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HomeMy WebLinkAboutPermit Building 2013-4- SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 `. + Phone:541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00632 www.spdngfield-or.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 04/23/2013 EXPIRES: 10/20/2013 STATUS DATE: 04/23/2013 APPLIED: 03/28/2013 SITE ADDRESS: 5733 Peridot WAY,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802041401209 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-New single family dwelling-Lot 9 Morningview OWNER: THAMES SCOTT&SUSAN A Phone Number: • • ADDRESS: 2460 OAK ST EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER COB 000000 08/01/2025 Electrical Contractor OWNER COB 000000 08/01/2025 • INSPECTIONS REQUIRED II Inspections 1020 Zoning Setbacks 1090 Street Trees 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground , Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1220 Underfloor framing 1260 Framirl�TENTION: Oregon law regt.filr®B� BIP�ection: Prior to cover and after.all rough in inspections have been follow rules adnptpd by the OI' IRY tility 1370 MasggBtiPee n Center. Those rules are set forth 1410 UnddR sMatr;U1-U0lu through OAR 932 o01- C'lCTICC: 0090. You may nhtain conies of the rules by• THIS PERMIT SI IALL EXPIRE►F 7HE WORK 1420 Insulatr�r� gser lter. (Note: the telephone AUTHDRIlED UNnER THIS f[KNIT IS NUf 14301nsulatfa�COntP ei of 840-332-234Y),nsulatolon: Prior to cover. COMMENCED OR IS ABANDONED FOR 1440 Insulation Ceiling Ceiling Insulation: Prior to cover.�l�Y t d0 DAY PERIOD, 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall - 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. • Springfield Building Permit 4/23/2013 2:02:15PM Page 1 of 2 SPRINGFIELD 225 Fifth St '° CITY OF SPRINGFIELD Springfield,OR97477 !� Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:,541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00632 • www.springfeld-or.gov permitcenter@spdngfield-ar.gov 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 or 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 Contractor Signature Date • • Springfield Building Permit 4/23/2013 2:02:15PM Page 2 of 2 • • SPRINGFIELD - CITY OF SPRINGFIELD -sue.,... 225 Fifth St : t TRANSACTION RECEIPT .Spnngfield,oR 97477 ".OREGON 541-726-3753 811-SPR2013-00632 www.springfield-or.gov 5733 Peridot WAY permitcenter @springfield-or gov RECEIPT NO: 2013000810 RECORD NO:811-SPR2013-00632 DATE:04/23/2013 DESCRIPTION'"1 .5'.. w. .4..11 li. ,:i'4`.' .., N ib _ACCOUNT GODEITRANS CODE :_:. Y .r 'ri'AMOUNT DUE . Address Assignment,each new or change 224-00000-425602 1020 38.00 Curb Cut/Driveway 1st Cut 201-00000-428060 1141 97.00 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.61 SDC: Improvement-Transportation SDC 447-00000-448027 1174 955.32 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 847.60 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 506.76 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 1,736.64 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 . 