HomeMy WebLinkAboutPermit Mechanical 2006-11-06Status 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: COM2006-01422ISSUED: 1110612006
APPLIED: 11/0612006
EXPIRES: 05/0612007
VALUE:
SITE ADDRESS: 1450 35TH ST
ASSESSOR'S PARCEL NO.: 1702303408701
PROJECTDESCRIPTION: Woodstove
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New Residential
Owner:
Address:
Contractor Type
Mechanical
Contractor
OWNER
TONI VALENZUELA
PO BOX 5694
EUGENE OR 97405
PhoneNumber: 541-747-3071
License Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Fronfyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type
Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
ratns
REQUIRED PARKING
Total:
Handicapped:
Compact:
R-3
VB
n
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
Pase I of2
Value Date Calculated
LT'1\ I I(AL I UK II\T UryJ
l'UILL[l'! Lt ll\ r tJ[(lVlA r rt,l\ |
\r
1H\S r0R
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
OF P
Building/Combination Permit
PERMIT NO: COM2006-01422ISSUED: 1110612006
APPLIED: l1/0612006
EXPIRES: 05/0612007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 870 State Surcharge
Minimum/Adjustment Mechanical
Wood Stove/Insert
Total Amount Paid
Amount Paid
$10.00
$4.50
$2.25
$3.60
$15.00
$30.00
$6s.3s
Total Value of Project
Date Paid
ty6t06
ty6t06
tu6t06
tU6t06
rU6t06
tu6t06
Receipt Number
1200600000000001 608
1200600000000001608
1200600000000001 608
1200600000000001608
I 200600000000001608
1200600000000001608
Fees Pa
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769, AII 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.
Wood 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 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.
J4r,-i/- 0b - oQ
Owner or Contractors re
Paee 2 of 2
Date
Construction Contractors Board permit *: Uv+lZso b- C> t 4 LL
Address 3 ftL \l
Issued by:4 Date
Statement: lnformation Notice to Property Owners
About Construction Responsibilities
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 ltcensing 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. I own, reside in, or will reside in the completed structure
2. I understand that I must become licensed as a conskuction contractor if the structure is sold or
offered for sale before or on completion.
tr 3A. My general contractor is
(Name)(ccB #)
I will instrrct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Conhactors Board.
OR
MB 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.
//-ob -ob
permit applicant)@ate)
(White copy to issuing agency permitfile, pink copy to applicant.)
700 Summer St IrlE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-3784621
WebAddress:!gry"gs1!q!g4
(s
Property_owner.doc 06-0 I -04
F-ry
Acting as }our Own General Contractor?
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RE$PONSIBI LITIES
If you are acting as your own contr&ctor to conskuct a new home or make a substantjal improvement to an existing
structure, you can prevent m:rty pieblems by being aware of&e foltowr'ngresponsibilities and concerns.
Amployer Responsibilities
You will, in most instances, be ruled to be an "employer" and the contractors you contract wjthwill be "elnployees" if,
you use conhactors not licensed with the Cg.ns{uction Contractors Board to do labor in constructingoq.to assist in the
construction qr improvement of a rpsidential strucfire. As the entployer, you must comply with the fqltowfXg
Oregou's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages atttie time
employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax frcm your
employees. For more information, call the Deparfitent of Revenue at 503"3784988. ',- ": I '
lJnemployment Insurance Tax: As an empioyer, you ffie required to pay a tax for unemployment insurance purpo$es -..
on the wages of all ernployees. For more information, call the Oregon Employment Deparfment*t503-947-1488.
, 'r__The Oregon Business Identification Nurnber (BII.{) is a combined number for both Oregon Withholding and -
Unernployment Insurance Tax. To file for a BIN, call 503-945-8091 or wwrv.dor.state.or.us/fonuspay.hlmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Comporsation Law,
and must obtain workers' compensation insurance for your employees. If you fail to obtain workcrs' compensation
insurance, you could be subject to panalties and be liable for all claim costs if one of your employees is injured on the
job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business
Services at 543-947 -7 815.
U.S. Intorn*l Revenue Serviee: As an employer, you must withhoid federal income tax from employees' wag*:-
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 1-800-829-4933 or visit their web site at.ulqas{Jlg,gov.
