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Permit Building 2013-7-8
SPRINGFIELD 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 Sji Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01245 • www.springfield-or.gov - permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/08/2013 EXPIRES: 01/03/2014 • STATUS DATE: 07/08/2013 APPLIED: 06/11/2013 SITE ADDRESS: 1368 WIMBLEDON PL,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703342200805 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to bedroom and bathroom OWNER: CRAWFORD RONALD HOWARD&DEBORAH J Phone Number: ADDRESS: 1368 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor. Name Lic Type Lic No Lic Exp Phone Mechanical Contractor TECHNICRAFT HEATING&AIR CONDITIONING INC CCB 131351 10/05/2014 541-461-2252 General Contractor MICA MCOMBER CONSTRUCTION INC CCB 173599 12/27/2014 541-342-1140 Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 .06/21/2014 541-434-1146 Electrical Contractor POLARIS ELECTRICAL INC CCB 191946 09/27/2014 541-343-0824 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. • • 1120 Foundation Foundation: After forms are erected but prior to concrete placement. • 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. • 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. • 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum ATTENTION: Oregon law boefdr/nterf4tla(1SI exterior are in place, but prior to plastering. 1999 Final Buil,,,,((R low rules adopted by th Eih'al®rttdinidliMer all required inspections have been requested and approved and No location Center. Those ruiebuildirLq_i gftlplete. in OAR 952-001-0010 through OAR 952-001- NOTICE; 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center ;,e I r number f� the �1 -, 1' r t, AUTHORIZED UNDER THIS PERMIT IS NOT cs COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit • 7/8/2013 12:44:08PM Page 1 of 2 SPRINGFIELD - 225 Fifth St ' CITY OF SPRINGFIELD Spdngfield,OR 97477 kit Phone: 541-726-3753 OREGON • Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01245 www.springfield-or.gov 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. Owner or ontractor Signature Date • Springfield Building Permit 7/8/2013 12:44:08PM Page 2 of 2 • SPRINGFIELD --' CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 \O° R�OREGON 541-726-3753 811-SPR2013-01245 www.springfieid-or.gov 1368 WIMBLEDON PL permitcenter @springfeldor.gov RECEIPT NO: 2013001455 RECORD NO:811SPR2013-01245 DATE:07/08/2013 DESCRIP.,TION s., ;_ l 23i' _f ACCOUNT o o a ; o e tI e,n,,.& ;' AMOUNT DUES 11 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 8.10 SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 135.62 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 29.29 SDC: Reimbursement Cost-Local Wastewater . 442-00000-448024 1183 277.86 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 20.11 SDC:Total Sewer Administration Fee 719-00000-426604 1175 20.67 SDC: Total Storm Administration Fee 719-00000426604 1180 2.47 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 64.40 Structural Building Permit Fee 224-00000-425602 1002 536.66 Technology fee(5%of permit total) 100-00000425605 2099 26.83 TOTAL DUE: 1,122.01 P.AY,MENTm7YP,E I PAYOR milli"iarLfi.fgar 'COMMENTS - AMOUNT,PAID Credit Card Rose and Company 1,122.01 380805 TOTAL PAID: 1,122.01 Structural Permit Application T SPRINGFIELD w DEPARTMENT USE ONLY". r gf 5 i( La ,,? Y'T iii531 y. :L �VM.i Ast Y >.lisp .� fls4 CIT�YrOFiSPRILJGF,IELD aOREGON�, .cair , { Permit no. / 225 Fifth Street♦Springfield,OR 97477•PH(54I)726-3753•FAX(541)726-3689 OREGON �l �� ���� Date:/j7/////) This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days�d/f issuance or if work is suspended for 180 days. v i LOCAL td6:ciERNMENT_APPOVia.Wi ?i.M. ; j „ °zfi . FEE CEDULE s a +VZ This project has final land-use approval. 1 Valuan<a formahon; s O " : fi L Signature: Date: (a)Job description:Es�a/Rdb/7 /7e-7w �3' &LfA This project has DEQ approval. Occupancy ) / Signature: Date: • Zoning approval verified: ❑Yes ❑No Construction type: Vii Property is within flood plain: ❑Yes ❑No Square feet:/G '- t .._E.�.,,.... e ,.o-,. -n£ ,,,,y*a`A"";iCATEGQRY OPy CONSTRUCTION�' 1, gm Cost per square foot: Residential ❑Government ❑Commercial Other information: i i OBZSITE INEORMA T OAN D LocATION Type of Heat: Job site address: (76,7 W(Mz 1/4..;)e-r-- Energy Path: --y ,.., City t(ea.° State:Dit_ ZIP:9/7/7 ❑new ❑alteration addition Subdivision: (/ �l Lot no.: E'er (b)Foundation-only permit? ❑Yes ❑No �g DO Reference: / 70 Z 1 Z(,J_ tal valuation: $5VJ2)O 1n'a ,s' Xfi. , PRQPERTYTOWNER.`.ta„f. M1 e ''' : 2 aBnddin 'fe 9c' '"r; ri.2. ?„3AI `?a ' riti ..t• . r '. Name: Oath (Xi •DItO (a)Permit fee(use valuation table): 6J�'--e e Address: Blot W unrest-vow ¶* . (b)Investigative fee(equal to[2a]): $ City:heVt09. State: OtW— ZIP414'11 (c)Reinspection($ per hour): $ Phone.