347.88 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 129.21 SDC:Total Storm Administration Fee 719-00000-426604 1180 42.73 SDC:Total Transportation Administration Fee 719-00000-426604 1190 60.87 Second Permit Discount 201-00000-428060 1148 64.00 Structural Building Permit Fee 224-00000-425602 1002 1,176.80 Wllamalane fees-Single family detached 821-00000-215023 1074 1,625.65 TOTAL DUE: 9,500.00 4P,EYMENTMTYPE , PAYOR*CASHIER J£RsENI ,COMMENTS M "- ,, 3MOUNTYFAID Credit Card Scott Thames 9,500.00 02086D TOTAL PAID: 9,500.00 • • • SPRINGFIELD--- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 t• 541-726-3753 oae�O 811-SPR2013-00632 ,vww.springield-or.goy 5733 Peridot WAY permitcenter @spnngfield-or.gov RECEIPT NO: 2013000814 RECORD NO:811-SPR2013-00632 DATE:04/23/2013 161 Ill[o7; CODE/TRANS AMOUNT.iDUE4J] Planning-Major Review-City - 100-00000-425002 - 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 167.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 141.22 Technology fee(5%of permit total) 100-00000-425605 2099 68.79 Willamalane fees-Single family detached 821-00000-215023 1074 1,784.35 TOTAL DUE: 2,372.86 _ BAYMENTu1 E PAY,OR' *CASHIER:IJLARSON -_COMMENTS , AMOUNT PAID Check Scott Thames 2,372.86 1262 TOTAL PAID: 2,372.86 • SPRINGFIELD CITY OF SPRINGFIELD ilk I 225 Fifth St TRANSACTION RECEIPT Sprinifield,OR 97477 C 1`O EGON 541-726-3753 811-SPR2013-00632 www.springfield-ar.gov 5733 Peridot WAY permitcenter@springfield-or.gav RECEIPT NO: 2013000606 RECORD NO:811-SPR2013-00632 DATE:03/28/2013 (DESCRIPTION • . ' ' - ACCOUNTCODEITRANS CODE ` .AMOUNT,DUE__ Structural Plan Review Fee Residential 224-00000-425602 1061 764.92 -- — TOTAL DUE: 764.92 - AMOUNT PAID I t,�_ PAYMENT TYPE_____PAYOR._, CASHIER:CCARPENTER •COMMENTS_�`_ �._�_� .� �� - t ' Credit Card THAMES SCOTT&SUSAN A 764.92 032502 TOTAL PAID: 764.92 Structural Permit Application DEPARTMENT USE ONLY e � e t ., CITXOF SPRINGFIELD;OREGON s Permit no.c/?_ 63 2 225 Fifth Street♦Springfield,OR 97477•P1-1(541)726-3753•FAX(541)726-3689 i . ; : l Date: 7 / / ? This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance dr if work is suspended for 180 days. �_: . .LOCL GOVENET;APROYL ; <i -i3 A _ This project has final land-use approval. . .. ._.. Signature: Date: 'FEE SCHEDULE This project has DEQ approval., 3.-Valuation information - Signature: Date: (a) Job description: h.bys C N1 Cl.A.I S F Zoning approval verified: ❑ Yes ❑No - Occupancy�"3 1 Property is within flood plain ❑ Yes Ea'iCio 5'k�c�- vZ Construction type: se, s ,CATEGORYzOF CON$T_RUCTI tia , ;;.,;3 «) Square feet: /7371-1/4/7V4 Mg-GP [ tesidential ❑ Government ❑Commercial Cost per square foot: Zill f JOB SITE INFORMATION'AND, LOCATION V' ` ','' - Other information: Job site address: C7 'FR/DG 7 Wet)/ Type of Heat: Op t1/4.{u,o 1�\\��rD c\nc`t `,v c Cityj/14226 4/62- State:6 .. Z1P9/7, . Energy Path: Subdivision: Lot no.: 9 Q �ew ❑ alteration ❑ addition Reference:/(OO D C/t( Taxlot: 0 t Z. r PROPERTY OWNER (b)Foundation-only permit? ❑ Yes [ffNo ? cf Name: t--✓077 7'4Q m e S, Total valuation: S � J k Sr 3; Building fees Address:2 V80 &A (a)Permit fee(use valuation table): $ fr:76j City: 4/t eM _ State: 6e Z1P9711p 7f ' ' L_ (b)Investigative fee(equal to[2a]). $ Phon /� C, C� Fax: - �/ (c)Reinspection($ per hour): $ E-maii f-'y len 65.CG7�' /�f /C1i� (number of hours x fee per hour) This installation is being made on residen ial or farm property owned by (d)Enter 12%surcharge(.12 x[2a+26+2c]): g l if I Z-' me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. (e) Subtotal of fees above(2a through 2d): S // ,3:"Plan reviewkfees , ,.,,-�,+_ :a `?