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HomeMy WebLinkAboutPermit Building 2007-04-06Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CITY Building/Combination Permit PERMIT NO: COM2007-00511ISSUED: 0410612007APPLIEDz 0410612007EXPIRES: 10/0612007VALUE: $ 500.00 SITE ADDRESS: 1408 PARKER ST ASSESSOR'SPARCELNO.: 1703253312400 PROJECT DESCRIPTION TYPE OF USE: Repair Replace l4lf exterior wall and replumb 4 fixtures. Springfield TYPE OF WORK: Single Family Residence Residential Owner: Address: WILLIAM WIGGINS 828 RAINTREE WAY SPRINGFIELD OR 97477 PhoneNumber: 541-914-5502 License Expiration Date PhoneContractor OWNER BOB FISHER ELECTRIC INC JOE PISCOPO PLUMBING LLC Contractor Type General Electrical Plumbing 96275 t679tS 0y25t2008 0l/10/2008 541-689-7973 541-510-0770 CONTRACTOR INFORMATION AT I t-ttt # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: l{0IlCE: oh of Lot coverage: IH'S REQUIRED PARKING Total: Handicapped: Compact: E WORK c0M ANY 180 D AY PERIOD EDORISA EAI1JOOIIJED FOR ls U0Lnrrx Type: Notes: Pase 1 of3 Downspouts/Drains: e rqrL.J I, U lLtrll\ u u'!II-,r(1Yl4_|:g...1 cal;lncitl}3 snufiSgfor :cn of Heat:ru,6s t t a. .l U!rCd AR 952 -0c the rules I S Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00511ISSUED: 0410612007 APPLIEDz 0410612007EXPIRES: 10/0612007VALUE: $ 500.00 Description Type of Construction Fee Description + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Fixture Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200700000000000373 r200700000000000373 1200700000000000373 1200700000000000373 1200700000000000373 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.10 $s.05 $8.08 $45.00 $s6.00 s124.23 4t6t07 4t6t07 416t07 4t6t07 4t6t07 tr'eps Pnid Plan Reviews To Request a.m. will be work day. an inspection call the 24 hour recording at 726-3769. AII inspections requested before 7:00 made the same working day, inspections requested after 7:00 a.m. will be made the following Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Page 2 of3 Valuation Descriotion I ___ts'e(Iurreo r nsDecttons I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00511ISSUED: 0410612007 APPLIED: 0410612007EXPIRES: 10/0612007VALUE: $ 500.00 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 Communify 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. 7 Owner or Contractors Signature Date Pase 3 of3 Construction Contractors Board Permit #:COt-1, * SO 7 - oo5/I 700 Summer St I\E Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:!gry"g$1!3!4q Address: lqO 6 Y-&- Issued by:Date: Statement: Information Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not Itcensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and. either box 3A or 38: s, \, I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. tr 3A. My general contractor is (Name)(ccB #) M I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general confractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 2.2^ ^A. 2-aa€ ($gnature it p{tiit applicant)@ate) ftlhite copy to issuing agency permitfile, pink copy to applicant.) o6 Property_owner. doc 06-0 I -04 7 Acting as Your Own General Cb'ntractor? )) \, INFORMATION NO?ICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES lf you are acting as y"our own contractor t* ccnskuct a-new home or make a substantial irnprovement to an existing str*ctlre" you ca$ pr*vent many problems by being:rv]*re of the following responsibililies and concems' Employer ResPonsibilities You wilrl, in most instances, be ruled to be an'oernployer" end the contraciors you conkact with wili be "employees" if you use contagtors not licensed with the ConsEuction Contractors Board to do labpr in construct.ing or)t? A$sis! in the construction or improvement of a residential skucture. As the employer, you must compty *itf tUi fo{gwini: Oregonns Withholding Tax Law: As an employer, you mr.rst withhold incorhe taxes &om employee wages at the time **ploy*"* are paid. You will be iiable for the tax payments even if you don't actually withhold the tax frory lour "*plry".r. For more information, cali ihe Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an ernployer, you-are required topay a tax'for unernployrncnt insurance purpos$- on the wages of all