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Home My WebLink AboutPermit Building 2004-02-18'q. i 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: COM2004-00192ISSUED: 0211812004APPLIEDz 0211812004EXPIRES: 08/1812004VALUE: $ 500.00 SITE ADDRESS: 1262 lST PL ASSESSOR'S PARCEL NO.: 170326330053r PROJECT DESCRIPTION: Dryrot, plumbing and mechanical remodel Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential PhoneNumber: 541-726-4060 Contractor Tvpe General Mechanical Plumbing Contractor License OWNER OWNER NEW HORIZONS HEALTH CARE SYSTEMS66681 Expiration Date Phone 0snst2004 541-746-4224 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS 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: dregon set tolt UtilitY lrl0IlCE: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: fi dffi $flfi ili[rr,#$f#rsr' Notes: Page 1 of3 Owner: DAVID MCCOy Address: 1262 lST PL SPRINGFIELD OR 97477 lrUllJl-rll\(r l1\ I (rI(JYlA I llJl\ | rjn8 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: COM2004-00192ISSUED: 0211812004 APPLIEDz 0211812004EXPIRES: 08/1812004VALUE: $ 500.00 Plan Reviews Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 1oh State Surcharge Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Vent Fan Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200400000000000216 1200400000000000216 1200400000000000216 12004000000000002r6 12004000000000002r6 1200400000000000216 1200400000000000216 1200400000000000216 Amount Paid $10.00 $13.s0 $9.45 $4s.00 $14.00 $39.00 $31.00 $6.00 $r67.9s $ Per Sq Ft or multiplier Square Footage or Bid Amount 2n8t04 2n8t04 2ltf8t04 2lt&t04 2lt8to4 2lt8t04 2fl8t04 2n8t04 E'pes Prid 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. I Framing Inspection: Prior to cover and after all rough in inspections have been approved.2 Wall Insulation: Prior to cover. 3 Floor Insulation: Prior to decking.4 Dryrvall: Prior to taping. 5 Rough Plumbing: Prior to cover and including required testing.6 Final Plumbing: When all plumbing work is complete. 7 Rough Mechanical: Prior to Cover8 Final Mechanical: When all mechanical work is complete. Reouired Insnecfions Pase 2 of3 Valuation Description ] F 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: COM2004-00192ISSUED: 0211812004APPLIEDz 0211812004EXPIRES: 08/1812004VALUE: $ s00.00 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 construction. <--frir,,u- $, 2rr,rL/ T --T Owner or Contractors Signature Date Page 3 of3 Construction Contractors Board 700 Summer St NIE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 WebAddress:ryfu1!31!94 permit x. COra u)-4 - oA I ? Z Address: lz6z / =l- PL Issued by:b(Date:o 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 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 and2, and either box 3A or 38: -E 1. I own, reside in, or will reside in the completed structure. jE 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. u 3A. My general contractor is (Narne)(ccB #) -h, I will instruct my ge,neral confiactor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general contactor. If I hire subconhactors, I will hire only subcontactors 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 notiS the office issuing this building permit of the nirme of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Owners about Construction Responsibilities on the reverse side of this form. L (Signature of (White copy to issuing agency perrnitfile, pink copy to applicant.) C. Property_owner. doc 03/ I I i03 Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPON$IBILITIES NATE: This lnfarmation Natice to Property Awners about Canstruction Responsrbilitr'es was developed by tlre Constructian Cantraclars Board in accordance with ORS 7A1.A55(5), passed by the 19Bg Aregan Loglislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existi:ng skucture, you can prevent many problems by being aware of the following respcrsibilities and concerns. Employer Responstbilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use conkactors not licensed rvith the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at &e time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ID number, call the Business Information Center at 503-9862200. tlnemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on thc wages of all employees. For more information, call the Oregon Employment DepartmentatS03-g47-f agg. