The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2006-06-22Status 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: COM2006-00770ISSUED: 0612212006APPLIED: 0612212006 EXPIRESz 1212212006 VALUE: SITE ADDRESS: 277 33RD ST ASSESSOR'S PARCEL NO.: 1702313103200 PROJECT DESCRIPTION: Install freestanding pellet stove Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential Phone Number: 541-747-6274Owner: Address: DAVID HUNTER 277 33RD ST SPRINGFIELD OR 97478 on law requir es you 1-001 rules Contractor Tvpe 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: Special Instruction: Notes: n copies TED L HUFF JR You rnaY [e: th Ce R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dlst: # Street Trees Rqd: Paved "h of -tH\S $ Per Sq Ft or multiplier Expiration Date Phone 05n5t2007 541-338-7550 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: f REQUIRED PARKING Total: ne n VN nla ER\ Square Footage or Bid Amount 00. Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION Description Tvpe of Construction Page I of2 Value Date Calculated tr) to Contractor \n ANY 1 \t $E 1H\S r0R \$ffi::x'"u' Valu aJion DescrlptiqL l OF SPRIN FIELD Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00770ISSUED: 0612212006 APPLIEDz 0612212006 EXPTRES| 12t22t2006 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge Minimum/Adjustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid Total Value of Project Date Paid 6t22106 6t22t06 6t22106 6t22t06 6t22t06 Receipt Number r200600000000000934 1200600000000000934 1200600000000000934 1200600000000000934 1200600000000000934 $10.00 $4.50 $3.60 $15.00 $30.00 $63.10 ees 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. Freestanding Pellet Stove: After installation. nsnections 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 Communify Services Divisiono 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 6 AL oc Owner or Contractors Signature Page 2 of 2 Date Permit *: C o *r Zo<> 6- O C> ? 7 OConstruction Contractors Board Za-T Ssu SlAddress Issued by:>6 Date: 4 o6 Statement: Information Notice to Property Owners About Gonstruction Responsibil ities Note: Oregon Law, ORS 701.055(4) requires residential constructton permit applicants who are not licensed with the Construction Contractors Board to sign thefollowtng statement before a building permit can be issued. This statement is requtredfor 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 statementwill befiledwith thepermit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:ry$]glqry & k- v 1. 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. Mygeneral contractor't -TA L (1*"€ (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 n 38. I will be my own general conkactor. 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 notify 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. f, .i- OG (Signature of permit (Date) (White copy to issuing agenq) permitfile, pink copy to applicant,) Propert5r_owner. doc 06-0 l -04 a3so6 Aetixxg fi$ Your $wlr Gexneral Contractor? ,h*FSRMATIO}I NSTI*H TS Pre*PHR?Y #IIT{NER$ ABO{,iT SSt{$TRUfr Tf; Sil{ RmSpffi fi{$tgNL$yt€s I'/OX€: Iftis l*f*nrafkm fdo#ee t* Pr*sserty Olvners a*oud Ccnstructi*n Responsi&iIffie$ was der#op*d by ttt* Consfruc$or #onfracfors &oard i;r accordarc* witk G&S 7St.05${5j, passed by th* 1989 Oregan Legrslafuru. If y** ar* aetixg i3$ y*lrr *wx. scnkaet*r t* q:E:xstn:et a xr*w hclme $r r::r*ke a srahstxntjai impr*v*ment t* alr *xisting struet*rc, y$$ oar: pr*v*xt rnany probien:s by boixg aware of &e fuilowing r*sponsibilities and c*::**rxs. Xxmp*&eiyer Ke$p* xxs$b{}{tfi es Y*u wil!, im most i&st**ees, be ruIed tc be an *'er&ptr*yer" *nd the sonkaEiors yoi"l s$trtract with wiltr be "ernploy**s" if y*u u$-s cttci{ract*rs **1}ir:ens*d with th* Conskucticn Contract*rs Eoard ta d* i*h*r in **nstr-*eting *r t* ass{st {ll th* *q:r:strarsti** or impr*r,*m*$t *f a res*dentiatr x*x*twr. As the exsployer, y*r! mxxst ccxmgsly:,vith tke f*llowing: #reg**'s Wi*h:h*1$ixX4 Yax X-*wr A* a:l *xrpioyer, yol: lxust withl:*}d ineqlme taxes frorN en:p}*ye* wag*s at th* ti*:e *xpl*y**s *r* paid" Y** wiil b* }i*ble f*r tl:* tax pn3.rn**ts even if y*u *l*n't xct*alXy witl**}* tl'l* tax **m y*ur ernpl*yees. F*r rn*rr ir:fbrmati*r:, c*il ti:r* Ilep*r:"{:xent *f &.