employees. For more inforrnation, cali the Oregon Employment Deparsnent at 5S3-947-1488. i The Oregon Business Identification Number {Bn\D is a consirfp{ $1rmber for botlroregoarWilhholding and Unemploymcnt Ineurance Tax. "I'c file for a BIItr, call 503-945-8091 or w$nY"dor.slate.or.us/fo-ttnspay.htlqll for the appropriate forms" .: Workers' Compensation fnsurance: As an employer, you are subject to the Oregon Workers' Cornpensation Law, and must obtain workers" oornpelsation insurance for your employees. .If you fail to obtain workers' cor4pensation ;;;;;", ,"n cauta be sugeci io penalties and be liabie for aliclaim'co3ts if cne of your eqlployees id injuied on the job" For rnore information, catl the Workers' Compensation Di'i.ision at the Department ofieonsumer and Business Services at 503-q47-7815. \6 U.S. Internal Revenue Service: As an employcr, you must ivithholil federal'income tax from employees'wagg!-'-' you will be iiable far the tsx paynlent even rf you didn't a*tualiy uri&hoLd the tax. For a Federal EiN nunrber, call the trRS at 1-800-82-$-4933 or visit their web site at www.irs.gerv Other Responsibilitiss and Areas of Concerns Code C*mpii*N*e: As tfu* peni"rit h*ld*r i*r this pro.ject, y$il are respcnsible for res$lving any faitrur* to meet co<ie requirements thal may b* l":rought t0 your attentlon thrc*gh inspectio*s. Liatrility and Properg,'Ilamage Insurance: Contact ynur insurance ag€Irt'to see if you have adequA'te insura*ce *oo.r*gi lor acci4cnts ancl omissi*ns such as faitring tocls, p*i:rt over sprfiy, water darnage iiom pipe punctures, fire or work thal must be redone. ^. Tirne: Make sure yon have sufficient time tr: supervlse yr:ur empl*yees. ' " " t :-' ''rl' "' Expertise: Make sure you have the skills to aii'as ycur own general confactor, td cooidfnate the work of rough-in and finish trades, and to narify building o{ficials &s the appro;rriate times so they can perfcrrm the required inspectians. If you have additional questior:s cali the Construction Contractors Board (503-3784621) ar write the agency at PO Ilcx 14140, Salem, OR 97309-5052. . ,j_ i, , , . ,:!, : Praperty*nwner. doc 06-0 1 -04 Canstruction Contractors Board in accordance with ARS 7A1.055(5.), passed by the 1989 aregon Legislature thelvasabout0wnersConstructionlnfarmationThisfoNoticebydevelapedTE:PropertyNO 225 Fifth Street Springiield, Oregon 97 477 541-726-3759 Phone Ci+* of Springfield Official Receipt L elopment Services DePartment Public Works Department RECEIPT #: 1200700000000000373 Date: 0410612007 2:47:4tPNt Job/Journal Number coM2007-0051 I coM2007-0051 I coM2007-005 r l coM2007-0051 I coM2007-0051 I Description Building Permit Fixture + 57o Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 45.00 56.00 5.05 8.08 10.10 Item Total:$124.23 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard WILLIAM WIGGINS djb 269542 In Person Payment Total: $124.23m cReceint I Page I of I 4/612007 lil*r&e*ilLs \D{-SP9|INGFIELEI''":,'i::r:l' trl: ,i,,,.t. -.. -@8, ' zoN INITIALS DATE SOURCE225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)726-3?53 ' FAX: (541)726-3689 ELE CTRI CAL P ERM IT AP P LI CATI O N Ciry Job Number o -oos/l I &qa{Pho1e 1&?-??73 Date Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps 601 Amps to 1000 AmPs Over 1000 AmpsNolts ' Recorrnect OnlY' s 106.00 $ 19.00 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 / $375.00\ s s0.00 City Expiration Date D.- LEGAL DESCRIPTION: / 7oJ ZS33 / Z vdo JOB DESCRIPTION: lca+eAU Z aru^ Permits are nod-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. OaNTRACTOR'TNST,qLLATTON ONLY Electrical Cont u"tor,&) g Address B. Services or Feeders - Installation, Alterations or Relocation: ;h "'1 .Installitio'n;tttir:ation or Relocation 200 Amps or less S 50.00 Constr. Contr. Number 1 O- 5 f Z- C Expiration Ourc /Z- 0f : 07 SignatureofsupeqvisingElectrician N0TICE: D' Over 600 Amps or 1000 V!ftsee "B" above. .. Branch Circuits $ 69.00 $100.00 included) -F'ach Installation $ s0.00 s 50.00 $ 2s.00 $ 45.00 TH Owners Name Address Ciry SPpz.D phote ?r /- {5O2 OWNER INSTALLATION The installation is being made on properfy I own which is not intended for sale, lease or rent. Owners Signature: S PER M IT SNAUi}HffifiB Hfl{F!