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Home My WebLink AboutPermit Building 2005-01-04Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01391ISSUED: 0110412005APPLIED: 11/1012004 EXPIRESz 0812312005YALUE: $ 2,000.00 SITE ADDRESS: 525 21ST ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'SPARCELNO.: 1703361304400 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: BWOP. Dryrot repair underfloor and plumbing and electrical PhoneNumber: 541-312-2623Owner: Address: MATT PETZ 24029 DODDS RD BEND OR 97707 Contractor Type General Electrical Contractor OWNER L H MORRIS ELECTRIC OWNER License Expiration Date Phone 01838 06/08/2005 541-747-0811 CONTRACTOR INFORMATION # 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: l,oub ,lrutification Sprinkled Building:nla Occupant Load: R-3 \rN Energy Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: NOTICE COMMENCED REQUIRED PARKING Total: Handicapped: Compact: THE WORK ER IS ANY 180 DAY PERIO DEVELOPMENT INFORMATION Notes: Page I of3 Building/Combination Permit Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01391ISSUED: 0110412005APPLIED: 11/1012004 EXPIREST 0812312005VALUE: $ 2,000.00 Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 2,ooo.oo Total Value of Project Amount Paid Date Paid Value $2,000.00 $2,000.00 Date Calculated 11,n7t2004 Fee Description + l0o/o Administrative Fee + 7oh State Surcharge Building Permit Fixture + l0o/o Administrative Fee + lVo State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Penalty Fee - BWOP Building Penalty Fee - BWOP Plumbing Total Amount Paid $1r.50 $8.05 $4s.00 $70.00 $12.50 $8.75 $106.00 $19.00 $45.00 $70.00 tu22t04 tU22l04 tu22t04 tu22t04 u4t05 u4t0s u4t05 u4t05 2t24t05 2t24t0s Receipt Number 3200400000000000348 3200400000000000348 3200400000000000348 3200400000000000348 1200500000000000006 1200500000000000006 1200500000000000006 1200500000000000006 2200s00000000000214 2200s00000000000214 $395.80 ['ees Paid 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Renrrired Insnecfinns Paee 2 of3 Valuation Descriotion I Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line F'PRIN Building/Combination Permit PERMIT NO: COM2004-01391ISSUED: 0110412005APPLIED: 11/1012004 EXPIRESz 0812312005VALUE: $ 2,000.00 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 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. v"g -a c /,{", 0\")YL N.z-2,( -o f.! Owner or Contractors 0 -1/Signature r,{r\)" q F1 3 U J\{.Date0 (- Pase 3 of3 City of Springfield Official Receipt r,elopment Services Department Public Works Department RECEIPT #: 2200500000000000214 Date: 0212412005 8:42:09AM Job/Journal Number coM2004-01391 coM2004-01391 Description Penalty Fee - BWOP Building Penalty Fee - BWOP Plumbing Amount Due 45.00 70.00 Item Total:$11s.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard MATT PETZ djb 046209 In Person $l 15.00 Payment Total: -Si1Edb- 2t24/2005 Page I of I atfrarf5225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone n 02/06/ol FRI 09:11 FAI 541726368S @ oor 2ls FIFTIISTREET ' SPRINGI'IELD, OR97477 . PIL(541)72G3753 .IAX: (54L)72 E I-E CTrUI CAL P E RMIT AP P LIUTT ON City Job Num.bcr Cau Z.>r>Datc /',9-e 9 LEGAJ, DESCRIPTION ta0'336r=o 9?o.>Service Includcd 1000 sq. ft. or less Each additiooal 500 sq. fr or portion thcreof Each Manufact'd Home or Modular Dwstrir g Scrvice of Fceder 200 A.ups or less 201 Amps to 400 Amps 401 Amps to 600 A-aps 601Amps to 1000 Amps O,ver 1000 A-ups/Volrs lar, (Note:the n uti lity JOB DESCRIPNON Fr-c*/lo',5 6. Permis are non-transferable and erpire if work is not started within 180 days of issumce or if worlr is Suspended for 180 doys- 7 Electrical Co!.bactor L. t/,El**r Address City Svre.Phone 7 4?'og ll Supcrvisor Licensc Nuaber SazC S- Erpiration Date c-- (-1 Constr. Conrr. Number Dlg38' lixpiradoa