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Home My WebLink AboutPermit Building 2006-5-26 \' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line A,CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00628 ISSUED: OS/26/2006 APPLIED: OS/24/2006 EXPIRES: 08/2012007 VALUE: $ 12,920.00 SITE ADDRESS: 717 S 47TH ST ASSESSOR'S PARCEL NO.: 1802051211200-' PROJECT DESCRIPTION: Carport Owner: PARKER HOMES INC Address: 24717 WOLF CREEK RD VENET A OR 97487 Contractor Type General Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential I CONTRACTOR INFORMATION I Contractor PARKER HOMES INC Phone 541-935- 7984 # 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: Notes: Description Type of Construction License 162168 Expiration Date 11/18/2008 BUILDING INFORMATION. # of Stories: Lot Size: U Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Ran~!ype: Sq Ft Garage/Carport t\le~gy'P!.th~i\l.v. tl::iUH IW, I lJ'-!v<a c;v~qJEt,Qther: f~l{Ik~~dEBbiMta~ted by thtflQ)regm(j)~p1lynt Load: I\Jntrflf'-:ltll".... r"',,"'+,.... T"8-- _,.1- - - .~ .. . ..--., .. --. -....""'''"' \.41 v -"c;:n IVi I DEvluJ)tm~V~aVJ~ OAR 952-00 uu~u. You may 0 tain copies of the rules I REQUIRED PARKING S~JVa9 !!ii:csnter. (Note: the telephone Total: rw)~Wt9l~c{dr.gon Utility Notification Handicapped: Paved DFOOtRljID 1-800-332-2344). Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: NonCE: THIS PERMIT Downspouts/Drains: SHAll EXPIRE IF THE WORK ~~~~OE~ZED UNDER THIS PERMIT IS NOT CEO OR IS ABANDONED FOR ANY I ~n n^y ~~nI;)n I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Carport Carport Fee Description + 10% Administrative Fee + 8% State Surcharge Garage/Carport Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00628 ISSUED: OS/2612006 APPLIED: OS/24/2006 EXPIRES: 08/20/2007 VALUE: $ 12,920.00 $19.00 680.00 Total Value of Project $12,920.00 $12,920.00 OS/24/2006 ~ Amount Paid Date Paid Receipt Number $13.08 5/26/06 2200600000000000668 $10.46 5/26/06 2200600000000000668 $130.80 5/26/06 2200600000000000668 $85.02 5/26/06 2200600000000000668 $4.60 2/20/07 2200700000000000223 $2.30 2/20/07 2200700000000000223 $3.68 2/20/07 2200700000000000223 $43.00 2/20/07 2200700000000000223 $3.00 2/20/07 2200700000000000223 $295.94 I Plan Reviews I OS/26/2006 OS/26/2006 APP DJB engineered plans. carport over existing paved rv pad. To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouiredJnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Pal!e 2 of 3 (. CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: COM2006-00628 ISSUED: OS/26/2006 APPLIED: OS/24/2006 EXPIRES: 08/20/2007 VALUE: $ 12,920.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Owner or Contractors Signature Date Pal!e 3 of 3 225 Fifth S.treet ~ Springfield, Oregon 97477 541-726-3759 Phone g?'~~~of Springfield Official Receipt r\~lopment Services Department Public Works Department Job/Journal Number COM2006-00628 COM2006-00628 COM2006-00628 COM2006-00628 COM2006-00628 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000223 Date: 02/20/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 8% State Surcharge + 5% Technology Fee Paid By BARBARA GAURTHIER Item Total: Check Number Authorization Received By Batch Number Number How Received lkw 008969 In Person Payment Total: Page I of 1 1l:22:36AM Amount Due 43.00 3.00 4.60 3.68 2.30 $56.58 Amount Paid $56.58 $56.58 2/20/2007 ZON INITIALS DATE SOURCE ELECfRICAL PERMIT APPLICATION City Job Number (! 0 fJ1 cl.-O 06 - 0 !) (;; ^ g 1. 7(7 5: C/7tiC Sr LEGAL DESCRIPTION: \~ OJ. 0 ~- I;).. II ~cn) JOB DESCRIPTION: Na.W Cj(Z~ t- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name (lllLf ;;-au.-lit I~ Address 1/7 5; (j. 7 f.tL Ji. City 54 -1-;:/ Phone 1l.f 7 _.f! 37 (j f-ctl.~ 5/0 - OCf/ I OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Si&na.:ture: I;./J - h- e/a.'/, W /i %d. ~.. v v~ Inspection Request: 726-3769 Date ~ .. ;:;:2 rJ-- ()7 3. A. 