The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2007-03-15Status 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: COM2007-00391ISSUED: 03/15/2007 APPLIED: 03/1512007EXPIRES: 10/1212007 VALUE: SITE ADDRESS: 2539 20TH ST Springfield TYPE OF WORK: Mechanical OnlY ASSESSOR'S PARCEL NO.: 1703244300110 TypE OF USE: Alreration PRoJECT DESCRIpTION: Install gas furnace and ductwork, gas piping to dryer. Expiration Date 03/07/2008 Residential Phone 541-988-5674 Owner: Address: COOPER PERLE M & IRENE E 2513 DEBRA DR SPRINGFIELD OR 97477 Contractor TvPe Electrical Mechanical # 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 Speciat lnstruction: Contractor OWNER CHARLES ISAAC OSGOOD License 168942 # of Stories: Range TYPeAUT HORIZED UNDEEnergy ffi-J:if,::fisi'tus water rype:THIS PEHMI I SHAL L ExEFftEliifffrhx,. R THS PEQMIT:|S NOT ABAq$omttH, Lot Size Sq Ft lst Floor: Sq Ft 2nd Floor: n/aSprinkled OverlaY Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: REQUIRED PARKING Total: HandicaPPed: ComPact: Sidewalk TYPe: DownsPouts/Drains::; t Notes: Pase I of3 ffiL,l Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-1 26-31 69 InsPection Line Description TvPe of Construction Fee DescriPtion -Mechanical Issuance Fee- + l}oh Administrative Fee + 57o TechnologY Fee + 8%o State Surcharge Appliance Not Listed Appliance Not Listed ApPliance Vent Furnace - uP to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + 107o Administrative Fee + 57o TechnologY Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid B uilding/Com bin ation Permit PERMIT NO: COM2007-00391ISSUED: 03/15/2007 APPLIED: 03/1512007 EXPIREST t0ltZl2007 VALUE: $ Per Sq Ft or multiPlier Square Footage or Bid Amount Total Value of Project Date Paid Value Date Calculated Receipt Number 2200700000000000354 2200700000000000354 2200700000000000354 2200700000000000354 2200700000000000354 2200700000000000354 2200700000000000354 2200700000000000354 2200700000000000354 2200700000000000354 1200700000000000404 1200700000000000404 1200700000000000404 r200700000000000404 1200700000000000404 Amount Paid $10.00 $4.50 $2.25 $3.60 $9.00 $9.00 $6.00 $12.00 $4.00 $5.00 $4.60 $2.30 $3.68 $43.00 $3.00 3n5107 3lt5t01 3l15l01 3l15l01 3l15l01 3n5101 3l15l01 3l15l01 3lt5l07 3l15l07 4l12l07 4l12l01 4l12l07 4l12l07 4l12l07 To Request a.m. will be work day. an inspection call the 24 made the same working $121.93 hour recording at 126-3769' All day, insPections requested after inspections requested before 7:00 7:00 a.m. will be made the following Rough Gas: After line is installed and required testing and capped if not attached to an appliance' Rough Mechanical: Prior to Cover Final Gas: When alt gas work is complete' Final Mechanical: When all mechanical work is complete' Paee 2 of3 u q Status IssueJ Building/Corn bina tion p errnit :r.?lrlrh Streer, Springrierd, OR541-726-3753 phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Rough Electric: prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefu lly examined the completed application and do hererby certify that allinformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance withthe Ordinances of the City ofSpringfield and the Laws of the of Oregon pertaining to the work described herein, andthatNO OCCUPAN CY will be made of any structure without State I further certify that permission of the Communify Services Division,Building Safery. further agree to only contractors and employees who are in compliance with ORS 701 .005 will be used on this project. Iensure that all required inspections are requested at the proper time, that each address is readable from thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction 7-Ze-d7 Owner or Contractors Signature Date tage3 ot3 - PERMIT NO: ISSUED: APPLIED: EXPIRES: VALUE: coNI2007_OO3s7 03n5t2007 03/15/2007 t0/12/2007 SPBINGFIELD ,;:i:il r::.; -;.: ;r i . .:,::. .,: .:'tr..'- %r' ', zoN 225 FIFTH STREET r SPRINGFIELD, OR 97477 r PH:(54I)726-3753 . FAX: (541)726-3689 ELE CTRI CAL P ERM IT APP LI CATI O N Ciry Job Number o o3 1. LOCATION OF INSTALLATION: . Date 200 AmPs or less 201 AmPs to 400 AmPs 401 AmPs to 600 AmPs 601 AmPs to 1000 AmPs Over 1000 AmPs/Volts Reconnect OnlY INITIALS DATE SOURCE 7--.o7 $ 19.00 s50.00 $ 75.00 $125.00 $163.00 $ 50.00 $ s0.00 $ 50.00 $ 2s.00'L- s 45.00 Fee is $45.00 * Surcharges o LI Suspended for 180 daYs' COAIrIEA CTOR INS?I{I IATI ON 3. CO]I{PLETE FEE SCHEDWE BELOW' A. Nerv Residential - Single or l\"lulti'Famil-v per dwelling unit' 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 B. Services or Feeders - Installation' Alterations or Relocation: Permits are expire if work is not 180 days of issuance or if work is 'l Electrical Contractor Address Phone Supervisor License Number Expiration Date / Constr. Contr- Number Expiration Date Signature of Supervising Electrician Owners Name Address Z 1 Ciry Phone OWNER INSTALLATION <-)7 (-o sl LEGAL DESCRIPTION Ll L((o(>((oI703Z JOB DESCzuPTION c{ZC (L 5,\. O.nILI" City ,./t NOIICL Installation, Nteration or Relocation Over 600 Amps or 1000 Volts see "B" above' D. Branch Circuits New Alteration or Extension Per Panel ' ' r JI s or.oo Ll fft1fiil"nal circuit or with I $ 3.00 -- 7 i.