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HomeMy WebLinkAboutPermit Building 2013-7-10 • 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-SPR201 3-01 1 74 www.spdngfield-or.gov - permitcenter @spdngfleld-or.gov PROJECT STATUS: Issued ISSUED: 07/10/2013 EXPIRES: 01/05/2014 STATUS DATE: 07/10/2013 APPLIED: 06/06/2013 SITE ADDRESS: 1769 BRANDY WAY,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703331101400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-new single family residence OWNER: BENSON DEVELOPMENT COMPANY LLC Phone Number: ADDRESS: 940 HWY 99N EUGENE OR 97402 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor TOMS PLUMBING SERVICE INC CCB 159425 05/18/2014 541-607-8879 Mechanical Contractor CHITTIM ENTERPRISES I INC CCB 47396 03/24/2015 541-461-2101 - 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. _ ATTCf1T1^PJ: CrEtie,,, y to 1370 Masonry Veneer fn'1-Ir• !{•i OOrE'd by the Omoon Utility 1410 Underjo,cjit lition t' a 'e _ et forth 11 CC ._-C3: 1420 Insulation.\la ; ,,�;,.' .;,;_ , t' ll fkKHAI I FXPIRF IF THE wnnK . -- hV PVlIZED UNDER THIS PEIMI1MS41@>�T ' 1430 Insulation I Prior to cover. _ - - - •••_ 1440 InsulationlCeflI ED OR IS ABANDONSi1n ERR ulation: Prior to cover. C Ilie/ is ;710 QAY PERIOD. 1520 Interior Shearwalt 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 7/10/2013 1:09.48PM Page 1 of 2 • SPRINGFIELD-- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 • Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01174 • vnvw.springfield-or.gcv permitcenter @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. _/ A/7 /3 Owner or Contractor Signature Date • • ' .r: Springfield Building Permit 7/10/2013 1:09:48PM Page 2 of 2 SPRINGFIELD—` CITY OF SPRINGFIELD 6Iiii\1" 225 Fifth St TRANSACTION RECEIPT Springfield.OR 97477 OREGON 541-726-3753 811-S PR2013-01174 www.springfield-or.gov 1769 BRANDY WAY permitcenter©springfield-or.gov RECEIPT NO: 2013001489 RECORD NO:811 SPR2013-01174 DATE:07/10/2013 lol c{e1zeri o1:t3`±i:Isi-r, .. .r. arras , '_:.._gti ACCOUNTECODE/TRANSPCODE4. ,,..i.'rAMOUNTDUE. "s 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 145.45 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 1,084.93 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 314.13 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 2,222.90 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 215.64 SDC: Total MWMC Administration Fee–Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee - 719-00000-426604 1175 165.39 SDC:Total Storm Administration Fee 719-00000-426604 1180 26.49 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 178.14 Structural Building Permit Fee 224-00000-425602 1002 1,484.50 Structural Plan Review Fee Residential 224-00000-425602 1061 108.19 Technology fee(5%of permit total) 100-00000-425605 2099 79.68 Willamalane fees-Single family detached 821-00000-215023 1074 3,410.00 TOTAL DUE: 12,643.17 PAYME I TYPE PAYOR' CnsRIER:'ilLio.RSON_ _ _ COMMENTS AMOUNTP,AID Credit Card POM Enterprises 12,643.17 5180 TOTAL PAID: 12,643.17 • SPRINGFIELD °- CITY OF SPRINGFIELD 225 Fifth St • to EGON TRANSACTION RECEIPT Springfleld,OR 97477 541-726-3753 811-SPR2013-01174 www.springfield-or,gov 1769 BRANDY WAY permitcenter @springfield-or.goy RECEIPT NO: 2013001135 RECORD NO: 811-SPR2013-01174 DATE:06/06/2013 [DESCRIPTION -__ ACCOUNT CODE/TRANS CODE AMOUNT D.UE