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Permit Building 2013-6-6
SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 vo OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00956 www.Springfield-or.gov pe rmitce nter @springfield-or.goy PROJECT STATUS: Issued ISSUED: 06/06/2013 EXPIRES: 12/02/2013 STATUS DATE: 06/06/2013 APPLIED: 05/14/2013 SITE ADDRESS: 1590 KELLOGG RD,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703342208000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-single family residence OWNER: NEPUTE JOHN Phone Number: ADDRESS: 1491 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OREGON CUSTOM PLUMBING INC COB 191104 06/21/2014 541-434-1146 General Contractor FUTURE B INC CCB 36499 05/18/2014 541-744-2660 Mechanical Contractor COMFORT FLOW HEATING CO COB - 460 06/27/2013 541-726-0100 Electrical Contractor DEANS ELECTRIC INC CCB 99579 06/25/2014 541-935-5303 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1090 Street Trees 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation A�TTENTION: Oregon Iavhbgyagt,in n Uf��15it�ms are erected but prior to concrete placement. 1160 UFER Grountlnilod+ I u1c' at"------ NolifiC2.tI0n Center. Thos „ rfr trJceE�l616Tid: Install ground rod at footing and call for inspection.,in- nnt not n thrnSorypnxtloZ1Svit8-erang and/or foundation inspection. ^"7-- -- NOlIUE: 1220 Underfloor fuLmu. You may obtain copies of the rules by 1260 Framing Calling the center. ll""'i-raming inspectio(inPrior to cover and afterla�l'r �glE ��e t 1 ICafgelli E IF THE WORK number for the Oregon rpilt_ved-,..,, AU I H�3IZE UNDER THIS PERMIT IS NOT 1410 Underfloor insulation �C"`°' '° UU VIIVIhNGED Chi IS ABANDONED FUR 1420 Insulation Vapor Barrier nay CO DAY PERIOD. 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 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 6/6/2013 3'31.48PM Page 1 of 2 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 C..diE Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00956 www.springfield-or.gov p6rmitcenter@springfield-or.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 6/6/2013 3:31:48PM Page 2 of 2 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ` EGoN TRANSACTION RECEIPT 54172fi1J75R97477 811-SPR2013-00956 www.springfield-or.gov 1590 KELLOGG RD permitcenter @springfieldor.gov RECEIPT NO: 2013000945 RECORD NO:811-SPR2013.00956 DATE:05/14/2013 DESCRIRTI° I CODE/TRANSCODEA' ' i,. =AMOUNTDUE ' Structural Plan Review Fee Residential 224-00000-425602 1061 731.47 TOTAL DUE: 731.47 PAYMNT»OREG ,''#PAYOR, .term R piratirgi v. , _COMMENTS - AMOUNT;PAID -_ „ , Credit Card FUTURE B INC 731.47 09103g TOTAL PAID: 731.47 • SPRINGFIELD - CITY OF SPRINGFIELD • live.. 225 Fifth St `o OREGON TRANSACTION RECEIPT 225 Fifth 541-726-3753 811-SPR2013-00956 www.springfield-ar.gov 1590 KELLOGG RD permitcenter @springfield-or.gov RECEIPT NO: 2013001147 RECORD NO:811-SPR2013-00956 DATE:06/06/2013 IDESCRIPTION- _ ,Y '- : ` . ' : ' ACCOUNT_CODE/TRANS�CODE.�;. 1.VN '' AMOUNTDUE Address Assignment, each new or change 224-00000-425602 1020 42.00 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 779.80 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 604.39 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 1,597.71 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 414.90 SDC: Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 118.88 SDC:Total Storm Administration Fee 719-00000-426604 1180 50.96 SDC:Total Transportation Administration Fee 719-00000-426604 1190 60.87 Second Permit Discount 201-00000-428060 1148 67.00 Structural Building Permit Fee 224-00000-425602 1002 1,125.34 Technology fee(5%of permit total) 100-00000-425605 2099 3.35 Willamalane fees-Single family detached 821-00000-215023 1074 1,807.94 TOTAL DUE: 9,500.00 L PAYMENT TYPE • PAYOR CASHIER:JLARSON- ,• COMMENTS- _.;.