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Home My WebLink AboutPermit Building 2006-08-03Status 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: COM2006-00996ISSUED: 08/03/2006APPLIED: 08/0312006EXPIRES: 0210312007 VALUE: SITE ADDRESS: 1133 WATER ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703263303800 TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Remodel bathroom with shower, sink, and electrical. Owner: Address: Contractor Type Electrical Plumbing FLIPPEN WILLIAM H & SHERRA L II33 WATER ST SPRINGFIELD OR 97477 Contractor OWNER OWNER License Expiration Date Phone 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INF( Notes: Page I of3 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Buitding/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00996ISSUED: 08/03/2006 APPLIED: 08/03/2006 EXPIRES: 02/0312007 VALUE: Description Tvpe of Construction Fee Description + l|oh Administrative Fee + 5olo Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fixture Minimum/Adjustment plumbing Total Amount paid Total Value of Project Date Paid 8t3/06 8/3t06 8/3t06 8t3/06 8/3t06 8t3/06 8/3/06 Receipt Number r 200600000000001 r99 1200600000000001 r99 1200600000000001 199 1200600000000001 199 l 200600000000001 I 99 1200600000000001 199 1200600000000001 199 $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Amount Paid $9.70 $4.85 $7.76 $43.00 $3.00 $28.00 $23.00 $l19.31 To Request an inspection call the 24 ho ur recording at 726-3769. All inspection requested before 7:00 a.m.will be made the same wor king day, inspections requested after 7:00 a.m. will be made the following workday. Rough Plumbing: prior to coyer and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: prior to Cover Final Electric: When all electrical work is complete. Fees I Plan Page 2 of3 ) 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: COM2006-00996ISSUED: 0810312006APPLIED: 08/0312006 EXPIRESz 0210312007 VALUE: 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 )o3 o Owner or Contractors Signature Date Pase 3 of3 Construction Contractors Board 7fi1 Summer St hlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:ry$1!31!gg,gg permit#. CgF\ Z-CC{;,- 6>6lQqt Address: \\?9 U{+SEP* ==rC. Issued by:l\A- ?Date: E-3 -OE Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a butlding permit can be issued. This statement is requiredfor residential building, electrical, mechantcal and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. Ihis statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ffir. ffi2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contactors Board. OR 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 07 / o3/0G ofpermit applicant)/ 1oa{ey / (White copy to issuing agency permilfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 Acting as Yd-ur Own General CoE-tractor? INFORMATION NCITICE TO PR,OPERTY OWNER$ ABOUT CON$TRUCTION RESPON$IBILITIES ' ; - -: If you are acting as your own conkpctqr to construct a nbw home or make a substantial improvement to [n existing structure, you can prevent nrany problaho by being awaie ofthe following responsibilities and soncsrns. Employer Responsibilities .I .' ; : '\ you wi11,,in tnost instance& be,4rle{,to be an "employer" and the contractors you contract with will be "gmployees" if you uss contactors not licensed with the Construction Contractors Board to do labor in constucting o: to assist in the constnrction or improvement ofa residential slructre.. A$ the employer, you must comply with the following: Oregonrs Withholding Tax Law; As an employer, you must *ittrhold income taxes &om employiewages at the time "*pty*", are paid. you will be liable for the tax payments even if you don't actually withhold the tax from yoy "*ploy""r. For more information, call the Departrnent of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemploymert'insurance prrport on the wages of all employees. For more information, call the Oregon Empioyment Department at 503-947-1488. r- ., : j' . The Oregon Business ldentification Nurnber (Bnq is a combined number for both Oregon Witi*rolding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or vr'-lr'w.dqr.state.or.us/formspay.htmll for the appropriate forms. Workers, Compensation Insurance; As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' colnpensation ilsurance for your employ-ees. If you fail to obtain workers' compensation insuranie, you coulil be sub,jeti'to panaltiei and be liable for all claihr costs if one of your ekrployees is injured on the job. For more information, call the Workers' Compensation Di*ision at the Dcpai{ment of Consumer and Business Services at 5A3-947 -7815. U.S. Internal Revenue Service: As an