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Home My WebLink AboutPermit Electrical 2007-05-17Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line FIELD Buitding/Combination Permit PERMIT NO: COM2007-00718ISSUED: 0511712007APPLIED: 0511712007 EXPIRES: llll712007 VALUE: Owner: Address: Contractor Type Electrical MUSILGREGORYR&RANELL 6746 SIMEON DR SPRINGFIELD OR 97478 SITE ADDRESS: 6746 SIMEON DR ASSESSOR'S PARCEL NO.: 1702341104300 PROJECT DESCRIPTION: One circuit for a hot tub. Springfield # of Stories: Height of Structure: Type of Heat:tloWater Type: Range Type: Energy Path Sprinkled # Street Paved oh of Lot TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential License Expiration Date PhoneContractor OWNER \o\ # of Units: Primary Occupancy Group: Secondary Occupa Primary Constru Secondary # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains r: Load: REQUIRED PARKING Total: Handicapped: Compact: o\ $ Per Sq Ft or multiplier Square Footage or Bid Amount Valuation DescriPtion Description TvPe of Construction Page I of2 Value Date Calculated I $ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2007-00718ISSUED: 0511712007 APPLIEDz 0511712007EXPIRES: 1111712007 VALUE: Fee Description + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Amount Paid Total Value of Project Date Paid 5lt7t07 5n7t07 sn1t07 5lt7 t07 5n7t07 Receipt Number 2200700000000000768 2200700000000000768 2200700000000000768 2200700000000000768 2200700000000000768 $4.s0 s2.25 $3.60 $43.00 $2.00 $ss.35 To Request an inspection call the24 hour recording at 726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCy will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors ature Pase 2 of 2 Date q '17- b-7 F ees rard I Required Lnspectlons I City of Springfield 225 Fifth Street, Springfield, OR 97 477 541-726-3759 Phone 541-726-3676Fax October 76,20Q7 MUSILGREGORYR&RANELL 6746 SIMEON DR SPRINGFIELD OR 97478 sce${ffiED Job Number: Location: coM2007-00718 6746 SIMEON DR Project:One circuit for a hot tub. Dear Permit Holder: SincerelY, LisaHoPPer The Springfield Building safety code Administrative code provides that in order for a permit to remain va'id, the work which has been authorized by the p"-oi must begin within 180 days of the date of issuance, and an i"#",io" must be requested at least every 180 days. According to our records, you obtaine{ a permit for a project at 6746 SIMEON DR which is set to expire on1y17 1200,/. il records indicate that you have not requested an inspection within the past five (5) months. This letter is wriuen to notiff you that vo* p".*i (s) w,r be expiring shortly' If you are ready to request an inspection for V"* ptJ:J", pJ"*i p[J* tft" i*pection line at 541-726-3769' lf you do not request * i"rn"oio., prioitolri" ;lE.:,it" 9i;,G;"t;t.) will expire and additional ,;*, iees will be required in order to comprete yow project. If you have any questions' please feel free to phone me at 541-726-3790' Building SafetY Management AnalYst *rrr*NG -Lrt ,, zoN t-,1 INITIALS &DATE SOURCE225 FII"IH STREET . SPRINGFIELD,OR97477 . PH:(541)726-3753 r FAX: (541\726-3689 EI,ECTRICAL P ERM IT APP LICATION Job Number Cp"r l-b1 - oC -1 t ECity Zflqb bwsaq r.r, A. C. 1$ Minimum Electric Permit Date 5-lr'o1 *) LEGAL DESCRIPTION:I oL 7+ r\ o &iae JOB DESCRIPTION ilut +"b 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 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only I $106.00 $ 19.00 $50.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Contractor Address City Supervisor Expiration Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name Address City SOnmrg'r-lJ phone aq l--77 I-T--J- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent' ,at 1 Service or Feeder Permit E. or Extension Per Panel Each Circuit or with Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limiled Energy/Commercial see "B" above. $ 63.00 $ 7s.00 $12s.00 $163.00 $375.00 $ s0.00 $ s0.00 $ 6e.00 $100.00 tr 4z ,oo$ 43.00 $ 3.00 $ s0.00 $ 50.00 25.00 $.00 Fee is * Surcharges &s,oo -t_t) 8% State Surcharge l0% Administrative Fee 5% Technology Fee ----T,50____,?