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Home My WebLink AboutPermit Plumbing 2006-03-14Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2006-00303ISSUED: 0311412006 APPLIED z 0311412006 EXPIREST 0911412006 VALUE: SITE ADDRESS: 2778 WHITWORTH LN ASSESSOR'S PARCEL NO.: 1703361111305 PROJECT DESCRIPTION: Replace sanitary se\ryer. Springlield TYPE OF WORI(: Plumbing OnIy TYPE OF USE: Alteration Residential th * Owner: Address: MOORE GORDON R & GLADYS L 2778 WITITWORTH LN SPRINGFIELD OR 97477 lone ation VUIICT: Contractor Type Plumbing Contractor OWI\IER i/S PEB/ License Expiration Date Phone [4/I s EB IH /S ABA # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type 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: NY # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: lBO DA Y PE8 /00 n/a Sidewalk Type: Downspouts/Drains REQUIRED PARJSNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value Date Calculated 6f Valuation Description I L[' V tll,(rrlvlt t\ I Ll\ r (rl(rvrA r rur\ I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone -541-726-3676 Fax ' 541-726-3769 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00303ISSUED: 0311412006APPLIEDz 0311412006EXPIRES: 0911412006 VALUE: - Fee Description + l0o/o Administrative Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Total Amount Paid Amount Paid $53.10 Total Value of Project Date Paid 3n4t06 3n4t06 3tr4to6 Receipt Number 2200600000000000316 2200600000000000316 2200600000000000316 Fees Paid Plan Reviews 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. Sanitary Sewer Line: Prior to filling trench and including required testing. 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. 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 construction. 0 */4--o6 Owner or Signature Pase2 of2 Date $4.50 $3.60 $45.00 XM Permit -Oc3o 3Construction Contractors Board 700 Summer St ItlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress3rybs1!4!g4g t'^L tt^l odl\,- Issued by:-\unt D*e:g " \Q -ob m E tr Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requtres residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor 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 stdtement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: l. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction confiactor if the strrcture is sold or offered for sale before or on completion. 3A. My general contractor is (ccB #)(Name) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR E 38. I willbe my own general contractor. 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 wittr ttre CCB and will immediatelynotiff the office issuing this building permit of the name of the conhactor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice io froplrty Owners about Construction Responsibilities on the reverse side of this form' ofpermit applicant)(Date) (llhite copy to issuing agency perrnitfile, pink copy to applicant') Property-owner.doc 06-0 I -04 Acting as tvur Own General Corrtractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOIE,: This lnformation Natice to Property Ovvners aboul Construction Responsibi/ffies l,yas devetoped by the Construction Contractars Board in accardan*e with ORS 701.055(5), passod by the tg89 Oregon Legistatura. If you are acting as your own contacfor to conskuct a new home or make'a substantial improvement to an eiisting sfucture, you can prevent mariyproblems by bertr&as/are of the followiigresponsibilities arid concerns. : Employer Responsibilities You will, in most in$tances, be ruled to be an "employer" and the contractors you contract with wrllbeler,qplolees" if you use contractors not licensed with the Coastruction Contractors Board to do labor in constructingor tq,4gsiqt in the consfruction or improvement of a residential structure. As the employer, you must comply with the followin$: Oregon's Withholding Tax Ldw: As an employer, you must withhold income taxes &om ernployee 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 emplcyees,Formoreinformation,galltheDeparthentofRevenubat503-378-4988. Unemployment Ins*rance Tax: As an employer, you are required to pay a tax for unemployment insuranee purposes on the wages of all employees. For more information, call the Oregon Employment Deparfment at 503-94?