ernpioyer, you must withhold federal income tax from employees' wages. - you will be liable for the tax pa)rment even if you didn't actually withhold the tax. Iior a Federal EIN number, call the IRS at l-800-829-4933 or visit their web site at U[3-1v;Ls*gOv' Other Responsibilities and Areas of Concerns Ccde Corxpliance: As the permit halder for this project, you are responsibie for resolving any failure to meet code requirements that may be brought to your atteiltion through inspections. Liability antl property Ilamage fnsurance: Contact your insurance agent to see if you have adequate insurance "ou.rrg" far accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. . :-.. l' . . , ; ,. ... Time: Make sure you have sufficient time to supervise your employees' Hxpertise: Make sure you have the skills 1o act as your own general confractor, to coordi*ate the work o{ rough-in and finish kades, and to noti{y building officials as the appropriate tirnes so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. , ,,-r:ii .,,. ..Iir Properfy_owner.doc 06-0 1 -04 I rtrOrr, This tnformatian Natice to Praperty awnars abaut Construction Responsibitrlies was develaped by the I I Consfructrb n Contractors Baard in accordance with ORS 7U.A55(5J, passed by the 1989 Aregon Leaislat! Fifth Street Springfir'ld, Oregon 97 47 7 541-726-3159 Phone -'T of Springfietd Official Receipt - evelopment Services DePartment Public Works DePartment RECEIPT#: 1200600000000001199 Date:08/03/2006 l:31:57PM Job/Journal Number coM2006-00996 coM2006-00996 coM2006-00996 coM2006-00996 coM2006-00996 coM2006-00996 coM2006-00996 Description Fixture M inimum/Adj ustment Plumbing Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5olo Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 28,00 23.00 43,00 3.00 4.85 7.76 9.70 Item Total $r 19.31 Payments: Type of Payment Check Paid By SHERRA L. FLIPPEN Received By Batch Number Number How Received jmp 2894 In Person Payment Total: Amount Paid $l r9.3r -sTmT' CheckNum6er uthorization cReceint I Page I of I 8/3/2006 3FnIilOF'GT.} t/ 225FIFTHSTREET. SPRINGFIELD,OR97477 e PH:(541)726-3753.FAX:(541)726-3689 E LE CT RICAL P E RM IT APP LI CATI ON City Job Number coo.{\ zDob ^ocqq b I. LOCATIAN OFINS?HI I.ATIAN: 5PF'IIGFIELD ZON INITIALS DATE SOURCE T\TS Date v 3. COIIIPLETE FEE SCHEDULE BELOW A.Nerv Residential - Single or l\{ulti-Famil-v per dwelling unit. 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 $ r 06.00 $ 19.00 $50.00 Services or Feeders - Installation, Alterations or Relocation: 33 u,ryM4 LEGAL SCRIPTION h*c*ru I City JOB DESCRIPTION trgO-+t R"*J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 7 CO NT RACT O R I N STALI,ATI O}r ONT Y B. Contractor Address Supervisor License Expiration Date Constr,Number Date of Supervising Electrician Owners Name B tLL +sH€RRA FuPkttl Address I 133 t)a'le, Sf 1Ab -atlloPhone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 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. Temporary Services or Feeders Installation, Alteration or Relocation 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above' D. Branch Circuits New Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Permit $ 63.00 $ 75.00 $125.00 $ 163.00 $375.00 $ s0.00 $ 43.00 $ 3.00 K \ E. N'Iiscellaneous (Servicelfeeder uot included) -Each Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 4. SUBTO:TAL OF ABOW 8% State Surcharge 10% Administrative Fee 5oZ Technology Fee 50.00 50.00 25.00 45.00 $ $ $ $ Minimum Electric Permit Inspection Fee is $45.00 * Surcharges {(, 0 -\ fL"Inspection Request: 726-37 69 TOTAL Shared Driv{T:)/Building Forms/Electrical Pennit Application 8-06.doc ' CITY OF OREGON s ( a .) crty S#qQ<J-d- CitY of SPringfield 225 Fifth Street, Springfield, OR 97477 541'726'3759 Phone 547-726-3676Fax April 19,2007 FTIPPEN WILLIAM H & SHERRA L 1133 WATER ST SPRINGFIELD OR 97477 Job Number: Location: coM2006-00996 1133 WATER ST Project:Remodel bathroom with shower, sink, and electrical 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 iays of the dateof issuance, and an inspection must be requested at least every lg0 days. According to our records, you obtained a permit for a project at 1133 WATER ST which is set to expireon 5/2212007. our records indicate that you have not iequested 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 readyto request an inspection for your project, please phone the inspection line at S-q-lze-2769. If you donot request an inspection prior to the expiration date, your permit(s) will expire and additional permitfees will be required in order to complete your projeci. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper \ Building Safety Management Analyst APBIHGFIELD