_zs- s5.sS zQ Inspection Request: 726'37 69 4. TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06 doc 1. LOCATTONOF&TSTAU,{TTON: 3. COMPLETEFEESCHEDULEBELOW B. Services or Feeders - Installation, Alterations or Relocation: -Each Installation Construction Contractors Board Permit#:CccQ Z-o (- @-11.8 700 Summer St ItlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress: www.ccfulblg@ Address: 6r qa 4tt6.Ea$t Dgr{ e- Issued by:_\NAy Date: 5-t1 -o1 Statement: lnformation Notice to Property Owners About Gonstruction Responsibi Iities 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, exemptfrom 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: L/.tr 1. I own, reside in, or will reside in the completed structure. d1At] 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. tr 3A. My general contractor is (Name)(ccB #) I will instruct my general confiactor that all subcontractors who work on the structure must be licensed with the Construction Conhactors Board. OR N 38. I will be my own general conhactor. 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. 5- fZ- ol (Signature of (Date) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 Acting as Your Own General Odntractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RHSPONSIBILITIES If you are acting as your own cootactor to construct a new home or make a substantial imprcvement to an existing sfucture, you can prevent many probleias Uy being aware of the following responsibilities a*d'concerns. Smployer Responsibilities You will, in mosf instances, be ruled to be an "empioyer" and the sonfractors you contract lrith will be'lemployees" if you use conlractors not iicensed with the Construction Confractors Board to do labor in constructing or to.assist in the construction or improvement of a residential structue. As the employer, you must comply with the following: Oregon's Withholding Tax [,aw: As an employer, you must withhold income taxes from employee wages at the time empicyees are paid. Ycu wili be iiable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the flepartment of Revenue at 503-378-4988. Unemployment Ixsuranee Tax: As a* employer, you are reqrlired to pdy'a tix for unernployment insutnce purposes on the wage$ of ail employees" Sor mare inforrnatio*, call the Oregon Ernployrnent Departme*t at 503-947-1488. The (hegon Buslness Identification Nurnber Gf$ is a combine.d numbe,r for bothi0regorl Withho,lding and UnemploymerrtInsuranceTax.TofileforaBIN,call503-945-80910r$v$:dgr..@forthe appropriate fbrms. . : Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurence f,or your employees. tf-you fail ta cltain workersl,cornpensation insurance, you could be subjec[ to penalties aiid be' liabie for all claim costdif one of yo* emptoyees td inluied on the job. For mr:re infbrmation, call the Workers' Cornpensation Divisioh at the Departrrilnt of Conbur:rer and Business Services at 503-947-78 1 5. U.S. Internal Revenue Service: As an emptroyer, you must withhold federal ineome tax:from eriployees' *ages. '1, You r.vill 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:800-829"4933 orvisit,their web site ar $nvw"irs.sov..- Other Responsibili*ies end Areas of Con*ern$ Code Cornpliance: As the permit holder {br thrs pr*ject. :iou are responsib3e for rcsolving any failure to i"neet eode requir*rnents that ntay be&r*ught t*l yor.:r atte:ttiorr tl:rough inspectierns" Liahility and Property llamage fnsurance: Contact votrr insurance agdnt tn see if you have adequate insurance ' cover*ge fbr accidr:nls and ornissi*ns s*eh as falli:lg l*erls. paint ovff spr*y, water damage {iom pipe punctures, lire or work {hat mL:st be redone . Time: Make sure youtave sufficient time to *upervise your employees. Expertise: Make sure yau have the skiiis to act as your irvrn 'general ccintractor, to coordinaie the work of rough-in and finish trades, and to notify building officiais as the appropriate times so they can perform the required inspections. If you have additional questions call the Conskuction Contractors Board (503-378462i) or write the agency at PO Box 14140, Salem. OR 97309-5052. : : ..i, Properfy*owner.doc 06-0 1 -04 NOIE; This lnformafion Notice tc Praperty Owners about Ccnslruolion &esponsibildies t,vas develaped by the Construction Contractors Soard in aecardance with ORS 7A1.055(5J, passed by the 1989 Aregon Legislature. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ciru of Springfield Official Receipt L elopment Serwices Department Public Works Department RECEIPT #: 2200700000000000768 Date: 0511712007 l:54:l9PM Job/Journal Number coM2007-00718 coM2007-00718 coM2007-00718 coM2007-00718 coM2007-00718 Description Add, Alter, Extend Circ M in imum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 43.00 2.00 2.25 3.60 4.50 Item Total:$5s.3s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard GREGORY R MUSIL Jmp 259701 In Person Payment Total: $55.3 5 -ffi cReceintl Page I of I 511712007