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Home My WebLink AboutPermit Electrical 2006-07-18Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00900ISSUED: 0711812006APPLIEDz 0711812006EXPIRES: 01/1812007 VALUE: SITE ADDRESS: 2497 37THST ASSESSOR'S PARCELNO.: 1702194208500 PROJECT DESCRIPTION: Install meter main in new location Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential Owner: Address: Contractor Tvpe Electrical LYNN HUNTER 2497 37TH ST SPRINGFIELD OR 97477 Phone Number: 541-747-6178 License Expiration Date PhoneContractor OWNER 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: Notes: # of Stories: Height of Structure Type of Heat: Water Type: $ Per Sq Ft or multiplier Range Type: Energy Pa Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 $us REQUIRED PARKING Total: Handicapped: Compact: Downspouts/Drains: Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Tvpe of Construction Page I of2 Value Date Calculated m3 {o$ \$' Valuation Description I Building/Combination permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 phone 541-726-3676 Fax 541 -726-37 69 Inspection Line Fee Description + lU'h Administrative Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid To Request an inspection call will be made the same workin day. PERMIT NO: COM2006-00900ISSUED: 07fl8t2006APPLIED: 07fi8t2006EXPIRES: 0t/18t2007VALUE: Amount Paid $6.30 $s.04 $63.00 Total Value of project Date Paid 7fi8t06 7n8t06 7n8t06 Receipt Number 1200600000000001081 120060000000000r081 1200600000000001081 s74.34 the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. g day, inspections requested after 7:00 a.m. will be made the following work Electric Service: Approval required prior to utility company energizing service. 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 properfy, and the approved set of plans will remain on the site at all times during construction. t/tfoo Pase 2 of 2 Date L Ilt€uurreo lnsDecuons I owner or cont9cto., Higr),ur. CITY O F SPRINGFIELD, OREGONf, izs FIFTH STREET o SPRINGFIELD,OR 97 477 o PH:(541)726-3753 o FAX: (S4t)726-3659ELECTRICALPERMITAPPLICATION City Job Number (Oaaz-ao 6-oo 7 oo DateI. LOCAruON OF INSTALI,ATION 3.COMPI,ETE FEE SCHEDWE BEI,OW+h t70 Z qZo A. New Residential _ Single or Multi_Family per dwelling unit. JOB DESCRIPTION Servlce Included 1000 sq. ft. or less I\fL _ $106.00 gPclI $ s0.00 $ s0.00 $ 25.00 $ 45.00 - - €n I or or Permits ere non-trensfereble and expire lf worknot started wtthin lg0 days of issuance or if work isSuspended for lg0 days. 2. o0.NTRACTOR Electrical Contractor _ $50.00 B. .Sen,icas or Frcders _Installation, Alferations or Relocation: o-00 200 Amps or less 201 Amps to 400 Amps ( $ 63.00 $ 7s.00 $125.00 $ 163.00 A.a Address \(\ City Supervisor License Expiration Date Date Signature of Supervising Electrician Owners Name Address a City pr,"n. -J4l-Lll8 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only $375.00 $so,oo --- C. Temporary Services or Feedtrs Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 Over 600 Amps or 1000 Volts see ..B,' above.D. Branch Circuits New Alteration or Extension per panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Miscellaneous (iervice/feeder not included) -Each I nstailation Pump or inigation Sigr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permlt Inspection Fee is $45.00 * Surcharges 4. SUBTOTALOFABOW 67 8% State Surcharge l0% Administrative Fee TOTAL soq 670 ALI)LInspection Request: 126'31 69 Shared Drive(T:YBuikling Forms/Electrical Permit Application l -o6 doc Constr.Number +"3&.e \,.J City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax January 10,2007 HLINTER 2497 37THST SPRINGFIELD Job Number: Location: oR 97477 coM2006-00900 2497 37THST LYNN Project:[nstall meter main in new location Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a perrnit 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 at2497 37TH ST which is set to expire on 111812007. 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 Safety Management Analyst Construction Contractors Board Permit #: (-OtA.e<--6-O o ? AO 700 Summer St hlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Address: Z Issued by:b6 ? 7 3a1L sl Date:o L 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: &--,$, 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. n 3,{. My general contractor is CN*r")(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR W 38. I will be my own ge,neral 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 conkactor 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 fnformation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. tfir f"6 permit applicant)' @ate) (White copy to issuing agenq) pennilfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 Acting as \ our Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CON$TRUCTION RESPONSIBILITIES Iiyou are acting as Your own contractor to construct a new home or make a substantiai improvemeni to an existing structure, you can Prevent many problems by being aware of the following responsibilities and concerns. You wjll;in most instances, bg ruled,to be an "employer" and the conftactors you conFact with all be 'tmployees" if you usE cantactors not licensed with the constnrctlon Consqotors foard to do labor in coaskucti4g.ol to assist in the .onrt u.lon or improvement of a residential sfucture. As ths employer, you must comply rtith the following: Oregonrs Withholdiug Tax Law: As an employer, you must withhold income taxes from employee wages at the time "*pioy**, are paid. fou will be.liable for the tax payments even if you don't actually withhold the tax from yotq employees.Foimoreinformation;calltheDepartmantofRevenueat503.378.4988" Unemployment rnsurance Tax: As an employer, you are required to pay a tax for unernployme,nt insurance purpoieb. on the wages of all employees. For more information, call the oregon Employment Department at 5a3'947-1488' >\ The Oregon Business ldentification NrNnber (Bsl) is a combined number for both Oregon Withbolding ard Unemployment Insurance Tax. To file for a BlN, call 503-945-8091 or qavw.dor.state.or.us/formspay.htmll for the appropriate forms. lVorkers, Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain-workers' compensation insurance fo: your employees. If you fail -to obtain :otk*l:i compensation inu**"", you codld be subjeci to penalties and be liable for all claim costs if one of your emploleEs is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consuma and Business Services at 503-947 -7 815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees'*vag&>.. you will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the Other,Responsibitities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirlpents that may be brought to your attention through inspections' , :.. . Liability aud property Damage fhsurance: Contact your insurance agent to see if you haw adequate insuraltce ' .ou.r"gi for accidents and omisiions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. ! Time: Make sure you have sufficient time to supervise your employees; .: :' , i .: Expertise: Make sure you have th'e skills to act as'your own general contractor, to dobrdinate the workof rough-in *d firrirh hades, and to notifu building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-3784621) or write the agorcy at PO Box 14140, Salem, OR 97309-5052. , . , ., .. : ;;.. 1., Prop€rty_owner.doc 06-0 l -04 NOTE: This tnformation Natice to Praperty Awners about Construction Responsibilrfr'es was developed by the Construction Cantractars Board in accordance with ORS 701.055(5J, passed by the 1989 Aregon Legislature. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 phone C;' -of Springfield Official ReceiptD-;lopment Services Departmeii Public Works Department RECEIPT #:120060000000000r081 Date: 0711812006 l0:30:44AMJob/Journal Number coM2006-00900 coM2006_00900 coM2006_00900 Description Perm Serv/Fdr 200 amps or less + 8% State Surcharge + llyo Administrative Fee Amount Due 63.00 s.04 6.30Item Total $74.34Type of payment Paid By Check ROGER HTINTER Received By Batch Numbe. N,umber How Received 3690 In Person Payment Total: Amount Paid cReceint I Page 1 of I 711812006 $74.34