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Home My WebLink AboutPermit Mechanical 2006-08-28Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line ITY F Building/Combination Permit PERMIT NO: COM2006-01101ISSUED: 0812812006APPLIED: 08/2812006 EXPIRESz 0212812007 VALUE: SITE ADDRESS: 2261 5TH ST ASSESSOR'S PARCEL NO.: 1703262101900 PROJECT DESCRIPTION: 2 rinnai water heaters and gas piping. Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential Owner: Address: Contractor Type Mechanical Contractor AMBASSADOR PIPING INC ,License 121469 Expiration Date 03t27t2007 Phone 541-726-5723 LOCKLEAR JUNEANN K & BARRY E 226I N 5TH ST SPRINGFIELD OR 97477 # of Units: Primary Occ Secondary Occu Primary Construction Secondary Construction # of Bedrooms: Type Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Hei'ght of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Buildin!: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 0ccupant Load:nla .<: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated ) Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-01101ISSUED: 0812812006APPLIED: 08/2812006 EXPIREST 0212812007 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Appliance Not Listed Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid Total Value of Project Date Paid 8t28t06 8t28t06 8t28t06 8t28t06 8t28t06 8t28t06 8t28t06 Receipt Number 2200600000000001207 2200600000000001207 2200600000000001207 2200600000000001207 2200600000000001207 2200600000000001207 2200600000000001207 $10.00 $4.s0 $2.25 $3.60 $r8.00 $4.00 $23.00 $6s.3s Plan Reviews To Request an inspection call the24 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. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical; Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Reouired Insnect 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,ltd= Owner or Contractors Signature Pase 2 of? Date K-z F ees rard l/--,-- 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Cia, of Springfield Oflicial Receipt L llopment Services Department Public Works Department RECEIPT#: 2200600000000001207 Date: 0812812006 e:4E:llAM Job/Journal Number coM2006-01l0l coM2006-0 t l0l coM2006-0 t t 0l coM2006-01l0l coM2006-0r l0l coM2006-01 l0l coM2006-01 l0t Description Appliance Not Listed Gas Outlets l-4 M inimum/Adjustment Mechanical -Mechanical Issuance Fee- + 504 Technology Fee + 8% State Surcharge + lUoh Administrative Fee Amount Due 18.00 4.00 23.00 r 0.00 2.25 3.60 4.50 Item Total:$65.35 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard MATTHEW S CLEMENT jmp 020148 In Person Payment Total: $6s.3 5 -tr6-s3 Page I of I 812812006 tFtmm* cReceint I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01101ISSUED: 0812812006APPLIED: 08/2812006EXPIRES: 0212812007 VALUE: SITE ADDRESS: 2261 5TH ST ASSESSOR'S PARCEL NO.: 1703262101900 PROJECT DESCRIPTION: 2 rinnai water heaters and gas piping. Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Phone Number: 541-747-6206Owner: Address: Contractor Type Mechanical JUNEANN LOCKLEAR 2261 sTH ST SPRINGFIELD OR 97477 Contractor AMBASSADOR PIPING INC BARNES HIGH TECH PLUMBING INC License 121469 t33r1 Expiration Date 03t27t2007 0211712008 Phone 541-726-5723 541-726-9854 CONTRACTOR INFORMATION Plumbin # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: raS ,\' b.l Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: :\''l nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: t Pase I of3 PUBLIC IMPROVEMENTS Notes: 3 ^tO \ne (u\ Lo\ooo ,"tt$ .{oU Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line TY Building/Combination Permit PERMIT NO: COM2006-01101ISSUED: 0812812006APPLIED: 08/2812006EXPIRES: 0212812007 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 5olo Technology Fee + 87o State Surcharge Appliance Not Listed Gas Outlets l-4 Minimu m/Adjustment Mechanical + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Fixture Minimum/Adjustment Plumbing Total Amount Paid Total Value of Project Date Paid 8t28t06 8t28t06 8t28t06 8t28t06 8t28t06 8t28t06 8t28t06 8t29t06 8t29t06 8t29t06 8t29t06 8t29t06 Value Date Calculated Receipt Number 2200600000000001 207 2200600000000001207 2200600000000001207 2200600000000001207 2200600000000001 207 2200600000000001207 2200600000000001207 2200600000000001216 2200600000000001216 2200600000000001216 2200600000000001216 2200600000000001 216 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.s0 $2.25 $3.60 $18.00 $4.00 $23.00 $4.50 s2.2s $3.60 $14.00 $31.00 $r20.70 Fees Peid 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. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Reouired Insnecfions Paee 2 of3 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line F PRIN FIB Building/Combination Permit PERMIT NO: COM2006-01101ISSUED: 0812812006APPLIED: 08/2812006 EXPIRESz 0212812007 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 70I.