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Home My WebLink AboutPermit Mechanical 2006-5-15 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00567 ISSUED: 05/15/2006 APPLIED: 05/15/2006 EXPIRES: 12/15/2006 V~UE: , fc'!- .,.], /. 1.1 '-.:. ~. n,..,... Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726,37691nspection Line ., "',,'/AtA> PROJECT DESCRIPTION: Install heat pump "' l. .....l.' "-;..- bl~ -. .....l/lJ. Springfield [FYPE OF', ,"., Heating System Ires YOu .......,.' . \. L' I' 1110:; - 'wire 10 ~,; ',.,{. ,OnlOt eru'~ gonu!,/, ~! PE,Qf;JJSE;:'iJli.r;j~wl)roU6'I)'~s Eire ~~~idential n1b(:, (" Center CO,'J;c ''If? 95 Ortl) c,,'7:. tl)e Or~~ ~rvOte: f~^Of tl)e rl ,/:':00 I. -, IS 1 - - -" f./!"I' ,>""'e h - Vi! P.IiC/}le Num\Jer:l' rs4Jl,683-1552 'v;j2'2'~ 'V IflCEit, - "44). IOn SITE ADDRESS: 3284 S REDWOOD DR ASSESSOR'S PARCEL NO.: 1802062105618 Owner: JEFFERSON DUNLAP Address: PO BOX 71414 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OWNER EUGENE HEATING & COOLING License Expiration Date Phone 149452 10/22/2007 . 541,726,7654 VN , BUILDING INFORMAl')~E: THIS PERMIT SH ,,_. ~:~g~~o:fes: AUTHORIZED UN;;'~:irglf. THE WORt{ Type of Heat: COMMENCED OR .51 'iil ~11T IS NOT Water Type: ANY 180 DAY PER!'h;t ft ~\G9 FOR Range Type: ...'tj. Energy Path: Sq Ft Otber: Sprinkled nla Occupant Load: o # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLlC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: I of 3 L Status: Issued 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541,726,3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 8% State Surcharge Heat Pump Minimnm/Adjustmeot Mechanical + 100/0 Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amonnt . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00567 ISSUED: 05/15/2006 APPLIED: 05/]5/2006 EXPIRES: 12/]5/2006 VALUE: I Valuation Descriotion I $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Ff'f'S Paid' Amount Paid Date Paid Receipt Number $10.00 5/15/06 2200600000000000601 $4.50 5/15/06 2200600000000000601 $3.60 5/15/06 2200600000000000601 $12.00 5/15/06 2200600000000000601 $33.00 5/15/06 2200600000000000601 $4.60 6/15/06 3200600000000000329 $3.68 6/15/06 3200600000000000329 $43.00 6/15/06 3200600000000000329 $3.00 6/15/06 3200600000000000329 $117.38 ~Ian Reviews I To Request an inspection caD 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. wiD be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2 of 3 . . CITY OF SPRINGFIELD Building/Com bination Permit PERMIT NO: COM2006-00567 ISSUED: 05/15/2006 APPLIED: 05/15/2006 EXPIRES: 12/15/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726-3676 Fax 541,726,3769 Inspection Line ; I By signature, I state and agree, that I have carefully examiued the completed applicatiou aud 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 wiD 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 iuspections are requested at the proper time, that each address is readable from the street, that the permit card i<; located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owuer or Contractors Signature Date 3 of 3 .. 1 pennitWrnA -005,07 Address3?~'l- s. a-BDV>OOC> -. , . \" ../ ", ,.' . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309,5052 Pbone: 503-378-4621 Web Address: www.ccb.state.or.us Issued by: N. HOvh~ Date:~ 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 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the .-."".v".:ate blanks and initial boxes I and 2, and either box 3A or 3B: [jL(1. o 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. 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. OR ~ 0" 3B. I will be my own general contractor. CeO 0 n12--l ~ ) If! 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 of the name of the contractor. I bereby certify tbat tbe above information is correct and tbat I bave read and do understand tbe Information Notice to, Property Owners about Construction Responsibilities on tbe reverse side oftbis form. rtL 7J.wJr, (' (Signature of permit applicant) (o Hi'OCo (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06,01,04 Adn~g ~~ !1l1lIl" (())wnn Gtennterr~n CC!~rr~~~@rr? . ' " INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES r .. , ,~ , NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contreclors 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. lEmjpln~yer Re!ljpl~lID!lnbm~ne!l 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 'fax 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 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.oT.us/formsoav.htmll for the appropriate forms. ,', Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Cvuo,,~..sation Law, and must obtain workers' compensation 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' Cv..,,,~usation Division at the Department of Consumer 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 at www.irs.l!Ov. ((DOner lRe!ifi)l[)rrn!in1b>inn~nes amI! All"elllS o1f COIID~erlID!l 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. Property _ owner,doc 06,01,04 225 Fifth Street \ " . I Springfield, Oregon 97477 541-726-3759 Phone . -irii.."..J!I!D-O..','," "., Wi;:' . , .' , ..""". ,---"", ',- <aof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00567 COM2006,00567 COM2006-00567 COM2006-00567 Payments: Type of Paymeo! CreditCard cReceint 1 RECEIPT #: 3200600000000000329 Date: 06/15/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By MELISSA DUNLAP Item Total: Check Number Authorization Received By Batch Number Number How Received njm 247305 In Person Payment Total: Page 1 of 1 8:23:57AM Amount Due 43,00 3,00 3,68 4,60 $54.28 Amount Paid $54.28 $54.28 6115/2006