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HomeMy WebLinkAboutPermit Building 2013-7-1 i. • SPRINGFIELD_ 225 Fifth St • '' CITY OF SPRINGFIELD Springfield,OR 97477 v ar Phone: 541-726-3753 rf OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01237 www.springfield-or.gov ' permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013 STATUS DATE: 07/01/2013 APPLIED: 06/11/2013 . SITE ADDRESS: 1052 53RD ST,Springfield,OR 97477 .SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702283401600 - TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ST-New SFD-Lot 8 Thurstom PI OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD • LEBANON OR 97355 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor EASTSIDE ELECTRIC INC CCB 117770 10/04/2013 541-741-1499 Plumbing Contractor JOHNS PRECISION PLUMBING LLC CCB 158279 02/04/2014 541-736-8690 General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 160347 06/14/2014 541-868-6294 Mechanical Contractor SUNSET HEATING&AIR INC CCB 171706 08/18/2014 541-554-2604 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks • 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 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor& girl ION: Oregon law requires you to follow r.Boc adopted by the flrpgnn Utility 1420 Insulationl*j por rdPfCenter. Those rules are pset forth NOTICE: 1430lnsulationitTl H9524J0�-UU1Utnr0URQattfra?4P iQrtocover. THIS PERMIT SHALL EXPIRE IF THE WORK ^n 20 YOU ^ 0.center. r^ ioq of a n1 Pe nAU7HuRfZtU UNDER THIS PERMIT IS NOT 1440 Insulation Cgil(n9ng the center. (Noteieeitir elesafhdtioo: Prior to cover. �nr nnn • 1520 Interior She`�nvall'e' Tor the uregon ul'tty Nlil45`a`.iing: Before covering shea hin C�tlh�'fEDF�Or fig I ANDONED FUR r_^nfo, is 1-RU(1-R -Y,�dµ�. /ii�l� IIF't Y{I 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 7/1/2013 1:59:54PM Page 1 of 2 • ■ SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 oa¢coN Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01237 www.springfield-or.gov permitcenter @spdngfield-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. R- 7/I ii Owner or Contractor Signature Date • • --.1 firy :7�C: }"1 .'u u 1'v , • ' ; } :,I:.. , ! i. 1 n,.. • . . .,. . . . . . . • . • . Springfield Building Permit 7/1/2013 1•59:54PM Page 2 of 2 • SPRINGFIELD CITY OF SPRINGFIELD • 5-a [m..na ': 225 Fifth St c ice TRANSACTION RECEIPT SpringfielQOR 97477 541-726-3753 811—SPR2013-01237 waay.springfield-or.gav 1052 53RD ST permitcenter©springfield-or.gov RECEIPT NO: 2013001412 RECORD NO:811 SPR2013-01237 DATE:07/01/2013 `ACCOUNTCODEITRANS,CODE/Lsz State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 131.89 Technology fee(5%of permit total) 100-00000-425605 2099 57.05 Willamalane fees-Single family detached 821-00000-215023 1074 1,971.64 TOTAL DUE: 2,160.58 WPAYMENTisTYP.E BAYOR FASHtee:.uwnsoN ,_COMMENTS AMOUNT1i PAID Check CUMMINS INVESTMENTS LLC 2,160.58 1915 TOTAL PAID: 2,160.58 • • • ' SPRINGFIELD CITY OF SPRINGFIELD - 225 Fifth St ; TRANSACTION RECEIPT 225 Fifth 97477 .OREGON 541-726-3753 811-SPR2013-01237 www.springfield-or.gov 1052 53RD ST permitcentergspringfield-or.gov RECEIPT NO: 2013001408 RECORD NO:811-SPR2013-01237 DATE:07/01/2013 127 .1glIllad[ol rl :4�. ej ? �.,l3.�-".' ri"�—=r t.ni_-.S-t,u 1'..: : a ti . . OD A . .. o , #. 