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. s er or Contractors ature Date 2(6 Page 3 of3 Construction Contractors Board Permit #:LOlrvlLooG - OtlO I 700 Summer St hlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us ZzL( StL F Issued by:\<Address: jF E tr A Date: Statement: Information 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 permtt 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 submtt 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 3B: l. 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. 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 Contractors Board. OR 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. (Signature of permit app licant) (llhite copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 1 -04 *r/, 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. A* Aetiug e$ Your Orvn General Cd-ntractor? $T{PORMATION NOTICE TO P&,OPERTY OWNTRS ABOUT OON$TRUCTIO}I RT$PON$IBI I-ITIES NCIfgi Tlris lnfarma#on No*be to Property Ownars alouf Canstruction Responsl0i/rlies ws"t devsf*ped by the Construction Contracfors Soard in aecordanco wtttt QRS 7A1.A55{5J, passed by ttt* 1989 Oregon Legislature. It y*u *rc ac&ng as yorlr own cotllr*ctcr to c*nstrxct a r:ew h*me or r*ake a sxbstantjatr improvement t* an *xisting str-acture, y*1.1 calr preveilt rnany problems by being aware of the following responsibilities and c$vlc*tYrs. €mploysr Respnnsibilitiec You wiil, in rnost insta*ces, be mled to be an 'oerllpioyer" and tire contractors you contrast witl: will be "*rnplcyees" if you use contractcrs :rot licersed with the Ccnstrucli*n Contract*rs Eoard to d* iabor in ecrrstructing cr to assisi in the c*nskuetion cr impr*ver:r*nt of a r*sids:tiatr str:rctur*. As {he cmployer, y*u must comply rryith the foll*wixg: Oreg*u,s Withh*ldiNlg Tax [-aca,: As an empl*yer, y*l.e rxust witl*reilil in*cme taxes frcrn en:ployee wages at the time employces ar* paid. Y*u will bs liabls f*r the t&x p*),rr:ernts *ven if yllu don't a*luattry withh*id the tax fian: your empi*:ye*s. F*r:n*re infoi:natinn, ea!! the llqr*rtm*nt *f Revenue at 503-3?84988. Un*mploym*n€ Xxr*xlram** Yax; A* ayl cmplcyer, )iou are r*quired tei pay a tax for unempioyment insur*nce prirposes -: *n t&e wetr;s$ *f *tri *mpl*yees. F*r rx*r* inf*nnati*n, *ali the (}reg*:x Hrr,plt"r):uent Separtn:ent *t 5*3-S4?-14$8. The Oregon Business ldextification Number $I|{) is a combined numbor for bath OrogoR, Withlrolding and Unernployrxent Insurance Tax" To file fcr a Bhl, cail 503-945-8091 or ry-r:.*},.dof.state.or.us/forrnssay.htmll for the appropriate forms. lYorkers' Compensation hsurance: As au employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for yow employees. If you fail to obtain worksrs' compeirsation insuranci:, you could be subject to penalties and be liable for all claim costs if one of your empioyees is injured on the job. Fcr more i*fo,rmation, caltr the $/orkers' Compensati,on Division at the $epartnient of, Consumer ard Business Servic*s at 503-947-781 5, {J.S" lxltern*} Rev*i*ue S*rviee: As ** *mp}eryer, y*u muot rvit&hcld fcdm'al income tax frorn employees' xvages. Y*u wil} be lia}:[c fc]]r th* {ax paSml*:rt evrlr if y*x did*'t **tua}}y vrithh*ld t!:e tax. }"cr a Fed*ratr SXN nurnb*r, cal} the I&"S at 1-8S0-829-4933 or r"isit their web site at rylgly,xs.g$y" Stker Kerpomsihilities xnd Aree$ of Concerns Csx*c il{lsmpX**ne*; As thc 'pemit h*1*}er f*r t}ris pr*ject, ysu are r*sp**sibl* f*r r***lvixg any f*ilw* t<l *:eet ccde r*quirementx tilat r**y he br*ugi:rt t* y*ur attexti*n t*:ro*gh i*specttons. X*iab*iity *mx* Fr*p*rt3 }lamag* !ns*rarx**: C*:nta*t y*ur insuranc* ag*nt t* se* if y*n have ;lcleq*ate i:"ts*ranee rv*rk lhal *rr:sl b* r*cit:&*. If y*u ha:r* additi*nat q***ti*xs ea1tr t}:re Crxstrrxeti*r: C**k**t*rs S*ar<3 (5*3-3?8-,e{5?t} or lvrite th* asex*y at p{} Sox 1414*, Sirlern. *fi. q?X]?-5*S3. r Fropcrty_r:rvr*r.d*c *5-* 1 -$4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C' -' of Springfield Official Receipt L- , elopment Services Department Public Works Department RECEIPT #: 2200600000000001216 Date: 0812912006 1:05:52PM Job/Journal Number coM2006-01101 coM2006-0r r 01 coM2006-0r l0l coM2006-01101 coM2006-01101 Description Fixture M inimum/Adj ustment Plumbing + 5olo Technology Fee + 8olo State Surcharge + l0%o Administrative Fee Amount Due 14.00 3l.00 2.25 3.60 4.50 Item Total $55.35 Payments; Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check LOCKLEAR LEATHERWORKS LLC djb 2040 In Person Payment Total:$55.J5 $55.3 s cReceinl I Page I of I 8t29/2006 City of Springfield 225 Fitth Street, Springfield, OR 97 477 541-726-3759 Phone 541-726-3676Fax January 10,2007 LOCKLEAR 2261 5TH ST SPRINGFIELD Job Number: Location: JLiNEANN oR 97477 coM2006-01101 2261 5TH ST Project:2 rinnai water heaters and gas piping. 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 at22615TH ST which is set to expire on 212812007. 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 proj ect, please phone the inspection line at 541-726-37 69 . 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, Lisa Hopper Building Safety Management Analyst = o&jao-{& o*4- Ar+} 8-z-8-Ot h-1-r--r-\ti1-rJr4. -.o.-frLt-X.- ^j."ol-6,t }-a-as-e*A;L Acsar-&d.d.d