Structural Plan Review Fee Residential 224-00000-425602 1061 856.74 TOTAL DUE: 856.74 [_,PAYMENT TYPE,' -,PAYOR 9ASHIER.oBOWLSBY ` _ ACOMMENTS • '` `/MOUNT PAID Check m —BENSON DEVELOPMENT COMPANY 856.74 2310 TOTAL PAID: 856.74 • Q Structural Permit Application SPRINGFIELD -- DEPARTMENT.USE ONLY_?: Sf : C1Th.er1= {-c W5 r nR ss. .i 5y X Cl/ trti }' :> gitta etc. 2 ROEGO .2v,,3;lAtW4 � lfaC.t"- Permit no. 513 /7 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 J- Date: /3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of is ance or if work is suspended for 180 days. - ° °' FEE SCHEDULE - =��- LOCAL�;GOERNMENT AP P.,ROVAL -,- _ w - � + This project has final land-use approvaL •_1 Valuation tnformafipn - ? G+a- - Signature: Date: (a)Job description: N-,._..S 9.-e a :cy-4 -s This project has DEQ approval. - Occupancy p c_..] v. -e 2 Signature: • Date: Construction type: F A a w. r -, el Zoning approval verified: ❑Yes ❑No Property is within flood plain: ❑Yes ❑No Square feet: 1 cl LS L +'4"xCATEGORY OF CONSTRUCTION _ Cost per square foot: —1 . ,o 0 aResdenh Other information:al I ❑Government I ❑Commercial ial ' V`JOBJJSITE",INFORMATION `AND.;LOCATION '- Type of Heat: Co.ta c -t {a + Q Job site address: 11 tog Q'1 °-a I.J 's` `I Energy Path: State: 0 1"'- 1IP:9 7 Ll7 7 ew ❑alteration ❑addition City,$-d,e ;�7�tr:�la I I � L Foundation-only permit? ❑Yes ❑No (/ Subdivision: Co V� 'G S�'ro� I Lot no.: \ l (b) y P 5�7 �,y, 7 2 Reference: 176333// I Taxlot O/LI DC) Total valuation: 7 '7 wt.�PROPERTY OWNER. 7: .-` : ,2 Burldiugfees,.A F_; X+-_-.`l. wa Name: 1./E. A r W Q e - S '- - (a)Permit fee(use valuation table): S /4-/ l Address: C1 '-4 U I A ..__,.-f. `\ S vl� o (b)Investigative fee(equal to[2a]): S City: e y 5-e-^ State: e7 z I ZIP:5- '1' ' (c)Reinspection($ per hour): S (number of hours x fee per hour) Phone:-SS I-68k- 4 gq " Fax:.s`II 4.83"-/ aci /4 E-mail: c.v S s -'z `� ✓c J P G� - c cs�. (d)Enter 12%surcharge(.12 x[2a+2b+2c]): S [7pj (e)Subtotal of fees above(2a through 2d): 5 Building Owner or Owner's agent authorizing this application: :-3 Plan:revmew fees ---;? t `o = " (a)Plan review(65%x permit fee[2a]); 5 P Fire and safety(40%x e permit fee[2a]): S Sign here: - _ d life ❑This installation 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 l'4 11LseeBaneous fees `fit ,, r ,J ,K1 - .. _.. ¢. g:WA requirements under ORS 701.010. (a)Seismic fee, 1%(.0l x permit fee[2a]): 5 -,'ry- CONTRACTO10NSTALLASI'ON w': t T [ 1 Y'L S (b)Technology fee,5%(.OS x permit fee 2a]) S Yo Business name: TOTAL fees and surcharges(2e+3c+4a+4b): 5270/ Address: City. State: I LIP: Phone: - - Fax: - -. . E-mail: CCB license no.: Print name: Signature: - - _ _ B,ONTRAG OR!INFORMATLON Name CCB License# Phone Number Electrical Plumbing 1�' l0 S Hw6 °! 1S`\ 41 2n- -5-LII - 6-ci S 47Y Mechanical ` V` .,;<.. k :,4:-, 'i139 L. -P-ii — ,-5o LaJo l ,..1k1../\. • �cc willamalane deb Park and Recreation District ! Job. No. 577 //77 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 NAME: r—NScr--- PHONE: ADDRESS: 2> 6144/ N CITY: als STATE(5&— ZIP: 77YDZ LOCATION OF PROPOSED BUILDING SITE: Street address: /76.-'2 zdlrJ J'f Plat name:,lcAf-- £5 ( #9, Tax Lot Number: /7)7 737/ O/C/do 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X $3,410 per unit = . $ J4//P 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 N.O. 