2,1= ' i444. u M 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 95.90 SDC:Administrative Fee-MWMC Regional Wastewater.SDC 611-00000-426604 1189 W 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 983.22 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 326.60 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 2,014.50 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 224.20 SDC:Total MWMC Administration Fee-Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 149.89 SDC:Total Storm Administration Fee 719-00000-426604 1180 27.54 SDC:Total Transportation Administration Fee 719-00000-426604 1190 60.87 Structural Building Permit Fee 224-00000-425602 1002 1,099.06 Willamalane fees-Single family detached 821-00000-215023 1074 1,438.36 TOTAL DUE: 9,500.00 PAYMENTZYP_E P.AYOR caswER:uutRSOx COMMENTS ' AMOUNT P,A'ID Credit Card CUMMINS INVESTMENTS LLC 9,500.00 055983 TOTAL PAID: 9,500.00 • • • SPRINGFIELD -- CITY OF SPRINGFIELD hI 225 Fifth St e E�oN TRANSACTION RECEIPT SpringfieIGOR 97477 541-726-3753 811-SPR2013-01237 • wvw.springfield-or.gov 1052 53RD ST permitcenter @springfield-or.gov RECEIPT NO: 2013001194 RECORD NO:811-SPR2013-01237 DATE:06/11/2013 'DESCRIPTION _ _ : ...ACCOUNT CODE/TRANS CODE4 ' - AMOUNT DUE.Y,J Structural Plan Review Fee Residential 224-00000-425602 1061 714.39 TOTAL DUE: 714.39 L . 1 ,PAYMENT TYPE .�, PAYOR ;cgsFilER:bcgRPERTER.°,^`- :_'COMMENTS '. _ ' =-:'r. -... "'-AMOUNT,PAIR �� Credit Card DAVIS CONSTRUCTION SERVICES L 714.39 04780D TOTAL PAID: 714.39 • Structural Permit Application DEPARTMENT;USEONLl : v a G.y lrsi " ^ai '- f+`ms i 3"'i.y y'4at-t s '�r.6-: r .v 2 3. t z` a .C1T°1 ipri S NX9-1�ss21-1 O G® cgfr aL+le .l gr, i° Permit nn.. S/7'JZJ 7 OREGON 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: 4111,? This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o a r if work is suspended for 180 days. �" s.LOCAL-:GOVERNMENT APPROVAL "c � ,;, ,+ FEE-SCHEDULE ' This project has final land-use approvaL ,1 Paluatfon informatii n "-m , ' -- Signature: Date: (a)Job description: Nc1' �D This project has DEQ approvaL Occupancy 23/cif Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet f`..,� " *;;r CATEGORY OFtCONSTRUCTION - Cost per square foot: VResidential ❑Government ❑Commercial Other information: CC-JOB SITE;INFORMATION AND iliaktiofel,W. Type of Heat: ETA- '�1' Job site address: /0 S2 53 ' t Energy Path: e�/7/Ci7�. City. 5P2,NGri£rn State: oA ZIP: 97y78 [finew ['alteration D addition Subdivision: 1-thriz5.ro,..s put-e t I Lot no.: g (b)Foundation-only permit? ❑Yes ❑No Reference: /70 22 7751 I Taxlot 45 e. QQ Total valuation: $ tJY ;t` ,. .l- q... ` PROPERTY OWNER.s„,„? .,_.. .�2�t 2 ailrtdm tees a `sst” ,gg: ': . Name: CUMMINS Irk/. 2.t-t (a)Permit fee(use valuation table): $/09/2 Address: 3 122 r OSpafti LN. (b)Investigative fee(equal to[2a]): $ City: I-t13Anzw,.