The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2006-7-25 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7034 MAIN ST ASSESSOR'S PARCEL NO.: 1702353100900 ~~."'.'.... , , . . CITY OF SPRIN&n....LlJ Building/Combination Permit PERMIT NO: COM2006-00934 ISSUED: 07/25/2006 APPLIED: 07/25/2006 EXPIRES: 01/25/2007 VALUE: Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Site improvements for partition. Parcel 2 Owner: MAX NORRIS Address: PO BOX 311 LOWELL OR 97452 Contractor Type Plumbing Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction ~\ Pbone Number: 541-912-8158 I CONTRACTOR INFORMATION€I\uires '{~~i~i~'{ t "l.l'egon . ;)~ ,k' ~\ $\(\h .' Licensejles ,Expiration Date Phone ",~eL \ lIV.....- OA.R 9oZ-UU I . ......n.."~hrouQh .,....co hv \8S Ullll..... ,- J BUlLDl"" ,," ORMA T.ION IJ1J , 'he telephone . .\~ cer1ter. \I~ote.:. Notilicatlon # or Stories: '1 t\i~ Oregon Utility 4 Lot Size: Height'Of Sij.u~{ure-( is 1_800-332-23 ~<i Ftlst Floor: ('en'" Type of Heat:' Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: _ .,-\.\1' '-NeI':~ I PUBLIC IMPROVEMENTS I '. \. 't.'1-.'(I\'.'<:.. ~I"WlI\ I';) ~~V . "{Ir,'r... < C;'r\~\. ~t\IS? cl) rei" \t$Side~\~\kIType:\)\:1" \ ',~l)eI~'- \\\IS ~ _ ~\11'\) ijl'l.. Ie. ~'O" DownspoutslD,!jams: ("\ ~\) I I '~'t.~CJtv ?'t.l"leI\." CJelWI ;) 1)1\'\ f\~'\ \'0 I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00934 ISSUED: 07/25/2006 APPLIED: 07/25/2006 EXPIRES: 01/25/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F Pf\li'. J:iW;LI $19.10 $15.28 $28.00 $45.00 $14.00 $45.00 $45.00 $14.00 Date Paid 7/25/06 7/25/06 7/25/06 7/25/06 7/25/06 7/25/06 7/25/06 7/25/06 Receipt Number 1200600000000001138 1200600000000001138 1200600000000001138 1200600000000001138 1200600000000001138 1200600000000001138 1200600000000001138. 1200600000000001138 Fee Description + 100/0 Administrative Fee + 8% State Surcharge Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addt1100' Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Water Line - Each Addtl100' Amount Paid Total Amount Paid $225.38 I Plan Reviews I 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 Rpnllil;mJmait;f1n<' Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Rough Plumbing: .Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Paee 2 of 3 ~\ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00934 ISSUED: 07/25/2006 APPLIED: 07/25/2006 EXPIRES: 01/25/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, , state and agree, that' have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and' 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. , further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. , 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. m fPv? L crZ-o-- '7/25"/06 Date ( I Owner or Contractors Signature Paee 3 of 3 ~\ , . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us . Pennit#: c.ow\'~,.ol-oo C; 7'1/' 9JJ,-- Address: 70 J '1/70'3 L. /I'1,4.IN.T r Issued by: ~.;r Date: -0-0 b (f). . . \. / ". ..' '. ..' Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from 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 1 and 2, and either box 3A or 3B: ~1. ~2. 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. D 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 ~ 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. Ifl change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify 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. ~ L ~ CJ7/251o{ (Signature of permit applicant) ( .(Date) (White copy to issuing agency permit file, pink copy to applicant.) :"_r_.;J_owner.doc 06-01-04 ~\ 'AdnIID~ rJl~ !llllrr (Q)WIID CG~IID~rr~n CC!~rr~~~(!])rr? INFORMATION NOY~CE 1'0 PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES -, .. - '" NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. IEJ1ll1ljpllloyeIr lResjplolIDsftlbnllft~nes You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As tile employer, you must comply witll the following: Oregon's Withholding 'flU{ JLaw: As an employer, you must withhold income taxes from employee wages at the 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 more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance 'fax: As an employer, you are required to pay a tax for unemployment insurance purposes nn the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. ..... The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.stale.or.us/fonnsoav.htmll. for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' cv...t'~usation insurance 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 your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. InternallRevenue 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 1-800-829-4933 or visit their web site at w\vw.irs.l!Ov. On:llneIr ResJIlIiO>lffisJibullJin:Jies ~lffiidl AIreas iO>ff COlffiiCeIrIffiS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: 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 from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. r.~Y_'~J_owner.doc 06-01-04 J 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~ ~ lilt' of Springfield Official Receipt Welopment Services Department Public Works Department Job/Journal Number COM2006-00934 COM2006-00934 COM2006-00934 COM2006-00934 COM2006-00934 COM2006-00934 COM2006-00934 COM2006-00934 Payments: Type or Payment Check cReceintl RECEIPT #: 1200600000000001138 Date: 07/25/2006 Description Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1 st 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet + 8% State Surcharge + 10% Administrative Fee Paid By REN FUR LLC Item Total: l.:heck Number Authorization Received By Batch Number Number How Received djb 1591 In Person Payment Total: Page 1 of I 1:32:07PM Amount Due 28.00 45.00 14.00 45.00 14.00 45.00 15.28 19.10 $225.38 Amount Paid $225.38 $225.38 7/25/2006