Date l- r-ds of Supcndsiag Elecriciau Owners Name Addre.ss Zt(oZ 7 D-JJ3fu! City Bewe Phoue rqi- V7'2L23 OWNER INSTAILATION The installatioo is being nade on property I owu which is aot iutea'dcd for sale, lessa or r€ot -2344). S1oo.0o Over 600 or 1000 Volts see *8" above. v- nry B. I ss0.00 s 63.00, s 75.00 - s 125.00 s i 53.00 s375.00 s 50.00 uies bY telePhoneg tO.rO f .t-ar'--'IEdi-*rgrr.oo s 43.00 s 3.00 D. New Alteration or Erteoslon Per Panel One Circuit Each Additional Circuit or vrith Service or Feeder Pqoit - 4- AUlH c0Mhil ANY 1I prrnrF of irrigetiou SigdOrtline Lighting Limitcd EacrgyrResideatial Fee TOTAI s 50.00 s 25.00 Onaers Sigaatr.ue: Lisrited Eaerry/Co--crciel _-_-_-- 5 45.00 Electric Perrait Inspection Fee is 545.00 + Surcharges I DONED IOR 8 & tJ 5u t4L'5 Shared Drivc(f:VBuildiue FormyElecnical Pcrmit epplicaLion l-0i.dcc Inspection Request: 72G3769 02/06/04 FRI 08:09 [TI/R-I N0 6329 ] CITY OF SPRINGFIELD E. Building/Combination Permit Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01391ISSUED: 0110412005APPLIED: 11/1012004 EXPIRES: 0710412005VALUE: $ 2,000.00 SITE ADDRESS: 525 21ST ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'SPARCELNO.: 1703361304400 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: BWOP. Dryrot repair underfloor and plumbing and electrical Owner: MATT ptr.Tz Address: 24029 DODDS RD BEND OR 97701 Contractor Type General Electrical Plumbing PhoneNumber: 541-312-2623 Contractor License Expiration Date Phone OWNER A"iTf i'lTlCN: Oregon law requires you tO L H MORRIS ELECTRIGTv,T riries adopted by0ftBoregon Utilit96/08/2005 541-747-0811 CONTRACTOR INFORMATION OWI\ER # 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: Notrfication Center. Those rules ar6 set I R-3 \rN of the rules by c# ld?$d&f;.Genter. (Note: the telephor65t Size: nutr&fidgf $Ar0tEgon Utility Notifi@tieq Ft lst Floor: rypeGPHfftis 1'800'332-2344t. Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page 1 of3 F 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: COM2004-01391ISSUED: 0110412005APPLIED: 11/1012004 EXPIRESz 0710412005VALUE: $ 2,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $r.00 2,000.00 Total Value of Project Amount Paid Date Paid Value $2,000.00 $2,000.00 Date Calculated tut7t2004 Fee Description + l0Yo Administrative Fee + 7Vo State Surcharge Building Permit Fixture + l0Yo Administrative Fee + 7oh State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid $11.50 $8.05 $4s.00 $70.00 $12.50 $8.75 $106.00 $19.00 $280.80 tu22l04 tu22t04 tu22t04 tu22t04 u4t05 u4105 u4t0s U4t05 Receipt Number 3200400000000000348 3200400000000000348 3200400000000000348 3200400000000000348 1200500000000000006 1200500000000000006 1200s00000000000006 r200500000000000006 tr'eps Pci.l 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Rough Electric: Prior to Cover Electric Seryice: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Reorrired fnsnections Page 2 of3 r Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01391ISSUED: 011041200s APPLIED: 11/1012004 EXPIREST 0710412005VALUE: $ 2,000.00 By signature, I state and agree, that I have carefuUy 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. Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt _ evelopment Services Department Public Works Department RECEIPT#: 1200500000000000006 Date: 0110412005 8:31:48AM Job/Journal Number coM2004-01391 coM2004-01391 coM2004-01391 coM2004-01391 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7o/o State Surcharge + l0% Administrative Fee Amount Due 106.00 19.00 8.75 12.50 Item Total:$146.25 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check LH MORzuS djb 113784 In Person $146.25 Payment Totat: -Siffi t/4t2005 Page I of I trtrsailD TRANSMISSION VERIF]CATIDN REPORT TIME NAME FAX TEL LL/29/28A4 L8:82 CITY OF SPRINGFIELD 7263676 7263575 