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Home My WebLink AboutPermit Building 2007-8-20 (2) . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SCANNED 8cITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01226 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 04/02/2008 VALUE: Status Issued SITE ADDRESS: 4082 S Redwood Dr ASSESSOR'S PARCEL NO.: 1802061113900 Springfield 'TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Replace 200 Amp service and install gas for dryer, range and insert Residential Owner: LARINGTON MELISSA J & WILLIAM Address: 4082 S REDWOOD DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I VB Expiration Date Phone 541-688-6121 541-345-7599 Contractor Type Electrical Mechanical Contractor CHRISTENSON ELECTRIC INC J LOGUE GAS WORKS INC I B6ma t.AJ.! I~, , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Availahle: Special Instruction: ~PUBLlC Il\-In<v~ ""tENTS I W()1~e~~ Sidewalk Type: \\ YHIS PER\\Jl1'i' ~Wl~ll \bl1jj~~~~y AutHORIZED UNDEA 1HIS nftNED FOIt COMI\IIEfo!CED OR IS ABANI/V ~V 180 DAY l?atlOD. Notes: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Descriptioo + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Appliance Vent Fireplace (Listed) Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid . 8cITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01226 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 04/02/2008 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp<. P"W Amount Paid Date Paid Receipt Numher $7.00 $3.50 $5.60 $70.00 $20.00 $5.00 $2.50 $4.00 $7.00 $17.00 $5.00 $21.00 8/20/07 8/20/07 8/20/07 8120/07 10/2107 10/2107 10/2/07 10/2107 10/2107 10/2107 10/2107 10/2/07 3200700000000000559 3200700000000000559 3200700000000000559 3200700000000000559 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 2200700000000001534 $167.60 I Plan Reviews I 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. ~llirl~rtl~ Rough Electric:' Prior to Cover Final Electric: When all electrical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliaoce. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 of 3 . 8cITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01226 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 04/02/2008 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, tbat 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of tbe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany 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 tbe 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 pia os will remain on the site at all times during construction. ~~~ \\\~y\ ~ \\J-ih- 01 Owner or Contractors Signature ~ Date Paee 3 of3 . . 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 #: rOJ4.1'eA 7- 61 ZZ-~ S ~cJ....ood blL Date: !6!aZ./07 / l.{C?l ~ -' . . , . . . " .' '. " Address: Issued by: 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 be filed with the permit. Fill in the al'l"VI',;ate blanks and initial boxes I and 2, and either box 3A or 3B: /" JY" I. ~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. ~. My ;:;&;;ontractor is S L b G- v--t: C-tA S ,/"U v (Name) 11./7 / t( (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. I will be my own general contractor. 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 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 ofthis form. ~~\ ~[\~~r\ \\\~~-\)V\ ~e of permit appli (Date) (White copy to issuin agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 " . A~~nnng ~~ '@1lIlIr ((J)wnn GlennleIr~n C@nn~Ir~~~@Ir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . . '. , .. , ., NOTE: This Information Notice to Properly 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. lEmjpllloYIeIr RIe~jplorrn~n!l}nllndle~ 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 thc 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 Rnsurance 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 blsurance 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 obtain ,~orkers' 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' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. V.S. Intemal 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 wW\v.irs.l!ov. Otlhlerr IRe~IP)(l~mH.filb>fillfiftfie~ 2lTIllilll ATe2!~ off COITn:eeIrTIll5 Code Compliance: As the permit holder for this project, you are responsible for resolving' any failure to meet code requirements th~t may be brought to your attention through inspections. Liability 2nd Property D2m2ge 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 pe 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 ad~itional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Sa:em, OR 97309-5052. Propcrty_owner,doc 06-01-04 225 Fifth Street Spl.ingfield, Oregon 97477 541-726-3759 Phone . (;~,,""',"", 'e. Wit, ; - . ,. ~ , -, - -.. . , c.. f Springfield Official Receipt D opment Services Department Public Works Department Job/Journal Number COM2007-01226 COM2007-0 1226 COM2007-0 1226 COM2007-0 1226 COM2007-0 1226 COM2007-01226 COM2007-0 1226 COM2007-0 1226 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001534 Date: 10/02/2007 Description Appliance Vent Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By STEPHEN MEYER Item Total: (.:heck Number Authorization Received By Batch Number Number How Received djb 008336 In Person Payment Total: Page 1 of 1 9:31 :30AM Amount Due 7.00 5.00 17.00 21.00 20.00 2.50 4.00 5.00 $81.50 Amount Paid $81.50 $81.50 10/212007