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HomeMy WebLinkAboutPermit Building 2013-7-16 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-SPR2013-01181 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/16/2013 EXPIRES: 01/11/2014 STATUS DATE: 07/16/2013 APPLIED: 06/06/2013 SITE ADDRESS: 1044 53RD ST,Springfield, OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702283401300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-New single family dwelling-Lot 5 Thurston 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. 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. 1370 Masonry Veneer Springfield Building Permit 7/16/2013 9:34:28AM Page 1 of 2 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ,.;:c l _, Phone: 541-726-3753 t OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01181 www.springfield-ar.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. CA 716 1/� Owner or Contr ctor Signature Date O\O • g'cesp ov\t{-.0 VO to Ote9 e\ 0\. elei�, \rep\essag52...,\)! P ,ec\0 5.c\opee'(ro 5og9�o\\r,ePr ',,oc\ P-�(E c�\e sec,\ 0\0Os \e re\eod\,oa woopP952 R`y VON t. itg��t3. cos. tr0 o `doe re de e ve ado-3 2 gg9 a\(\c eC\ot'L t.`s 1 egteb Ge\\ cs . Pte\, �0\S 00� ��.c`GQ.0-s , RSPOPNO �0- c ' �o 0000 0s�0, OPT Q P Springfield Building Permit 7/16/2013 9:34:28AM Page 2 of 2 SPRINGFIELD--- CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 Fifth St Springfield,OR 97477 EGON 541-726-3753 811-SPR2013-01181 www.springfield-or.gov 1044 53RD ST permitcenter @spnngtield-or.gov RECEIPT NO: 2013001142 RECORD NO:811-SPR2013-01181 DATE:06/06/2013 a ~< 1; ft. -ACCOUNT CC/DE/TRANS CODE . _ F 'DESCRIP.T ON-f,�.�..°�� *�'-': -�.��`�� 3'1'- � � -"AMOUNT DUE Structural Plan Review Fee Residential 224-00000-425602 1061 680.23 TOTAL DUE: 680.23 PAYMENTiTsYPE PAYOR tCagrile ,CCARRENTER. COMMENTS AMOUNIPAID Credit Card SCOTT DAVIS 680.23 08539d TOTAL PAID: 680.23 • • • SPRINGFIELD CITY OF SPRINGFIELD . -+T._. 225 Fifth St ` le‘:., TRANSACTION RECEIPT Springfield,OR 97477 .OREGON 541-726-3753 811-SPR2013-01181 www.springfield-or.gov 1044 53RD ST pennitcenter @springfield-or.gov RECEIPT NO: 2013001540 RECORD NO: 811-SPR2013-01181 DATE:07/16/2013 (DESCRIPTION - 1- ACCOUNT CODEITRANSCODE _AMOUNT,DUE • I Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 91.95 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 125.58 Technology fee(5%of permit total) 100-00000-425605 2099 54.43 W illamalane fees-Single family detached 821-00000-215023 1074 995.12 - - — - -- . _ .-- - - - - - -. _ . - - - --.. _-- -- '--- ----"----- TOTAL DUE: 1,478.08 L PAYMENT TYPE� PAYOR castllER:DEIOWLSEIV : rw-; _COMMENTS _ " __AMOUNT PAID , Check david constr services Ilc 1,478.08 1922 TOTAL PAID: 1,478.08 SPRINGFIELD CITY OF SPRINGFIELD =t.4 .w>q... 225 Fifth St Kele' TRANSACTION RECEIPT Springfleld,OR 97477 OREGON 541-726-3753 811-SPR2013-01181 I www.springfield-or.gov 1044 53RD ST permitcenter©springfield-or.gov RECEIPT NO: 2013001536 RECORD NO:811-SPR2013-01181 DATE:07/16/2013 €DESCRIPTION - _s. ACCOUN,LCODE/TRANS_CODE '-,,..AMOUNT:DUE. 2 Address Assignment, each new or change 224-00000-425602 1020 42.00 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC:Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.61 SDC: Improvement-Transportation SDC 447-00000-448027 1174 955.32 • SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 745.89 