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 $106.00 $ 19.00 $50.00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel - One Circuit Each Additional Circuit or with "'. Service or Feeder Permit $ 43.00 $ 3.00 Si3, 3, t: I E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. L/~ , ~ 0~_ 4l~b 6<, ~2> 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL 5&>,08( Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06.dbc ZON LXY2- INITIALS N M DATE ,~ld-I IL57 SOURCEtrv~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Co m ;;z.O 06 - 0 !) G;z <;f 1. LOCATION OF INSTALLATION: 71'7 5 C/7 tiC S1: LEGAL DESCRIPTION: I 7;' r, J.. 05" I ~ J \ ")-rl JOB DESCRIPTION: Nt.cu (iir~'Y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City / ~one ;/-:", .. Supervisor License Nunlber Expiration Date Constr. Contr. Number ", , ""'-,. ~ \ Expiration Date .Srg'nature of Supervising Electrician Owners Name (l flLf ~~ ,l/ .14 l'-er Address --; / ? 5, rt 7 ~ .)1. City 5trhJ Phone 1lf: 7 - f/37 # fl-cd-'5/o-0Cf-/1 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Si~re: t/){{ih~ 4 .~~ Inspection Request: 726-3769 Date :2 -;) r) - ()7 3. COMPL1!.l~ FEE SCHEDULE BELOW A. Single or Multi-Family per dwelling unit. 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 $106.00 $ 19.00 $50.00 B. staUation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D.>Bt::lnchCU:cuiis $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel -- One Circuit Each Additional Circuit or with ~. Service or Feeder Pennit $ 43.00 $ 3.00 '/3r 3, h I E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. L/~ , .~. tc K 4. (/)?:> 6<. ~o 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL 54:>, '78/ Shared Drive(T:)/BuiIding Forms/Electrical Permit Application 8-06.d6c . . .' .... . ' ' t 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 Permit#: (J~ mw -()Dfo~i Address: '1J 7 d. 1/ 7-h< S fr .vJ- Issued by: cr)0 Date: Ol - ;1,. 0 - C' 7 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires r:esidential 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. 01 0(7)~ need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 0'1. D .2. I own, reside in, or will reside in the complet~d 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 wlW work on the structure must be licensed with the Construction Contractors Board. OR ~ 3B. I will be my own general 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 contractor who is licensed with the CCB and will immediately notify the office issuing this building permit ofthe 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. a / cLd;;tM . ~gnat\)t~f perm17~pplicant) ;2-;J-O - 07 (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 'Acting as ~-ou-r Own General Contractor? . INFORMATION NOTICE' 10 PROPERTY OWNERS ' ABOUT CONSTRUCTION RESPONSIBILITIES ' ';.. <.... t, ~ 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 cQntractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the followirig responsibilities and concerns. Employer Responsibiliti~s -- - You ~ll, in most instances, be ruled to be a,n "employer" and the contractors you ~ontract with will be "employees" if you use contractors not licensed with the Construction Contrac~ors Bom:d to do labor in constructing or to assist in the construction o~ iu:provement of a residential structure. As t~e empIorer, you must comply with t~e following: Oregon's Withholding Tax Law: 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 ~9n't a~tually withhold the tax from your employees. For more information, call the Department of Revenue at 503;.378-4988. .' ~ Unemployment Insurance Tax: As an employer; you are required to pay'a tax for unemployment insurance purposes' . on 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.state.or.us/formsnav.htmll for the appropriate forms. . . Workers' Compensation Insurance: As an employer,' you are subject to the Oregon Workers' Compensation Law, and must ob13;in workers' compensati.oD: insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all' cla'iri1 costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Con~umei and Business Services at 503-947-7815. .' 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 1:.800-829-4933 or visit their web site,atwvo'w.irs.gov. . .:, . . ' Otber ~es.ponsibilities and Areas of Concern~ Code Compliance: As the permit holder for this project, you are responsible for resolvlng any failure to meet code requirements that !TIay be brol,lght to your attention throug;h inspections. . ,>, '. . '. .' . .' . " ". J' - ... . ." j .. ~ Liability and Property Damage Iilsrirance: Contact"yout' insurance a:gent to see if you have adequate insbrance' 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. '. ;.. PropertLowner.doc 06-01-04