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HomeMy WebLinkAboutPermit Building 2013-7-31 r SPRINGFIELD 225 Fifth St t ` CITY OF SPRINGFIELD 225 97477 t,...0 OREGON Phone: 541-726-3753 Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01304 www.springfield-or.gov pemiitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/31/2013 EXPIRES: 01/26/2014 STATUS DATE: 07131/2013 APPLIED: 06/17/2013 SITE ADDRESS: 1032 53RD ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702283401800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: S-New SFD-lot 10 Thurston PI 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 • EASTSIDE ELECTRIC INC CCB 117770 10/04/2013 541-741-1499 JOHNS PRECISION PLUMBING LLC CCB 158279 02/04/2014 541-736-5690 General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 160347 06/14/2014 541-868-6294 SUNSET HEATING&AIR INC CCB 171706 08/18/2014 541-554-2604 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 vATcvlBtrl4DN: Oregon law requires you to �kluw rulers a&pkd by the Orccon U't lity 1430 Insulation No if.cation Center. Those tW W ldaMlkWtlar to cover. 1440 Insulationtadll11 952-001-0010thrOU��i(� Wilk; ti 1 riortocover. I�OTIC OU9O. YUu 'nay GJt.aln czri_c Cf hg nl oc by E. .` 1520 1530 Exterior She Brwaull eY for the Oregon tUshee Notification Before covering-iUl 116 REIZED S1 UNDER IS IF THE WORK. CailinC1 the center.'c 1 g z^^?._ CC „VORIZED UNDER THLS PERMIT IS NOT 1540 Gypsum Board/Lath/Drywall v Drywall: Prior to taping. Lath/PlasteAN� �cantdigl(Istr IM O FOR board, interior and exterior are in place, blh ontAYIKERI190, 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 7/31/2013 1:43:15PM Page 1 of 2 r SPRINGFIELD 225 Fifth St • h4 it CITY OF SPRINGFIELD Springfield,OR 97477 Oatti Phone: 541-726-3753 OREGON - Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01304 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. ,A Z- 7(31 /(3 Owner or Contractor ignature Date • Springfield Building Permit 7/31/2013 1:43:15PM Page 2 of 2 SPRINGFIELD .__ CITY OF SPRINGFIELD I 225 Fifth St �c OREGON TRANSACTION RECEIPT 225 Ro7477 541-726-3753 811-S P R2013-01304 www,springfleld-or.gov 1032 53RD ST permitcenter @springfield-or.gov RECEIPT NO: 2013001670 RECORD NO:811-SPR2013-01304 DATE:07/31/2013 ,DESCRIPTION , . ," ._ACCOUNT_CODE/TRANS CODE ' ;.AMOUNT DUE-_J Address Assignment, each new or change 224-00000-425602 1020 42.00 Curb Cut/Driveway 1st Cut 201-00000-428060 1141 102.00 Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 , 9111 96.80 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 294.47 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 202.15 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 24.83 SDC: Total Transportation Administration Fee 719-00000-426604 1190 60.87 Second Permit Discount 201-00000-428060 1148 67.00 Structural Building Permit Fee 224-00000-425602 1002 1,107.82 Technology fee(5%of permit total) 100-00000-425605 2099 8.45 Willamalane fees-Single family detached 821-00000-215023 1074 2,067.91 TOTAL DUE: 9,500.00 (,;PAYMENT TYPE, 7 PAYOR, CASHIER:duRSOH '. COMMENTS'. „4, - AMOUNT_PAID • I Credit Card CUMMINS INVESTMENTS LLC — 9,500.00—i 025952 . TOTAL PAID: 9,500.00 • • SPRINGFIELD -- CITY OF SPRINGFIELD t -- 225 Fdth St ( a: TRANSACTION RECEIPT SpnngfieldOR 97477 v~t 541-726-3759 