-, State: p,t ZIP: 4'1;SS (c)Reinspection($ per hour): Phone: cat 1 - 7 5 Qe •26.5-0 Fax: - - (number ofhours x fee per hour) $ E-mail: t pt✓MMI-S e Cortds r. tJtr (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ /3/CTS (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3;+Ylagieview fees ,',;j-Fs s n11. -. ii' e x�- (a)Plan review(65°%x permit fee[2a]); - $ 7i C/✓�/± Sign here: �� (b)Fire and life safety(40%x permit fee[2a]): $ / ❑This installan n is being made on 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 4''jypysceganeuus fees .. . ' ..j ',;�` ° r requirements under ORS 701.010. . .. (a)Seismic fee, 1%(.01 x permit fee[2a]): $ -�'.cr,. _„i CONTRACTOR INSTALLATION . ff ii,; . ` (b)Technology fee,5%(.OS x permit fee[2a]): $ 15- Business name: DANA Co 2-'['l,0r/ stn&C, ate TOTAL fees and surcharges(2e+3c+4a+4b): S -t Address: 5361 S 574ftr City: C°p Frr> State: ems. ZIP:474 Z3 Phone: Sy ( "44 p 029,1 Fax: - - E-mail: PA'1StO a- 1! 444-C, Corw CCB license no.: 14 0 341 Print name: C car DA✓UJ Signature: It 44- ')-`- - UBeCCNTRACTOR INFORMAT'10_N '=_ Name CCB License# Phone Number Electrical EA5i31ng ritlrfl0ir 117170 915-9X22 SI S- / -75 Plumbing S1'3 „ 12-It 0 P(zgtiit°r pl-lert,'..r 151275 qS3 - £(6.77 Mechanical 9 SvNSET Liv*6 1'7)70a 9°S - 3181 Sr3 ' 123 P willamalane Park and Recreation District Job. No. S (> / G✓ 7 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET �• Jan. 1-Dec. 31, 2013 NAME: (///L('tf1/tt (ti.S 1 P1/4-)1/. PHONE: Z5-21 72(.° 5 v ADDRESS: .�'2 7i I OS MIL( 3J CITY: (, sr ^ � t STATE:CP -ZIP: J s-3— LOCATION OF PROPOSED BUILDING SITE: Street address: /a C2 53 2)3 Plat name:Mitara&I fui-Lt r Tax Lot Number: Oa Z 2 j 3 Y 6/4,0X, 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X$3,410 per unit= $ 79 C6 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.) ($ a 3. TOTAL PARK AND RECREATION SDC ASSESSED $ ,21e) - - / 77 / City of Springfield - - - -- -- - - -- ---Date of building permit submittal / I i / 3 City of Springfield Date of building permit issuance SPRINGFIELD °- 225 Fifth St - CITY OF SPRINGFIELD Springfeld,OR 97477 v u Phone:541-726-3753 • OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01238 www.springfield-or.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013 STATUS DATE: 07/01/2013 APPLIED: 06/11/2013 SITE ADDRESS: 1052 53RD ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702283401600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: EL-New SFD-Lot 8 Thurstom PI OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD LEBANON OR 97355 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor EASTSIDE ELECTRIC INC CCB 117770 10/04/2013 541-741-1499 General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 160347 06/14/2014 541-868-6294 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. Owner or Con ractor Signature . Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE. Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephrano null-her for the Oregon Utility Notification ANY ISO DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 7/1/2013 2:02:37PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnng5919,0R 97477 OREGON 541-726-3753 811-SPR2013-01238 www.s99995eldor.gov 1052 53RD ST permitcenter@spnngfield-or.gov RECEIPT NO: 2013001410 RECORD NO:811-SPR2013.01238 DATE:07/01/2013 y,., skit§ ^'t. — +a- o • 7: 10` - � _ :.. "r�ri�'�'-'iS—`? GODE/TRANS:CODE= AMOUNT DUE s', Each added 500 sq.ft. or portion 224-00000-426102 1004 55.00 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 32.58 Technology fee(5%of permit total) 100-00000-425605 2099 13.58 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 317.66 r ailiENTa in P.AYOR cnsHieR:,.luRSDNt,= (COMMENTS _ 'A 10_0TiPdID 1 Check CUMMINS INVESTMENTS LLC 317.66 1915 TOTAL PAID: 317.66 Et lectrieal Permit Application • DEPARTMENT USE ONLY ' �Y P ° D RE 6 t - 3E� ip���saal n��aOrasaz Rs� .' y4` t Permit no SI 3 -72? 