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Home My WebLink AboutPermit Plumbing 2004-11-23Building/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: COM2004-01,442ISSUED: 1112312004 APPLIEDz 1112312004EXPIRES: 08/1112005 VALUE: SITE ADDRESS: 425 26TH ST ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: Springfield TYPE OF WORJ(: Single Family Residence 1703361420300 TYPE OF USE: Repair Replumb for 6 existing Iixtures and add 8 circuits Residential Owner: Address: Contractor Type Electrical DIAZTERWILLEGAR 425 26TH ST SPRINGFIELD OR 97477 tortlt -O0txpirationDate PhoneContractor OWNER OWIYER of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: ol the ru\es bY nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: nurn 1 R-3 vN Exf IHE, REQUIRED PARI(NG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: m DEVELOPMENT INFORMATION Notes: Pase I of3 TT I {r r {t Dist: N 1 L .R CO[,TM ENCED O Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01442ISSUED: 1112312004APPLIEDz 1112312004EXPIRES: 08/1112005 VALUE: Description Tvpe of Construction Fee Description + l0%o Administrative Fee + 7oh State Surcharge Fixture + l0o/o Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200400000000001647 120040000000000r647 r200400000000001647 2200500000000000160 2200500000000000160 2200s00000000000160 2200500000000000160 Amount Paid $8.40 $s.88 $84.00 $6.70 $4.69 $43.00 $24.00 $176.67 $ Per Sq Ft or multiplier Square Footage or Bid Amount tu23t04 tu23l04 tu23l04 2mt05 2mt05 2ny05 2mt05 Fees Paid 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 Plumbing: Prior to cover 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. Pase 2 of3 LLJ Valuation Description Keourre(l Insnectrons I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01442ISSUED: 1112312004 APPLIEDz 1112312004 EXPIRES: 08/1112005 VALUE: By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correc( and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield 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 stree! 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 Signature Date Pase 3 of3 \[}- -__\-.__ . City of Springfield 225 Fifth Street, Springfield, OR 97477 541-726-3759 Phone 541-726-3676 Fax September 19,2006 DIAZ TERWILLEGAR 425 26THST SPRINGFIELD oR 97477 Job Number: Location: coM2004-01442 425 26THST Project Replumb for 6 existing fixtures and add 8 circuits 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 425 26TH ST which is set to expire on 101612006. 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 project, please phone the inspection line at 54L-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, Lisa Hopper Building Safety Management Analyst i Uro, City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax March 30,2006 DIAZ TERWILLEGAR 425 26THST SPRINGFIELD oR 97477 coM2004-01442 425 26THST Project:Replumb for 6 existing fixtures and add 8 circuits 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 425 26TH ST which is set to expire on 412712006. 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 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 54I-726-3790 Sincerely, Lisa Building Safety Supervisor Job Number: Location: City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax October 20,2005 DIAZ TERWILLEGAR 425 26THST SPRINGFIELD oR 97477 Job Number: Location: coM2004-01442 425 26TH ST Project:Replumb for 6 existing fixtures and add 8 circuits 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 425 26TH ST which is set to expire on l2l27l2OO5. 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 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, Lisa Hopper Building S afety Supervisor \^.N, zoning. and does ll rg ruil()wrng d use ,J 225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-37s3 o FAX: (s4l)ee6-efrJd sis E LE CTRI CAL P ERMIT AP P LICATI ON ^t"W"cific tan b-"1-of OupE?Z,nCity Job Number {i*'"*rror+- nt*t(/Date 1. 