN, can 503-945-8091 or W\Y\V dor state 01 usJfonnSD3.V htmll for the I appropnate i I ]n~urance: As an employer, ydu are subject to the Oregon Worker~' CompensatIOn Law, and must obtam workers compensatIOn msurance for you~ you fall to obtam workers' compensatIon msurance, you subject to penaltIeS and be hable fbr all costs If one of your employees IS lllJured on the Job more call the Workers' Compensatl~n DIV1SIOn at the Department of Consumer and BUSIness SerVICes at 503-947-7815 Revenue SCl1"vice: As an employer, you Withhold federal Income tax from employees' wages be hable the tax payment even If you dIdn't aC,tually WIthhold the tax For a Federal EIN number, call the fRS at 1-800-829-4933 or VISit theIr web SIte at \v"\Y\\'J!5_ggi Responsibilities of Concerns As the permIt holder for thIS project are responSible for rcsolvmg any fallure to meet code may be brought to your attentlOn through I I ln~urance: Contact your Insurance agent to see If you have adequate msurance omISSIOns such as falhng tool<;. faint over \'vater damage from pipe punctures, fire or " I -> sure you have tIme to superV1se sme you the skIns to act as your to notIfy bmldmg offiCials as tbe contractor, to coordmate the work of rough-m hmes so they can perfonn the reqUIred mspectIuns questIOns can the ConstructlOn 97309-5052 (501-378-4621) or wnte the agency at PO doc 06-01.04 /~ Followmg Recordmg, Please Return to ICOPYI ORIGINAL oocur, lENT on flip wIth JOHNSON, CLIFTON, LARSON AND CORSON, PC Attorneys rugeN', Ore~, In GENERAL DURABLE POWER OF ATTORNEY I, RO BERT F. MARQ UESS, desIgnate TROY MARQ UESS, as my attorney- m- fact and agent (subsequently called "Agent") to serve wIthout bond m my name and for my benefit 1 GENERAL GRANT OF POWER To exerCIse or perform any act, power, duty, nght, or oblIgatIOn whatsoever that I now have or may hereafter acqUIre relatmg to any person, matter, transactIOn, or party, real or personal, tangIble or mtangIble, now owned or hereafter acqUIred by me, mcludmg, wIthout lImItatIOn, the followmg specIfically enumerated powers I grant to my Agent full power and authonty to do everythmg necessary In exercIsmg any of the powers herem granted as fully as I mIght or could do If personally present WI th full power of SUbstItutIOn or revocatIOn, hereby ratIfyIng and confirmmg all, that my Agent shall lawfully do or cause to be done by VIrtue of tlu.s power of attorney and the powc;,rs herem granted 2 BUSINESS INTERESTS, To contmue any bus mess mterest owned by me, either mdIVIdually or as co~partner, as a gomg concern, my SaId Agent shall be vested wIth every power In connett1d'ii.LfuerewIth _ \\ 3 POWERS OF COLLECTION AND PAYMENT To forgIve, request, demand, sue for, recover, collect, receIve, hold all such sums of money, debts, dues, commercIal paper, checks, drafts, accounts, deposIts, legacIes, bequests, deVIsees, notes, mterests, stock cemficates, bonds, dIvIdends, certIficates of depOSIt, annUITIeS, penSIOn, profit shanng, retuement, SOCIal secunty, msurance and other contractual benefits and proceeds, all documents of tItle, all property, real or personal, mtangIble and tangIble property, and property nghts and demands whatsoever lIqUIdated or unlIqUIdated now or hereafter owned by or due, owmg, payable, or belongmg to me or m wlu.ch I have or may hereafter acqUIre an mterest, to have, use, and take all lawful means and eqUItable and legal remedIes and proceedings In my name for the collectIOn and recovery thereof, and to adjust, sell, compromIse, and agree for the same, and to execute and delIver for me on my behalf and m my name all endorsements, releases, receIpts, or other suffiCIent d1scharges for the same III III GENERAl DURABLE POWER OF ATTORNEY - Page 1 of 4 ,-. 