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Home My WebLink AboutPermit Plumbing 2007-8-6 t , '$PAU"GF.J-..o -1 ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 616 32ND ST ASSESSOR'S PARCEL NO.: 1702312408500 Springfield PROJECT DESCRIPTION: Replace approx 301fwater line Owner: ROBERT FAUGHT Address: 616 N 32ND SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side.! Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01153 ISSUED: 08/06/2007 APPLIED: 08/06/2007 EXPIRES: 08/06/2008 VALUE: TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential Phone Number: 541-747-5898 I CONTRACTOR INFORMATION I $ Per Sq Ft or multiplier License Expiration Date Phone BUILDING INFORMATION I R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: '(i7~'S? . --:S-CO~- ~ Sl~J,8?:<IFUBLIC IMPROVEMENTS I . "\ L ~""'.I0 ",u. ,(it --- -. ..........Y'l1""\."'f"lf\1 .,'j. ,I ILuo J...... I Street Impi:oYeme~t~: -' ',',' .'1 ,,) '.IelU88 84~ 6U!llB8 Storm Sewe~1~~ii~;'~:~' ~~:J~~ U!Blqo ABW no" '0600 "J\'-j "t)I'" ~ .,., J . S6l:l';tO UI Special Instr~ctiou: tlVr- Jt r.oJ4l 0 ~OO- ~OO-G ' ~lJ~l ~;sv 8JB ~81~.1 8s041 '.I8lU88 UOllBO!m?N Notes: AllI'ln u068.10 84l i\q p8ldopB SalnJN3M?~I~! Cl'nOA s8J!nbaJ MBI uo6aJO :NOll ~ I Valuation Description I Description Type of Construction Sidewalk Type: . lO~0~i.(1p1JU&lJlf~i8~O~:t3d AltO 08 t ANt )ftJO~~tiVVtJ3d S/Hl tJ30N~ g38N3VVlltJ08 1 :1/ 3WdX3 l1ltHS 3Z/ClOHlnlt . 1//!iJ1:J3d S/Hl :J~iJ.UN Square Footage or Bid Amount Date Calculated Pal!:e 1 of2 Value 1 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Water Line - 1st 50 Feet Total Amount Paid Total Value of Project Fees Paid I Amount Paid Date Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01153 ISSUED: 08/06/2007 APPLIED: 08/06/2007 EXPIRES: 08/06/2008 VALUE: Receipt Number 2200700000000001236 2200700000000001236 2200700000000001236 2200700000000001236 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. $5.00 $2.50 $4.00 $50.00 8/6/07 8/6/07 8/6/07 8/6/07 $61.50 I, Plan Reviews I I Reouired Insoections I Water Line: Prior to filling trench and including required testing. 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 time during construction. ~ Pal!:e 2 of 2 's~ lro; - 07 Date ,-. Construction Contractors Board. 70.0 Summer St NE Suite 300 I' . PO Box 14140 . . Salem OR 9.7309-5052 ! Phone: 503,..378-4621 . r Web Address: www.ccb~state.or.us ! :', 1 .Statem~nt: Information Notice.to Property Owners . ..About Construction Responsibilities Permit#: G:::srrx7-CJOj --.e,:) t I S3. ~. ?~3"\ Address: . . {(O ,~~ \ . \' Issued by: flal.c,~ IL- Date: fS: / D 1.0 f u, N.ote: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building permitcan be issued. .This statement is requiredfor resideniial building, electrical, mechanical and plumbing permlts. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This state,mentwill.befiled with the permit. Fill in the appropriate planks and initial boxes I and 2, and either box }A or 3B: ~1. .0 2. I own, reside in, or will reside in the completed structure. . r understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. o 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. . ~ I will be my~: general contractor. . If I hire subcontractors, I will hire only subcontract<;>rs licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contr~ct with a contractor who is licensed with tht:: CCB and will immediately notifythe .