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Home My WebLink AboutPermit Building 2013-6-12 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 l' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01052 www.springfeld-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/12/2013 EXPIRES: 12/08/2013 STATUS DATE: 06/12/2013 APPLIED: 05/24/2013 SITE ADDRESS: 1550 KELLOGG RD,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703342207900 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 General Contractor FUTURE B INC CCB 36499 05/18/2014 541-744-2660 INSPECTIONS REQUIRED 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. 1170 Post&Beam Post and Beam: Prior to floor insulation or decking. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier 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 - 6/12/2013 4:03:38PM Page 1 of 2 • SPRINGFIELD--— CITY OF SPRINGFIELD 225 Fifth Sl i _; TRANSACTION RECEIPT Spnngfield,OR97477 k I OREGON 541-726-3753 811-SPR2013-01052 www.springfield-or.gov 1550 KELLOGG RD permitcenter @spdngfiekd-or.gov RECEIPT NO: 2013001224 RECORD NO:811-SPR2013-01052 DATE:06/12/2013 I P.0#a M -+l.g€i ^ :a_Ss' v�.. -r''ACCOUNT CODEI GRANS•CODE=° AMOUNT DUE"`:; Address Assignment,each new or change 224-00000-425602 1020 42.00 Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 116.65 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 955.33 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 543.77 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.12 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 373.29 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 45.85 SDC: Total Transportation Administration Fee 719-00000-426604 1190 60.87 Second Permit Discount 201-00000-428060 1148 67.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 153.96 Structural Building Permit Fee 224-00000-425602 1002 1,283.02 Technology fee(5%of permit total) 100-00000-425605 2099 69.60 Willamalane fees-Single family detached 821-00000-215023 1074 3,410.00 TOTAL DUE: 11,917.34 P PAYMENT#Ti'd _ P,AYOR 'cairigne iagi COMMENTS I _ ' _;„ N101.1NTIP.Q,ID i,.',,.. Check Future B Homes 11,917.34 1061 TOTAL PAID: 11,917.34 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 OREGON OREGON 811-SPR2013-01052 www.spnngfield-ar.gov 1550 KELLOGG RD permitcenter @spnngfieid-or.gov RECEIPT NO: 2013001034 RECORD NO:811-SPR2013-01052 DATE:05/24/2013 je1$Qolyr��Iol:h `_ x x, K_.(.r V?`_t:, .t •CCOUNS{CODE/TRANS CODE 4r1, , t AMOUNT DUE Plan Review Fee Residential 224-00000-425602 1061 833.96 TOTAL DUE: 833.96 OrPAYMENTIEVE P,AYOR casRIER:.DBOWLSSr- COMMENTS -r' AMOUNVAID _ Credit Card dane butler 833.96 01734g TOTAL PAID: 833.96 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OP SPRINGFIELD, OR8G0N < � Permit no. t3 -oiOSZ 225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 \OREGON s Date: _5/2 y 3 This permitis issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of a e or if work is suspended for 180 days. . LOCAL GOVERNMENT APPROVAL Plumbing This project has final land-use approval. Signature: Date: _ Mechanical This project has DEQ approval. Signature: Date: Zoning approval verified: ❑Yes ❑No , - FEE SCHEDULE Property is within flood plain: ❑Yes ❑No 1.Valuation information . - . CATEGORY OF.CONSTRUCTION - (a)Job description: Sa.aflc FjiN,,,1, e ❑Residential ❑Government I ❑Commercial Occupancy Je7/...A, JOB SITE INFORMATION AND LOCATION : Construction type: V/3 Job site address: I s F-E 5 L LOGO-1 g\- , Square feet: /8S (Pt( City:Spg IN)elFbcc_D j State: OK IZIP.97z/7S" Cost per square foot: Subdivision: P1VC dZ 64(ZC)v 6 I Lot no.: q Other information: Reference:17-03-3`"(-224 Taxlot: 07,00 Type of Heat: PROPERTY OWNER " Energy Path: Name: Vt v u ie c 'Q HO rl 6 aox new ['alteration ❑addition Address: l o . a 71-/ZS y ��I NL f ELD I 97C-(75— (b)Foundation-only permit? ❑Yes *No / Cit C State: ZIP: 6 Total valuation: z / ErS ,3/,S� Phone:SH/ '4( 3-32'&8 Fax.911 -7990//6 2.Etuildiog,fees .. E-mail: - DECco) '�U c U12.E Z Hvi'-tacc�i�'-00 - a,- (a)Permit fee(use valuation table): $/273 — Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): Sign her (number of hours x fee per hour) $ _ (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ 15) 9‘' ❑This installation is being made on residential or farm property owned by me or a member of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): S requirements under ORS 701.010. '3."Plan review fees- "F6 CONTRACTORS--INSTALLATION-- ' (a)Plan review(65%x permit fee[2a]): SS 33 Business name: (b)Fire and life safety(40%x permit fee[2a]): $ Address: (c)Subtotal of fees above(3a and 3b): $ City: State: I ZIP: 4:Miscellaneous fees . - . Phone: - - Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a]): $ E-mail: (b)Technology fee,5%(.05 x permit fee[2a]): $ (O ' CCB license no.: TOTAL fees and surcharges(2e+3c+4a+4b): S Z3f sag Print name: Signature: . SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical • Awillamalane deb Park and Recreation District _ Job. No. c//3— /DS 2-- PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 • NAME: /fit PHONE: 173- _7 276 ADDRESS: PCaoiC 2672C CITY: S-PFCT.) STATE:/tZlP: 97V7 • LOCATION OF PROPOSED BUILDING SITE: Street address:. 2 Plat name:RVIL c 6 ( ' Tax Lot Number: /7d 3 J /�/2 Z (: c`ie 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS • 7 X$3,410 per unit= $ 39/J . 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. SDCpayer_must furnish proof of • credit approval.) ($ ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ • yip City of Springfield Date of building permit submittal / City of Springfield Date of building permit issuance • 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-SPR2013-01061 ww•n•.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 06/12/2013 EXPIRES: 12/08/2013 'STATUS DATE: 06/12/2013 APPLIED: 05/24/2013 SITE ADDRESS: 1550 KELLOGG RD,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703342207900 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 COB 36499 05/18/2014 541-744-2660 Mechanical Contractor COMFORT FLOW HEATING CO COB 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 arrrur,r..,, n. y.. ,u u .J VV•J t', 2310 R61-613 s Rough Gas: After line is installedcar(dir ui4ed ttgav a Y ppgddf noyaltas eldty Tulc PODnnl A 1 GYO F IiafJ_ce. (�lntifin�flnn r`nnfew T0....... ..d,... .. __ _:t. _ . " TSHAL_ _... IR_ IFThy �9e 2995/Flinal G?s J7ED UNDER THIS PERMIfipsi Rasr Wien all gas work iti-pc500lOt552-001-0010 through OAR 952-001- 2999'Fihal Megli�j:[l�l OR IS ABANDONED F 4TiMechanical: When all mecckia Calywo kts-complete.Ce(JIes of the rules by ca Iing the center. (Note: the teleph..^_ ANY 180 DAY PERIOD. number for the Oregon utility Notification By signature, I state and agree,that l have carefully examined the completed application anc�Ido efe r_ceJtjfy3that,dls4 1 information hereon is true and correct, and I further certify that any and all work performed sKalibe done in accerr€A' e 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 6/12/2013 4:01:36PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St A‘40/OREGON TRANSACTION RECEIPT Spdngfield,OR 97477 541-726-3753 811-SPR2013-01061 www.springeeld-ar.gov • 1550 KELLOGG RD permitcenter @spdngneld-or.gov RECEIPT NO: 2013001221 RECORD NO: 811 SPR2013-01061 DATE:06/12/2013 ACCOUNT,CODElLRANSICODE _ : ii o , 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 40.