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HomeMy WebLinkAboutPermit Building 2013-8-22 • SPRINGFIELD 225 Fifth St # CITY OF SPRINGFIELD Springfield,OR 97477 l� Phone: 541-726-3753 -•'- OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01433 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 08/22/2013 EXPIRES: 02/17/2014 STATUS DATE: 08/22/2013 APPLIED: 06/27/2013 SITE ADDRESS: 1111 S 40th CT,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802061416300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-New SFD-Lot 1 Golden Eagle OWNER: MIKE BLANKENSHIP CORP Phone Number: ADDRESS: 8063 THURSTON RD SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION . Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone - Plumbing Contractor DOUGS PLUMBING INC CCB 110163 11/24/2013 541-688-3385 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 General Contractor MIKE BLANKENSHIP CORP CCB 78966 01/09/2014 541-746-0194 Electrical Contractor G MILLER ENTERPRISES INC CCB 87145 11/10/2014 541-741-2596 INSPECTIONS REQUIRED 1 Inspections 1020 Zoning Setbacks 1090 Street Trees 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Fq`pidation: After forms are erected but prior to concrete placement. 1160 UFER Ground e0`4vp�p ''''trical Ground: Install ground rod at footing and call for inspection in _ri,4_c cb tj�r>ri with footing and/or foundation inspection. 1170 Post&Beam \,A.'4�eO kePoo'J2wwrr 1.&am: Prior to floor insulation or decking. 1260 Framing CeyO,d0y eec' rO ikcsiffn�rlgin` tion: Prior to cover and after all rough in inspections have:been -x,X. .r.Ote'('t`o AGJO.'soapproye&a' : .. i' 0� .•1410 Underfloor.in`s��ationv to`'\ .GO\''e Nr\`lCti"-1 -- �V` QI .v.- F.' re:- n0 .n L 1,61 .lk \Ca . 1420 Insulaiion LVailo-P131rie2,`t O'0pt. ocVnQ-L c {Q\�CG\F���-\ �e, `� �- ' _'CV'G.eV- s,F"QV `I` Q 0 14301nsulation;VJall� p G O $ Wall Insulation: Prior to cover. Cj ��� 14401nsulation`ntlir1 Ceiling Insulation: Prior to cover. ' �'(� P \ \\r 1520 Interior ShearwalW UV Shear Wall Nailing: Before coverUT3sn w���VtFFhursh�r��}erials. 1530 Exterior Shearwall '' .\\\�N).I V.- 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 plade 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 8/22/2013 11:48:50AM Page 1 of 2 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 'V OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01433 www.springfield-or.gov pennitcenter@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 ar- quested at the proper time, that each address is readable from the street,that the permit card is located at the front oft.- .roperty, and the approved set of plans will remain on the site at all times during construction. g/L Z-4j Owner or Contractor Signature Date Springfield Building Permit 8/22/2013 11:48:50AM Page 2 of 2 SPRINGFIELD CITY OF SPRINGFIELD _tali std ` 225 Fifth St ��; TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SP R2013-01433 www.springfield-or.gov 1111 S 40th CT permitcenter @springfield-ar.gov RECEIPT NO: 2013001840 RECORD NO:811-SPR2013-01433 DATE:08/22/2013 (DESCRIPTION _a_ ' = � - m_.ACCOUNT CODE/T,RANS_CODE__'_._. _->AMOUNT_DUE_1 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 122.75 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 779.80 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage . 440-00000-448028 1176 665.63 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 1,597.71 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 456.94 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 118.88 SDC:Total Storm Administration Fee 719-00000-426604 1180 56.13 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 147.66 Structural Building Permit Fee 224-00000-425602 1002 1,230.46 Technology fee(5%of permit total) 100-00000-425605 2099 66.97 Willamalane fees-Single family detached 821-00000-215023 1074 3,410.00 TOTAL DUE: 11,860.66 AMOUNT PAID;- . FAY __ __TYPE-... PAYOR°- :caSHIER: ___.6v ,_, 'COMMENTS . .=. , _, __,_„_.,._ � Check MIKE BLANKENSHIP CORP _ 11,860.66 ^ 14705 TOTAL PAID: 11,860.66 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth$t *1/41,,a•OREGON TRANSACTION RECEIPT Springfeld.OR 97477 541-726-3753 811-SPR2013-01433 • www springfieldor.gov 1111 40th CT permitcenter @spdngfield-or.gov - RECEIPT NO: 2013001375 RECORD NO:811SPR2013-01433 DATE:06/27/2013 Io]X3N:71AI�Coy�l 1 ={3 1{��i;1 4` s '" ?t - -s; .ir p ....ACCOUNT.'CODEITRANS6CODE :__�<� �tAMOUNd`DUES Structural Plan Review Fee Residential 224-00000-425602 1061 799.80 TOTAL DUE: 799.80 OFPAtMENTeTNPE PAY01-11r nsNl'�Err'.;ccnwirdr . ,COMMENTS. AMNNT PAID Cash MIKE BLANKENSHIP CORP 799.80 14515 TOTAL PAID: 799.80 Structural Permit Application SPRINGFIELD weDEPARTMENT USE ONLY'. ti- � ,c ;Eirzft - ..vision ah:cM a-+f ,� a.4a14-al i Fi _ .. <' , �€.112c 'OF SPRINGFIEED.OREGON YrA $ ctig2 • 5 4,4 Permit no.:s/ 'j -/Li33 225 Fifth Street•Springfield,OR97477•PH(541)726-3753•FAX(541)726-3689 " OREGON Date: 6/j 77j? This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o 6/2 11777? or if work is suspended for 180 days. ++- f ='_„LOCAeGOVERNMENT_APPROVA L ,,._ ,J ,1 i..r -4=" ., ..