-s. ,.:-:= �./�/r-�./. `T+ Sign here:�L� /V�! L/27 (a) Plan review(65% permit fee[2a]): $ CONTRACTOR INSTALLATION:., :' (b)Fire and life safety(40%x permit fee[2a]): $ Business name: 11/4.,\7-71--- (c) Subtotal of fees above(3a and 3b): $ Address: 45Mtscellaneousfees $[.,[: t 6 . _. City: State: ZIP: - °`` (a) Seismic fee, 1%(.01 x permit fee[2a]): 4 $ Phone: - - Fax: - - E-mail: TOTAL fees and surcharges(2e+3c+4a): S 211.(I 22— CCB license no.: • Print name: Signature: SUB CONTRACTOR INFORMATION;`>r°, iin,C=5 Name CCB License Number Phone Number Electrical `^ . Plumbing Mechanical G. ItR ` EA willamalane deb Park and Recreation District / Job. No. S ) 3 -63Z- PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET 77� Jan. 1-Dec. 31, 2013 — NAME: l i "'4t`-S PHONE: ��� 24:2)� ADDRESS: ?9' O 94-k �r CITY: FZC4' STATE:OZZIP:c?LIU� LOCATION OF PROPOSED BUILDING SITE: Street address: 3733 A-72--( /tea T Plat nam/tt Wiwi, j Val 9 Tax Lot Number: 7652 (0-f/y O/20 , 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached/ NO. OF UNITS / X$3,410 per unit= $ 3f-UU B. Single-Family Attached NO. OF UNITS X$3,385 per unit= $ C. Multi-Family Apartment NO. OF UNITS X$3,021 per unit= $ — - D. Single Room Occupancy NO. OF UNITS X$1,510 per unit= $ E. Accessory Dwelling Unit NO. OF UNITS X$1,705 per unit= $ 2. SDC CREDIT(If applicable.SDC payer must furnish proof of credit approval.) ($ 7 ) 3. TOTAL PARK AND RECREATION SDC ASSESSED City of Springfield Date of building permit submittal CL- V / 27/ City of Springfield Date of building permit issuance SPRINGFIELD-- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00635 www.springfield-or_gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/23/2013 EXPIRES: 10/20/2013 STATUS DATE: 04/23/2013 APPLIED: 03/28/2013 SITE ADDRESS: 5733 Peridot WAY,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802041401209 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New single family dwelling-Lot 9 Morningview OWNER: THAMES SCOTT 8 SUSAN A Phone Number: ADDRESS: 2460 OAK ST EUGENE OR 97405 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections • 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. • 3600 Hydronic Piping(Open Loop Only) 3999 Final Plumbing Final Plumbing: When all plumbing work is complete. 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 or 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 Contractor Signature Date • Springfield Building Permit 4/23/2013 2:05:47PM Page 1 of 1 SPRINGFIELD ' CITY OF SPRINGFIELD kt, , ,...4-` 225 Fifth St y: 4'1� TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2013-00635 www.springfield-or.gov 5733 Peridot WAY permitcenter©springfield-or.gov RECEIPT NO: 2013000813 RECORD NO: 811-SPR2013-00635 DATE:04/23/2013 [DESCRIPTION ACCOUNT CODEITRANS CODE -AMOUNT DUE' Hydronic heating-open loop system 224-00000-425603 1005 19.00 One or Two Family Dwelling with Two Bath 224-00000-425603 1005 374.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 47.16 Technology fee(5%of permit total) 100-00000-425605 2099 19.65 TOTAL DUE: 459.81 vi;PAYMENT TYPE .- PAYOR f .CASHIER:JLARSON f., '.:`,- . COMMENTS,il'.`=- ` - ` E . AMOUNT PAID., ' ,, -.I I Check Scott Thames 459.81 1262 TOTAL PAID: 459.81 Plumbing Permit Application 7;;.-17:1364AR-rm ENT.LiS CONLY$7*-4. gl;:l•Pittiiljt;:.::. ,c:a2.ttzi.,`27:5.1e715,11.:iafkirtt.g.40_,:',E;k7.0:C'Priv41.-1;?;rV 1, _ , /7 ..-6 5S- elTt ORSPRINGFIELD4A3REGONt3V .at,-,":":"Ir's' $30t., Permit no.: Ci j t;::ctl;;:iC'..::':'-.:sqett.;.:.:A.