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 $ • Y?/ City of Springfield Date of building permit submittal -7 /O 1 . City of Springfield Date of building permit issuance • • Property Owner Statement Regarding Construction 'Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the . Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. • Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: • Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or XI will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If.l hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print Name of Permit Appl cant • esaa- Signature of Permit Applicant Date Permit*: 3/3—ft Y-7- o F_ o • Address: 969 . ,67-17V) U y ItCC-WWSIVI SPFL-1) 0'7E79 N : ms': Issued by: —Si. Date: -7//o /'S V A s 9 This Copy for Permit Offices SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 t OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01182 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/10/2013 EXPIRES: 01/05/2014 STATUS DATE: 07/10/2013 APPLIED: 06/06/2013 SITE ADDRESS: 1769 BRANDY WAY,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703331101400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-new single family residence OWNER: BENSON DEVELOPMENT COMPANY LLC Phone Number: ADDRESS: 940 HWY 99N EUGENE OR 97402 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED I 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. 77040, oior owner or Contractor Signature - Date ATTENTION: Oregon lava requires you to follow rotes adopted by the Oregon Utility NOTICE: i,oAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set tort obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-°°1-0010[hrou 0090. You may COMMENCED OR IS ABANDONED FOR calling the center. (Note'. the telepr:.- ' number for the Oregot' Uhhty Notificaton ANY 180 DAY PERIOD. Center Is 1-II00 332 2344). Springfield Building Permit 7/10/2013 12:59:25PM Page 1 of 1 SPRINGFIELD'— CITY OF SPRINGFIELD '"`^r 5' ;. 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR97477 "'OREGON 541-726-3753 811-SPR2013-01182 www.springfieldor.gov 1769 BRANDY WAY permitcenter @spnngfield-or.gov RECEIPT NO: 2013001487. RECORD NO:811-SPR2013-01182 DATE:07/10/2013 DESCRIPTION: r 'ACCOUNT.CODEITRANS-CODEt _.:AMOUNT:DUE + Each added 500 sq.ft. or portion 224-00000-426102 1004 110.00 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 39.18 Technology fee(5%of permit total) . 100-00000-425605 2099 16.33 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 382.01 �., t.. i:3,: ._." - gitt2 gib: ' "-e-L. rOU RA1)17 '- .�:PAYMENTsT�YPE .. _ PAYOR '_casxleR:,�uRSOx ,::�&u'; '=�..,,r_COMMENTS-��a,.t _..rtF-fit..._ - ,�,64... Credit Card POM Enterprises 382.01 5180 TOTAL PAID: 382.01 Electrical Permit Application DEPARTMENT USE ONLY L� 2n94' T. PNINGGIELO g;vi .l. ]`"}° ^ 9403,-7.,s ..ai:4/ a-4.6.t.gru..} ..Nzi,.$+ d$'.a{W LiTY,Ke /? /�' eI Y, OF SPRINGF Lvr , 9REG` N gx , .,y a , Permit no �! J —7/ LJ Z 225 Fifth Street•Springtield,OR 97477•PH(541)726-3753•FAX(541)726-3689 - Date: 0A// 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. s`LOCAL;`GDV,ERNMENT,TAPPROVAL, `N;s, ^. r.1",§i.b .?: `, :FEE SCHEDULE", 7; ,„, : ','° Zoning approval verified? Yes kg:°s r ti._ J _ ” rF k ,,,,:,.N g pp ❑ ❑No Number ofmspecttons perntem(0,N.r Qty eastt cost.s' . ,,, :CATEGORYnOF.t,CONSTRUCTION ,_ „Yt,T„ ,0 ' Residential,per unit,service included: El Residential ❑ Government ❑Commercial %`t JOB'€SITEANF.ORMATIO AND;iLDCATION.