OREGON 811-SPR2013-01304 www.springfield-or.gov 1032 53RD ST pennitcenter @springfield-or-gov RECEIPT NO: 2013001674 RECORD NO: 811-SPR2013-01304 DATE:07/31/2013 [DESCRIPTION ' - ` ACCOUNT CODE/TRANS_CODE- - .AMODNT.13UELI State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 132.94 Technology fee(5%of permit total) 100-00000-425605 2099 57.49 Willamalane fees-Single family detached 821-00000-215023 1074 1,342.09 TOTAL DUE: 1,532.52 PAYMENT TYPE_. . .. PAYOR: cASNIER,JLARSON COMMENTS .-v. `�� _.rt_ VAMOUNT PAID Check DAVIS CONSTRUCTION SERVICES 1 1,532.52 2054 TOTAL PAID: 1,532.52 • • SPRINGFIELD CITY OF SPRINGFIELD hit irc1/4 tilt OREGON TRANSACTION RECEIPT 225 Fifth SI Springfield,OR 97477 541-726-3753 811-SPR2013-01304 www springfield-or gov 1032 53RD ST permitcenter©springfield-or gov RECEIPT NO: 2013001254 RECORD NO: 811-SPR2013-01304 DATE:06/17/2013 ACCOUNT a0DE/TRANS CODE 1 ___AMDUNT,DUE_ 1 • Structural Plan Review Fee Residential 224-00000-425602 1061 720.08 TOTAL DUE: 720.08 1-1?AYMENT TYFIE--.1 , PAYGR :CASHIER:CCARPENTER ' COMMENTS / AMOUNT PAID ....._.— —___ Credit Card DAVIS CONSTRUCTION SERVICES 1 720.08 08593d TOTAL PAID: 720.08 •:-,. i' . . gtx!Yeturni. Permit Apniiii:,!liou W!WikaXgaagBgaitik&dCWdii107A5';"-= g5qq' ;,!..1,,w' , A. 4i 1 ..... Permit no.: 93 /704-71 -e- acessen 2.22.'rink Sin..z.Z•i•Ipl...C.:11,Cr..1r:IT: :I'll;:::::::=-1:7:2 t e!,.:•:&-••■I;•-,--'--7- ; ! • This permit is issued under OAR 912-4G3-33M.rtimits expire if 7i:tett:net ft.z.rtod"-.7"!44.r., 12 4.75 pr rcsuartte or if work is . suspeedied foe I St days. :2:-?2%;Wit:r.t&f:::1..OeXErdi*631;fislitiir.STA00.1§-0141-P.C4;;Ki").:21-:-"--444 P.:;;Kleg:Vt:i1:1,:gi; .0-.KSPI-IEOlii4;:ii:WTI;:-..7Attir.Egtj:21 i 1.-1::.cF4Icti:1-;-b;i71;cilt,-iiii:ilittrif;;--1 ,7::Iiiii::::-:;:tr-14n;•7=47-- "":"E7 ! i.ligigniule: t -L— ______t I ka)JOU tleSealuilijii.7tteij i-F-,D This project has DEQ approval. i.3iZtlatuie: L, . I Occupauzy y2_17 lA I Zoning annrovre vrph=1: 71 its 0 No • . .. 1:-:-.2: V(3 i I t - 1 Property iswithin flood plain: 0 Yes 0 No Square foot Vg:WSWW:gTA:ftk.-YIZ':OTr'frd:O3/4-enirfet.iaflr'i`:'*PB:t3,'4 Cost per squarr-fact — licsidmatial I ci Government I 0 Commercial f 1 Odin'fraf;=;Ittln: ... ,-- atThlittili;:erittai-NT..bkiat1diii,;4fi0ircila11i011MliA-2 Type of licarletEr fa 1-1.-ti 1 Job site address: /032 5")-9 sr• .17-ncrea Path: - frig/644 2— —1 . City: 5p2fp&FI hi) I Staid: OIL I ZIP: c..,117 V Ecov., 02itaation Li 4daition i Subdivision: T1+' "s-J pt.ste t I Lot no.: /0 (b)Foundation-only permit? in Yes 0 No I Reference / l)7.---in? I Taxinb/9 rer;-1 Total valuation: Thart er::!:1&214i:;ct-14.0kSP:Lk-ti?::7(501,E1410:i:a,,CrSiff-f4W ..7,-51 ;?tria.141;!:!,qt12543:;t7f47:7:41:f-±ii: 774V4tf.:3,,T.:e2Eifs: . Name: Ca^.4./V1/A11 Jr-IQ. AA-' (a)Permit fee(use valuation table): I s )Th78.2-j- Address: 3 1 Z.2.t o5pas, i...40- (b)Investigative fez(equal to[2aD: S ' City; - 4- ona.-, State: ar, ZIP:P:4-1;55 (c)Reinspetins per hour): ■ • s Phone: cit 1 - 2 5 E. Fax: - - (number of hours x fee per hour) E-mail: Ti(............,,,,,s e Ce.^ic,t t 7. tit r (d)Enter 12%surcharge(.12 x[2a+2b+2c)): T132 f.t/ (e)Subtotal of fees above(2a through 2d): I S " Building Owner or Owner's agent authorizing this application: WiailTg4girlinten-a":113$;■*-1S10);a%.