DATE, TIME FAX NO. /NAME LL/29 09:58 948548r.8 E6l.64:87 BB OK STANDARD ECM DURATION PAGE(5) RESULT MODE City Of Sp rtn rctd 225 Fifth Street Springfield, Oregon Fax Cover Sheet DATE: TO €t(acEltE b PH.NE: fA\ll-\rotffiDFROM: Gommunity Services Division Number of pages including cover sheet: Message tl* a FAX: 541-726-3676 g ) \rAar J Thomas C. Mlarx Senior Building lnspector Community Services Division Development Services Department City of Springfield 541-726-3666 541-726-3676 (FAX) November 29,2004 To whom it may concern: On November 10th, 2OO4lposted a stop work order at 525 2l't street Springfield, Or for electrical, plumbing, and structural work being done without permits. Permits were issued to Matt Petz on Nov. 22nd who is listed as the property owner on Lane County property records. Matt Petz is not a licensed contractor and admitted that the home will be sold when work is completed. o Thomas C. Marx Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01391ISSUED: 1112212004APPLIED: 11/1012004 EXPIRESz 0512212005VALUE: $ 2,000.00 SITE ADDRESS: 525 2lST ST Springfield TYPE OF WORI(: Single Family Residence ASSESSOR'S PARCEL NO.: 1703361304400 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Dryrot repair underfloor and plumbing and electrical Owner: MATT pETZ Address: 24029 DODDS RD BEND OR 97701 HIS PERMIT SHALL EXP UNDER THI IRE IF THE S PfnUtf tS t't Number: 541-312-2623 ORIZED Contractor Type General Plumbing Contractor OWNER OWIYER License Expiration Date Phone BUILDING I # 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: Notes: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: bllorl rd6 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Load:nla Sidewalk Type: Downspouts/Drains: PARJSNG $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Page 1 of2 Value Date Calculated Valuation Description I dttc ftt6 SPN1HGFISID Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01391ISSUED: 1112212004APPLIED: 11/1012004EXPIRES: 0512212005VALUE: $ 2,000.00 Bid Amount Use Bid Amount Fee Description + l0o/o Administrative Fee + 7o/o State Surcharge Building Permit Fixture Total Amount Paid $1.00 2,000.00 Total Value of Project Date Paid tU22t04 tu22t04 ty22l04 tl22t04 $2,000.00 s2,000.00 Receipt Number 3200400000000000348 3200400000000000348 3200400000000000348 3200400000000000348 tut712004 Amount Paid $11.50 $8.05 $4s.00 $70.00 $134.55 tr'ees Paid Plan 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. ffi 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 card is located at the front of the property, and the approved set of plans will remain on the site at all times during i/- ae-r{ Owner or Contractors Signature Pase2 of2 Date Construction Contractors Board Permit#: C L,JoQ'-o t37 ( 700 Summer St t\E Suite 300 PO Box 14140 Selem OR 97309-5052 Phone: 503-3784621 WebAddress: !Erw,g$1!gl4 Address:5z{ztsr Issued by:ZZ ort\ =+ Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires restdential 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 archrtect and engineer applicants, exempt from 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: Ef 1. I own, reside in, or will reside in the completed structure. W 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 contactor that all subcontractors who work on the structure must be licensed with the Construction Contactors Board. .- ./ oR 6 ,r. 