41,,2 At"+n S'l- LEGAL DESCRIPTION ll .o3 3G t+ JOB DESCRIPTION 'r L-t-- Permits are non-transferable and expire if work is 3 not started within 180 days of issuance or if work is Suspended for 180 daYs. ", Electrical Contractor Address Phone Supervisor License Expiration Date Constr Date of Supervising Electrician Owners Name Address City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 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 Amps/Volts Reconnect Only 3 A. B. D. 8s $ 106.00 $ 19.00 $s0.00 $163.00 $375.00 $ 50.00 City Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit s 43.00 7 33 E. Limited Energy,&"esidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Inspection Fee is $45.00 * Surcharges a ,3t o 36 L- Each,flffiffif Ope$+eUuit[aw requi/es y.oq lq s"*t6 riu#hfJ$m$; o ov th"d/c.'iUf, tW I rump or iniffi Bd l-:i.ll i,iliJ $flH Jfi i'dd' sisrvQlltfing LighJqS* r, u q o n Uril+A.[tat+ii td0d{ Owners Signature: ,"7-4a-4. Fee Inspection Request: 726-3769 \p Shared Drive(T:)/Building Forms/Electrical Pennit Application l -03.doc ,i Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amos to 400 Amps $ 69'00 401 Amps to 600 Amps $100.00 NO I IL Y IT IS T 41 I 225,Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Citv of Springfield Official Receipt . *_:velopment Services Department Public Works Department RECEIPT #: 2200s00000000000835 Date: 0612712005 t:44234PM Job/Journal Number coM2004-01442 coM2004-01442 coM2004-01442 Description Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l}Yo Adminishative Fee Item Total: Payments: Type ofPayment checkNumber Authorization Paid By Received By Batch Number Number How Received Amount Paid Check TERWILLERGERDIAZ lkw 48s In Person $38.61 Payment Total: -S5EGI 612712005 Page I of I t&xtlroBltrl' Amount Due 33.00 2.31 3.30 -S38-:Cf 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 r FAX: (541)726-3689 E LE CTP.I CAL P ERMIT AP P LI CATI A N OtLl ,l 7oq-City job Number (l)n z o I. LOCA'TION OF INS'CALI-AT-ION dt{A -A .Q /. LEGAL DESCRIPTION-7 0336 f rl Zn zo !> JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is ONLY Address Superuisor License B. Services or Feederu - [nstallation,.{.lterations or Relocation: ( 2 3. CAMPLETH A. Nerv Residential - 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 TOTAL 4@ .00 $s0.00 $ 63.00 $ 75.00 $ 125.00 Suspended for 180 days. 2. co}xrRACToR TNSTALLAflON Electrical Contractor City UU Expiration Date Constr. Contr,umber Expiration Signature of Supervising Electrician Owners Name VI Address Phone ?DI OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 401 Amps to 600 Amps $ 100.00 New Alteration or Extension Per Panel oneCircuit / $+:.oo Limited EnergyResidential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges Over 600 Arnps or 1000 Volts see "B" above. D. Branch Circuits ttS ZL( \J NY 4 $ 25.00 $ 45.00 (, 1 7oh State Surcharge L/b7 l0% Administrative Fee b70'78sJ ( Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Pennit Application I -03.doc $ included) -Each Installation $ 50.00 Each Additional E: 180 U 0H or irrigation Lighting $ 50.00 4. SUBTATALAFABOW GONc,ITlr,oF 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000160 Date: 0211112005 2:14:20PM Job/Journal Number co},.l2004-01442 coM2004-01442 coM2004-01442 coM2004-01442 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0o/o Administrative Fee Amount Due 43.00 24.00 4.69 6.70 Item Total:$78.39 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check TERWILLEGAR djb 549 In Person Payment Total: $78.39 -$ffi 2/tt/2005 Page I of I 5t 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: COM2004-01442ISSUED: 1112312004APPLIED: 1112312004 EXPIRESz 0512312005 VALUE: SITE ADDRESS: 425 26TH ST ASSESSORTSPARCELNO.: 1703361420300 PROJECT DESCRIPTION: Replumb for 6 existing fixtures Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential Owner: DIAZTERWILLEGAR Address: 425 26TH ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor OWNER License Expiration Date Phone CONTRACTOR INFORMATION ] INFORMATION # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: lollow Street Improvements: Storm Sewer Available: Special Instruction: Notes: 0090.You may obtain of the rulescopies n Utility Sidewalk Type: oAR 952_001-Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKNG Total: Handicapped: Compact: nla I\,L ANY 180 DAY PERI Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Notificafron Gonter.Those rules are set forthh OAR 952-001.001 0 through calling the center (Note:the tele phonenumberfortheOregonUtilityNotification $ Per Sq Ft or multiplier by Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated 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: COM2004-01442ISSUED: 1112312004 APPLIEDz 1112312004 EXPIRESz 0512312005 