*itt or Feeder Permit E. Nliscellaneous (Service/{eeder uot included) -Each lnstrllatiorr AUTHORIZED COMMEN )E )A\ t\l "1 The installation is being made on property I own is not intended for sale' lease or rent' 8% State Surcharge 10% Administrative Fee 5% TechnologY Fee Inspection Request: 726'3169 which TOTAL Shared Drive(T: )/Building Forms/Electrical Permit Application 8-06.doc lt C. TemPorary 5s1r'ices or Feeders )ra Construction Contractors Board permit *, cOttl Zt' f- oo3 ?/ 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-37E4621 WebAddress:ry$!31!4g Address:zS3 7 ZO+L Issued by:)>d Date:o Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires 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 70i.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the stnrcture is sold or offered for sale before or on completion. tr 3A. My general conhactor 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 38. I will be my own general conffactor. 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 witn trre CCi] 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 io rroplrty owners about Construction Responsibilities on the reverse side of this form. /tz /7 (Signature of permit applicant)(Date) (White copy to issuing agency permitfile, pink copy to applicant-) Property-owner. doc 06-0 I -04 ,l Acting as \tur Own General Cbntractor? INFORMI\TION NOT'CE TO PROFERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES If you are acting as your own confractor to constnrct a 4ew home or make a substantiai improvement to an existing structure, you can prevent many problems.by being #are of the following responsibititiee and concems. Employer Responsibilities You will, in most instancesn be ruled to be an "employer" and the confactors you contragt witlr will be "employees" if you u$& conlractors not licensed with the Construction Conkactors Bpnrd to do labor in constructing or to assist in the construction or irnprovement of a residential skucture. As the employer, you must compty with tte following: .s. Oregon's WitnholOiog Tax Law: As an employer, you must withhold income taxes from employee ilages at the time ernployees are paid. Yeru wiltr be liable tbr the tax payments even if ycu don't actually withhoid the tax from yogr employees. For more information. call the Department of Revenue at 503-3784988. i. Unemploynrent Insxrance Tax: As an ernployer, you are required to pay a tax for unanrploya*nt insurance purposaqa- on the wages of all employee s. For more inf,ormation, call the CIregon Employrnent Departmerit at 5*3-g47-1484. ; The Oregon Business ldentification Number $nD Unemployment Insurance ?ax. To file for a BIN, cal appropriate forms. is a combined number for both Oregon Withholding I 503-945-809 I or w'x,rv.dor.state.or.gs/fbrmspay.html I for the Workersn Compensation Insurnnee: As an employer, you are subject to tke Oregon Workers' Compensation Law, and mugt-qbtain wolkers] compensalion ir.rsurance for your employees. If you fpi! to obtain workers'compensation insuranCe, you could be'i'ubject to penalties and b" liable forall"claim costs if one of your entft<iyeesisinjuleA on thejob. For more information, call the Wcrkers' Compensation Division at the Depart** of 'C#*urrr*iiriil Business Services at 503-947-78 15. LI.S. Internal Revenuc $erviee: As an empluyer, you must withhold federal income tax.ltrom ernpibyees'.*";Et You will be liable for the tax payrnent eyen if you didn't *ctually withhold the tax. For a Fecleral EIN number, call the -\ fRs,af l;800-trig-4933,or visitiheir web siteat wyLv,$s,grlv , . :. -. :, , , ; ,i i. .. .. ' (1, .:1: Other Responsibilities and Areas of Concerns Cod* Compliance: As the perrnit holder fr>r this prcject, you are responsible for resolving any failu.e to'meet code requirements that may bu irrought to your attention through inspections.'':i" ..' ;r,,' ' t'i:;,, .r. .,..: . .:,i.. ..1.-,t1..:.j ity lrnm*gd lirsnr'ante:' Cilntaet your insurance agent to see if *brr have adequite indr*artb'*,'Liability and Prope coverage for accidents and omissions such as falling tools" paint over spray, water damage from pipg punctr:res, fire cr work that must be redone. Time: Make sure you have sufficient time to supervise ycur empioyees Expertise: Make sure you iiaiii tfi'e skills to act ds your or*n general contracfbr,rto ibordinate the work of rough-in and finish trades, and to notify building r:fficials as the appropriate times so they can perform the required inspectinns. If you have additionai quesfions call the Construction Contractors Board (503-3784521) or write the agency at pO Box 14140, Salem, OR 97309-5052. prcperty*owner:.doc 06-0i-04 i"'';tr ii 'i' '' ' " 1-" t) iJOfE: Tttis lnfarnatian Natic* to Froperly Owners abouf Construction Respansibilitie,s ly€s developed by the Canstruction Confracfors Soard in accordance with ORS 7A1.A55(SJ, passed by the 1989 Aregon Legistature. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cia, of Springfield Official Receipt L ,lopment Services Department Public Works Department RECEIPT #: 1200700000000000404 Date: 0411212007 ll:17:00AM Job/Journal Number coM2007-00391 coM2007-00391 coM2007-00391 coM2007-00391 coM2007-00391 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5olo Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 43.00 3.00 2.30 3.68 4.60 Item Total $s6.58 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received CreditCard c AND H HEATTNG AND COO djb 012108 In Person $56.58 Payment Total : -556-15B- cReceint I Page I of I 411212007 *$Nil,oFtIL,D Amount Paid