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Home My WebLink AboutPermit Mechanical 2006-9-8 '. .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01161 ISSUED: 09/08/2006 APPLIED: 09/08/2006 EXPIRES: 03/12/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1598 RAMBLING DR ASSESSOR'S PARCEL NO,: 1703252209300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: CHARLES GORDON Address: 1598 RAMBLING DR SPRINGFIELD OR 97477 Phone Number: 541-746-7288 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC OWNER License 156761 Expiration Date 08/2112007 Phone 541-344-8745 BUILDING INFORMATION I # of Units: # of Stories: \0 Primary Occupancy Group: R-3 Height.of,Stj-'ii'Jtur~ ,.,('\"'\\,....- .. U\\\\\J Secondary Occupancy Group: (\ \'3:'Eype~r..,~~at: \o1\n Primary Construction Type VN Ole<;)O 'O\!\Ycater lYP,ej set ()\_ Secondary Construction Type:("'~\\O~' clo('\\ecl Rang'~CTYP'e: gS?'-() ",' " \ t:.- c:, a. \~ ."(,"~\(IJ- \.., ( '.."1.\' \ s v, # of Bedrooms: '" \ ... lule. ~'el.' .Energy Path:, lU e I \ 0" Ce,,' ()\'''V- ~~ ."v e o 'l'co.\iO(\ ()\_()()\ Spdnkled Bui!d,ing~ ...\r\\\ \. ..nJ:) . .....\n CUI;' I.v-.p. \1;:; .. _....hO'" 1(\ Of''"' ~~u l'fI'I;DEVEDOP'M'ENT~iNiiORMATlON I ()()g() \\\(\<;) \ne . ne 01""'- ()_?,'Sl:'-v Ca: 101 \ . \-l)() (\ul'fl'Oel ce(\\el \s Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Front yard Sethack: Side I Setback: Side 2 Set hack: Rellryard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I t, Notes: Sidewalk Type: DownspoutslDrains: ~~\~'~i~M\T G~;~~ ~~~H~~~~~TE,~~~~ ~~~~~~~~D OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: . ~l Paee 1 of 3 .. .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01161 ISSUED: 09/08/2006 APPLIED: 09/08/2006 EXPIRES: 03/12/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V sJuation Descriotion I II III Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.F""< P~irll Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $4.90 9/8/06 2200600000000001252 + 5% Technology Fee $2.45 9/8/06 2200600000000001252 + 8% State Surcharge $3,92 9/8/06 2200600000000001252 Add, Alter, Extend Circ $43.00 9/8/06 2200600000000001252 Add, Alter, Extend Circ Ea Add $6.00 9/8/06 2200600000000001252 -Mechanical Issuance Fee- $10.00 9/12/06 1200600000000001401 + 100/0 Administrative Fee $4,50 9/12/06 1200600000000001401 + 5% Technology Fee $2.25 9/12/06 1200600000000001401 + 8% State Surcharge $3.60 9/12/06 1200600000000001401 Air Handling Unit Up to 10,000 $8.00 9/12/06 1200600000000001401 Heat Pump $12,00 9/12/06 1200600000000001401 MinimumlAdjustment Mechanical $25,00 9112106 1200600000000001401 Total Amount Paid $125,62 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. Ueouirerunsnections I Rough Elcctric: Prior to Cover Final Electric: Whcn all electrical work is complete, Rough Mecbanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Paee 2 of 3 '. .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01161 ISSUED: 09/08/2006 APPLIED: 09/08/2006 EXPIRES: 03/1212007 VALUE: , ..: Status Issued 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 1 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 a' the front of the property, and the approved set of plans will remain on the site at all times during construction. /~ /./l~~d'- q /tZ./()b Owner or Contractors Signature Date Paee 3 of 3 (f). . . . . . . " " " " " .' . 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#:COW1G:O_- 01 (bl / ~7 0 f2Avv.. (j U tV (j- :bit. ::r:::6 Date: i ~/a (" Address: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constroction permit applicants who are not licensed With the Constroction 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 701.0JO(7), need not submit this statement. This statement will befiled with the permit, Fill in the a"".v"riate blanks and initial boxes 1 and 2, and either box 3A or 3B: @cl. ~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, If! 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 _ ",' __.e side of tbis form. ~J/A1 faY.!_ (Signature ofpenAit applicant) 1//2 JOG (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 , .. . Adnlln~ &1l~ 1:( @unIr CC>>wrrn CGcellnceIr&1lll CC@rrn~Ir&1l~tt@Ir1 INFORMATION NOTICE TO 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. lEmplloytell' Rte~pOIffi~n]}nmllte~ 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 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 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 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.usfformsuav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you l:ould 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. V,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 at www.irs.l!ov, <())~lb1eJr JRespo!lllsfilbimtfies 2l!lllll:ll An-eas OJ[ CO!lllCeI1'IIJIS 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 slcills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the 31'1',vl',;ate 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, Property_o'Y"eLdoc 06-01-04 225 Fifth Str,eet . " Springfield, Oregon 97477 541-726-3759 Phone '.~~ Wii:. . Caof Springfield Official Receipt "Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1161 COM2006-01161 COM2006-01161 COM2006,Ol161 COM2006-0 1161 COM2006-0 116\ COM2006-01161 Payments: Type of Payment Check cRcceintl RECEIPT #: 1200600000000001401 Date: 09/12/2006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By CHARLES GORDON Item Total; l.:heck Number Authorization Received By Batch Number Number How Received djb 3942 In Person Payment Total; Page I of I 9:42: 14AM Amount Due 2,25 3.60 4.50 8.00 12.00 25.00 10.00 $65,35 Amount Paid $65.35 $65,35 9/1212006