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Home My WebLink AboutPermit Mechanical 2004-11-19Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line F'TELD Building/Combination Permit PERMIT NO: COM2004-01432ISSUED: llll9l2004 APPLIEDz llll9l2004EXPIRES: 05/1912005 VALUE: SITE ADDRBSS: 1287 8TH ST ASSESSORTS PARCEL NO.: 1703264300500 PROJECT DESCRIPTION: Gas heating stove Owner: SASHA TAVENNERKRUGER Address: 1287 8TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residential PhoneNumber: 541-343-2160 Contractor Type Mechanical Contractor TED L HUFF JR Expiration Date 0s/15/200s Phone 541-338-7ss0 License 73806 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: of Heat:PE i0D Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: EIF PERl,l ANDONED Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: D 11 IS NOT UNDER 1 IS AB Square Footage or Bid Amount VN $ Per Sq Ft or multiplier Oregon law : Those OAR 952{01' rulesbY REQUIRED PARKING Total: Handicapped: Description Type of Construction Total Value of Project Value Date Calculated l,Lt TryIl,I\rNr'(rt(lvlArl(rN l Valuation Description Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01432ISSUED: llll9l2004 APPLIEDz llll9l2004EXPIRES: 05/1912005 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $15.00 $4.00 $26.00 $62.6s Date Paid tut9t04 tut9t04 tut9t04 tut9t04 tyt9l04 tut9t04 Receipt Number 1200400000000001639 1200400000000001639 1200400000000001639 1200400000000001639 1200400000000001639 1200400000000001639 Plan Reviews To Request an inspection call the24 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 during construction. 4/"rr. /q /2 Owner or Contractors Signature Pase2 of2 Date r ees ralo I Keourreo lnsDectrons I M Construction Contractors Board permit *: Couuzaac.{- O tq3Z 700 Summer St ltE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress: www.ccfulg!@Uq Address: t Zg1 8+l 5 t- Issued by:b3 Date: lt () 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 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 be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. ,/ oR V 38. I will be 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 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. //a,t t?ta4 (Signature of permit applicant)(Date) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 1 -04 Aeting e$ Your Own General C6ntractor? *'';''q INFORMATION NOTICE TO PROPERTY OWNERS II,BOUT CON$TRUCTION RESPON$IBILITIES Ifyou are existing skucture, K xmptroyer Responsibilities Y*t: will, in m*sf insta*ces, be ru1ed to be an "effiployer" and the c*n&.act*rs y*u c*nkact with will be "employees" if yrlu use contyactors not iiser:sed rnith the Construeticn Cank*ctors Board t* d* iabor in constructing or tc assist in the constn:ction *r im,pr*yement of a residential strricltl.e"e. As ftre empleyer, y&u rnust e*mply with th* following: $r*gon's Xrit*h*trding Tax l-arry: As ar: *mplcy*r, )i*u xn:.r$t witl:h*Id inecme taxes frorn employee $rag*s at the time emplnyers are paid. Y*u xrill bs liable f*r the t&x payr:l:le&ts ev*;: if y*u d*n'l *ctually x"ithtr*ld th* t*x *om y*ur en':ployer:s. for *rqrr* in{oxnati*n, **11 the }ep*lrtrn*rt cf R"*v**ue at 5$3-3?84988. Uuemployment fasurnn*e ?ax: As an employer, you ars required to pay a tax for unaxploymontinsurance purposes:.. on the v/ages of all employees. For more infcrmation, call the Oregon Employment Department at 503-947-1488. ' _i ,. The Oreg*n Business ldenti{ication Nurrber (Bil.{} is a combined number for both Oregon }Vit}tholding and Unemployment Insuran*e Tax. To {ile f,or a BIN, cali 5S3-945-8091 or vyxrv.dgt$ta}e.or.uslformsgry.}rta*1 for the ,i : :appropriate forms. i Workers' Compensation Insuranee: As an ernployer, you are subject to the Oregon Workers' Compensaticn Law, and must obqln workers' compensation insurance fcr ycur empioyees. If you fail to obtain workers' compensation insurance, you bould be subject to penalties and be liable for all claim costs if one of your employees is injured on the job" For rnore infbrrnation, catl the Workers' Compensation Division at the'Deparknant of Consumer and Blsiness Services at 503-947-78 tr5. U"$. Ixrter:rxl X&eveltxe $ervi*e: &s an *::rpl*yer. y*La ?x:u$t withhoid federatr income tax *om *mpl*yees' \xiag*s, Y<iu u,iltr be trtab3* {or t}"1* taK pa}.mxe&t *\.*$ if y*x didn't ac{*ally with}t*}d t}r* tax" F*r a Feelera} trIN **mher, **}} t}:* IRS at 1-800-879"4933 or visit their rryeb site at iytll{Jl{€gy" $ther Kesp*msibiXities mnd Ar**$ rlf Coneerns Csr!* {l*xxrp}ixxl**t -{s the pei"rxit }i*lder fur tki* pr*;**t, y*u er* rrsp*nxihl* i*r res*lr,ing **y fxilxre ttl rnect r:od* reqr:irements that m*y I:* brr:*ghl t* y*ur nttel:li*n ilx*ugh inspe*ti*:n*. Liahitity *x** Frelpex'ty &arl**ge Xrc*xvalr**: C*xt**t y**r ias*ran{:e ssfnt t* s*e if y*u have ad*quate insurance covcrxse f*r a**i*}*nt j aniJ omrss:lrns sr,:+il aa *lhn6 l**is, pain{ *vrr sprey} w*Ner d*mage fr*rn pipe pxxetures, fir* *r w*rk that m*st br* r*d*n*. nf y** lt*v* *rct{iiti*::a1 q**str*ns *aii thci il*nstrx*:li*n il*:tfiix*t*rs R*arql {5*3-3?S*{62tr} *r lq1-ite th* *6*x*y a{ }1* 3*x i,{iSS, $aks:*, *R *?3*9-}*$2" Propen,,,-atr nrr.(luc i ib-0 I " {"}.} Canstruction Cantractors Saard in accordanc* witlz ORS 7U.A55f5J, passed by the 1989 Aregon Legislature. theabautOvvra*rs Constru*tion t,vasT*:t/s ln{arrnationIfiis J^IU.l\ In*iaa bydev*lapedProp*rly 225Fitth Street Springfleld, Oregon 97 477 54;-726-3759 Phone city of Springfield Official Receipt -,velopment Services Department Public Works Department RECEIPT #: 1200400000000001639 Date: 1111912004 1:51:57PM Job/Journal Number coM2004-01432 coM2004-01432 coM2004-0r432 coM2004-01432 coM2004-01432 coM2004-01432 Description + 7Yo State Surcharge + l0% Administrative Fee Gas Outlets 1-4 Gas Fireplace Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.s0 4.00 15.00 26.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check SASHA D T KRUGER djb 124 In Person $62.65 Payment totat: -56ffi tUt9/2004 Page I of I ttFattaaal}rrl-D SPR.""GFIE!.D D EV E LO P M ENT SERV I C ES DE PARTM E NT 225 FIFTH STREET SPRINGFIELD, ON 97477 (541) 726-s753. FAX (541) 726-3689 www. ci. sp ri n gf ield. o r. u s April 19,2005 Sasha Tavenner Kruger 1287 8th Street Springfield, Oregon 97477 Job Number: COM2004-01432 Location: 1287 8th Street Project: Gas Heating Stove Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which 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 at 1287 8th Street which is set to expire on 512312005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 Sincerely, Lisa Hopper Building Safety Supervisor