*.Taiti:W.t.rA-. Sign here: At i"--\: LI (a)Plan review(65%x permit fee Pap (b)Fire and life safety(40%x permit fee 12-aD: s 72,0,cet_ s o This innallan n is being made on residential or faun property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my iramrelimm family,and is exempt from licensing ,:atii;040117igirgeOWPWV-Y0;00474WVP743 requirements under ORS nun°. s 9.-jazeig4.-44.ticof4wAciprohisitstizAttor07.--vs.-4.tnTh754, $ 5-5 37 (b)Technology fee,5%(.05 x permit fee[2aI): ti Business name: DAN.As CON5-tearl•a S SlOVer.; L Le ter TOTAL fees and (2e+3c+4a+4b): s 24/4 Address: Si GI L 514511- City SpPt r> State: o -. I ZIP:4781+3 Phone: 51-i ( r'es 4 fl. 4.2-94-( Floc - - E-mail: DA viSto i_ e 444-C, to.-t CCB license no.: I(..fo 3r-t-7 Print name: c co-it- DA•it-t Signalize: 1- j94_ •e-re- [biro • •,,ON aittILAW Name CCB license# Phone Number Electrical EA-575,0 slit 7,4, ( 11-7170 0 Plumbing pale 0 Ora pl./4044,1 1c12- 1 415.3 2%7 7 511•-• /107 Mechanical I-7)7•06 Craft - 3igi 5 v# tit4 1. S r 4-€ " willannalane Park and Recreation District Job. No. y 1Y /.' V PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 NAME: C1lh1►`1_1sfc /Nl< PHONE: 20- e4-co ADDRESS:]/22/ ?Stitt- GN CITY: Zan/Noiv STATE: (9-4—ZIP: 97353— LOCATION OF PROPOSED BUILDING SITE: Street address: /osL Irelp $ Plat name: 741,914ki I t . /UTax Lot Number: /2)Z a a1.>J 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X$3,410 per unit= $ 347/0 B. Single-Family Attached • NO. OF UNITS X $3,385 per unit= $ C. Multi-Family Apartment •NO. OFUNITS 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.) ($ cY ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ 7Lv City of Springfield Date of building permit submittal - i - /i / 3 City of Springfield Date of building permit issuance 2 r SPRINGFIELD 225 Fifth St hit" „it,— CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 i. ` OREGON Building / Residential Permit Inspection Phone: 541-726-3769• Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01305 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/31/2013 EXPIRES: 01/26/2014 STATUS DATE: 07/31/2013 APPLIED: 06/17/2013 SITE ADDRESS: 1032 53RD ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702283401800 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: E-New SFD-lot 10 Thurston PI 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 II - 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. r� r +:I'-)w: uregon law requires you to Date `CfT��E Owner or Contractor{ ignature„S adopted by the Oregon Utility HIS PERMIT • No;'tication Center. Those rules are set forth UTHORIZE SHALL EXPIRE IF in OAR 952-001-0010 through OAR 952-001- DM�gE D DNDER THIS p THE WORK 0090. You may obtain copies of the rules by PJY LACED pR IS ERMIT IS NO calling the center. (Note: the teleph:. r, ABANDONED FOR T number for the Oregon Utility Notification 180 Dqy PERIOD• Center is 1-800-332-2344), • • Springfield Building Permit 7/31/2013 1:37:98PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • A‘..0 TRANSACTION RECEIPT 5P5 g eld.OR97477 541-726-3753 OREGON 811-S P R2013-01305 www.springfield-or.gov 1032 53RD ST permitcenter @springfield-or.gov RECEIPT NO: 2013001672 RECORD NO: 611-SPR2013.01305 DATE:07/31/2013 [DESCRIPTION • - ACCOUNT CODEITRANS 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 PAYMENT TYPE-, _ . PAYOR_ CASHIER:JLARSON • • ' C.OMMENTS .. , . .