µ AMOUNT PAID • :I Credit Card Future B Homes 9,500.00 09322G TOTAL PAID: 9,500.00 SPRINGFIELD CITY OF SPRINGFIELD hia..... 225 Fifth St ��,�; TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2013-00956 www.springfield-or.gov 1590 KELLOGG RD permitcenter©springfield-or.gov RECEIPT NO: 2013001151 RECORD NO: 811-SPR2013-00956 DATE:06/06/2013 (DESCRIPTION . - - = ., = .ACCOUNT_COD.E/.TRQNS_CODE„ '':: = -AMOUNT_DUE Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 101.35 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 135.04 Technology fee(5%of permit total) 100-00000-425605 2099 58.37 Willamalane fees-Single family detached 821-00000-215023 1074 1,602.06 -'- - - - - -- -- - — . - - - - - ----- -- -TOTAL DUE: 2,107.82 PAYMENT TYPE - _. . - - - AMOUNT PAID ,` '1 PAYOR�. cnsRiEre�ugsor± ,.,__COMMENTS � �n"v� „„. ,.., I Credit Card Dane Butler 2,107.82 053230 TOTAL PAID: 2,107.82 Structural Permit Application SPRINGFIELD IDEPARTMENTrtJSEONLY fi SIO irim& lliViOAs�'{aiSie i '`fifairsi e"ri + ,u tsC s++ot ri; `4a ,u¢„� : it t rL r CITY iltleMREIMPAP QM ��'�" , iSlitali�� , 1t. _° 7 ,r4 x ; . - R "I� Permit no.: S�J -� 225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 .._. OREGON,. Date: s�iv i3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of i uanc or if work is suspended for 180 days. -ztg. ` x WiLOCAL`a;GOVERNMENTAPPROVALS,.; ,.,F..;,>°i r:,;.', -•r �,� _`F 'rFEE•SCHEDULE nrS 'xr This project has final land-use approval. i~j Valuatidn Information, > _-; r °.iVg f ?1,.`;a Signature: _ Date: (a)Job description: &1,�,i e cLM k u_'h 0,�iti i This project has DEQ approval. °°�1 Occupancy CItk. Signature: Date: Zoning approval verified El Yes El No Construction type. ✓13 Property is within flood plain: ❑Yes ❑No Square feet: / 50 V 1 °j ,.%t I °,��+CATEGORY OgeONSTRUCTION ix;'et4,a :§ Cost per square foot f` </ 0Residential ❑Government ❑Commercial Other information: _ * 4, 'JOB;,SITEINEORM ATlONtAND,LOCATION"N,'R. P3+ Type of Heat: Job site address: 15q0 I<0095 1• Energy Path: City: Spyl f•,la State: 02.._ ZIP: (11$14i- new Dalteration ❑addition Subdivision: Klicx en'int Lot no.: 5' (b)Foundation-only permit? ❑Yes kEtNo Reference: I Taxlot 11-05-3,4-22_-30.5c Total valuation: /f 4s 537 y kiik it ..t _rrj S° .PROPERTY.OWNER43 . n::: ..P,P ;425 Building-:fees _{r,C -r.P.tf ,t !s1.. _r. rte tee" �IA�-u_ r B (a) (use table): // 4 Name: a Permit fee use valuation table : S 2) 3 Address: tp,Q, &)Y. the (b)Investigative fee(equal to[2a1): $ City: Spn Fjaa State: C)t I ZIP:R}t}1 (c)Reinspection($ per hour): • Phone: , LI--2(5(56 Fax:cjj 11/41"o u b (number of hours x fee per hour) $ E-mail: d(�lp(� +id- 2-bhpyytp)e,(_01N1 (d)Enter 12%surcharge(.12 x[2a+2b+2cJ): $/3141)5! (e) Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 43' Plafl feview feelMar `." ,�VS5: 1s ^"',., '_ i ///� (a)Plan review(65%x permit fee[2a]): $ 73/ y7 Sign here: �! `! � �_ (b)Fire and life safety(40%x permit fee[2a]): S ❑This installation is being made n residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing A M Wei I i Webb§fees a „^.e. f,.t .N 1 requirements under ORS 701.010 ._ F �. - -Y n (a)Seismic fee, 1%(.01 x permit fee[2a]): $ „�tz ,r;,CONTRAG70R INetALLATI011 �,+ . i+ ":*;r.:'t;.iv„ Technolop fee,5% 05 x permit fee 2a S 5 77 (b) uy ( P fee[2a]): Business name: '5 t'P TO TA L fees and surcharges(2e+3c+4a+4b): SZ,j14IZ Address: Q-b,Q,px I+a5 - City:5 n k PJd State: QQ . ZIP: {9j Phonc: -'14744Q Fax64I -1944 Olt(o E-mail: d 6.149 fafikit4n.hhonmg0 !nyt'v CCB license no.: 3b14C(Gl Print name: W104—ti] J . ('///''��� ,yter Signature: A / ) �_ — y i., iiSUB;CONTRA TOR:,INFORMAT[ONs x ,,. `•; l', Name CCB License I Phone Number Electrical ms's electric- CHc (9-i)q35-5353 Plumbing Cusie m Oreq evt T ito/1 ;,tq (5(16%5-I 1% Mech`tnnical J WO* •Pt v x ,' %o C l) a(0-of nO L et willanalane 'Erb) Park and Recreation District 2 Job. No. 9 J • PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 NAME: t U((� PHONE: /77 2-660 ADDRESS: k 7"/ZS CITY: STATE272— ZIP: 6777/71— LOCATION OF PROPOSED BUILDING SITE:/ Street address: /C70 IZZLay� n Plat name:XI/✓Z- c-//�y6 Y Tax Lot Number: /7a3 3yzz OcocD 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached • NO. OF UNITS / X$3,410 per unit = $ 3 W 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.) ($ ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ 71/10 s1 716 / City of Springfield Date of building permit submittal J L � / b , / 3 City of Springfield Date of building permit issuance • SPRINGFIELD 225 Fifth St hir' 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-SPR2013-00958 www.springfield-or.gov pe rmitce nter©springfield-or.goy PROJECT STATUS: Issued ISSUED: 06/06/2013 EXPIRES: 12/02/2013 STATUS DATE: 06/06/2013 APPLIED: 05/14/2013 SITE ADDRESS: 1590 KELLOGG RD,Springfield, OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703342208000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-single family residence OWNER: NEPUTE JOHN - Phone Number: ADDRESS: 1491 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor FUTURE B INC CCB 36499 05/18/2014 541-744-2660 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2013 541-726-0100 _ 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 ATTFNTION• (lraclnn lain/r0f1IaPORF7fl.fn 2995 Final Gatollow rules adopted by the IEBnalg3as:Ulilibjn all gas work is complete. , N 2999 Final Mec rari c`luUI I Centel. Those rates' s I forath. When all mechanic w mplete. in�5tir�952-001-0010throughd�W 90 -uu - yVUI1c€: 0090. You may obtain copies of the rules by TNIe p�Q�� By signature, I shat ?n�i ag,e8oiliiietlt hTlveo��relflull`y thnedtll€completed applicatioh' hd hd-MDkdIITj a 4!.tLaE IRE IF THE WORK information her is true �1dlcprfqFb ��I II r rt th I y and all work performer/sht51B47cfo8B Trl�te'I IIT IS NOT itNoi r I tr a Ordinances of the City cLf. Fldr'hny sia ¢ r ewe ut p a State or Oregon pertaining rvAce 199 �e we n w'�} I' D FOR OCCUPANCY will be ma a(tinny s ruc``{{ure without p mission of the Community ServicetD�vl it pp A(ely. I u }"� certify that only contractors and employees who are in compliance with ORS 701.005 wl e u e I u 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. _ i/g/a 1Z . Owner or Contractor Signature e Springfield Building Permit 6/6/2013 3:34:25PM Page 1 of 1 r SPRINGFIELD i CITY OF SPRINGFIELD ej,4 225 Fifth St �o E�oN TRANSACTION RECEIPT Springfield,ORs7477 541-726-3753 811-S PR2013-00958 www.springfield-or.gov 1590 KELLOGG RD permitcenter©springfieid-or.gov RECEIPT NO: 2013001146 RECORD NO: 811-SPR2013-00958 DATE:06/06/2013 (DESCRIPTION '., '' .. • '- ACCOUNTmCODE/TRANS,C,ODE `AMOUNT-DUE;;._; First Appliance Fee 224-00000-425604 1006 80.00 Flue vent for water heater or gas fireplace . 