*venue at 5*3-3?$-49*8" U&*r*pl$yment k*sux"am*e Y*x: A.s ax etnpl*yrr, you are requir*d to pay a tax for unompl*yment insuranee p$rprrses'', *n the lveges *f altr e*rp}*yee*. For m*re i**hnnati*n, cp}l tite Or*g*n Ernpl*yment I)epartm*nt at 5ff3-94?-i488. ?he {k*g*n Eusi**ss Xc$er:tif}cati*n N**tber {BIN} is a sornbined n*rnber for both Oregon lVithhoiding and Unernployrnent Insurane* Tax. Tei fiie for a BIN,cail 5 03 -945-809 1 cr yryvrv.dor.stale,or.us1,fi:rmsBasltsli 1 for the Iilork*rs' Compe*satisn Insurance: As an empioynr, you are subject to the Oregon Workers' Ccmpensation Law, and rnr.lst *btain wstrksrs' rornpensation insurance for yaur employees. If you fail tr: obtair: workers' ccmpensation insurance, you could be subje*t to penatrties and be liabl* for all clairn costs if ane of your employees is injured on the job" Sor rn*re info*:ration, caltr the Workers' Compensation Division at the Deparlment of Coxsumer and Business Services at 5$3-94?-78 1 5" U"$. Intern*l Rev*xx* Serviee: As an ernptroyer, you rnust withhold federal incorrre tax from employees' wages. You will be liable for t?:e tax payrne&t even if,you didn't a*tuatrly xrithhold the tax. Fcr a Federai EIN nur*ber, call the IR$ at 1-800-829-4933 or yisit their web site at rylilyJrs.sov" Sther Respon*ibiXities *nd Arsxs af Concerm$ C*de C*mrpli*m**: As tlte pern:it }:*ldsr fi:r this pr*je*1, yorl lrrs resp*nsibie f*r r*s*lving ar:y failure ti: rn**l e*de requir*ments ftat:n*y be br*ught tt> your attei:ti** t}:r*r:gh inspect'i*ns. X,i:ahili$ *xrd Fr*perty [}arx:*g* f&sura&e*: C*:etacl yoxr insuran*c ag*at to sce if y*u h*v* ad*quatr inturance fi{iv*r*ge for ac*ic3e::ts *xd **:issi*ns suoh ** f*trtring {**}s, paixt *vfir $prii-y, wat*r d**rag* fir:m pip* pu*ct*r**, fi.r* *r w*rk that m*st b* r*d*nr:" Time: Make sure y*n have sufficient time tc supervise y*ur *nrployees. Xxpertise: Make sure y*l: have the skills to act a$ yoLlr own generai contractor, t* c*crdinate the wo,rk of rough-in and fini*h trades, anxS t* r:*tify building officials *s the appr*priate times s* they c*n perf*rm th* rrqr.rired inspectians. If you have additi**al questions cali the Constructio* Conkactors Board {503-3784621) or urrite the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 05-0 t -S4 225 Fifth Street Springfield, Qregon 97 477 541-726-3759 Phone r"v of Springfield Official Receipt i--jvelopment Services Department Public Works Department RBCEIPT #: 1200600000000000934 Date: 0612212006 1l:51:05AM Job/Journal Number coM2006-00770 coM2006-00770 coM2006-00770 coM2006-00770 coM2006-00770 Description + 8% State Surcharge + llYo Administrative Fee Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.60 4.50 30.00 1s.00 10.00 Item Total:$63.10 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Cash Change DAVID HUNTER DAVID HUNTER djb djb ln Person In Person Payment Total: $80.00 ($l6.eo) $63.10 Job/Journal Number coM2006-00770 coM2006-00770 coM2006-00770 coM2006-00770 coM2006-00770 Description + 8% State Surcharge + l0%o Administrative Fee Pellet Stove/Insert M in imum/Adj u stm ent Mechan ical -Mechanical Issuance Fee- Amount Due 3.60 4.50 30.00 I 5.00 10.00 Item Total:$63. I 0 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Cash Change DAVID HUNTER DAVID HUNTER djb djb In Person In Person Payment Total: $80.00 ($ 16.e0) s63.10 cReceintl Page I of I 6t22t2006 City of Springfield 225 Fifth Street, Springfield, OR97471 541-726-3759 Phone 541-726-3676Fax November 22,2006 HLINTER 277 33RD ST SPRINGFIELD Job Number: Location: oR 97478 coM2006-00770 277 33RD ST DAVID Project:lnstall freestanding pellet 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 at277 33RD ST which is set to expire on 1212212006. 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 Lisa Hopper Building Safety Management Analyst \incerelv,\sh,