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Home My WebLink AboutPermit Building 2013-7-23 SPRINGFIELD 225 Fifth St _.......L___ii CITY OF SPRINGFIELD Springfeld,OR 97477 ''t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01233 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/23/2013 EXPIRES: 01/18/2014 STATUS DATE: 07/23/2013 APPLIED: 06/11/2013 SITE ADDRESS: 1036 53RD ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702283402000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ST-New SFD-Lot 12 Thurston Place 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 EASTSIOE 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 541-858-6294 Mechanical Contractor SUNSET HEATING&AIR INC CCB 171706 08/18/2014 541-554-2604 • L 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. 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 alrU/L�alt r ry��egon law re .1i taping. Lath/Plaster: To be made after all lathing and gypsum,-. follow rules adopted by the .�.,n,- ' P y �ia'rcJGRt�1}d}i��hd exterior are in place, but prior to plasfehng. - -.,. .. rr�_ .,.:; rii,4;r uatiuu Center. II ose rule 1999 Final e l�r AR 952-001-0010 through/- BmiluI�( er all required inspections.haverheen requested and approved and plete. I'u I V 0090. You may obtain copies of the cures by THIS PERMIT SHALL EXPIRE IF THE WOR calling the center. (Note: the telephano AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility OMMENCED OR IS ABANDONED FOR Springfield Building Permit Center is 1-800-332-2344). 7/2/2013 10:3B:58AM r .^,.; Page,1,;1_,,. .,_f 2'it ' ANY 180 DAY PERIOD. • SPRINGFIELD - 225 Fifth St i CITY OF SPRINGFIELD Springfield,OR 97477 '.<C� Phone: 541-726-3753 °xEGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-01 2 33 www.springfield-or.gov permitcenter @springfield-or.gav 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. 7/23/ ,3 Owner or pontrr Signature Date Springfield Building Permit 7/23/2013 10:38:58AM Page 2 of 2 SPRINGFIELD CITY OF SPRINGFIELD kEGON Fitth TRANSACTION RECEIPT 225 Fifield,ORo7477 541-726-3753 811-S PR2013-01233 www.springfield-or.gov 1036 53RD ST permitcenter @springfield-or.gov RECEIPT NO: 2013001614 RECORD NO:811-SPR2013-01233 DATE:07/23/2013 ;DESCRIPTION-________-___ __ _ -_.._. -__ __ .._:. ___ACCOUNTCODE/TRANS,CODE ; ,AMOUNTDUE_'i 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 89.75 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 334.41 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 229.57 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 28.20 SDC: Total Transportation Administration Fee 719-00000-426604 1190 60.87 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 124.53 Structural Building Permit Fee 224-00000-425602 1002 1,037.74 Technology fee(5%of permit total) 100-00000-425605 2099 51.89 Willamalane fees-Single family detached 821-00000-215023 1074 2,075.34 TOTAL DUE: 9,500.00 , _PAYMENT TYPE,_„_PAYOR _CASwER ccARPENTeri :... , COMMENTS _�_:L r `. ' :AMOUNT PAID .; ` .; Credit Card CUMMINS INVESTMENTS LLC 9,500.00 045115 TOTAL PAID: 9,500.00 • e w lamalane l i • Job. No. S/ 22 3 7 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 NAME:auk/4 t 1 p✓( PHONE: 2) Y ZG S3 ADDRESS: 7/22/ 0.561-&-' CITY: (677/¢o01--en� STATE: ZIP: 2,2g57- LOCATION OF PROPOSED BUILDING SITE: Street address: 7016' S7P-P Plat name: 