225 Fifth StrettSpringfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 � '` Date: 4/ll//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. ILO CAL.:0OVERNMENT:APPROVA1 ^ k t - -„ .,:... y _+ cFEE SCHEDULES W Zoning approval verified? ❑Yes ❑No Number ofanepectionspec item O .- Qty 9 COQ Total . CATEGORY_-OF:"CONSTRUCTION cost �/ Residential,per unit,service included: Lh Residential ❑Government ❑Commercial JOB; SITE INFDRMATION;AND." LOCATION, :;` 1,000 sq.ft.or less(4) / $147.50 $(y9sa Each additional 500 sq.f.or portion Job site address: /052- 5- thereof q P - Z $ 27.50 $cpo City: 'PR:N6riWO "State; OR ZIP: Till,*8 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular :. ;-_ dwelling service or feeder 2 $ 69.00 $ .' a K `.DESCRIPTION`?OF W014 - ,;:4- g O Services or feeders:installation,alteration,relocation Ma=w 5F 200 amps or less(2) $ 89.00 $ :5 rT„;77 PROPERTY, OWNER ..p r alF 201 to 400 amps(2) $ 104.50 $ Name: CJMMINS IN✓• Lt-L 401 to 600 amps(2) $174.00 $ Address: 31221 ospRiy pa. 601 to 1,000 amps(2) $225.50 $ City: LE$4NN4N State: OR ZIP: 973SS Over 1,000 amps or volts(2) $516.00 $ Phone:.511 258 265"0 Fax: - Reconnect only(2) $ 69.00 $ E-mail: NS @ Temporary services or feeders:installation, alteration,relocation �'ECvmor1t CD MICA-5r . iv Sr This installation is being made on residential or farm roe 200 amps or less(2) g property rty ( $ 69.00 $6 owned by me or a member of my immediate family. This 201 to 400 amps(2) property is not intended for sale, exchange, lease, or rent.OAR $ ss.00 $ 479.5400)and 479.560(1). 401 to 600 amps(2) $138.50 S Signature: Over 600 amps or 1,000 volts,see services or feeders section above ' aIgR.4CONTRACTOR4INSTALLATION:,`�, tf : `f Branch circuits:new,alteration, extension per panel Business name: rA 5T5Ib e ELEG bet c t/.7G , a.Fee for branch circuits with purchase of a service or feeder fee: Address: 39253 f30$CA6E CN• Each branch circuit $ 6.50 $ City: 5 p21 k b Fi yin State: o2 ZIP: 1-79-76 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:”( Sir 912 g Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Rp)c)g4.l e yntMc toM Each additional branch circuit S 6.50 $ CCB license no.: 11-7-7-2 o BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: y 727J Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: (Z46FR km& Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, - $ 80.00 $ alteration,or extension(2) Each additional inspection:(1) 580.00 $ ieraT APPLICANT„USE zn:m';`_1if. __ _, (A) Enter subtotal of above fees 5a (Minimum Permit Fee$80.00) S 27/ --- (B)Enter 12%surcharge(.12 x[A]) $ 3 �d (C)Technology Fee(5%of[A]) $ /35-3 TOTAL fees and surcharges(A through C): $ „7/26.±-- 440-2584-f(4/012013/COM) • 'SPRINGFIELD"'-- 225 Fifth St I- -.z:--. .......,.:. 