`, +�.�c' s 1,000sq. fr. orless(4) $147.50 $�t�]SJ �Z j3 - / Y Each additional 500 sq.R.or portion U $ 27.50 $ Job site address: PO (PJVJ, Y • thereof ! /k City: SR'cJ) State:��rL ZIP: P-12? Limited energy(2) $ 35.00 $ Reference: /705313j/0/ /d0 I Taxlot.: Each manufactured home or modular dwelling service or feeder 2 $ 69.00 $ ir.„_ a,s; g1DEscRIPTION oRim°RK`� r'c M `ii g ( ) WI(LE Al,m(r e n '1— Services or feeders: installation,alteration,relocation /'u� 200 amps or less(2) $ 89.00 $ ' f 1Z1 ... ,, r s;'PROPERTY,4 Q.WNER, ,;,1 _,`., -j' ,2',- 201 to 400 amps(2) $ 104.50 $ Name: VE A.. L..) 6 E j,.,J 401 to 600 amps(2) $174.00 $ Address: 9 Li cv ys L `7 9 N J 601 to 1,000 amps(2) $225.50 $ o -� Over 1,000 amps or volts(2) $516.00 $ City:E y=n r _ _A State:. 0 s1Z ZIP:el-1 Li o Phone;S'.. I -‘YY S-sic,7 Fax:S y j -C�9.P 9., ‘-/ Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) ) $ 69.00 $4.r 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(1)and 479.560(1). 401 to 600 amps(2) $138.50 $ Signawre Over 600 amps or 1,000 volts,see services or feeders section above sb t '&r w;C0NTRACTOR ,INSTALL'ATI0N, ,' '-4, 4 a Branch circuits:new alteration, extension per panel Business name:at//-CT a. Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.50 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: Signal circuit or alimited-energy panel, $ 80.00 $ alteration,or extension(2) Each additional inspection:(1) $80.00 $ y tiatitLICANT; USE” t al i (A) Enter subtotal of above fees ^,./ 5'r7 (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) • $ 3913: (C)Technology Fee(5%of[A]) $ )b g3 TOTAL fees and surcharges(A through C): $ 172-'= 440-2584-J(4/01/2013/COM) 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-SPR2013-01184 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 07/10/2013 - EXPIRES: 01/05/2014 STATUS DATE: 07/10/2013 APPLIED: 06/06/2013 • SITE ADDRESS: 1769 BRANDY WAY,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703331101400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-new single family residence OWNER: BENSON DEVELOPMENT COMPANY LLC Phone Number: ADDRESS: 940 HWY 99N EUGENE OR 97402 . • L CONTRACTOR INFORMATION . Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ' OWNER COB 000000 08/01/2025 Electrical Contractor OWNER COB 000000 08/01/2025 Plumbing Contractor TOMS PLUMBING SERVICE INC COB 159425 05/18/2014 541-607-8879 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. 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 Sprin field and the Laws of the State or OLegon pertaining to the work described herein, and that NO ��° n rr yaws the PS.VOU {rid OCCUPANCY will t/eTrmd�bRa�i�%sft}uc{ure"wkhorrp r15§lo f Community Services Division, Building Safety. I further certify that only codtriktotTISer7�8 wlN tttl&iPg'IM9I{la w ORS 701.005 will be used on this project. I further agree to ensure that all rtolgdired9irspeaft6nsf afeTegaestedlag`th °r� QI that each address is readable from the street,that the permit card is loca l'al tlefraniofltfU 'rGp�}ty?iJ3uti Pre a opro eql 'f of plans will remain o t e site at all times during construction. 