7 J7DN F /2• Tax Lot Number: /7oz 273L/ , 2-we 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached r- WO OF UNITS / X $3,410 per unit = $ y. '�O 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 $ .,.7q/e? / 77 / /3 City of Springfield Date of building permit submittal • -7-/ 3 City of Springfield Date of building.permit issuance SPRINGFIELD CITY OF SPRINGFIELD ;{,1 225 Frfth St __'`O EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S PR2013-01233 www.springfield-ocgov 1036 53RD ST permitcenter©springfield-or.gov RECEIPT NO: 2013001618 RECORD NO:811-SPR2013-01233 DATE:07/23/2013 (DESCRIPTION •- - - - "--ACCOUNT CODE/TRANS CODE',.- -°AMOUNT DUE 1 Technology fee(5%of permit total) 100-00000-425605 2099 2.10 Wllamalane fees-Single family detached 821-00000-215023 1074 1,334.66 TOTAL DUE: 1,336.76 (,PAYMENT TYPE PAYOR. -CASHIER CCARPENTER ' - COMMENTS - - 77 AMOUNT PAID - -- Check DAVIS CONSTRUCTION SERVICES f 1,336.76 1926 TOTAL PAID: 1,336.76 SPRINGFIELD CITY OF SPRINGFIELD =t ....... 225 Fifth St c(A; TRANSACTION RECEIPT SpringfieldOR 97477 ONEGON 541-726-3753 811-S P R2013-01233 wwws99961ield-or.gov 1036 53RD ST pennitcenter©springfield-or.gav RECEIPT NO: 2013001193 RECORD NO: 811-SPR2013-01233 DATE:06/11/2013 tDESCRIPTION ,__ ACCOUNT CODE/TRANS_C.ODE ? AMOUNT DUEJ Structural Plan Review Fee Residential 224-00000-425602 1061 674.53 TOTAL DUE: 674.53 _ ' _ - AMOUNT PAID . (_PAYMENT TYPE PAYOR cnswERtccaepeNrER COMMENTS � - Credit Card DAVIS CONSTRUCTION SERVICES I. 674.53 032290 TOTAL PAID: 674.53 • Structural Permit Application SPRINGFIELD DEPARTMENT_USE ON *_ > R�®bt D O) G+O fi, ., el Permit no.. Si I /z T3 225 Fifth Street•Springfield,OR 974 77•PH(541)726-3753•FAX(541)726-3689 'f OREGON Date: i/l(// This permit is issued under OAR 918460-0030.Permits expire if work is not started within 180 days of iss�ante or if work is suspended for 180 days. ( , sLOCAL=GOVERNMEN T APPROVAL r ' - -. � .F E...r SC HEDLE 1 rs x This project has final land-use a PP mval - :LYaluaAoainforme4d`n r ,. _ .,- � , Signature: Date: (a)Job description: Ne,u FD This project has DEQ approval Signature: Date: Occupancy 12_7/4/1 Zoning approval verified: ❑Yes ❑No - Construction type..j Property is within flood plain: ❑Yes ❑No Square feet /7 5-91/ /q " ` °' ,CATEGORY OE.rCONSTRUGTION w.- � �_ - Cost per square foot __77 residential I ❑Government I ❑Commercial Other information: '=' S' tJQB SffE,INFORMATIOF'IxAND LOCATION „ , :., Type of Heat Job site address: /a 3/i 5 3 •s Energy Path: c S( G*-Q City. 5p/zw6rtftn ( State: oa I ZIP: 47478 pothio. ❑alteration El addition Subdivision: 116rp5 ro,-. putts I Lot no.: It-- (b)Fmmdation-only permit? ❑Yes ❑No Reference: 1702•2-217 411 Taxlot 62e'OC7 Total valuation: IS/69 9p4?O .;gam ' -v. a - - .-. ��Bn/Idin ';� s� ti r�3`- r-*-�.._ s - ' . Name: C�^is°sN5 INJ• 14-e. (a)Permit fee(use valuation table): SIb3? .. Address: 3 122 t 05paf-1 LN (b)investigative fee(equal to[2a)): S City. L i$w.-o ' State: pr`. I ZIP:47"7;S5- (c)Reinspection(S per hour): Phone: Sit I - 2 S S •2G 5o Fax: - - (number of hours x fee per hour) E-mail: s e Co.,c rs r, tit r (d)Enter 12%surcharge(.12 x[2a+2b+2c]): S 1 Z y S S (e)Subtotal of fees above(2a through 2d): S • Building Owner or Owner's agent authorizing this application: -3 Yla"`ns view fees ,3,.