VALUE: f,'ees Pa Fee Description + l0o/o Administrative Fee + 7o/o State Surcharge Fixture Total Amount Paid Amount Paid $8.40 $5.88 $84.00 $98.28 Date Paid til23t04 tU23l04 rU23t04 Receipt Number 1200400000000001647 1200400000000001647 1200400000000001647 Plan Reviews To Request an inspection call the24 hour recording at 726-3769, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. (_ lt-A3-oq or Contractors Date Pa;ee2 of2 Keourreo lnsDectrons I Construction Contractors Board Permit #:Cov,azp<><- o tL/'/Z 700 Summer St I\E Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:ry$!4!4 Address:qzt z6+L S ts Issued by:\6 Date: i/ZA o 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. Tlis 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: tr' E- 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 (Nane)(ccB #) I will instrrct my general contractor that all subcontractors who work on the sfrrcture must be licensed with the Construction Conhactors Board. OR \f 38. I will be my own general confractor. 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. v'?,(//a //'tj-OJ (Signature of applicant)(Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-0 I -04 Acting as Y our Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPON$IBILITIES Ifyou are acting as your own co$tractor to construct a new home or mak6 a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilitiesand concems. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with wi1l be "erqployees" if you use conkactors not licensed with the Construction Conkactors Board to do labor in conskucting 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 the time employces are paid. You will be liable for the tax payments even if you don't actually wrthhoid the tzrx from your employees. For more information, call the Depaknent of Revenue at 503-378-4988. t, Unemployment Insurance Tax: As an employer, you are required to pay a tax forunernployment insurance purpoxb.- on the wages of all employees. For rnore information, call the Oregon Employment Department at 5A3-947-1488. The Oregon Business Identification Number (BINfi is a combined number for both Oregon Withlmlding and- Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formspay.hfmll for the appropriateforms. . ; : . Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and rnust obtain workers' compensation insurancs for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of yor.r employees is injured on the job. For more information, call the Workers' Compensation Divisiorr 'it the Dcpartrnent of Consumer and Business Services at 503-947 -7&15. U.S. Internal Revenue Service: As an employer, you mrist withhold federal income.tax from enrployees' wages.>-_ You will be liable firr the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS dt l-800-829-4933 or visit their web site at wrviv.irs.sov. ' : ' f'' 'rJ" : ; i : Other Reryonsibititis$,and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any faihire to meet code requirelnents,that may be brought to your attention throug! inspections. .!. Liatrility and Property Damage fnsurance: Contact your insurance agent to see if you have adequate insurarlee coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punch-res, fire or work that must be redone . Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you havi: *re skills to act is youi tvi,n"general conkactor, to coordinate the work of rough-in and finish frades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Consfiuction Conkactors Board (503-3784621) or write the agency at P0 Box 14140, Salem, OR 97309-5052. t,: \, . .;, s- , ,., ,11 Property_owner.doc 06-0 1 -04 NATE: This lnfarmation Notice to Prap*rty Awners about Construction Responsibilrtles H/as developed by the Construction Contractors Board in accardance with ORS 7U.A55{5J, passed by the 1989 Oregon Legislature. 225 Fifth Street Springftreld, Oregon 97 477 541-726-3759 Phone rity of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200400000000001647 Date: 1112312004 ttz47z24AM Job/Journal Number col||{2004-01442 coM2004-01442 coM2004-01442 Description Fixture + 7oh State Surcharge + l0Yo Administrative Fee Amount Due 84.00 5.88 8.40 Item Total:$98.28 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check TERWILLEGAR djb 765 In Person $98.28 Payment Total: -SDii75- tU2312004 Page I of I .DE [.D