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' eompensation insurance for your employees. If you fail to obtain workers' cornparsafion insurance, you could be subject to penalties and be liabla for all claim costs if one of your employees is injured on thejob. For more information, call the V/orkers' Compensation Division at the Department of Consumer and Business Services at 503-947.78 i5. U'S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. 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 866-816-2065 or fax them at 801-620-7115. . i\ Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any ihilure 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 &om pipe prmctures, fire or work that must be redone. r Time: Make sure you have sufficient time to supervise your employees. - \ Expertise: Make sure you have &e skills to act as your own general conhactor, to coordinate the work of rough-in and finish trades, and to notifu building officials as the appropriate times bo they can perform the required inspections. If you have additional questions call the Construction Confractors Board (503-378-4621) or write the agency at p0 Box 14140, Salem, OR 97309-5052. Properfy_owner.doc 03/l I 103 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #: 12004000000000002r6 Date: 0211812004 l1:29:57AM 45.00 14.00 3l.00 6.00 39.00 10.00 9.45 13.50 coM2004-00192 coM2004-00192 coM2004-00192 coM2004-00192 coM2004-00192 coM2004-00192 coM2004-00192 coM2004-00192 Building Permit Fixture Minimum/Adj ustment Plumbing Vent Fan Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + I0o Administrative Fee Item Total:$167.95 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check DAVID MCCOY djb 7179 In Person Payment Total: $167.95 $167.95 ilrit.Ea SPRINGFIELD DEVELOPMENT SEFV'CES DEPARTMENT October 20,2004 David McCoy 1262 fr Place Springfield, Oregon 97477 Dear Mr. McCoy: your request for an extension of your permits for the repairal_y_our residence "/. located Zt1p1AZ 1"tPlace, Springfield, Oregon, City Job COM2004-00192 has been reviewed and approved. this extension may only be granted one time and will expire 180 days from the date of the expiration date noted on the recent letter from me regarding your permits, which will be May 1 2,2005, unless you request an inspection prior to that date requesting an inspection to verify progress on your project. tf you have any questions, or if I may be of any assistance, please feel free to phone me at 726-3790. Sincerely, Lisa Hopper Building Safety Supervisor ee,225-FIFTH STHEET SPFINGFIELD, OR 97477 6qi?za-szss FAX (541) 726's689 www.ci. sP ringf i eld'o r' u s &' DavroMcCoy I ?6? l sr PLACE SPRTNGFTELD OR 97477 54t 726-4060 October 14,2004 City of Springfield Lisa Hopper 225 Fifth Street Springfield, OR97477 Dear Lisa Hopper: My permit is about to expire November 12, 2004. I only have final inspections to complete, but the job is taking longer than expected. The job number is: COM2004-00192 the location is 1262lst Place Springfield Oregon. I understand after talking with you that I can request a one time six month extension for this work. I am requesting that extension so that my permit will not expire in November and I will be able to complete my project. Thank you for working with me on this. If you have any questions feel free to gle me a call at 726-tt060. Sincerely, q-*9 I rl C David McCoy DMidm City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676 Fax October 12,2004 MCCOY 1262 IST PL SPRINGFIELD Job Number: Location: oR 91477 coM2004-00192 1262 IST PL DAVID Project:Dryrot, plumbing and mechanical remodel 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 at 12621ST PL which is set to expire on llll2l2004. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to noti$r 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. Sincerely, 'UA0J Lisa Hopper Building Safety Supervi sor :lr:F 3E City of Springlield 225 Fifth Street, Springfield, OR97477 54.1-726-3759 Phone 541-72G3676Fax October 12,2004 MCCOY 1262 lSTPL SPRINGFIELD Job Number: Location: oR 97477 coM2004-00192 1262 IST PL DAVID Project:Dryrot, plumbing and mechanical remodel 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 at 1262 I ST PL which is set to expire on llll2l2}O4. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready torequestaninspectionforyourproject,pleasephonetheinspectionline at541-726-3769. Ifyoudo 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. Sincerely, U,b0, Lisa Hopper Building S afety Supervisor I