� vi -S;.,. - -; -rte.: _: (a)Plan review(65%x permit fee[2a]): S 674/1.? Sign here: c , ‘, (h)Fire rm e and life safety(40%x peit fee[tan: S El This instala n is being made on residential or faro property owned by (c)Subtotal of fees above(3a and 3b): S - me or a member of my immediate family,and is exempt from licensing .. _�-•�- z g+t r - .,. . ri -:.. requirements under ORS 701.010. (a)Seismic fee, I%(.01 x permit fee[tan: S ''- 's _<�__)CONTRACTOR M$TALLATION =:} = t• ":`-r - ' _' "v" ^+' " (b)Technology fee,5%(.05 x permit fee[2a1): S 17 Business name: DMAs Cor.Kr2Je-to.J s52,ric5 1Le 3 G 7 S 5'KS£r TOTAL fees and surcharges(2e+3c t4a+4b): Si Yid' 6) Address: $ City: Spi i r State: d,- I ZIP: 7,473 J N jL�'Y1 Phone: SJ-f ( $6 S 4.29y - Far - - E-mail: D 17 D Avisto 2- e A4n-C, Co„n ( CCB license no.: 1 4 034-/ Print name: _ 5 coin DA JrJ Signature:'= = a x (P - U °CNTRACTO-al FORMkTION -- - - Name CCB License f} Phone Number Electrical E.ASiStng S�FC7✓ r j !7170 91S-9gra S/ 3 ' /23. Plumbing P/L$C13 Or' pt,.rr„�, ts3z�q 9s3 - t(.77 Si3 1.23� Mechanical 5v>✓sa7 N c . !-717°G ' S - 31s ) 51) - / 23( 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-SPR2 01 3-01 2 36 www.springfield-or.gov permitcenter @springfield-or.gav PROJECT STATUS: Issued ISSUED: 07/2312013 EXPIRES: 01/18/2014 • STATUS DATE: 07123/2013 APPLIED: 06/11/2013 SITE ADDRESS: 1036 53RD ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702283402000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PL-New SFD-Lot 12 Thurston Place OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD LEBANON OR 97355 L 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 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. 3770 Fire Sprinkler System Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. 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 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 construction.mi rd is located at the front of the property, and the approved set of plans Wilt'(erila�r)�erNth®I egati law you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT D, `�5 001-0010 through OAR 952-001- L( E N I' " Yob iuy obtain copies of the rules by QHwne Ql F� FIRE IF THE WpRK Date calling the center. (Note: the teleph; s t OMMENCEDi15 PERMIT R IS IS NOT number for the Oregon Utility Notification ANY 180 DAY P ABANDONED FOR Center is 1-800.332-2344). ERIOD. Springfield Building Permit 7/23/2013 10:45:36AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD ______....ii 't a a- 225 Fifth St `-Sett EGON TRANSACTION RECEIPT Springfield.OR 97477 541-726-3753 811-SPR2013-01236 www.springfield-or.gov 1036 53RD ST permitcenter @springfield-ar.gov RECEIPT NO: 2013001617 RECORD NO:811-SPR2013-01236 DATE:07/23/2013 [DESCRIPTION _ ;;..-ACCOUNT CODE/TRANS_CODE ,. ' AMOUNT DUE J Drywell 224-00000-425603 1005 21.00 One or Two Family Dwelling with Two Bath 224-00000-425603 1005 411.00 Residential Fire Sprinklers 224-00000-425603 1005 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 61.44 Technology fee(5% of permit total) 100-00000-425605 2099 25.60 TOTAL DUE: 599.04 ;.,,,PAYMENT TYPE PAYOR `CASHIER:CCARPENTER _ . ` 'COMMENTS . ' AMOUNT PAID °" E Check DAVIS CONSTRUCTION SERVICES L 599.04 • 1926 TOTAL PAID: 599.04 • SPRINGFIELD... 225 Fifth St '"' CITY OF SPRINGFIELD Springfield,OR 97477 _:.