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-SPR2013-01240 • vmww.springfield-or.gov permitcenter @spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013 STATUS DATE: 07/01/2013 APPLIED: 06/11/2013 SITE ADDRESS: 1052 53RD ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702283401600 TYPE OF STRUCTURE: Residential . PROJECT DESCRIPTION: PL-New SFD-Lot 8 Thurstom PI OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD LEBANON OR 97355 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor JOHNS PRECISION PLUMBING LLC COB 158279 02/04/2014 541-736-8690 General Contractor DAVIS CONSTRUCTION SERVICES LLC COB 160347 06/14/2014 541-868-6294 INSPECTIONS REQUIRED - Inspections . 3130 Footing/Foundation Drains . 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer- / I tN I kin: Oregon law rESenitafi$tiW ine: Prior to filling trench and including required testing. 3315 Water Lirk®jioW rules adopteo oy w rides are set forth NutiHat∎ea C.;1t^r. 3400 Storm Sew rn TSAR 952-001-0010 throug5tn?frF56152rQ Prior to filling trench. ' c 3450 Drywell/$lfiat3gel`frLrf }73Y ODtaln CUj;le ry I. e En in by err1.�dGE: �ryvrei''Engineered Drywell is Requl tan—Ls - �nl„IP• ,nr. �u ...... EXPIRE IP THE WORK 3500 Rough PluR ing r C p C PERMIT IS NOT niter for he Oregon Utl'RCugh•Blu€ndAlp Prior to cover and lriclL�S��m�o�euH 3999 Final Plumbing Center IS 1-oUU-o' nail Plumbing: When all plumbi 9 workVICIVI,CU� �R IS ABANDONED FOR By signature, I state and agree,that I have carefully examined the completed application c1and o hereby ccertrtiry 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. \ }� ,N `-- 7 /IIIl Owner or Contrac r Signature Date • • Springfield Building Permit 7/1/2013 2:07:57PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD .14 te 225 Fifth St tir TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2013-01240 www.springfieldacgov 1052 53RD ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013001411 RECORD NO:811SPR2013-01240 DATE:07/01/2013 bil4j,o1:1 tk4L91i�'"_ „ _ 1.11 .; ._. ...a. :. _` _._ -- ._i;ACCOUNT CODE/TRANS CODE :xAMOUNTgDUE One or Two Family Dwelling with Three Bath 224-00000-425603 1005 483.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 57.96 Technology fee(5%of permit total) 100-00000-425605 2099 24.15 TOTAL DUE: 565.11 P'AYINENTa7YPE PAYOR CaSNIER:,JLARSON COMMENTS. AMOUNA AID g s° Check CUMMINS INVESTMENTS LLC 565.11 1915 TOTAL PAID: 565.11 Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD:W �C1a10�� FS RDIPti lal-0.REGONVI (*44,"`-Z . 6 5 Permit no.: d«.n f+ fi i..tiiiet 'n'•�YiiS- ti,�`�"rd.. akil1ii Vt.14. ). * 225 Fifth Street•Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 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. ii LOCAL:GOVERNMENT APPROVAL ,r;_._ }* -* "r P ,'FEE°:SCHEDULEnl ?;s Zoning approval verified? ❑ Yes ❑No Desn' : t 1- Qty ea cot- -x ` sSantta tion approval verified? ❑Yes ❑No New residential ;CATEGORY. OF•CONSTRUCTION ._ I bathroom/1 kitchen(includes:first residential ❑Government 0 100 feet ofwater/sewer lines,hose L� bibs, ice maker, underfloor low point $262.00 $ -;'. '=JOB-SITE INFORMATION AND 'LOCATION« ,, drains and rain-drain packages) 2 bathrooms/1 kitchen Job site address: /057-- S3 '' Sa1too $ City: 3 bathrooms/I kitchen $483.00 $ tY SP2rNG Ft rc a State: OR _ ZIP: t7 7$ Each additional bathroom(over 3) $104.50 $ Reference: Taxlot.: it. Each additional kitchen(over 1) $104.50 $ ':;' ! "`i DESCRIPTION OF WORK`' tom, it ' � .