$44.14-4-•Otakp> Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+2b Y/ +2c]): S (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3 Plan icvrewf e z ',Y< < ti . . v " z4s'` f� ` 1 (a)Plan review(65%x permit fee[2a]): $ ��f Sign here: I V\ s O y� l (b)Fire and life safety(40%x permit fee[2a]): s$ ❑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 famil y.and is exempt from licensin g �4t jMtscella " s fees r s„+ " ,� F � s . . requirements under ORS 701.010 (a)Seismic fee, 1%(.01 x permit fee[2a]): $ 7 [t 5 r n,;:CONTRACTOR INSTALLATION h; r' :"r b Technology fee,5% 05 x permit fee 2a $ �> Business name: MICI\ MCOMBEt CON51R-001,1 114C..... ( ) c. P fee[ 2a]): TOTAL.fees and surcharges(2e+3c+4a+4b): S Address: 6, III '320f1I PII.LPFD €). _ City: Et)b. State: GT... zip:,14o5 Phone:541-9S; 0B`I4 //�� Fax: - - E-mail: VW(C yrt'it°ie�ti c(N'a:1 . (,o w-r CCB license no.: 11 3 S J Print name: rA I C A ML oMRE? Signature: „tS � �)� - • ' SPRINGFIELD' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 k to Phone: 541-726-3753 .OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01264 www.springfieldor.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 07/08/2013 EXPIRES: 01/03/2014 STATUS DATE: 07/08/2013 APPLIED: 06/12/2013 SITE ADDRESS: 1368 WIMBLEDON PL,Springfield,OR 97477 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1703342200805 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to bedroom and bathroom OWNER: CRAWFORD RONALD HOWARD&DEBORAH J Phone Number: ADDRESS: 1368 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION . Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor TECHNICRAFT HEATING 8 AIR CONDITIONING INC CCB 131351 10/05/2014 541461-2252 General Contractor MICA MCOMBER CONSTRUCTION INC CCB 173599 12/27/2014 541-342-1140 Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 Electrical Contractor POLARIS ELECTRICAL INC CCB 191946 09/27/2014 541-343-0824 INSPECTIONS REQUIRED 4 Inspections • 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 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 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. O� rits . Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001- S 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the teieph.;i: COMMENCED OR IS ABANDONED FOR • number for the Oregon Molly Notification ANY 180 DAY PERIOD. Center is 1-60p-832-23441 • Springfield Building Permit 7/8/2013 12:41:53PM Page 1 of 1 • • I SPRINGFIELD CITY OF SPRINGFIELD M1 225 Fifth St OR TRANSACTION RECEIPT Spriagfeld,OR 97477 OREGON 541-726-3753 811-SPR2013-01264 www.springfield-or,goy 1368 WIMBLEDON PL permitcenter©springfield-ar.gov RECEIPT NO: 2013001453 RECORD NO:811-SPR2013.01264 DATE:07/08/2013 ) fd-Yo1:11:8J1o1 2'; S_u.Li. tt ' .•.A C COUNTCODE/TRANS.CODE-:}`i rib-AMOUNT on' o 4L! Bathtub 224-00000-425603 1005 21.00 Shower/Shower pan 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.08 Technology fee(5%of permit total) 100-00000-425605 2099 4.20 Water closet 224-00000-425603 1005 21.00 TOTAL DUE: 98.28 PAYMENT«iTYPE, a -PAYOR ':cnsillE 15?ZRSOR n .. ' CONIMENTS� .,� -_.n'AMOUNT1PAID' `" , M Credit Card Rose and Company 98.28 380805 TOTAL PAID: 98.28 • ` SPRINGFIELD •• • 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 • .t. , Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01263 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/08/2013 EXPIRES: 01/03/2014 STATUS DATE: 07/08/2013 • APPLIED: 06/12/2013 . SITE ADDRESS: 1368 WIMBLEDON PL,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703342200805 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to bedroom and bathroom • OWNER: CRAWFORD RONALD HOWARD&DEBORAH J Phone Number: • ADDRESS: 1368 WIMBLEDON PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor TECHNICRAFT HEATING 8 AIR CONDITIONING INC CCB 131351 10/05/2014 541-461-2252 General Contractor MICA MCOMBER CONSTRUCTION INC CCB 173599 12/27/2014 541-342-1140 Plumbing Contractor OREGON CUSTOM PLUMBING INC CCB 191104 06/21/2014 541-434-1146 Electrical Contractor . POLARIS ELECTRICAL INC CCB 191946 09/27/2014 541-343-0824 • INSPECTIONS REQUIRED - Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover • 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, and the approved set of plans will remain on the site at all times during construe ����, ( -) 7 • - 73 O1Gner or Contractor Signature Date ' you to ATTENTION: Oregon law he Orego Utility . 14;;. . ted by NOTICE: follow rules au h OAR 952_001_ THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth in OAR 952 001 0010 ta n copes of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may 1 . the telepr•• '' COMMENCED OR IS ABANDONED FOR calling the cen.er. (Note ANY 180 DAY PERIOD. number for the Oregon Uttllty Notiilcauort Center is t-coo 332-2344)• Springfield Building Permit 7/8/2013 12:37:23PM • Page 1 of 1 ' •SPRINGFIELD"-" CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 _OREGON 541-726-3753 811-SPR2013-01263 www.springfield-ocgoy 1368 WIMBLEDON PL permitcenter©spnngfield-or.gov RECEIPT NO: 2013001454 RECORD NO: 811SPR2013-01263 DATE:07/08/2013 DESCRIPTION ,�5,m,2���r3�.x•r.�s�:� '�c.. M:1�Ee1�„.tt.eci�AC000NT:CODE/TRANS.CODE."atii: AMOUNT.a a; First Appliance Fee 224-00000-425604 1006 80.00 Single-dud exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 10.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.80 Technology fee(5%of permit total) 100-00000-425605 2099 4.50 fipr�'� TOTAL DUE: 105.30 yerP,AYMENTiT-YP,E ' P,AYORArcaseiER::JiARSOR COMMENTS _ AMOUNTJPAID Credit Card Rose and Company 105.30 380805 TOTAL PAID: 105.30