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 407.19 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 1,528.24 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 279.52 SDC: Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC: Total Sewer Administration Fee 719-00000-426604 1175 113.71 SDC: Total Storm Administration Fee 719-00000-426604 1180 34.34 SDC:Total Transportation Administration Fee 719-00000-426604 1190 60.87 Structural Building Permit Fee 224-00000-425602 1002 1,046.50 Willamalane fees-Single family detached 821-00000-215023 1074 2,414.88 TOTAL DUE: 9,500.00 ■ PAYMENT TYPE PAYOR,'_ CASHIER_DBOWLSBY -__ ; - COMMENTS , , AMOUNT PAID' _. . ., Credit Card troy cummins 9,500.00 035390 TOTAL PAID: 9,500.00 • Structural Permit Application SPRINdFIELD ,EDPARTMENT USE ONLY r; �wS 3 y'!t>Y . c. 'r ',--rugsw.�-fh z k i fa r .h. «C1TnYrz,OF�;SPR..MEeMLD LOREGON t {x ' 4' i `.'sf S ,''%% Permit no..Si 3— t'V 225 Fifth Street•Springfield,OR 97477 4 PB(541)726-3753•FAX(541)726-3689 EL 1. OREGON Date: iss O0 4J//1 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days urenee or if work is suspended for 180 days. ;;"',x I, _S;.LOCAL',GOVERNMENT APPROVAL .-Wr _,; gigtjrat t ,FEE;SCHEDULE `,gam * '< XnJ This project has final land-use approval. 1 IValuahou iriformatton' ,, , Z.,," +:±,;M .`,a Signature: . Date: (a)Job description: Sfi7 This project has DEQ approval. Occupancy V"v fs Signature: Date: Zoning approval verified: ❑Yes ❑No Construction e: Property is within flood plain: ❑Yes ❑No Square feet: !rr—t�t� n,> l„f i, „c3^..CATEGORY'OFa,CONSTRUCTION , �., Cost per square foot E Residential ❑Government ❑Commercial Other information: N r t,`JOB SITE-,INFORMATION'-,ANOtLOCATION'M x7a V, Type of Beate: 5 (k of . Job site address: I.04'-( 53"e 5MJ f r Energy Path: City: 5p/zit-garden State: oiL ZIP: 97475 [J-rteiv ❑alteration 0 addition Subdivision: TpvP57o•-• pc..-c t Lot no.: S (b)Foundation-only permit? ❑Yes ❑No Reference '70 Z Z Si 3 Li Taxlot O ( 7 0 0 Total valuation $/ 7gtE .,t N- .� c..s-;r .- ,.,.;�.,'fR1-R -i Buddrng1 s3°-' ,c Jrt;..v m s �.`: s "-ci..�.:.{. . -,si:, ,z � .,�PROPERTY,OWNERa_r,'-' � r ' ' '' Name: Comtnims )NJ. Lt-C (a)Perniit fee(use valuation table): $P442 5,-g- \/ Address: 317_2 t 05 pi?f-i LN- (b)Investigative fee(equal to[2a]): $ w City: I.i Sitetw,-• State: On_ ZIP: 9-1 3 5S (c)Reinspection($ per hour): $ (number of hours x fee per hour) Phone: s+il - 25 e - 2LSro Fax: - - E-mail: 7-1 c„,„4„,,„„S C C°.'CAI r. tit r (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3 "PiaO reviEtvfees v,;, x;;,'„ I`'1- _,:i.+ ^an'6..ru_ 4 `.",.: (a)Plan review(65%x permit fee[2a]): $ (� 2" Sign here: (b)Fire and life safety(40%x permit fee[2a]): $ ❑This install= n is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing "` z-" "e a Imo: ,...t- TI '3 +, 4, s ,.,z 4a1VItscella_neijus fees._::x;..-t' � I - ,,.. requirements under ORS 701.010 (a)Seismic fee, 1%(.01 x permit fee[2a]): $ ;', T `i -jgTM`':CONTRACTOR INSTALLATION 2.'=":4;;;;:;:ca u. (b)Technology fee,5%(.05 x permit fee[2a1): $ Business name: DAVIS CoNftf eta r-r Sf?vKt tI- TOTAL fees and surcharges(2e+3c+4a+4b): S Address: S G 1 2 514141- City: Sppt.r> State: 0.