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Home My WebLink AboutPermit Mechanical 2006-10-16 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '. . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01327 ISSUED: 10/16/2006 APPLIED: 10/16/2006 EXPIRES: 04/16/2007 VALUE: SITE ADDRESS: 2560 HARVEST LN ASSESSOR'S PARCEL NO.: 1703234400500 Springfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: Replace insert Owner: WARREN BARR Address: 2560 HARVEST LN SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor WEBER INC # of Units: Primary Occupancy Gronp: R-3 Secondary Occupancy Group: Primary Construction Type VB Secondary Constrnction Type: # of Bedrooms: Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction TYPE OF USE: Repair Residential Pbone Number: 541-747-9846 LON &0:1 OJ. ' \" SI ,. Wn'1\ 0".. \'u-11. ,<"TfY:} / -'~I1ElIt r;-"Q:lr. ': I CONlfMc-rQQ,INFef-MATrOl\lJ.I, ~Gld.t ".]~IY. ~JJN lI'i..{kr 'J 77t>'f..{S'17 (l:i~i~JVo.txPiration Date .l.flffitOf..{JOL. 04/16/2010 BUILDING INFORMATlo.rfi~ S/f..{i . ~ './0" # of Stories: Lot Size: ,q~eight of Structure Sq Ft 1st Floor: 101t.19P~?f !leat: Sq Ft 2nd Floor: /1I0tillCWa~~rlf.yjl~~. Sq Ft Basement: If/ O,q 'C(R.aJl1~T~I!~; egO/) I Sq Ft Garage/Carport '0'09'0 1:/ 'Ed'erft.YII)~~?teO' 6 ClI1r re. Sq Ft Other: C . Yc~'f'inl<l~!IJJGili!!nl(r tile oQu'Dh!; I, Occupant Load: 'l#','_ fh..." UDt,. v"iSa, '/"~_ ",0., ~ "i "D&\;ELbRMEN~mEi)l~MAiiorf"'l? Utili;; C . I/Ie 0." (tv. """e8 -"/'f 9. 'et lort. ef/fs r-.~ Ote. 01 tl1 S.?-O ~ O~"lay_ 1Si'" Uti/lie tet. e rUle '0, # Street ~~!ld'~ /vo ?1J1I0f/ 86) Paved Drive Rq'if?<~1 t/fiCqti e % of Lot Coverage: '/. Of/ Phone 541-687-0860 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal(e 1 of2 _GI!Al!<lq.~!,..:~, . \ I Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mecbanical Issuance Fee- + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Surcbarge Minimum/Adjustment Mecbanical Wood StovelInsert Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-0]327 ISSUED: ]0/]6/2006 APPLIED: ]0/]6/2006 EXPIRES: 04/]6/2007 VALUE: . Total Value of Project Ff'f'~ P~W Amount Paid Date Paid Receipt Number 2200600000000001443 2200600000000001443 2200600000000001443 2200600000000001443 2200600000000001443 2200600000000001443 $10.00 $4.50 $2.25 $3.60 $15.00 $30.00 10116/06 10/16/06 10/16/06 10/16/06 10/16/06 10/16/06 $65.35 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. I.Rf'n"~ Wood Burning Insert: After installation. By signature, I state and agree, tbat I have carefully examined tbe completed application and do hereby certify tbat all information hereon is true and correct, and I furtber certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety.. I furtber certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure tbat all required inspections are requested at the proper time, tbat eacb address is readable from tbe street, tbat tbe permit card is located at the front of tbe property, and tbe approved set of plans will remain on tbe site at all times during construction. ~AAjAA .. ~ ~a /lA Owner or Contracto~natu;e /c;:J ~ / h -- CJh Date Paee 2 of2 e; \, ,i " " " " " " . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.cch.state.or.us e. Pennit #: C OW\"Z-= (.- 0 I"] Z 7 Address: Z S"G 0 1-tMLv'tsI ~4 Date: Issued by: L-A( /0/6;;6 / 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 <>pp,vl,,;ate blanks and initial boxes I and 2, and either box 3A or 3B: ~L ~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. ~A. My general contractor is W tl] t;fL. ~C (Name) 5'7513 (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. 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 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. yf~.k fff1flA / /iJ -/~ -C)~ (Signature'of p....,,{; applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) Property_owner. doc 06-01-04 , Adnll1lg ~~ ~l\JlJr O~ll1l'G,ell1lenllll C!ttJr~ll(~tt@Jr? \ .' .' ~ . .. 0 . -1I\lFORMATION NOTICE TO PROPERTY OWNERS ABOU_T,CONSTRUCTlON 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 lRe!ijpoJrn.!iibilitne!i . ~. 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 Coristruction Contractors Board to do labor ill constructing or to assist in the construction or improvement of a' residential structure. As the employer, you must comply with the foDowing: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employces are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more infonnation, 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 purposes.-- on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. . _. The Oregon Business Identification Number (BIN) is a combined !lumber for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.html1 for the apPJ.up~ate fotnls. "":' J I\ --- J') ( j .J V ---. Workers' Compensation Insnrance: As an employer: you ate 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 www.its.l!OV. . . . \ Otll1elt'.lReslPonsnbiRities andl Areas 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 thro,:~ inspectio~s. Liability and Property Damage Insurance: Contact your inslrrance"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. " , I Expertise: Make sure you have !he skills to aCt ~s your own gene~ai contractor, to"coordinate the work of rough-in and finish trades, and to notifY building officials as the appropriate 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 541-726.:J759 Phone . ~..~'....i.. ~. ~ fa of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2006-01327 COM2006-01327 COM2006-01327 COM2006-0 1327 COM2006-0 1327 COM2006-0 1327 Payments: Type of Payment Check cReceinl1 RECEIPT #: 2200600000000001443 Date: 10/16/2006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Wood Stovellnsert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By WARREN BARR Item Total: t:heck Number Authorization Received By Batch Number Number How Received djb 0920 In Person Payment Total: Page I of I 8:41:38AM Amount Due 2.25 3.60 4.50 30.00 15.00 10.00 $65.35 Amount Paid $65.35 $65.35 10/16/2006