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 N.ti~;:~t~n~ction;Zsc?s~eo;:~:m~07 . (Signature ofpeqnit applicant). vvv..c; . . . (Date) (White copy to issuing agency permitfile, pink copy to applicant.) PropertLowner.doc 06-01~04 . } . , ., jf, \" A~ti!!g-as You'r' . OJ": ' . . '. ~ . . I ....INFORMA TION NeTICE TO PROPERTY OWNERS ':. A~our ~QNSTRUCTION RESPONSIBILITIES . ", . ~.. -./. -, .. . . .' Contractor? t \, \ ~~ ,i' ..,...,..,.....,J ...- NOTE: This information Notice to Property about Construction Responsibilities was developed by the Contractors Board in accordance with ORS passed by the 1989 Oregon Legislature. " . " J. If YOll are acting as your own contractor to construct a pew structure, you can prevenrmany probleriis by being .aware of the a substantial improvement to :in existing responsibilities and concerns. Employer You will, most instances, ~e ruleq, to; be an. you .use ,contractors not licensed with the Copstruct~on constn:iction .. of a residential ' .. . As " Oregon'~ As'an employer, you'must employees are paid. You win be liable for the tax employees. For more information, call the you contract with wil' be;~'employees" if t,O d,O .1abor~ in con~truc~ing or to '~$sist in the ~u~t ~~mpiy wit~.the following: . . ~~ ~. \. , - " - . ~ '. ,. , - ~ , '. . . frorrt employee wages at the time you don:t actually withhold the tax from you!, 503-378~4988;'. . . . ' Tax: As an are employees. For more information, call the ul1employinent"1nsurance purpose~ ..l :' Department at 503-947-1488. . ,Il-I: ,"_i-' ,. ......." .. . _..\~,;';" -. "-~" ','. .'''' . Unemployment appropriate Identification Number To file for a is a numpe:r fo,r .borh:Orego,p.,Wi~hholding. and 503-945-8091 or \'V\vw.dor.state.or.us/formsnav.htmll for the f', ....1 .. . . . \Vorkers' Compensation. Insunince: As an employer, you are and mut't. ol)tain work~rs' 9QV1pensatio.n ~n~ur.~r;9~ .. your insurance, "you could be~subject to penalties arid be liable job. For more information, call the Workers' Compensation Services at 503-947-78 the Oregon Workers' Compensation Law, ..,If..J':ou f:;!.il to obtain workers' compensation . c'6~ts 'i(one Ofyo~r'ep1ployees is injured on the .the':Bepartment'ofCorisumer' arid Business u.S. Internal Revenue Service: As an employer, you must You will be liable the tax payment even you IRS at 1'-800-829-493:lorc1Vlsit'thciir'web .' '" . income tax 'from, employees' wages:. , the tax. For a Federal ElN number, call the '. . ~ .....~ Code requirements you are resolving. any failure tdrl1eet code ':'C.... ,; .' Liability and . coverage for accidents omissions such as work thatnmsttbe\ redonc-'-. ~,' \ ~,--\ , . ...... - ....~ . . . .' - Time: Make sure you have sufficient time . . to see if you have adequate insurance' water damage from pipe punctures, fi~e or \ \, ._~~ '" \. ,..j supervlse your ~.(; ..... ~ . \. .. '\ ~ ", " ~',. \ ~...~- ..i .-: _ ......l J ~. .j-- . Make sure you have the skills to act as and finish trades, to notify building as to c6i}!'dinate the of ro~gh-in can perform the required inspections. If you have Box 14140, questions call the 97309-5052. (503-378-4621) or write the agency at Property _ owneLdoc 225 .Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1153 COM2007-01153 COM2007-01153 COM2007-01153 Payments: Type of Payment Check cReceintl RECEIPT #: Description Water Line - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ROBERT N FAUGHT City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001236 Date: 08/06/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 1369 In Person Payment Total: Page I of I 8:30:18AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 8/6/2007