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.54 Technology fee(5%of permit total) 100-00000-425605 2099 8.98 TOTAL DUE: 210.02 .'PAYMENTTTYPE ,„IE.PAYOR-;: !cptf hs`.:.COMMENTS_,..;>3-sLidt AMOUNT'PAID'-=p„ t„ ;_ _1 Check Future B Homes 210.02 y 1061 TOTAL PAID: 210.02 • 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-SPR2013-01059 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/12/2013 EXPIRES: 12/08/2013 STATUS DATE: 06/12/2013 APPLIED: 05/24/2013 SITE ADDRESS: 1550 KELLOGG RD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703342207900 'TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-single family residence OWNER: NEPUTE JOHN - Phone Number: ADDRESS: 1491 WIMBLEDON PL SPRINGFIELD OR 97477 L 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 Electrical Contractor DEANS ELECTRIC INC CCB 99579 06/25/2014 541-935-5303 INSPECTIONS REQUIRED • Inspections to -frr-k,Tlnnr nrpnnn law requires y 4225 Se&iceor:Feedeadopted by the Oregon Vuiity ....,-- cot forth n,..t'F-gt,..,n el l lC,. 1,,...... ._.__ nro 4500 Rough EnenfG�,IIM-r1M0 thrOUgh OAFRolgh" ectric: Prior to Cover _ . 4999 Final-E�ectricalnay obtain copies of Th.::ilial EI'eCiric: When all electrical work is complete. ' u calling the center (Notterilw Nntipca;-,:n TIDE: cctu�rn t� FXpIRE IF THE WORK By signaturenl'state andlagree,FthatI have carefully examined the completed apgl&dilia.,.. li�e1Febr deft t it/ilT IS NOT nn ✓ f?dth,. f'1 any P Q � t�ff�'c¢ information hereon;is�.trueran"d correct;and/further certify that an and all works erf II p,.. ir�d'Ceb e I ��Ct� Ordinances of the City of Springfield and the Laws of the State or Oregon pertainsngltol4F�e ��t�i�l�f�i�,�i1Cl-tA'a N OCCUPANCY will be made of any structure without permission of the Community Sewlce v'si,o. bding Safety. I further certify that only contractors and employees who are in compliance with ORS 70.11605 wi�t� e 1 his 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 6/12/2013 3:59:31PM Page 1 of 1 SPRINGFIELDWasar CITY OF SPRINGFIELD I . 225 Fifth St ''t TRANSACTION RECEIPT Sp Fifth SOk 97477 OREGON 541-726-3753 811-SPR2013-01059 wwi.springfieltlar.gov 1550 KELLOGG RD permitcenter@springfield-or.gov RECEIPT NO: 2013001222 RECORD NO:811-SPR2013-01059 DATE:06/12/2013 _��-r .,w,i__..s -a,,,_.Tn__AECOUNT CODE/TRANS CODE .,w,= __ rg .MUM':9 Each added 500 sq ft.or portion 224-00000-426102 1004 82.50 Residence wiring 1,000 sq ft. or less 224-00000-426102 1004 147.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 27.60 Technology fee(5%of permit total) 100-00000-425605 2099 11.50 TOTAL DUE: 269.10 AYMEN7w a P.E ,i' .,P.AY,ORbcaSNIER:m� brAasoN - COMMENTS E taNK .-. AMOUNMAI1;‘ Check Future B Homes 269.10 1061 ' TOTAL PAID: 269.10 • Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD, OREGON . __Le=assii ( Permit no.: 513 "e l05`� 225 Fifth Sireet4Springfield,OR 97 477*Pf1(541)726-3753•FAX(541)726-3689 \REGON Date: 57 v( 1,5 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 GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Number of inspections per item () Qty. Cost Total CATEGORY OF CONSTRUCTION ea. cost Residential,per unit,service included: Residential 10 Government I Commercial q (4) $147.50 $ 5 JOB SITE INFORMATION AND LOCATION 1,000 s .ft.or less 4 re(7 Each additional 500 sq. ft.or portion Job site address: !SSG Ltoc--.6-, p c>, thereof $ 27.50 $v2 City:S O 1itie f/EL O State: C ", ZIP:e(72(73 Limited energy(2) $ 35.00 $ Reference: '17-03 -3`I—22 I Taxlot.: 0 7g0C . Each manufactured home or modular DESCRIPTION OF WORK dwelling service or feeder(2) $ 69.00 $ Services or feeders: installation, alteration.relocation 511` 61 LC For( t Y 200 amps or less(2) $ 89.00 $ ivr7 -Ft-7-1-LP. _ _ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ r Name: r V"CU R c 3 fin t.t S 40110 600 amps(2) $174.00 $ Address:p,0 , -ROX 74-12s- 601 to 1,000 amps(2) $225.50 $ ty:a/2.IN Lt FIELD L Over 1,000 amps or volts(2) $516.00 $ Ci G State: 0 ZIP: °� (� PhoneR/ -q j-322 8 Fax /-/ 9-o(/a Reconnect only(2) $ 69.00 $ E-mail: ( Temporary services or feeders:installation. alteration. relocation e_ t"u'e laKE CS, c_ti rte 200 amps or less(2) This installation is being made on residential or farm property $ 69.