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Home My WebLink AboutPermit Electrical 2006-03-01ITY Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00241ISSUED: 0310112006APPLIED: 03/0112006EXPIRES: 09/0112006 YALUE: SITE ADDRESS: 340 22ND ST ASSESSOR'S PARCELNO.: 1703361303100 PROJECT DESCRIPTION: Rewire House Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential License Expiration Date phone Owner: Address: Owner: Address: Contractor Type Electrical FENSTERMACHER ADAM M 340 22ND ST SPRINGFIELD OR 97477 MOLNAR MOLLY A 340 22ND ST SPRINGFIELD OR 97477 Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: J'!."0f,CE: IHIS /rsAUrHORIZEOu,\/affi IViEl'flEt; OR IHE KTIS REQUIRED PARKING Total: Handicapped: Compact: PERM WOR Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: - Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: OD Sidewalk Type: Downspouts/Drains: Notes: Pase I of2 erur r.re uregon Utility NotificationCenter is I _800_382 _2344). Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00241ISSUED: 0310112006APPLIED: 03/0112006EXPIRES: 09/0112006 VALUE: G Description Tvpe of Construction Fee Description + llVo Administrative Fee + 8%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Value of Project Date Paid 3nt06 3flt06 31u06 3nt06 Value Date Calculated Receipt Number 2200600000000000254 22006000000000002s4 22006000000000002s4 22006000000000002s4 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $9.10 $7.28 $43.00 $48.00 Total Amount Paid $107.38 To Request an inspection call the 24 hour recording at726-3769. AII inspection requested before 7:00will be made the same working day, inspections req uested after a.m. day.7:00 a.m. will be made the following work Rough Electric: prior to Cover Final Electric: When all electrical work is complete. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that allinformationhereon is true and correct, and I further that any and all woik shall be done in accordance withthe Ordinances of the City of Springfield and the certify performed that NO OCCUP ANCY will be made of Laws of the State of Oregon pertaining to the work described herein, andany structure without permission of the Community Services Division, Building Safety.I further certify that only contractors and employees who are in compliance with ORS 701.005 wil be used on this project.I further agree to ensure that aII req;uired inspections are requested at the proper time, that each address is readable from thestreet, that the permit card is Iocated at the front ofthe property, and the approved set ofplanstimes during construction. Owner or Contractors Signature Page 2 of 2 Date will remain on the site at all Valuation Description I r ees rato I '225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Oflicial Receipt _ evelopment Services Department Public Works Department RECEIPT #: 2200600000000000254 Date:03/01/2006 10:56:09AM Job/Journal Number coM2006-00241 coM2006-00241 coM2006-00241 coM2006-00241 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0% Administrative Fee Amount Due 43.00 48.00 7.28 9. l0 Item Total:$r07.3E Payments: Type ofPayment Paid By unecl(Number Authorization Received By Batch Number Number IIow Received Amount Paid CreditCard ADAM FENSTERMACHER njm 05193A InPerson Payment Total: $107.38 -$ro-75.,T I-t I-t 3/1/2006 Page I ofl nPRlr*Arr3-O CITY OF SPRT OREGON SiT YGFIELD D EVELO P M ENT S E RVI C ES D EPA RTM E NT August 25,2OOo Ms. Molly Molnar Mr. Adam Fenstermacher 340 22nd Street Springfield, Oregon 97477 RE: Permit Extension Dear Ms. Molnar and Mr. Fenstermacher: I am responding to your request for an extension of your permit for the wiring at your residence located at 340 22no Street, Street, Springfield, oregon, City Job Number COM2006-00241. As long as your project has not been suspended or abandoned for any 180 day period, your permit will remain valid and an extension is not needed. Our records indicate your last inspection was on August 9, 2006, making your permit valid at this time untir February g,2ooz. Please call the inspection line (726-3769) to request an inspection prior to February 9,2007 to keep your permit active. lf you have any questions, please feer free to contact me at 126-3790. Sincerely, Lisa Hopper Building Safety Management Analyst 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 ) 726-3753 FAX (541) 726-3689 www. ci. sp ri n gf i el d. o r. u s Molly Molnar & Adam Fenstermacher 34A 22"d Street Springfield, OR 97477 August 23,2006, Lisa HoPPer City of SPringfield 225 5th Street Springfield,Ok 97477 I am writing to you in regards to electrical permit # coM2006'0024l' This permit will expire on September 1, i006. We recently realized tlat y: will be unable to finish the electrical work on our residence by the s"pt".u"r l_ deadline. The inspector has already inspected our work twice and the onfy pu.i of the job that is left is dry walling the soffets and patching up some holes in or. *uti, in order io pu.t the final inspection' We are concerned about tt"-q"Jity of our work and want to do it right' After-we began the dry wall work in one of our rooms, we realized that the job is more work than we expected' In order to complet"ltl nnuf steps of the job, we lt"q.u little more time' Therefore' we are requesting an extension for our electrical permit. Please contact me at 747-3089 and let me knowif an extension can be granted for our permit. Dear Ms. HoPPer, Thank you, Molly Molnar and Adam Fenstermacher r1%ATtlb m*\fl0\r,--'J 225 FIFTH STREET . SPRINGFIELD, OR 97471 o