- IP:ag:..P.Mtisfiag!ZC: :..:'sle.lt-k'i E.-467::;`:.„ *'‘''t 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: /2-7 7 1 3 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. .i:;.-..ir:EocALGoVERNMENTI•APPRoVAL`a.We,:ktP tcfs.i&KeranSe FEEiiSCH ED U litinT00-575NN;r71; f Zoning approval verified? Yes 0 No .,,st:--,);,•',ia::::::,•-rvai- ;,,.:.' -v-3- ,*.cot--, Total?, i.IDescriptionler4aL,.2,42 ,lc QtY:Y rt -4,i' •-j- te.4n Sanitation approval verified? CaYes 0 No New residential CATEGORY OF CONSTRUCTION - ': . I bathroom/I kitchen(includes:first 100 feet of water/sewer lines, hose NResidential fl Government 0 bibs, ice maker, under Commercial floor low-point $238.00 $ ..1013,:SITE,.I N FO RMATIQN ANIXE:COCATION'tie drains and rain drain packages) 2 bathrooms/1 kitchen I $374.00 $ 17 Y Job site address:Cniek /OCT eati/ City:5/9,47,./09 -F/a/c1 State:,01 ZIP077/27,5) ii? 3 bathrooms/I kitchen Each additional bathroom(over 3) $439.00 $ $95.00 $ Reference: Taxlot.: Each additional kitchen(over I) $95.00 $ ;MAIVI-II:,I.Z";;VIDESCRIPTION:t0F,„FIWORKtarZ4gIT41;1;' Residential fire sprinklers(includes plan review) New cF-P u.)/ -2- is A-n4 0 to 2,000 square feet $58.00 $ 2,001 to 3,600 square feet $116.00 $ 3,601 to 7,200 square feet $174.00 $ 7,201 square feet and greater $232.00 Name: _Seery-7 77,1a_12-2 _5" Manufactured dwelling or pre-fab(circle one) $ Address: M..> s3Q4,f-7.- Connections to building sewer and $58.00 $ City:/2/64ae- State:ea/f? ZIP.97475 water supply Commercial,industrial,and dwellings other than one-or Phone:5-99 9.0_,22 , Fax: - - two-family Minimum fee $58.00 $ E-mail:74/... ejnes5e077Atiefaap,ce92,7 _ Each fixture $19.00 $ This installation is being made on residential or farm property owned by me or a member of my immediate family, and is Miscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line $76.00 $ Signature:_5-er--- Each fixture,appurtenance,and piping $19.00 $ . ,, .00 TRACTOR!INSTALLATION. ,,':_.,,,,c.t.,,,..„. , , Storm water retention/detention facility $19.00 $ Business name: ef>4./A47__ Irrigation systems $19.00 $ Piping or private storm drainage Address: systems exceeding the first 100 feet $19.00 $ City: State: ZIP: Specialty fixtures $19.00 $ / Reinspection(no.of hrs.x fee per hr.) $58.00 $ Phone: - - Fax: - - Special requested inspections(no.of $58.00 $ E-mail: hrs x fee per hr.) CCB license no.: BCD license no.: Each additional inspection:(I) . $58.00 $ Plumbing license no Meclicaligaspipingfaxt..,!cc-A4w44;tk Minimum fee $ Print name: Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature: igWargairM2KFT 11 I CAsi Till t EtitnraSSWO, (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) 3f 3 (B) Investigative fee(equal to[A]) $ (C) Enter 12%surcharge(.12 x [A+13]) $ (D)Technology Fee(5%of[A]) $ /Cj lei_ TOTAL fees and surcharges(A through D): $ 440-2500-i(11/08/COM) ' SPRINGFIELD #+- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 {\ - Phone: 541-726-3753 ` OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00634 www.springfieldar.gov permitcenter @springfield-ocgov PROJECT STATUS: Issued ISSUED: 04/23/2013 EXPIRES: 10/20/2013 STATUS DATE: • 04/23/2013 APPLIED: 03/28/2013 SITE ADDRESS: 5733 Peridot WAY,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802041401209 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New single family dwelling-Lot 9 Morningview OWNER: THAMES SCOTT 8 SUSAN A Phone Number: • ADDRESS: 2460 OAK ST EUGENE OR 97405 L. CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED ' Inspections 4000 Temporary Power Service 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover . 4999 Final Electrical Final Electric: When all electrical work is complete. 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 or 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. . - y/a)/ Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by I1TI ORI7_ED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone n number for the Oregon Utility Notification °MMENCED OR IS ABANDONED FOR Center is 1-600-332-2344). ' 40 DAY PERIOD. • Springfield Building Permit 4/23/2013 2:08:17PM - Page 1 of 1 • • SPRINGFIELD--. CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 OREGON 811-SPR2013-00634 www.spnngfieid-or.gov 5733 Peridot WAY permitcenter©springfield-or.gov RECEIPT NO: 2013000812 RECORD NO:811-SPR2013-00634 DATE:04/23/2013 DESCRIPTION °..� v; r"wa H t Nr y -.,F -n ., . r eL��� -SL?r rk #� o r. • • I ta_ t tl-iletatiE ROUE,, ., Each added 500 sq.ft. or portion 224-00000-426102 1004 125.00 Residence wiring 1,000 sq.ft. or less 224-00000-426102 1004 134.00 State of Oregon Surcharge(12%.of applicable fees) 821-00000-215004 1099 38.64 Technology fee(5%of permit total) - 100-00000-425605 - 2099 16.10 Temp services 200 amps or less 224-00000-426102 1003 63.00 TOTAL DUE: 376.74 aAYMENTnTYPE P,AYOR'-r CASHIER:JLAi SCN - -`COMMENTS` •F' "_- '''&1:411ROUNILIMIPAGIEMININ Check - Scott Thames 376.74 1262 TOTAL PAID: 376.74 Electrical Permit Application DEPARTMENT USE ONLV�_' SPFIN6FIELO e l .' t -' ' < t. �- EIEL ����'GON L i Permit no.: S.73 — 0 3 5, 225 Fifth Streets Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 ilk Date: i/2•17)J This permit is issued under OAR 918-309-0000.Permits are nontransferable.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ;=LOCAL'':°GOV,ERNMENT;:APPROVAL,,f,,;'r, Lr... i -0: , _"`.:FEE SCHEDULE., ;"..; WP.ve:' ' .t' " v Cost Totah: Zoning approval verified ,Yes ❑No ;Aumber of thspections per item O ,: Qty ,.- vCAT:EGORV OFPCONSTRUCTION,I„' at+,,ea l „ cost,;y5 Residential,per unit,service included: I ,Residential ❑Government ❑Commercial 1.000 sq.ft.or less(4) _ I $134.00 $ ] y JOB`:SITEfINN�FFoRMATION;AND"LOCATIONN, ,>' Job site addresss733P42`,T 9/ thereof additional 500 sq.ft.or portion $ 25.00 $/Z s City ,ele f 2 State::oe zrr p '8 Limited energy(2) $ 32.00 $ Reference: Taxlot.: Each manufactured home or modular $ 63.00 $ d: R' 4.l .F,=?4' .:`DESCRIPTION''OF WORK; ' `,„' ' '' dwelling service or feeder(2) pit I B / is �, ,,c („ �`p ,n, t,rn— Services or feeders:installation,alteration, relocation fN K-C (�L tA� f"crtNrJ,— 200 amps or less(2) $ 81.00 $ 'wilt, 3 )s,t,, .„PROPERTY1-1lOWNER l.EMV ,r , 201 to 400 amps(2) $ 95.00 $ Name:5 7.-7:41/447,7&S 401 to 600 amps(2)' $158.00 $ Address Wgr ,nek 601 to 1,000 amps(2) $205.00 $ City j' %' ' tate;Q� z1P97/�j Over 1,000 amps or volts(2) $469.00 $ Phone: j lf7 pea -FyaCx: - _ Reconnect only(2) $ 63.00 $ E-mail me..534p7Tf4L 4/14 may) Temporary services or feeders: installation,alteration,relocation 200 amps or less(2) This installation is being made on residential or farm property / $ 63.