224-00000-425604 1006 10.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 Gas Piping-each additional above 4 . 224-00000-425604 1006 9.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.50 Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 50.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 22.74 Technology fee(5%of permit total) 100-00000-425605 2099 9.48 TOTAL DUE: 221.72 t_„PAYMENT TYPE ..__PAYOR_ CASHIER.JLARSON _ COMMENTS -` AMOUNT PAID ---S ,I Credit Card Dane Butler 221.72 05323D TOTAL PAID: 221.72 SPRINGFIELD - 225 Fifth St • ' L. -c°.=-' CITY OF SPRINGFIELD Springfield,OR 97477 t`6%,6coN Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00959 www.springfield-or.gov permitcenterespringfield-or.gov PROJECT STATUS: Issued ISSUED: 06/06/2013 EXPIRES: 12/02/2013 STATUS DATE: 06/06/2013 APPLIED: 05/14/2013 SITE ADDRESS: 1590 KELLOGG RD,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703342208000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-single family residence OWNER: REPUTE JOHN Phone Number: ADDRESS: 1491 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 General Contractor FUTURE B INC CCB 36499 05/18/2014 541-744-2660 INSPECTIONS REQUIRED Inspections 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. i . 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 Roug .P.lum u I bing: Prior to cover and including required testing.- A� rl iP N: Oration law reauira @bGi tia testing ....,.-.,__-. 3999 Fina('Pltimbiri'gleS adopted by the Or€ (1 1 IkJthW(ng: When all plumbing work is grppl�le. . Notification Center. Those rules s are cset forth I�:U I It, By signatu�^I stafe and�aPgr�e�f hath(1�v�7C'a}erully'2xarmPddthe completed application la-ftillSoREMPILEMALLEXPIRE IF THE WORK informatidn Fier'eon(Mitrueigr(dtcori@diranle Ff61t[APcF rystIWany and all work performedts_hall{6IzEe[}tN tH1T fcr1I(}[eRMIT IS NOT Ordinances ofitlie CithofSpnnYielb end 4fi 141 SslWffi'State or Oregon pertaining to the wolrk4dEso • �j�{.k��a Sei1takp I�®NED FOR • OCCUPANCY-willltie Riade`of.any ktructureWithout pe?/i1?31on of the Community Services Division 'S r�eJ Ct 4y, u er certify that only cont?actors'afid bmployaar2vaiolar�in compliance with ORS 701.005 will lieluseddon I Tp o tll rther 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 app'ov d set of.plans will remain on the site at all times during construction. N r-- _ ‘ C 2v13 • Owner or Contractor Signature Date Springfield Building Permit 6/6/2013 3:28:16PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD r :6, .... - zzs Fitth St � � TRANSACTION RECEIPT Springfield.OR97477 OREGON 541-726-3753 811-SPR2013-00959 www.springfield-or.gov 1590 KELLOGG RD permitcenter @springfield-or.gov RECEIPT NO: 2013001150 RECORD NO:811-SPR2013-00959 DATE:06/06/2013 (DESCRIPTION .a - M_. . , ..-.___..ACCOUNT;CODE/TRANS CODE.„„ a'" AMOUNT.DUE , One or Two Family Dwelling with Two Bath 224-00000-425603 1005 411.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 49.32 Technology fee(5%of permit total) 100-00000-425605 2099 20.55 TOTAL DUE: 480.87 - - . ^ - AMOUNT PAID. = i 1-_PAYMENT TY_P, s:uPAYOR=.cnsHleR:7uRSON_� __, COMMENTS" � - ' I Credit Card Dane Butler 480.87 05323D TOTAL PAID: 480.87 •