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 Construction Responsibilities on the reverse side of this form. (Signature o @ate) (White copy to issuing agency permitfile, pink copy to appltcont.) Property_owner. doc 06-0 l -04 Aeting es Your own General contractor? INFORMATION NOTICE TO PROPERW OWNERS ITBOUT CONSTRUCTION RESPONSIBILITIES If you are acting as your own contractor to constuct a new home or make a substantial improvement to an exrstmg structure, you cail prevent manyproblems by being aware of the following responsibilities and conearns. Employer Responsibilities You will, in most instances, be ruled to be an "ernployer" and the conffactors you conkact with wrll be "employees" if you use contractor$ not licensed with the Constuction Contactors Board to do labor in constructing or to assist in the conskuction or improvement of a residential structure. As the employer, you must comply with the follrowing: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the tirne employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your emptroyees. For rnore information', call the Departmenrof Revenue at 503-3784988. i ', 'l Unemployment Insurance Tax: As an employer; you are required to pay a tax for unemployment insurance purposes - on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. _ 1r .j ..\ The Oregon Business ldenti{ication Number GINO is a combined nlunber for both Oregon, {i$hplding and- Unemployment lnsurance Tax. To file for a BlN, call 503-945-8091 or www.dor.state.or.us/formspay.htmll for the appropriate forms. Workerst Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees- If you fail t<l obtain workers' compensation insurance, you could be subject to penalties andbe liable for all claim cogts if one of your employees is'injured on the job. For more information, call the Workers' Compensation Division at the Departrnent of Consrx:rer and Business Services at 503-947-78 i 5. U,S, Internsl Rtvenue Service: As an employer, you must withhold {bderal'iricorne tak from ernployees' dageh5 You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at l-800-8294933 or visit their web site at www.irs.sov Other Responsibilities .end Areas of Conc€rns Code Compliance: As the permit holder for this project, you are responsible for resolving iny failure to meet code requir3mcnts that may be brought to your attention thloyh insRectioll, . ;,";.i . , .,..i Liability and Property Damagc fnsuranee: Contact your insurance agext to 'see if you have adequate insurance i coverage for accidents and omissions such as failing toois, paint over spray, water dam4ge from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employee&,rlr;: l.,-,-:;i '.r",' --r . , . . -. ": r Expertise: Make sure you have the skjlls to aCt as your own geneiat coritractbr, to coordinate the work of rough-in and finish kades, and to notily building officials as the appropriate times so they can perfcrm the required inspections. If you have additionai questions *all the Constri.:ction Contractors Board {503-378462tr) or write the agcncy at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 06-0 1 -04 NOTE: This lnformation Ngtico to Property Awners about Construction Responsibilities was developed by the Constructian Cantractars Board in accardance with ORS 701.055(5,), passed by the lg^g Aregon Legistiture. I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt _ velopment Services Department Public Works Department RECEIPT #: 3200400000000000348 Date: 1112212004 8:21:25AM Job/Journal Number coM2004-01391 coM2004-01391 coM2004-01391 coM2004-01391 Description Building Permit Fixture + 7o/o State Surcharge + l0o/o Administrative Fee Amount Due 45.00 70.00 8.05 I 1.50 Item Total:$134.ss Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard MATT PETZ djb 070406 In Person $l34.ss Payment Total:$134.55 tt/22/2004 Page I of I lt r't.rllLtl& .6.01 ..9,b ,+T & LD - -_rlL.J q G)b-t I -hI ->iHF l.F, STOBA6E IT t I l{ r (t BATH G (n 3 cl 11'5"-ts 7 { ! {' -1 l3 5" 3 -*1 I I l l '] 1 f \tI/ L.-t $rnt- \^ on:r (- y8525 ztr S??J.domruD ScAuE (tO lltovrur p.r.g S{ 9:oS Jo'cU V'?h\r)X, J q wI * a,l r":Y?r ,ifl {qllS*t11 \,1 ul / art\soa + -91 =' o 5r-t 1_ J ^t lv ( t\' L) c, 0 /'J t J! 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