0090. You may obtain copies of the rules y NOTICE. callin_ . ,, -„ Tor. (Note: the telept:.41,:' THIS PERMIT SHALL EXPIRE IF THE WORK 'umber for the regon Utility Notification �i JTHORIZED UNDER THIS PERMIT IS NOT • am r 800-332-2344). •7�o/zo C' IviiviENCED OR IS ABANDONED FOR a Owner or Contractor Signature Date ANY 180 DAY PERIOD. Springfield Building Permit 7/10/2013 1:07:39PM Page 1 of 1 SPRINGFIELD' --. CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-01184 www.springfield-or.gov 1769 BRANDY WAY permitcentera©spdngfield-or.gov RECEIPT NO: 2013001488 RECORD NO: 811 SPR2013-01184 DATE:07/10/2013 D o ` ';,,'-_E� .r g- rt _ t*ss•a ACCOUNTCODEITRANS?CODE --J ± AMOUNT DUE. b 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 few P.AYM E—N-FF PAYOR 76ZgiErixu' L�Tit RSOR .w COMMENTS ., AMOUNTPAID' Credit Card POM Enterprises 565.11 5180 TOTAL PAID: 565.11 • ' SPRINGFIELD 225 Fifth St illit CITY OF SPRINGFIELD Springfeld,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 . Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01183 ww^w.springfieldor.gov permitcenterespringfield-or.gov PROJECT STATUS: Issued ISSUED: 07/10/2013 EXPIRES: 01/05/2014 STATUS DATE: 07/10/2013 APPLIED: 06/06/2013 SITE ADDRESS: 1769 BRANDY WAY,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703331101400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-new single family residence • OWNER: BENSON DEVELOPMENT COMPANY LLC Phone Number: ADDRESS: 940 HWY 99N EUGENE OR 97402 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor CHITTIM ENTERPRISES I INC CCB 47396 03/24/2015 541-461-2101 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 ATTENTION: Oregon law rFinallGas:yuWat'?5all gas work is complete. ionic Itwos auupteu uy [h 2999 Final Me anic�latlon Center. Those rules akre se forth When all mechanical work is complete. in OAR 952-001-0010throurrll OAR 95 ff N©TICS: By signature, Iet tteJaniiyagr�ere,?at.IthaaIe,cca�efu lylefaoln4ottib'completed applic�ligSaP(RMIreS tttyEpmE IF THE WORK information here ueapd correct, aciefit .{�herpcnt r*eta,Crt}Yand all work perky - ET����[� �r g@c% . (It IS NOT Ordinances of theeCity�ofSpring ie ddaend'the Cawstofthe$fete,of Oregon pertaininQtp 4the •+7f- cTjti lit e eLr�}S• -t • OCCUPANCY will be made of an st ucture without ermisstorr�the Community rvices :,r - , $1>f�i {Ay�i the FOR vCUtrl S i-nln1-::12_29941 n t Ifurtheragree certify that only contractors and employees who are in compliance with ORS 701.0651'411g Qs QDc. g 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. aJ 77u/2G73 • Owner or Contractor Signature • Date • Springfield Building Permit 7/10/2013 1:02:31 PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD .14 *.- ' 225 Fifth St _-k� TRANSACTION RECEIPT Spnngfieltl,OR97477 OREGON 541-726-3753 811-SPR2013-01183 www.spdngfield-or.gov 1769 BRANDY WAY permitcenter @springfield-or.gov RECEIPT NO: 2013001486 RECORD NO:811-SPR2013-01183 DATE:07/10/2013 IP ilo p. `a.-,s ,r 3 a ,l m,14,32.,2aS:tt-ACCOUNTCODE/TRANSCODE AMOU TIilln2LI Air conditioner 224-00000-425604 1006 18.50 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-dud exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 60.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 26.16 Technology fee(5%of permit total) 100-00000-425605 2099 10.90 TOTAL DUE: 255.06 *tl - - _, .. i _..,, t ,.t, et. •r LA O N P' D°, k12 .-:PAYMENT�TYPE ��'PAYOR�+®ASH�ER:.JLARSON L�>�-.:�COMMENTS�_-_: ..�wL .—._.. _ . - _. . ._.-- __;,t.� , Credit Card POM Enterprises 255.06 5180 TOTAL PAID: 255.06 •