4 POWER TO ACOUIRE AND SELL To acquIre, purchase, exchange, grant opnons to sell, execute and delIver deeds, and sell and convey real or personal property, tangIble or mtangIble, or mterests therem on such terms and condItIOns as my Agent shall deem proper To mvest m my name III any stock, shares, bonds (mcludmg US Treasury Bonds referred to as "flower bonds"), such mvestments as my Agent, ill hIS or her sole dIscretIOn, may deem best ( 5 POWER TO TRANSFER PROPERTY TO TRUST To transfer and convey any and all real property or personal property that I may own or whIch I may hereafter acqUIre, or whIch may become payable to me, to the Trustee then actmg pursuant to the terms of The ROBERT F MARQUESS REVOCABLE TRUST dated December 28, 1992, as amended, whIch was establIshed by me as Grantor 6 MANAGEMENT POWERS To enter upon and take possessIOn of, mamtam, repaIr, Improve, mvest, manage, msure and remsure, rent, lease, pay taxes, encumber, and m any manner deal wIth any real or personal property, tangIble or mtangIble, or any mterest therem that I now oWn or may hereafter acqUIre m my name and for my benefit upon such agents, clerks, servants, or other persons as my Agent, m hIs/her sole dIscretIOn, shall deem necessary and adVIsable To vote at meenngs of shareholders or other . \ meetmgs of any corporatIOn or c?mpany and to execute any prOXIes or other mstruments m connectIOn therewith .1 ~ 7 ,- BANKINe'.1~6wERS To make, receIve, and endorse checks and drafts, depOSIt and WIthdraw fun~~, acqUIre and redeem certIficates of depOSIt m banks, savmgs and loan aSSOCIatIOns, and other mstItutIOns, execute or release such deeds of trust or other secunty agreements as may be necessary or proper m the exerCIse of the nghts and powers herem granted 8 MOTQR VEHICLES To apply for a CertIficate of TItle upon and endorse and transfer tItle thereto for any automoblle, truck, pICkup, van, motorcycle, or other motor vehIcle and to represent m such transfer aSSIgnment that the tItle to saId motor vehIcle IS free and clear of all hens and encumbrances, except those speCIfically set forth m such transfer aSSIgnment 9 T AX POWERS To execute, acknowledge, and file all federal, state, and local tax returns of every k.md and nature, mcludmg, WIthout lImItatIon, mcome, gIft, and property tax returns such as returns for any year or years, declaratIOns of estImated tax, claIms for electIOn To pay any and all taxes, charges, and assessments m connectIOn WIth the foregomg tax returns or that may be leVIed, assessed, or Imposed upon any of such lands, bulldmgs, tenements, or other heredltaments that may belong to me GENERAL DURABLE POWER OF ATTORNEY - Page 2 of 4 ,1/ .. / / 10 SUPPORT & COMFORT To make expendItures for my care, support, maIntenance, and reasonable comforts 11 POWER TO MAKE GIFTS, To make gIfts to my lIneal descendants In amounts not greater than the annual exclusIOn from gIft taxation provIded by IRe S2503(b), consistent wIth my estate plannIng objectIves 12 LEGAL PROCEEDINGS, To compensate, prosecute, dIscontInue, or defend all actIOns or other legal proceedmgs pertammg to me or my estate or any part thereof, to settle, compromIse, or submIt to arbItratIon any debt, demand, or other nght or matter due me or concernmg my estate as my Agent, m hIS or her sole dIscretIOn, shall deem best and for such purpose to execute and delIver such releases, dIscharges, or other Instruments as he or she may deem necessary or adVIsable, and to