-1488. .,; The Oregon Business ldentification Number (BS{) is a combined number for both;Oregoa.I[ithholding and ' Unemployment Insurance Tax. To file for a BtrN, call 503-945-8091 or www.dor.state.or.us/formspay.htmll for the appropriate forms. ,. trVorkerso Compensation Insurance: As an empioyer, you are subject to the Oregon Workers' Compensation Law, and must obtain workors' compensation insurance for your employees. If you fail to obtain rryorkers' compensation insurance, you could be subject to penalties and be liable for all clairn costs if one of yotn employees is injured on thejob. For more information, call the Workers' Compensation Division at the Deparknent of Consumer and Business Services *t 503-947 -7 815. U.S. Intern*l Revenue Service: As an employer, you must withhold fed€ml income tax frorn.employees' wag.r. ; You will be iiable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at l-800;829-4933 or visit their web site at Utg ujtsgoy. Other Responsibilities and Areas of Concerns Code Compliance : As the permit holder for this project, you are responsible for resolving any failure to rheet code requlr:Jnexts that may be brought to your attention throrleh inspections. Liability and Propertl' Damagti fnsurance: Contact your instrrance'hgent to see if you have'ddequati insurance ' coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire orwork that must be redone. Time: Make sure you hate sufficient time to supervise your employees. ,. . I .., -,.' Expertise: Make sure you have the skills to act as your own genetal contractor, to'io6rdinate the work of rough-in and finish frades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Consfruction Conkactors Board (503-3784621) or write the agency at pO Box 14140, Salem, OR 97309-5052. Property-owner.doc 06-01-04 'it" 't:-':' r 2?5 Fifth Street Springfield, Oregon 97 477 si:,rl-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200600000000000316 Date: 0311412006 ll:34:36AM Job/Journal Number coM2006-00303 coM2006-00303 coM2006-00303 Description Sanitary Sewer - lst 50 Feet + 8% State Surcharge + l0% Administrative Fee Amount Due 45.00 3.60 4.50 Item Total:$53.10 Pryments: Tvpe ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check GLADYS L MOORE Jmp 4606 In Person $53.10 Payment Total: -5Si6- ,l ,4 ;i "t I tl t 3t14/2006 Page I of I ll,l5ratll'o SI'RII IELD CITY OF SPR'OREGOruFI D EV E LO P M E NT SE RVI C E S D E PARTM EN T 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-375s FAX (541) 726-3689 www. ci. sp ri n gf i e I d. o r. u s August 30, 2006 Ms. Gladys Moore 2778 Whitworth Lane Springfield, Oregon 97477 Dear Ms. Moore Your request for an extension of your permit for a sanitary sewer replacement for your residence at 2778 Whitworth Lane, Springfield, Oregon, City Job Number COM2006-00303 has been reviewed and approved. This extension may only be granted one time and will expire on March 2,2007. lf you have any questions, or if I may be of any assistance, please feel free to phone me at 726-3790. Sincerely, Lisa Hopper Building Safety Management Analyst th 7l ,.fu a ^ 4 Qoo6 ,e e4,/--ail, "r(/a--OL: .,4/%- ru/ .?-.Li-/l/7-- ,a-Ur*Af 2 ,r7zwz0 t ru*/ ru,4v4- 2 Z 7JoE CollAoob'Oo 3cJ H1, 7'/ ?s/3? Zlvz .-rA- /44, .54- 4,, SFEIHAFIELD August 21,2006 MOORE GORDON R & GLADYS L 2778 WHITWORTH LN SPRINGFTELD OR 97477 City of SPringfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax Job Number: Location: Project: Dear Pennit Holder: incerely, Lisa Hopper Building SafetY coM2006-00303 2778 WHITWORTH LN Rdplace sanitary sewer The Springfield Building Safety code Administrative code provides that in order for a permit to remain valid, the work ,irri.r, 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 at2778 WHITWORTH LN which is set to expire ongrL*tzoo6- orr records inai"ate that you have not requested an inspection within the past five (5) months. This letter is written to notify yo, thut your pennit(s) willbe expiring shortly' If you are ready to request an inspectio, fo, yo,r.-f-1ect, please phone the inspection line at 541-726-3769' If you do not request an inspection prior tot-t " "*piiuiion date, yo" petmit(s) will expire and additional p"""it fees wijl be requirid in order to complete your project' If you have any questions, please feel free to phone me at 541-726-3790' Management AnalYst