Other Responsibilities and.Areas of Concerns
C*de Compliance: As the perrnit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought to your attention through inspections.
Liability and Property Damage fnsurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone.
Time: Make sure you have sutficient time to supervise your employees.
Expertise: Make sure you have the skills to act as your own gerteral contractor, to coordinate the work of rough-in
and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections.
If you have additional questions call the Construction Conkactors Board (503-3784621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
Properfy_owner.doc 06-0 1 -04
NOTE: This lnfarmation Notice to Property Ownors about Canstructian Responsi0ilffies was developed by the
Consfruclion Contractors Eoard in accordance wittt ORS 70t.r55($], passed by the 1989 Oregon Legislature.
225 Fifth Street
Springfield, Oregon 97 477
541-P.6-3759 Phone
C;'o of Springfield Official Receipt
L _ elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001608 Date: 1110612006 10:01:57AM
Job/Journal Number
coM2006-01422
coM2006-01422
coM2006-01422
coM2006-01422
coM2006-01422
coM2006-01422
Description
+ 5%o Technology Fee
+ 8% State Surcharge
+ 10o/o Administrative Fee
Wood Stove/Insert
M inimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
2.25
3.60
4.50
30.00
I 5.00
10.00
Item Total:$65.3s
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check TONI VALENZUELA djb 3932 In Person
Payment Total:
$6s.3 5
-$6s-S
cReceinl I Page I of 1 111612006
ttlt$torltr's
uneckNumDer Autnorrzatron
gPRIHGFIELD Ciry of Springfield
Development Services Department
Community Services Division, Building Safety
541-726-3759 Phone
541-726-3676 Fax
May 29,2007
TONI VALENZUELA
PO BOX 5694
EUGENE, OR 97405
Date Permit Issued:1U612006
Permit Number:coM2006-01422
Location:1450 35TH ST
Project Description:Woodstove
Dear Permit Holder:
As stated on your permit and/or approved plans, work authorized under the permit issued will
expire if the work is not commenced or is abandoned for any 180 day period. Because you
did not contact us to request an inspection or to call us to verify that progress has continued to
be made on the project, your permit(s) has expired. This letter is a reminder that the above
referenced permit(s) expired on 5/l 512007. Please contact our office at Springfield City Hall,
225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and
3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your
project. There are additional pennit fees that are due in order to complete your project.
Sincerel Y,
l
Lisa Hopper
Building Safety Management Analyst
Dave Puent, Community Services Manager
Code Enforcement
t\,
.r.9
>
)
o
t
sPlrlhr6FlHt-El City of Springfield
Development Services Department
Community Services Division, Building Safety
541-726-3759 Phone
541-726-3676 Fax
May 29,2007
TONI VALENZUELA
PO BOX 5694
EUGENE, OR 97405
Date Permit Issued:1v612006
Permit Number coM2006-01422
Location I45O 35TH ST
Project Description:Woodstove
Dear Permit Holder:
As stated on your permit and/or approved plans, work authorized under the permit issued will
expire if the work is not commenced or is abandoned for any 180 day period, Because you
did not contact us to request an inspection or to call us to verify that progress has continued to
be made on the project, your permit(s) has expired. This letter is a reminder that the above
referenced permit(s) expired on 511512007. Please contact our office at Springfield City Hall,
225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between i:00 p.m. and
3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your
project. There are additional permit fees that are due in order to complete your project.
Sincere ,ly,
Lisa
Building Safety Management Analyst
Dave Puent, Community Services Manager
Code Enforcement
cc
CitY of SPringfield
225 Fifth Street, Spring{ield, OR97477
547-726-3759 Phone
541-726-3676 Fa'x
Apil 19,2007
VALENZIIELA TONI
PO BOX s694
EUGENE oR 97405
Job Number:
Location:
coM2006-0r422
1450 35TH ST
Project Woodstove
Dear Permit Holder:
The Springfreld 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 1450 35TH ST which is set to expire on
5ll5l2117. Our records indicate that you have not requested an inspection within the past frve (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 inipection 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,
Building Safety Management Analyst