-AMOUNT PAID _ _ J Check DAVIS CONSTRUCTION SERVICES L 317.66 2054 TOTAL PAID: 317.66 • • • • • • -n.i---n•-.n1 -1)n.- -.v-0- A main I rrvcrli nisi _..— _ nva -r SEu -' { r c. `i o ° r�s° [ •-° `��y a a '= i419,s0 4 ,,it v i ,)- s c, i_ -s p ( perait no.: 9, -/is s- { 4;/7/7 i This permit is issued under OAR 918-309-0000.Permits are nontransferable.Permits expire if work is not started within 180 __. . 1 Zoning approval verified? El Yes L_irvo EG NumbernsspethDn perrrem{7 - Qty .ea ; as ° I CATORY;OF CONSTPUC'TICN : ' I 1{r ' r•-. 1r f c , n trai_..nri .rer[= JOB ST,CE 1NEORMATTON=AND LOC'ATtON, `;*` Each additional 500 so.ft or portion T. , $ 275u I $ 5J , job site adrlrecc: /052 s3— S the n. riJ• )rlCfvbi-IWL i u — a ' Sine r.N Y-) : ,( ' -' n t Reference: / 70 2.2T3y dyge er Ta�[lot /17 I Each manufactured home or modular [ $ 09_00 _ - 7_ -III. . dweliu,g service or feeder(2) - I� Al w 5FR 200 snips or less(2) I I $ 89 4 .00 I $ { IName Ctrnn.v+r �5 lN� Lt-G 401 to 600 amps(2} $174.00 $ i . . . . 601 m 1,000 amps(2) I I 52225 50 S I Lity: LL #' .oN i Stare: ox 1 air: '755 . . ,. ,... . Phone:,Sgi 7,5-13 26-5-0 Fax: - - ( Reconnect only(2) I i $ 6900 I $---_- • [uv amps or l ss l-% ( i $ 69.00 $ (p, j ( Thus installation is being made on residential or fazes property I{ owned by me or a member of my immediate family.This 02'3_ ( 201 to 400 amps(2) 15 96.00 1 $ ... ....,......m....,. Signature I I Over 600 amps or 1,000 volts,see services or feeders section above °°' ` cO.N`rRACYoP.INSTALLATI01;1>k:.. li I•! Th-wnch cirreets:new altershct:.en ,. - r . Business uane: OAsTSv E. Ft :CTRr c JAG . a.Fcc rte,.u.auw tuu,uu With pat,.vas.:.fa a°W �� . ....a... ..... I Address: 3)32 5-5 aoscA6E CN- Each branch circuit $ 6.50 $ City: �P�r,,,6�,tie•n 97'-17& b.Fce for branch circuits without purchase of a service or feeder fee. . State: 02 ZIP: $y/ ii r 4 Fax: First branch circuit(2) I $ 60.50 1 $ Phone: 8Z S - - E-mail: pimple,' e h N.o o. co," Each additional branch circuit i S 6.50 S 1 CCB license no.: I t'77 o BCD'license no.: Miscellaneous fees:service or feeder not included 7 Signing supervisor's license no.: )7S- Each pump or irrigation circle(2) S 69.00 $ R06e z k ra& Print name of signr. Each sign or outline lighting(2) $ 69.00 $ ing supervisor Signature of signing supervisor. {�- // Signal circuit ore x or e limited-energy panel, $ 80.00 $ )e-r7'f/4 N-S alteration,or extension(2) additional inspection:(1) $80.00 $ • (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $27i W (B)Enter 12%surcharge(.12 x[A]) • s S2 (C)Technology Fee(S%of[AI) s / 3 S - TOTAL fees and surcharges(A through C): $'3(7 G!. i 440-2584-i(4/012013/C0M) SPRINGFIELD 225 Fifth St CITY OF. SPRINGFIELD Springfield,OR 97477 �N Phone: 541-726-3753 _....sa_stii "J.��OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01307 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/31/2013 EXPIRES: 01/26/2014 STATUS DATE: 07/31/2013 APPLIED: 06/17/2013 SITE ADDRESS: 1032 53RD ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702283401800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: P-New SFD-lot 10 Thurston PI OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD • LEBANON OR 97355 L CONTRACTOR INFORMATION r Contractor Type Contractor Name Lic Type . Lic No Lic Exp Phone JOHNS PRECISION PLUMBING LLC CCB 158279 02/04/2014 541-736-8690 DAVIS CONSTRUCTION SERVICES LLC CCB 160347 06/14/2014 541-868-6294 INSPECTIONS REQUIRED II Inspections 3130 Footing/Foundation Drains r 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 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 wilLpe;madeloflany dructure;ivnhoat injsslep y(3the Community Services r yislefr%Jlding Safety. I further certify that only contractorsland employeesvwholarojl4'O031RIjOtf�R ith ORS 701.005 will be u Ts roject. I further agrree to ensure that all�requirediinspections:argtrequ�etstat as lr f fine, that each address isTreaddalaKOtHThS HAA&LtFal(triJiE IF THE WORK permit card is locatted_at taVrontofdi a er<opert ggangtyhm appskiosi set of plans will remain 0..111-040494E@IYONGIEWHIS PERMIT IS NOT construction. 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR ca!IP ig the center. (Note: the teleph:;rt; ' ANY 180 DAY PERIOD. nu,n. j Oregon Utility Notification '7(31 ('3 :,1._ „ , ...,_ t,. 111 Owner or Contractor Sig ature Date • Springfield Building Permit 7/31/2013 1:33:22PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD � ` 225 Fitth SI`0 OREGON TRANSACTION RECEIPT 225 Fifth St 97477 541-726-3753 811-S P R2013-01307 www.springfield-or.gov 1032 53RD ST permitcenter©springfield-or.gov RECEIPT NO: 2013001673 RECORD NO: 811-SPR2013-01307 DATE:07/31/2013 DESCRIPTION _.__wACCOUNT_CODEITRANS..CODE_ ..__• AMOUNT-DUE 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 ' __, - AMOUNT PAID (—PAYMENT TYPE . . 'PAYOR��- `caswER:.IUtRSON __COMMENTS- _ ` ,'� ' - PAID - I Check DAVIS CONSTRUCTION SERVICES I 505.44 2054 TOTAL PAID: 505.44 • SPRU'4GFIELD 225 Fifth St 1 CITY OF SPRINGFIELD Springfeld,OR 97477 hircto EGON Phone: 541-726-3753 Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01306 www.springfield-or.gov parmitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/31/2013 EXPIRES: 01/26/2014 STATUS DATE: 07/31/2013 APPLIED: 06/17/2013 SITE ADDRESS: 1032 53RD ST, Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702283401800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: NI-New SFD-lot 10 Thurston PI 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&AIR INC CCB 171705 08/18/2014 541-554-2604 INSPECTIONS 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. (ea tl, 7/3 /(I? Owner or Cor tractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: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 ;lci'3 the ri''" `w AUTHORIZED UNDER THIS PERMIT IS NOT ca!!inq the c^^, . n.. COMMENCED OR IS ABANDONED FOR niurh r i . ' ANY 180 DAY PERIOD. Springfield Building Permit 7/31/2013 1:27:58PM Page 1 of 1 SPRINe FIELD CITY Oh SPRINGFIELD =A �nw,..•�--.._- 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-S P R2013-01306 www.springfield-or.gov 1032 53RD ST permitcenter @springfield-or.gov RECEIPT NO: 2013001671 RECORD NO: 811-SPR2013-01306 DATE:07/31/2013 (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 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 17.16 Technology fee(5%of permit total) 100-00000-425605 2099 7.15 TOTAL DUE: 167.31 PAYMENT TYPE PAYOR• CASNIERLJLARSON - . COMMENTS AMOUNT PAID - - : I Check DAVIS CONSTRUCTION SERVICES L 167.31 2054 TOTAL PAID: 167.31 •