PH:(541)726-3753 o FAX: (541 )126-3689 PERMIT APPLICATION Date - City Job Number I LOCAT I O N O F IN S:TEIIET I ON 3. COMPLETE a\ 416 22 ,9 S+- ON ho'.r SC JOB DESCRIPTION /a o< 3G /?O-i t aa Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. A. New Residential - Single Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or E. Pump or inigation Sign/Outline Lighting Limited Energy/Residential 8% State Surcharge l0% Administrative Fee TOTAL unit. $ 106.00 $ 19.00 $50.00 ) Electrical Contractor Supervisor Expiration Date Constr Number Date Si gnature of Supervising Electrician Owners Name rvl l^F lerrrn rq[ qr Address 1'lO 7f-S f City 561'rr,*F; g1)nnone ?.11 3oBCl OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Feeder B. Services or 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 C. Temporarl' Services or Feeders rnstalfiififl ltriEi"tion or Relocation 200 AnTfril& BtfiMlT SHALL EXPIEE IET$8.W0 RK 20 I Ailiii idi{bB icii0su N D E R T H I s P E R [\,fl Slg0N A City $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 50.00 $ 25.00 & 7') OT 401 Ar6SMMm$er[8 0R IS ABANDONE$TP0N o,"' o&diX.S qrq6Uo REft S& "e" uu*", New Alteration or Extension Per Panel 7 onecircuit / $43'oo Each Additional Circuit or with / ,' Service or Feeder Permit / Q $ 3'oo n3.& l{iscellaneous (Sen'ice/feeder not included) -Each lnstallation Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Q/. * lrfrn4 Inspection Request: 726-37 69 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l-06.doc () CITY OF SPRINGFIELD, OREGON i;olon Owners Signature: 4 Y. Construction Contractors Board Permit 700 Summer St IttE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: lgryigg$]lq]4g Address: Issued by: { 2// ,2 t* 5r 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 Contraitors Board to sign the following statement before a building permit can be issued. This statement ts 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 befi.led with the permit- Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: {t tr 3A. My general contractor is (ccB #)(Nane) 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 contractor. If I hire subcontractors, I will hire only subconkactors 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 Propefi about Construction Responsibilities on the reverse side of this form. v of permit @ate) (Yfihite copy to issuing agency permitfile, pink copy to applicant.) l. I own, reside in, or will reside in the completed sfirrcture' 2. I understand that I must become licensed as a construction contractor if the stnrcture is sold or offered for sale before or on completion. (LvL$a'G,L Property_owner. doc 06-0 I -04 o3/o//o(Z Acting es Your orvn General Contractor? i'"- INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RE$PON$IBILITIES NATE: This Canstruction lnformation Notice to Properly Awners about Canstructian Responsrbilrfies was developed by thecontractors Board in accardance with o?s 7a1.055(5J, passed bythe lggg oregon Legistiture. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problans by beirry aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the cqntractors you conkact with will be .'employees" if you us9 contractors not licensed with the Constuction Conhactors Board to do labor in constructing or to assist in the construction or improvement of a residential struchre. ^A.s the employer, you must comply with th'e following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time ernployees are paid. You will be liable for the tax payments even if you don't actuatty wittrfrota the tax from yor:r employees. For more information,'call the Dryartmort of Revenue at 503-3?84988. Unemployment fnsurance Tax: As an employer, you are required to pay a tax for unomployment insurance purpor& on the wages of all employees. For more information, call the Oregcn Employment Departmen t at 5A3-g47- f +AS. The Oregon Business Identification Number (BS.I) is a combined number for both Oregon Withholding and Unemployment Insuranse Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.uslformspay.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensafion Law, and must obtain workers' compensation insurance for your employees" If you fail to obtain workersi compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on thejob. For more information, call the Workers' Compensation Division at the Departfient of Consumer and Business Services at 503-947 -7815. U.S' Internal Revenue Service: As an employer, you must withhold'federal income tax from ernployees' wages. You will be liable for the tax payment even if you didn't actually withhCIld the tax. For a Federal EIN number, call the IRS at l-800.8294933 or visit their web site at www.irs.so_v : Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that qray be brought to your attention through inspections. Liability and Property Damage fnsurance: Contact ynur insurance agant to see if you have adequate insurance' coverage for accidents and omissio,ns such as falling tools, paint over spray, water damage from pip punctures, firs or work that must be redone. Time: Make sure you [lav& sufficient time to supervise your employees:' . i' ' Expertise: Make sure yor, huur&6.[inr to act as your bwn general contractor, to coordin'ate the workof rough-in and finish trades, and to noti& building officials as the appropriate times so they can perform the required inspections. If you have additionai questions call the Construction Confractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property*owner.dac 06-0 l -04