( et Phone: 541-726-3753 \OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01235 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 0712312013 EXPIRES: 01/1812014 STATUS DATE: 07/23/2013 APPLIED: 06/11/2013 SITE ADDRESS: 1036 53RD ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702283402000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ME-New SFD-Lot 12 Thurston Place OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD LEBANON OR 97355 L 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 8 AIR INC CCB 171706 08/18/2014 541-554-2604 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, and the approved set of plans will remain on the site at all times during construction. /7 23 /13 Owner or Contractor S 7i nature Date 1 Ett T ION Oregon law requires you to =.;lot;, rules adopted by the Oregon Utility NOTICE: dotitication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090, You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT . teleph::1 COMMENCED OR IS ABANDONED FOR numbe calling for tcenter he Or 1-600-332- 44). (Note: the 2 ification Springfield Building 4MY 180 DAY PERIOD. 7/23/2013 10:43:14AM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD ‘1,\ 'v- 225 Fifth St TRANSACTION RECEIPT springtield.oR97477 OREGON 541-726-3753 811-SPR2013-01235 www.springfield-or.gov 1036 53RD ST permitcenter @springfield-or.gov RECEIPT NO: 2013001615 RECORD NO:811-SPR2013-01235 DATE:07/23/2013 (DESCRIPTION -: ' -' ;_ACCOUNT_CODE TRANS CODE. -, ;_;: AMOUNT DUE 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 30.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 18.06 Technology fee(5%of permit total) 100-00000-425605 2099 7.53 TOTAL DUE: 176.09 L, - :AMOUNT PAID - _ PAYMENT TYPE `- f?AYOR 4�cA5HiER�ccnRPeRTER- - .COMMENTS . ' . - --.: -.: OUN - - _ .......=_.� Check ! DAVIS CONSTRUCTION SERVICES L J T {— 176.09 1926 TOTAL PAID: 176.09 • • SPRINGFIELD - 225 Fifth St iI ' ,y OREGON CITY OF SPRINGFIELD Springfield,OR 97477 Ui° \� Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01234 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/23/2013 EXPIRES: 01/18/2014 STATUS DATE: 07/23/2013 APPLIED: 06/11/2013 • SITE ADDRESS: 1036 53RD ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702283402000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: EL-New SFD-Lot 12 Thurston Place OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD LEBANON OR 97355 L 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. Ltd 7/z3/f3 Owner or Contra-tor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility (�fOTICE: Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT '. calling the center. (Note: the teleph:,n,; COMMENCED OR IS ABANDONED FOR . number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 7/23/2013 10:40:57AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ,�. OR TRANSACTION RECEIPT SpringfietQOR97477 l OREGON 541-726-3753 811-S PR2013-01234 www.springfield-or.gov 1036 53RD ST permitcenter @springfield-or.gov RECEIPT NO: 2013001616 RECORD NO: 811-SPR2013-01234 DATE:07/23/2013 DESCRIP_TION Y - _.-__ _ --_� — ;._ACCOUNT_CODE/TRANS_CODE_ _, _AMOUNT DUE 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 LPAYMENT TYPE ' ' PAYOR CASHIER:CCARPENTER -. COMMENTS: -AMOUNT PAID J Check DAVIS CONSTRUCTION SERVICES I. 317.66 1926 TOTAL PAID: 317.66 Electrical Permit Application - : pEPARTniwNT:us? ONLY :::-.. et,- ii .;... -f;-,-it--: ltoi4i-a-t:::!