$ilOPffr PANCI / ror.oo U j ZE D q,ith COMMENCED O $ 3.00 j E. Nliscellaneous(Service/feedernot U 201 Amps to 400 Amps 401 Amps to 600 Amps Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 8% State Surcharge l0% Administrative Fee 5% Technology Fee Minimum Electric Permit Inspectiorr Fee is $45.00 * Surcharges 4. STJBTOTAL OF ABOI,'E gfr Inspection Request: 726-3769 TOTAL Shared Drive{T:)/Building Fonns/Electrical Permit Application 8-06.doc II,{STALI-ATION: o/c o. ' (L Supervisor License Number V 7 7,;-S C. feniflorary Serticei or-Feeders E*trF*o- I -- .----_--.-_- G Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00511ISSUED: 0410612007APPLIED: 04/0612007EXPIRES: 10/1112007VALUE: $ 500.00 SITE ADDRESS: 1408 PARKER ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCELNO.: 1703253312400 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace 14lf exterior wall and replumb 4 {ixtures. Owner: Address: Contractor Type General Electrical Plumbing WILLIAM WIGGINS 828 RAINTREE WAY SPRINGFIELD OR 97477 Phone Number: 541-914-5502 License Expiration Date PhoneContractor OWNER BOB FISHER ELECTRIC INC JOE PISCOPO PLUMBING LLC 96275 t67915 0y2s/2008 0l/10/2008 s4t-689-7973 541-510-0770 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary 0ccupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available Special [nstruction: # of Stories: Height of Structure: Type of Heat: Water Type: ! Range Type: , pnergyfathr , , ; Sprinkleg,Building. Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ficupant Load: R-3 VB I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: AUIHORIZED ''i i.i 4 r I REQUIRED PARKING Total: Handicapped: Compact: COM,I4ENCEb R ,S ABAND HAtL EXP,RE Irfi{p$fiffine: NDER THIS P}R inn*f,9ryUf/DU 0 PER,OD Notes: ANY 1SO DA' Page I of3 ON ED FOR ratns: T DulLl-rll\t, 11\ r (rI(lYlA r I\r1\ | Status Issued 225 Fifth Street, Springfield, OR S4l-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2007-00511ISSUED: 0410612007APPLIED: 0410612007 EXPIRES: l0/1112007VALUE: $ 500.00 Description Type of Construction Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Fixture + l0Yo Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200700000000000373 r200700000000000373 1200700000000000373 1200700000000000373 1200700000000000373 1200700000000000395 1200700000000000395 1200700000000000395 1200700000000000395 r20070000000000039s $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.10 $5.05 $8.08 $45.00 $s6.00 $4.60 $2.30 $3.68 $43.00 $3.00 $180.81 4t6t07 4t6t07 4t6t07 416t07 4t6t07 4/1U07 4nu07 4nu07 4nu07 4/tU07 'aid Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. AII 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the buitding is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When atl plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pase 2 of3 ryrI Valuation Description I Status Issued 225 Fifth Streeto SPringfield, OR 541-126-3753 Phone 541-726-3676 Fax 541 -7 26-31 69 InsPection Line Building/Combination Permit coM2007-00511 04/06/2007 04/06/2007 EXPIRES: 10/1112007 VALUE: $ 500.00 PERMIT NO: NSUED: APPLIED: 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 "no "tl woitr perrormed shalt be done in accordance with the ordinances of the city of Springlield and the Laws of ihe State of oregon pertaining to the work described herein, and that No occupANcy will be made of any structure without permission of the cornmunity services Division, Building Safety' I further certify that only contractors and employees who are in comptiance 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. Owner or Contractors Signature Date Pase 3 of3 225 Eifth'Street Springfield, Oregon 91 411 541-726'3159 Phone Ci-- of Springfielil Official Receipt ;- rr"P-*iservices DePartment'--' Poblit Works DePartment Date:04/11/2007 9:23:03AM Job/Journal Number coM2007-oo511 coM2007-00511 coM2007-0051 1 coM2007-0051 I coM2007-0051 I RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5%o Technology Fee + 8%o State Surcharge + 10o/o Administrative Fee 1200700000000000395 Amount Due 43.00 3,00 2.30 3.68 4.60 Item Total:s56.58 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard WILLIAM WIGGINS djb 489391 In Person Payment Total: $s6.58 -SRF cReceint I Page I of I 411U2007