--}°s �= Residential fire sprinklers(includes plan review) /UEUJ $F - 0 to 2,000 square feet $80.00 $ 2,001-to 3,600 square feet $128.00 $ :.), r ,'PROPERTY-`:OWNER ,.. `r+, tr1 ' rag: 3,601 to 7,200 square feet S192.00 $ Name: ('�,..I„a1N S 7,201 square feet and greater $255.00 $ /NV. u t Address: Manufactured dwelling orpre-fab(circle one) 3 12Z 1 OS,4 f-1 GN. Connections to building sewer and City: water supply $80.00 $ t3 LEBANNCN State: as ZIP: 973SS Commercial,industrial,and dwellings other than one-or Phone: SY I 2 Sg - 24 co Fax: - - two-family E-mail: E c,,,,•,,,,tt,v t e to--01 r . NYf Minimum fee $80.00 $ This installation is being made on residential or farm property Each fixture $21.00 $ 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 -$83.50 $ Signature: Each fixture,appurtenance,and piping $21.00 $ "7)i ..'CONTRACTOR ;INSTALLATION s n h.> z. Storm water retention/detention facility $21.00 $ o FJ 2 Business name: PI'fn51ot, pus..gig6 uc Irrigation systems $21.00 $ Piping or private storm drainage Address: $S6 3 S N 10D IA) IN. systems exceeding the first 100 feet $21.00 $ City: Eul e.A.e State: OR ZIP: 9721.5 Specialty fixtures $21.00 $ Phone: Reinspection(no.of hrs.x fee per hr.) $80.00 $ sy1 953 - ya77 Fax: Special requested inspections(no.of E-mail: hrs.x fee per hr.) $80.00 $ CCB license no.: )S8 2-79 BCD license no.: ' Each additional inspection:(1) $80.00 $ Plumbing license no 'Medical gasptpmg Eta`- ' _ Minimum fee $ Print name: Tv Piu f Enter value of installation and equipment$— Enter fee based on installation and equipment value. $ Signature: ,. x APPLICANT �2 t , � c L?a'`Y+�`e�"?tL�y: Y ..E .UE ;'"Yy3 '�µµ�;..tY SFW (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Technology Fee(5%of[Al) $ TOTAL fees and surcharges(A through D): $ 440-2500-1(4/12013/COM) • • SPRINGFIELD- 225 Fifth St -44 - 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-SPR2013-01239 vmw.springfieId-or.gov permitcenterespringfield-or.gov • PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: .12/27/2013 STATUS DATE: 07/01/2013 APPLIED: 06/11/2013 • SITE ADDRESS: 1052 53RD ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702283401600 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: ME-New SFD-Lot 8 Thurstom PI OWNER: CUMMINS INVESTMENTS LLC Phone Number: ' ADDRESS: 31221 OSPREY RD LEBANON OR 97355 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor DAVIS CONSTRUCTION SERVICES LLC COB 160347 06/14/2014 541-868-6294 Mechanical Contractor SUNSET HEATING&AIR INC CCB 171706 08/18/2014 541-554-2604 L 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 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, d e a ou�g pet of plans will remain on the site at all times-during -' construction. ATTENTION: Oregon haw fe �"r` ' follow rules adopted by the Oregon Utility NOTICE: "' `' 1� �^ Notification Center. Those rul OAR re set 952 OQ�h THIS PERMIT SHALL EXPIRE IF THE WORK rill in OAP qF2-001-0010 throUg 711 /l3 ni ITNORIZED UNDER THIS PERMIT IS NOT Ow er or Contract®ffi1 aX & may obtain colt e tet r�,I°0., calling the center. (Note'. the tefente Date COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notificatiy n ANY 180 DAY PERIOD. • Center is 1-800-332-2344). Springfield Building Permit 7/1/2013 2:05:04PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD + rl' 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 OREGON 811-SPR2013-01239 www.springfield-ar.gov 1052 53RD ST permitcenter @springfieId-or.gov RECEIPT NO: 2013001409 RECORD NO:811-SPR2013-01239 DATE:07/01/2013 e *i.N {(;?