\c-ze- : ,-E-1--- ..."="fr---1-1-4-(73," :-"*. '"e""il-sr•-e:27(„at p 15 -k- ifr ..,,jr OTF')Igel I ° ok e m 11 11,113 0 °4 1-. : 8'P'trint- ‘L"--er--HeS2-1-c?'72% Permit no.S1 3-/a3 V ,--ifizas. kit,4;4, - 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 ‘'. Date: //////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. Lf1::7::.-c,:,;;;,;tre,LOCALilEOV.ERNIMENTIAP.P.IROSIALcif:'i41::77:::;t :::t .::';,..!.::', Effti.Q:41-feig?-5.FEE:*;:5PHEDLI,1214:.n.:17,..f-,:ct,q;iffg,7(i:r.:i Zoning approval verified'? 0 Yes 0 No .-rrilt-lij , ;"; ,25;tigt-Vii k.'Totlitt-l- Qt4ifillV914.47. 10.00E41P1-:.;:"-:;l.TYi.,q'teit .7" atA: 7-:::-. . -PATEGQRY:f:PF. PONSTRUPTION57f0-:.-4:457--! Residential,per unit,service included: Ellesidential I 0 Government 0 Commercial -- -- 1,000 sq.ft or less(4) I $147.50 $ I 4 157) :-,Eig.. ,./Jo03::sitta!NpbkMAITO.11:aisiciA-001741010tff.;Ws Each additional 500 sq.ft.or portion Job site address: /0 3 C. 53 '1 thereof --2,.. $ 27.50 $ City: ,plaN6Fiti.n0 State: OR ZIP: .771/-713 Limited energy(2) $ 35.00 $ Reference: /1)2,2 yy y o 2.Deso Taxlot: /2--- Each manufactured home or modular gl4i:':li.:.:;5:JDECRIPTIQN21.0.F5:.WORICszi-ttgi&- ;;Iglart, dwelling service or feeder(2) $ 69.00 $ Al eO SF Services or feeders:installation,alteration,relocation v /2 1 Talt----, Aofre-- 200 amps or less(2) $ 89.00 $ rgg'iVtitgT;if-FeM*;.'0.gl3RECtnciltitl.inilEt4t;17kalailfAng7. 201 to 400 amps(2) $ 104.50 $ 401 to 600 amps(2) $174.00 $ Name: Cum..vnn 5 I Alt 1- "C" 601 to 1,000 amps(2) $225.50 $ Address: 3 12 2.I 0.5PPli (44. Over 1,000 amps or volts(2) $516.00 $ City: LESatom ft.) State: og I ZIP: 973Sr am Reconnect only(2) $ 69.00 $ Phone:5/f 2.5.13 ze.c o Fax: - - Temporary services or feeders:installation, alteration,relocation E-mail: TEn.....,,,,,,,,v5 e comck5r . WIT 69 (0 9 This installation is being made on residential or farm property 200 amps or less(2) 1 $ .00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange,lease,or rent.OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above ?:1.--i;k1F.IfFetiNtitifietbk;iiistAti6tpoN:.:54:;;,:tilVIS:- Branch circuits:new alteration, extension per panel Business name: rAwsib ceche' 4 MX • a.Fee for branch circuits with purchase of a service or feeder fee: E E Address: 3$2 S-3 0,0$C A 6 E 1-0• Each branch circuit [ I s s.so $ b.Fee for branch circuits without purchase of a service or feeder fee: City: 5pft„..,4F,st,j) State: op_ ZIP: errii fj Phone:gzi i Inc 912 g Fax: - - First branch circuit(2) g 60.50 $ Each additional branch circuit S 6.50 $ E-mail: pencilled e yit thoo. eon.. CCB license no.: 1-7-77 o BCD license no.: Miscellaneous fees:service or feeder not included 1 Signing supervisor's license no.: 7 2 7 r Each pump or irrigation circle(2) $ 69.00 $ y Each sign or outline lighting(2) $ 69.00 $ Print name of signing supervisor le o6eft kin& Signature of signing supervisor: . Signal circuit lim or a ited-energy panel, $ 80.00 $ ti,14 it-1. alteration,or extension(2) Each additional inspection:(I) $80.00 $ MliseitiCiaiSThrikalitalkt.E.Claj-WgiareliEW*---ft (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ 271 .-- (B)Enter 12%surcharge(.12 x[Al) - $ 32 ES, (C)Technology Fee(5%of[Al) $ l 3 ELI TOTAL fees and surcharges(A through C): $7'3 I-) 6-- • 440-2584-J(4/01/2013/COM)