- ZIP:Q7973 Phone: 5'4 I Sc. g carpi Fax: - - E-mail: PA•i$to 1 e More, co', CCB license no.: I(,039'7 P —O P— Print name: 5 cotr DA-10 Signature: 4 't1. SUB C_NTRACTOR INFORMATION Name CCB License# Phone Number Electrical FASTS in 111(701e 111170 91�9�zS Plumbing P Altai iQ,r pL...rlsa,t 151275 553 - 'ic77 Mechanical S"NS£r /-lvAr! 1717,06 e5s 318 ' b\i ,r, PeDwillamalane deb Park and Recreation District Job. No. 9 //G/ PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 NAME: �I/p/t/f41 K PHONE: 2S tX- 56 ADDRESS: _/ 22/ QJPlat LN CITY:/t2A,V• .0P STATE:6—ZIP: 577_5.- LOCATION OF PROPOSED BUILDING SITE: • Street address: /04'y 53 ) Plat name:7102CfPx WtrA Tax Lot Number: /76-2 ZJjV 7 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X $3,410 per unit= $ 7r(/d B. Single-Family Attached NO. OF UNITS X $3,385 per unit= $ C. Multi-Family Apartment NO. OF UNITS - X $3,021 per unit= $ D. Single Room Occupancy NO. OF UNITS X $1,510 per unit= . $ E. Accessory Dwelling Unit NO. OF UNITS X $1,705 per unit = $ 2. SDC CREDIT(If applicable.SDC payer must furnish proof of credit approval.) ($ ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ • .176 City of Springfield Date of building permit submittal 7 I City of Springfield Date of building permit issuance SPRINGFIELD 225 Fifth St ` �- CITY OF SPRINGFIELD Springfield,OR 97477 t`« Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01200 www.springfield-or.gov permitcenter @springfielo-or.gov PROJECT STATUS: Issued ISSUED: 07/16/2013 EXPIRES: 01/11/2014 STATUS DATE: 07/16/2013 APPLIED: 06/07/2013 SITE ADDRESS: 1044 53RD ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702263401300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New single family dwelling-Lot 5 Thurston 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 CCP 117770 10/04/2013 541-741-1499 General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 160347 06/14/2014 541-868-6294 INSPECTIONS REQUIRED Inspections 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. �J,� \ —7 bf.f 1� .n,�.�id /Il6 ' l Owner or Co tractor Signature QeceS°p a\+�°�O,\. Date o�\a\\t e\ aLR' �o sn� r s \e sec s'O'S eS oO toe. °�,,.' °o ��0O•a0cee'S\\\.\to\°'\es°_\e-.�\ca. ,.w,- O.� �. ,.. o` Cie 0) \c\ 0\e•' ..0 ��1 �J �s izpi\tie�o�oati� .. o�`a \ oO�322h �� �\ Q`• QP\.:\\ OP�y0 Jae cP Os� .e..k. �QCc., . X-. \\\oe�G \s F. (`'�' CC-1. 3 P�oO�� . , Springfield Building Permit 7/16/2013 9:38:05AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD `t' a 225 Fifth St ` 6GON TRANSACTION RECEIPT Springtield,OR 97477 541-726-3753 811-SPR2013-01200 www.springfield-or.gov 1044 53RD ST permitcenter©springfield-or.gov RECEIPT NO: 2013001538 RECORD NO:811-SPR2013-01200 DATE:07/16/2013 [DESCRIPTION,__ _ _ ' —„ . ___ACCOUNT CODE/TRANS CODE ^ AMOUNT DUES: 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 PAYMENTTYPE - PAYOR 'CASHIER:DBOWLS13Y: COMMENTS I r `;,,-,,,,,, .-„.„ ..�.;:r. 'AMOUNT PAID Check david constr services Ilc 317.66 1922 TOTAL PAID: 317.66 • Electrical Permit Applcation DEPARTMENT USE ONLY SPHINGFl6D I •. - .. a a,, e �6,` piit 1 0{ L` -n-A, rwa Di Crux- i4 4*.,.r�'-,.a 1E- f ✓(�� /!mil/ W: elst, 4 , �v 'a,, ° MI-L-7;;:---,a, . Permitno.: 225 Filth Strcet•Springfield,OR 97477•PH(541)726-3753♦FAX(541)77b3689 Date: 0/7/ 3 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. .. - yLQCAL'.001/ERNMENT-APPE20V.1)Lr ' *.i.. .21:(-V FEE�SCHE)ULE4', :- Zoning approval verified? ❑Yes ❑No 7 # ;%%st.li Total Nbm fr*A4spechons-per dem(') Qty _ ^� cost T•3`1 CAiTEGORYc'OF CONSTRUCTION �'s Y Residential,per unit,service included: (Residential I ❑Government ❑Commercial 1,000 sq.R or less(4) 5147.50 $��/� JOB ar.GE..INE-caT(ON 'AND LOCATION ;r SD ` - ' Each additional 500 sq.ft or portion S 27.50 S� Job site address: 4yy 53°9 5T- thereof " � City: 5Pg•6F,EL4) State: OR I ZIP: `7711-713 Limited energy(2) - $ 35.00 S Reference: X70 2 j 74 I Taxlot /7(9 Each manufactured home or modular $ 69.00 $ :::Air )-,-L,IDESCRIP-TIONtOF WORK - t'f C dwelling service or feeder(2) - Services or feeders:installation,alteration,relocation /Jew 5 F R 200 amps or less P (2) S 89.00. S i y e �. P err tn,r w 201 to 400 amps(2) . S 104.50 $ �w -;� F-., " PROP,-ERtiY�OV1INER', s u�`'��°.._7;:,rai�. Name: (JMMIN5 /NJ. 1-1-4- 401 to 600 amps(2) $174.00 S Address: 31 Z 7.1 OspPiq Rd. 601 to 1,000 amps(2) $225.50' $ State: oR I ZIP: 975'5 Over 1,000 amps or volts(2) $516.00 S City: LE3ANN4N Reconnect only(2) $ 69.00 $ Phone:511 ZS9 ZGSo I Fax: - - E-mail: Temporary services or feeders:installation,alteration,relocation TECuMMtNS a comcA5r . Ni-r This installation is being made on residential or farm property 200 amps or less(2) / S 69.00 so owned by me or a member of my immediate family.This 201 to 400 amps(2) S 96"00 S property is not intended for sale,exchange,lease,or rent OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $135so S Signature: Over 600 amps or 1,000 volts,see services or feeders section above '' i`, J CONTRAGT01247NST/ALLATION.'a tc,'e `'j Branch circuits:new alteration extension per panel Business name: EASrs,p E EI.Ensei c .tntC , a Fee for branch circuits with purchase of a service or feeder fee: Address: 3025-5 (3oS[ACE LN" . Each branch circuit I I $ 6.50 I S City: 5 pict w 4 F,1,4,..0 I State: oft ZIP: 4797 9 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:571 1 Ds- 982 8 Fax: - - First branch circuit(2) 8 60.50 $ E-mail: gbl<144,1 e YAttoo. fo.,n Each additional branch circuit 5 6.50 $ CCB license no.: 11-7-2-7 o I BCD license no.: Miscellaneous fees:service or feeder not included � Signing supervisor's license no.: 7)7 S. Each pump or irrigation circle(2) $ 69.00 : $ Pr Mt name of signing supervisor IZo6FJ` k:AI& - Each sign or outline lighting(2) I $ 69.00 $ I S4121 circuit or a limited-^nergy pancpanel, Signature of si supervisor: h S 80.00 $ tying P 1� alteration,or extension(2) Each additional inspection:(I) 580.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $27/50 (B)Enter 12%surcharge(.12 x[A]) • $ 32 (C)Technology Fee(5%of[A]) $ / ?g TOTAL fees and surcharges(A through C): I $ 3/7 440-2584-3(4/012013/COM) SPRINGFIELD - 225 Fifth St • it - CITY OF SPRINGFIELD Springfield,OR 97477 in _-C(OA- Phone: 541-726-3753 L A.l'` OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01202 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/16/2013 EXPIRES: 01/11/2014 STATUS DATE: 07/16/2013 APPLIED: 06/07/2013 SITE ADDRESS: 1044 53RD ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702283401300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New single family dwelling-Lot 5 Thurston 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 CCB 158279 02/04/2014 541-736-8690 General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 160347 06/14/2014 541-868-6294 L 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. 