HomeMy WebLinkAboutPermit Correspondence 2005-10-20
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City of Springfield
225 Fifth Street, Springfield, OR 97477
541-726-3759 Phone
541-726-3676 Fax
October 20, 2005
ALVES JOSEPH
2460 HARVEST LN
SPRINGFIELD OR
97477
Job Number:
Location:
COM2005-00693
2460 HARVEST LN
Proj eel:
Replace water heater
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 2460 HARVEST LN which is set to
expire on 12/8/2005. Our records indicate that you have not requested an inspection within the past
five (5) months, This letter is written to notify you that your permit(s) will be expiring shortly. If you
are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If
you do not request an inspection prior to the expiration date, your permit(s) will expire and additional
permit fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790,
Sincerely,
Lisa Hopper
Building Safety Supervisor
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
- 541-726-3769 Inspection Line
SITE ADDRESS: 2460 HARVEST LN
ASSESSOR'S PARCEL NO.: 1703234401000
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00693
ISSUED: 06/08/2005
APPLIED: 06/0812005
EXPIRES: 12/08/2005
VALUE:
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace water heater
Owner: JOSEPH ALVES
Address: 2460 HARVEST LN
SPRINGFIELD OR 97477
Contractor Type
Plumbing
Contractor
OWNER
# of Units:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VN
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541-747-3951
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. I CONTRACTOR INFORMA1il0j\l\,{-ll\ \l\iXI\'!
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'12.~1i\,~~ aa~01'e90l\ \)\I\I~)Lot Size:
Nei~WS\B~~OI .ao~' Sq Ft 1st Floor:
TYI\~CeI\\0t \9 '\ Sq Ft 2nd Floor:
Waler Type. Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: Sq Ft Other:
Sprinkled. Building: nla Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay D1st:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
N01\CE'. DownsP~'t.~ffir.n!!Is;\1\: WORK
1\1\S p\:RMII S\1I\~~ 1\1\S p\:RM\1 \S NOl
i\\Jl\10Rl1\:D \JN~ \S I\BI\NDONm FOR
MM\:NCm On
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I Valuation Descri;'i~'nl
$ Per Sq Ft
or multiplier
Square Footage
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Value
Date Calculated
Paee I 012
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. CITY OF SPRIrljul'U"LU
Building/Combination Permit
PERMIT NO: COM2005-00693
ISSUED: 06/08/2005
APPLIED: 06/08/2005
EXPIRES: 12/08/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~ Ff'f's Pllid.l
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$4.50
$3.15
$14.00
$31.00
6/8/05
6/8/05
6/8/05
6/8/05
Receipt Number
1200500000000000806
1200500000000000806
1200500000000000806
1200500000000000806
Total Amount Paid
$52.65
I Plan Reviews I
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.
lJeouired Tn~np-r.tions I
Rough Plumbing: Prior to cover and including required testing.
- Final Plumbing: When all plumbing work is complete.
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.
1 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
timesdurlngco t:::e .!t:u/?JL 6 - f -0 5-
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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
. Permit #: C.Ow\ z.A ~-O 0 b ,:!
Address: Z4.b() J-f-II.lZ..vt;:c:", uV
Issued by: "h (1 Date: 6 -g- -0 J
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 befiled with the permit.
Fill in the al'l"Ul'riate blanks and initial boxes I and 2, and either box 3A or 3B:
B'"" 1.
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I own, reside in, or will reside in the completed structure.
~- 2.
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
0/3B. 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.
c;;& Ilf( ,cd/ ~ 10 - f -() 5-
y- -)(SitJ~e:f~~rmit'l1pplicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
7w!,ouLowner.doc 06-01-04
k~ttrrig 1ii'~c:lffn'f(OWrrn GerrneIraR cC!n~Ira~t@Ir?
\rd -'f Z-~v 1\\i~dRM~:rI~'~OTICE TO PROPERTY OWNERS
1. 'j-- ~-- ,~ A@U.:rCONSTRUCTION RESPONSIBILITIES
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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.
lEmjplloyer ResjpollD.sillJini~es
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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 Contractors 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 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 purpose~,;
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488.
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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/formsoav.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 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 503-947-7815.
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 1-800-829-4933 or visit their web site at \vww.irs.QOv.
Other Resjpoll1lsftllJftllfttftes amll Areas oft' COl!llcenlls
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 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.
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 a}'}'w}'. ;ate times so they can perform 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.
Property _ owner.doc 06-01-04
225 Fifth Street
Springfield, Oregon 97477
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541~72(i:..3759 Phone
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JiJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00693
COM2005-00693
COM2005-00693
COM2005-00693
Payments:
Type of Payment
Check
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6/8/2005
RECEIPT #:
1200500000000000806
Date: 06/08/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Fixture
Minimum! Adjustment Plumbing
Paid By
JOSEPH AI. VES
Clem Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1304 In Person
Payment Total:
Page I of I
2:08:15PM
Amount Due
3.15
4.50
14.00
31.00
$52.65
Amount Paid
$52.65
$52.65