satIsfy mortgages, IncludIng the executIOn of good and suffiCIent release or other dIscharge of such mortgage 13 INTERPRETATION AND GOVERNING LA \V ThIS Instrument IS to be construed and mterpreted as a general durable power of attorney The enumeratIOn of speCIfic powers herem IS not mtended to, nor does It, hmIt or restnct the general powers hereIn granted to my Agent "ThIS mstrument IS executed and delIvered In the State of Oregon, and the laws of the State of Oregon shall govern all questIOns as to validIty of thiS power and the constructIon of Its prOVISIOns .) I expressly declar~ ~t I am famIlIar WIth the prOVISIOns ofORS 127005 and that the powers of my Agent herem descnbed shall be exerCIsable by my saId Agent on my behalf notwIthstandmg that I ma/become dIsabled, IncapacItated, or otherwIse Incompetent by reason of Illness or aCCIdent or any other reason 14 CONSTRUCTION The paragraph headmgs used are for convemence only and shall not be resorted to for mterpretatIOn of thIS power Wherever the context so - reqUIres, the masculme shall mclude the femmIne and neuter, and the SIngular shall Include the plural If any portIOn of thIS General Durable Power of Attorney IS held to be VOId or unenforceable, the balance of thIS General Durable Power of Attorney shall nevertheless be carned Into effect 15 LIABILITY My Agent IS authonzed to act on my behalf wherever It IS Incumbent upon hIm or her to do so In accordance WIth hIS or her best Judgment, and prOVIded he or she IS actmg WIthIn hIS or her powers, he or she shall be responSIble for good faith only III GENERAL DURABLE POWER OF ATTORNEY - Page 3 of4 ~~ " /' // ..1/ ,'/ 16 THIRD-P ARTY RELIANCE ThIrd partIes may rely upon the representatIOns of my Agent as to all matters relatIng to any power granted to my Agent, and no person who may act m relIance upon the representatIOns of my Agent or the authonty granted to my Agent shall mcur any lIabIlIty to me or my estate as a result of perrmttmg my Agent to exerCIse any power 17 COMPENSATION My saId Agent shall be reImbursed for all reasonable expenses mcurred m the management and protectIOn of my assets DATED and sIgned m Lane County, Oregon thIS ; 'I day of ;::-c. b .2005 If dre-rJ-- 1-. rn ~ A1 A - ROBERT F. MARQuE-SS STATE OF OREGON ) ) ss r County of Lane L/ .--, n,4- I, On thIS I day offJ=:8R-e(~ 2005, before me, the underSIgned Notary PublIc, personally appeared ROBB~T F 'MARQUESS, who IS personally known to me or has proved to me on the ba~Irot satIsfactory eVIdence to be the person whose name IS subscnbed to thIS mstrument, ackno~ledged that he executed It - WITNESS m~nd and offiCial seal L:?1~~ JJ 4~ tjotafy Pub~ for or-egon ~ /onumssIOn ExpIres 5", (7 0 (p _ OFAClAL SEAL. : GAIL C ........oloI ~ , NOTARV PU8l.JC . ....""'..OM ; \ COMMISSION: NO 357417 " tI( COMMISSION r:N" InES MAY 17, 200ll "'. ,",. .'...... .'.. ,., GENERAl DURABLE POWER OF ATTORNEY - Page 4 of4 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00676 COM2008-00676 COM2008-00676 COM2008-00676 COM2008-00676 COM2008-00676 Payments Type of Payment Check cRecemtl RECEIPT #: DescriptIOn Water Lme - Each Addtll00' + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee FIxture Water Lme - 1st 50 Feet Paid By R MARQUESS PROPERTIES CIty of Springfield OffiCIal ReceIpt Development Services Department Public Works Department 2200800000000000648 Date: 05/12/2008 Item Total Check Number AuthorizatIOn ReceIVed By Batch Number Number How ReceIVed DJB 2324 In Person Payment Total Page 1 of 1 2.45 48PM Amount Due 1600 4 10 984 820 1600 5000 $104 14 Amount PaId $104 14 $104 14 5!l2/2008