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange, lease,or rent. OAR 479.540(I)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Brunch circuits:nett, alteration, extension per panel Business name: P:=f...1..15 EL tci( r L a. Fee for branch circuits with purchase of a service or feeder fee: Address: ?,c), -i-- ,ex 2c-ac Each branch circuit $ 6.50 I $ City:E(Ac'.,,c e State: et R I ZIP:179OZ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit(2) $ 60.50 $ Phone: Fax: ( ) E-mail: `6057 Each additional branch circuit $ 6.50 $ CCB license no.:2O-;NE. BCD license no.: Miscellaneous fees:senace or feeder not included Signing supervisor's license no.: jS / 1 S Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: �ep i L-+ I S Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: h,-- f„____—`r Signal circuit or a limited-energy panel, $ 80.00 $ alteration.or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ e) (Minimum Permit Fee$80.00) n (B)Enter 12%surcharge(.12 x[AB $ 27 6e (C)Technology Fee(5%of IA]) $ // - O 440-2584-1(4/012013/COM) TOTAL fees and surcharges(A through C): $ l,‘ ,° • SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD • Springfield,OR 97477 'ilit—''•"--ix ` Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01060 • vrxw.springfield-ar.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 06/12/2013 EXPIRES: 12/08/2013 STATUS DATE: 06/12/2013 APPLIED: 05/24/2013 SITE ADDRESS: 1550 KELLOGG RD,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703342207900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION:- PLM-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 • CCB 191104 06/21/2014 541-434-1146 General Contractor FUTURE B INC CCB 36499 05/18/2014 541-744-2660 L INSPECTIONS REQUIRED il 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 ATTFNTIr'1N/ C'r=-::.. �v.v Icyulr es you t0 3400fdtAM- sewer rm Sewer Line: Prior to filling trenchf0110W rules adopted bV tha nrr�nn.. I ir:l:... " f rf1""IT SHALL EXPIRE IF THE , . 35'00 R' ° "1O' Those rules are set forth nulP.H?PP n$IDERTHISPERMITIQoGghTPlumbing: Prior to cover overandihu�rA r `r d� sc�g. „ VUy' v ny / OOi- 3999 FinahPlompEgOR IS ABANDONED H- inal Plumbing: When all plumbing wdDQt3�orlfp htglay Obtain COpIQS Of the rules by ANY 180 DAY PERIOD. 9 e center. (Note: the teIepl • By signature, I state and agree,that I have carefully examined the completed application nth' ti i9lieffebfk'¢erTfyEtbet;alutilit v Notification information hereon is true and correct, and I further certify that any and all work performed shall berdbilefirjsagcpfdgn5e wiEh-the\ Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that Na` • OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 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. t - —__ - l 240 I • Owner or Contractor Signature Date • Springfield Building Permit 6/12/2013 3:55:45PM Page 1 of 1 • r SPRINGPIELD+mair CITY OF SPRINGFIELD 225 Fifth SI (.OREGON TRANSACTION RECEIPT Spnngfeld,OR 97477 541-726-3753 811-SPR2013-01060 www.springfield-or.gov 1550 KELLOGG RD permitcenter @springfeld-or.gov RECEIPT NO: 2013001223 RECORD NO:811-SPR2013-01060 DATE:06/12/2013 ]o 0 7'1PC15511iNC r- P la' ;k_re 'rr,i'ACCOUNT CODE/TRANS CODE' �.-AMOUNT e u - 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 I PAYMENT TYPE` P.AYOR__casHlE eSON ,."`I! :Y,COMMENTS PAID r • ,;._ :_�_?' Check Future B Homes 480.87 1061 TOTAL PAID: 480.87