3450 Drywell/Soakage Trench Drywell: Engineered Drywell is Required. By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all Y W information hereon is true and correct, and I furthiecceRifyaiat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and.the\Lawsof ttie-State or Oregon pertaining to the work described herein, and that NO YYi S.r?`7 A ssi OCCUPANCY will be made of any structure wlthouTpermission of the Community Services Division, Building Safety. I further \�' ee 4'- a'J" a� certify that only contractors a�d�einp,loyeesVVytio-\are.in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all require iSsp'e tions\ara equeced•at the.pioper time,that each address is readable from the street,that the permit card is Iocat g t`th1t e ekoPtthh\\propeRy, and the\approved set of plans will remain on the site at all times during construction. �� Vie 0 0� G ti`C\" �&" .- Po a�\o�opt-o0\.0\`�0e.323Na\. ^>.- rtri Owner or Contra `r�5igpa4ureo " t\S \ Date - -�yQ�Q`4Q��0�0� u; �R'CO Gec�e b,,\, G'�`�\S ��� Springfield Building Permit 7/16/2013 9:37:06AM n`\1 Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD .,� TRANSACTION RECEIPT 225 R97477 lnrt 541-726-3753 OREGON 811-SPR2013-01202 www.springfield-or.gov 1044 53RD ST pennitcenter @springfield-or.gov RECEIPT NO: 2013001539 RECORD NO: 811-SPR2013-01202 DATE:07/16/2013 [DESCRIPTION • + _. ._ ACCOUNT CODEITRANS CODE : RnAMOUNLDUE: Drywell 224-00000-425603 1005 21.00 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 51.84 Technology fee(5%of permit total) 100-00000-425605 2099 21.60 TOTAL DUE: 505.44 PAYMENT-TYPE - PAYOR 'CASHIER:oBOwLSBY ,--'COMMENTS . AMOUNT PAID ^j Check david constr services Ilc 505.44 1922 TOTAL PAID: 505.44 SPRINGFIELD 225 Fifth St " t am- . ° CITY OF SPRINGFIELD Springfield,OR 97477 .t. c \Lot Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01201 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/16/2013 EXPIRES: 01/11/2014 STATUS DATE: 07/16/2013 APPLIED: 06/07/2013 SITE ADDRESS: 1044 53RD ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702283401300' TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-New single family dwelling-Lot 5 Thurston 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 CCB 160347 06/14/2014 541-868-6294 Mechanical Contractor SUNSET HEATING&AIR INC CCB 171706 08/18/2014 541-554-2604 LINSPECTIONS REQUIRED Inspections 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 construction. IIC-. 71� 3 V`CG" 0,,` °tiS` Owner or Contractor Signature has<e O\e�0e 9e��001. Date .;;r ot` ire s a 952' sb� .,: O(eQ�aa`l et\)e OW i �e „r. pQ` ..(\Ov 9.609 c-co ,o�y 5 ok v\BO '�.\o� �� �10� ' .. C�0N�p�e`'Oe��e��0‘�ooP`e ��e to o� G2 �<< 'S Q• \o`\ 0.1(0 2009 o�o'Cah o�,,, ,,,,t . 3\�is_As" O N�09- �, co y 01vat, : �NPO����P��pC� N co � )�O F\ �p \\ Q GOy\� Springfield Building Permit 7/16/2013 9:35:41AM P� Page 1 of 1 i. SPRINGFIELD CITY OF SPRINGFIELD • kis-m 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-S PR2013-01201 www.springtield-or.gov 1044 53RD ST permitcenter @springfield-ar.gov RECEIPT NO: 2013001537 RECORD NO: 811-SPR2013-01201 DATE:07/16/2013•(DESCRIPTION • • • ACCOUNT CODE/TRANS,CODE- -. ` AMOUNTDUE,- First Appliance Fee 224-00000-425604 1006 80.00 Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 30.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 14.94 Technology fee(5%of permit total) 100-00000-425605 2099 6.23 — — — — — -- — TOTAL DUE: 145.67 T :.,AMOUNT PAID: J PAYMENT TYPE - PAYOR CASHIER:DBOWLSBY Check david constr services Ilc 145.67 1922 . TOTAL PAID: 145.67