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale,exchange,lease,or rent.OAR - , 479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $ / Over 600 amps or 1,000 volts,see services or feeders section above Signature: �419” i- //!! r4.-..„51:14:::.;z=',CONTRA TORFINSTALLA, TION-C tTc7 t r,r Branch circuits:new alteration, extension per panel Business name: ety✓G1/4/ Y` a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.00 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) $ 55.00 $ E-mail: - Each additional branch circuit $ 6.00 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 63.00 $ g P alteration,or extension(2) Each additional inspection:(1) - $58.00 $ , r; h ..?;'APPLICANTiUSE,r.,m ,. _: .# ' (A) Enter subtotal of above fees (Minimum Permit Fee$58.00) $ (U2 ' (B)Enter 12%surcharge(.12 x[A]) $ IS//th (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through C): $ 3760 7" 440-2584-3(9/08/COM) - ' ' SPRINGFIELD•"- . ` 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00776 www.springfield-ar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/23/2013 EXPIRES: 10/20/2013 STATUS DATE: 04/23/2013 - APPLIED: 04/17/2013 SITE ADDRESS: 5733 Peridot WAY,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1602041401209 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-New single family dwelling-Lot 9 Morningview OWNER: THAMES SCOTT&SUSAN A - Phone Number: ADDRESS: 2460 OAK ST EUGENE OR 97405 • _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER • CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 • Electrical Contractor OWNER COB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 2210 Underfloor Gas Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 2255 Gas Pressure Test 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2995 Final Gas Final Gas: When all gas work is complete. . 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 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 or Oregon pertaining to the work described herein,and that NO OCCUPPArcreatehiadaregth9 ttikffr .,Wl l&u)'p'LFi44sion of the Community Services Division, Building Safety. I further certify th ,g1pggt{tairl$dO aMle0sCa11R:g5t6 ih1 liance with ORS 701.005 will be used on this project. I further agree to ensuNehlleg[Ign(rjgjtepe 56falle� 9rthiOd roper time,that each address is readable from the street,that the permit virtjplgtI@pttl G1l0 ttfithelp balc1iRlliaaf iithbproved set of plans will remain on the site at all times during •- construos0. You may obtain copies of the rules by calling the center. (Note: the telephone NOTICE: h Oregon Utility Notification THIS PERMIT SHALL EXPIRE IF THE WORK -ss2-2saaj. mil` ",I ITHORIZED UNDER THIS PERMIT IS NOT Owner or Contractor Signature Date OMMENCED OR IS ABANDONED FOR IN t,4n PAY PERIOD. Springfield Building Permit 4/23/2013 2:10:45PM Page 1 of 1 • • • SPRINGFIELD--- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield.0R 97477 'OREGON 541-726-3753 811-SPR2013-00776 www.springfieldor.gov 5733 Peridot WAY permitcenter @springfield-or.gov RECEIPT NO: 2013000811 - RECORD NO:811-SPR2013.00776 DATE:04/23/2013 toy ici 07th.` {5". i '.:"� ±'E1 r� 2L JC r.. . _ _ : .:,.., ,. .-��._ Ef.Q .�-:e4�4_':>:�1_�-.E�+�!i., 'A000UNT CODE/iTRANSCODE >• _9 :AMOUNT AMOUNT DUE MA First Appliance Fee 224-00000-425604 1006 79.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 9.00 Gas Piping-each additional above 4 224-00000-425604 1006 8.