� .l o ' ,511Li ?:_ t 4,s _ a ° ACCOU TcGODE/LRANS'CODE t ±= F3} ' AMOUNTrMgs1' First Appliance Fee 224-00000-425604 1006 80.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 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 20.46 Technology fee(5%of permit total) 100-00000-425605 2099 8.53 TOTAL DUE: 199.49 Uq FAC6VITI —_ .,..,.�- „i„aira.� , ...._e...-..____" AMQUNTITAID r ir.,r'k:, - PAY,MENTraTeYP.E PAYOR���iCASHIER:.JLARSON COMMENTS'' � - »e � Check CUMMINS INVESTMENTS LLC 199.49 1915 TOTAL PAID: 199.49 Mechanical Permit Application 'DEPARTMENT USE ONLY : Wr 1 �5; � :: SpRINcFI EL°fin S'i 'w-;MCI k a0 ; `.. I ,LIriORF O ti ,-- n z 4 Permit no.: 225 Fifth Street•Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 F`" ` `t;•. Date: 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 OF CONSTRUCTION Th FEE=.SCHEDULE - aResidential ❑Government ❑Commercial Residential .. 1 ,: Qty C Total ost , .. - .. .. .: , "ea "'. .° cosh.,: "`..,''JOB.SITE INFORMATION` AND LOCATION r : First Appliance $80.00 $ Job site address: 05-z_ 53-L Furnace/burner including ducts and vents City: SPRtM6Ft f a State: o,Q ZIP: 97478 Up to 100k BTU/hr. $18.50 $ Reference: Taxlot: Over 100k BTU/hr. $22.00 $ DESCRIPTION OF WORK Heaters/stoves/vents ° - Unit heater $18.50 $ /'IE`u 5 F K Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ ;:PROPERTY:OWNER if--: .i:7,:::.= uy='; absorption system Name: C./m44/N..5 /NV. Lt-C Evaporated cooler $14.50 $ Address: 3122 1 0$Pk f7 /2.o( Vent fan with one duct/appliance vent $10.00 $ Hood with exhaust and duct $14.50 $ City: 1- t.4 fr, State: ca. ZIP: 97353-- Floor furnace including vent _ _ $80.00 $ Phone: Sy/ 2V0 Z4 go Fax: - - Gas piping E-mail: TEC..,.r.vrv.✓J e 1.9.4 CAST . All r One to four outlets $7:50 $ This installation is being made on property owned by me or a Additional outlets(each) $4.50 $ member of my immediate family, and is exempt from licensing Air-handling units,including ducts requirements under ORS 701.010. - Up to 10,000 CFM $12.00 $ Signature: Over 10,000 CFM $22.00 $ ' ` Compressor/absorption system/heat pump '` ,CONTRACTOR INSTALLATION; ,, .�,�? Business name: *Sim Sc r /4 vA-C Up to 3 hp/I OOk BTU $10.50 $ Address: Up to 15 hp/500k BTU $32.00 $ $729 Mat& 5lvtftV Sat 2 / Up to 30 hp/1,000 BTU $47.50 $ City: SPR,N6Fif o State: OR - ZIP: g7y7g Up to 50 hp/1,750 BTU $62.50 $ Phone: Sy I -flog - 3191 Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Q -74 Ro6a,119 r? RoL . co....1 Incinerators Domestic incinerator $22.50 1 $ CCB license no.: /7170(e ';,Commercial - ;• s;;E ,„ Print name: 3 fal Af.3 /206 FR 5 Enter total valuation of mechanical system Signature: and installation costs$ _ Enter fee based on valuation of mechanical system,etc. $ "Cost Total4 .Miscellaneous fees= s Items ';ea :cost Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ • t*!r.m =.I');:„era r `l,'APPL°ICAilto-uSE" i;i • a (A)Enter subtotal of above fees(or enter set minimum fee of $80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(:I2 x[A+B]) $ (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ 440-2545-i(4/1/2013/COM) TOTAL fees and surcharges(A through E): Ls $