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