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.00 Hydronic hot water system 224-00000-425604 1006 17.00 Range hood/other kitchen equipment 224-00000-425604 1006 - 13.00 Single-duct exhaust(bathrooms, toilet compartments, utility room: 224-00000-425604 1006 27.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.20 Technology fee(5%of permit total) 100-00000-425605 2099 8.00 TOTAL DUE: 187.20 . PAYMENTTeYPE aIrP,AYOR CASNIERP ARSON COMMENTS :=fir" ; `. ¢MOUNTiPAID Check Scott Thames 187.20 1262 • TOTAL PAID: 187.20 • • • Mechanical Permit Application - pplication DEPARTMENT USE ONLY e•2�h'r�"' Itt+53,°'u�Bx� Mtel illV�} vs' lfga rli*P ttIt }x�*rgi..4.4. 4 ?PwnueFIELD '.:..x., i CITY,OF SPRINGFIELD;OREGON' f it 1 -r, { ,, Permit no.: S — .7-7C-9 a .�-, A lw , [ ......aex.rcret"uiS .a..ns::,. ! n..w.naa z e.uiwa ea.axn.a xv.&....thxr., ,w.t..t w�.'.� bpi E'' 3 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 � " � � Date: � 2� / This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. "CATEGORY';OE;CONSTRUCTION ' FEE SCHEDULE - ❑Residential ❑Government ❑Commercial Residential?.. Cost. Total QtY. , ea.• " cosh.:..:: l� :'JOB',SITE'INFORMATTION"AND LOCATION, , First Appliance / $79.00 $ 775 U -cat Job site address:.j '/ 33 (-f/Q/DOT zesty Furnace/burner including ducts and vents City:$2,fZ fja/c2/ Statedie ZI P97178 Up to 100k BTU/hr. $17.00 $ Over 100k BTU/hr. $20.00 $ Reference: Taxlot.: Heaters/stoves/vents DESCRIPTION, OF WORK," ,.` Unit heater $17.00 $ e� c\c'sJ c Q'h >eac' \k r'\ ` >Uh Q Wood/pellet/gas stove/flue I $36.00 $ F/ Repair/alter/add to heating appliance/ _ refrigeration unit or cooling system/ $56.00 $ r ,'` , r`i . '' PROPERTY ,OWNER ;`,:E,i. , _s absorption system Name:5,...,977T .721,4.712.e6 Evaporated cooler - $13.00 $ �7� ,c� /' ST Vent fan with one duct/appliance vent 3 $9.00 $Z7 Address: Er � Hood with exhaust and duct / $13.00 $ CitytiVe-he State:OR ZII s Floor furnace including vent $56.00 $ Phone: d5?1/qgr Fax: - - Gas piping E-mail:? n m&s5('l7j %- Cain . One to four outlets $$7.00 $ This installation is being made on property owned by me or a Additional outlets(each) ,I, -) $4.00 $ g member of my immediate family, and is exempt from licensing Air-handling units, including ducts requirements under ORS 701.01 . Up to 10,000 CFM $11.00 $ Signature: s`40/7jj1��� Over 10,000 CFM $20.00 $ c 1,,, •CONTRACTOR INSTALLATION' Compressor/absorption system/heat pump Business name: ®GJA/LZ Up to 3 hp/100k BTU $17.00 $ Up to 15 hp/500k BTU $29.00 $ Address: - Up to 30 hp/1,000 BTU $43.00 $ City: State: ZIP: Up to 50 hp/1,750 BTU $57.00 $ Phone: - - Fax: - - Over 50 hp/1,750 BTU $95.00 $ E-mail: Incinerators Domestic incinerator $20.00 $ CCB license no.: ercla Z5 ' '[ d t-t'I��T` Print name: - Enter total val n-of tnFc-a nical system'' p 0„,,,s /7 an anon costs$ Signature: Enter fee based on valuation of mechanical system,etc. $ Miscellaneous fees , -items-.i.-:,:..c_0._st:_ Total,;; .., . . ea.�.., Reinspection $58.00 $ Specially requested inspections(per hr.) $58.00 $ Regulated equipment(unclassed) $13.00 $ Each additional inspection: (1) $58.00 $ ,:" APPLICANT USE -.. (A)Enter subtotal of above fees(or enter set minimum fee of $79.00) $ /lad-- T--_ (B) Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ / LV (0)Seismic fee, 1%(.01 x [A]) $ �o (E)Technology Fee(5%of[Al) $ 0 �- 440-2545-1(11/08/COM) TOTAL fees and surcharges(A through E): $ 1777f-