}„k.,,rei?_ ,. .,,FEES SCHEDULE ,r.,gaft „ -g This project has final land-use approval. 1.Valuation informatioi'jC,,,', , -, Rak,>;w. 's.Yw`'. Signature: Date: (a)Job description: /(/W.„/ Sro This project has DEQ approval. Occupancy (2_3/44 Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: V13 // Property is within flood plain: Square feet: ( S49 lg ❑Yes ❑No I 5-Z-I 1 /q i4b tt ` i 3z'wi,F,CATEGORY OF.4;CONSTRUCTION 't :w Cost per square foot: /Residential ❑Government ❑Commercial Other information: G Qt ir� =- �fh>JOB+SITE.INFO(�RM/A`TION'AND LOCATION fix,,.,,.. :". Type of Heat Job site address/67T J 1 a e Jr— Energy Path: 6S� C4-/ City: SI` e State: ZIP: mew ❑alteration ❑addition Subdivision: Lot no// (b)Foundation only permit? ❑Yes . 'No Reference: i go z o6(t( Taxlot: J 0 C3 Total valuation: b/ 4- ;1 n .,,A,._. t1 PROPERTY;OWNERgc;2 -' ., ,.s'i t .2t'�Buildmg:fees&'i _'`.;:;,a'4 .,1i ,:tg'( ty:` G . Name: i L(f/t 64 V//6 11S/fig qq(�7,tt2 (a)Permit fee(use valuation table): $� 36 ego Address: FD -5 171214 um) {�// / (b)Investigative fee(equal to[2a]): $ City: Sc Reins ection $ per hour): '�.,yj State: Gil ZIP:`T�V7j$' (c) P ( P $ ( eil Zr vis-g'L 310-'7 Y�1sP r (number of hours x fee per hour) Phone: Fax: // E-mail: (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ (-/7i (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent autho:/ this application: 3:Plan revl€w fees ,.r l . sx m-c*£* "�,',;rryijs u;✓ ?-9i;;,. / (a)Plan review(65%x permit fee[2a]) � $1? Sign here: / (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation 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, is exempt from licensing ' "- °''11 ': { * + .t asi°- Y Y� mP g 4riMisceHaneoiis fees __w,9 ,ss._ .,, _ .x�sxy,,;-�. .* requirements under ORS 701.010. (a) Seismic fee, I%(.01 x permit fee[2a]): S. * xrCONTRACTOR INSTALLATION`;i` a . -;',u•i_1. .`ut e. .. -. -- ”' (b)Technology fee,5%(.05 x permit fee[2a]): $ �fl� Business name: u/'b ,8CO4l�blJS/7P G'a,i, TOTAL fees and surcharges(2e+3c-Ma+4b): $ � Address: S/ -e— `� City SAi....e.._ State: ZIP: Phone: - - Fax: - - �� / "rUE-mai: CCB license no.: 7 i 14, Print name: [� ©I( l� Signature: ll 1 l/�� F FSUB CONTRACTOR:INFORMATION '- Name CCB License# Phone Number Electrjaal1) (g-edr. Plumbing DUGS 1.4g4 6 Mechanical a /lo3 willamalane etelth Park and Recreation District 77 Job. No. 5/27y7 c PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 p NAME: eGffreAdt'K��cc✓,,����� // ' PHONE: '9cZ` 'S Z• ADDRESS: P � S�/t-+'"�D CITY: S7ru) STATE( ZIP: 77`71J17 LOCATION OF PROPOSED BUILDING SITE: Street address: /17 / 1 - /EQ111 (� Plat nameGoo4P (.d' / Tax Lot Number: /1 02.- (V /4_7(20 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X$3,410 per unit = $ 77/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 $ J 1fio / 7 / /3 City of Springfield Date of building permit submittal e 1274 /3 City of Springfield Date of building permit issuance SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 �c Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01434 www.springfield-ar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/22/2013 EXPIRES: 02/17/2014 STATUS DATE: 08/22/2013 APPLIED: 06/27/2013 SITE ADDRESS: 1111 S 40th CT,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802061416300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New SFD-Lot 1 Golden Eagle OWNER: MIKE BLANKENSHIP CORP Phone Number: ADDRESS: 8063 THURSTON RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MIKE BLANKENSHIP CORP CCB 78966 01/09/2014 541-746-0194 Electrical Contractor G MILLER ENTERPRISES INC CCB 87145 11/10/2014 541-741-2596 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 o are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections a - r-quested at the proper time,that each address is readable from the street,that the permit card is located at the front oft.- ' operty, and the approved set of plans will remain on the site at all times during construction. / L2 i \O • Owner or Contractor Signature U�CgS Y Vet\`�y Date ,i N CeQ On {\h \L :� \a te9 tD ,... R • 0o e O e set \, 0 .. o1e0 by th sac 00 E N \ '-. EN \oNadoP\e0\roseC�hpPRgS�esby X \\\E�\\ \S� p,-C\ <v\es en\eC' lht oUg s o\the \;. 0, e QOM 1. 0:00:\01,\G . 00\0 000e e\ew9, 'a\ion �• Np\ 'OS �0 NO:\k�G 952.00 oq\atr No\e;\h NoC"i u ,0-Ckm 0 .Ii‘ p10�N .. .`oOF voumay c\et. lockuOt e3441. ,sN\Spoej100V0e,\D 0090*.a\\o e'Coe t\he.�9 1 800 332 2 ,?�(\\ ANC S) ?0°�. numb Geo\et CO M a�tN P Springfield Building Permit 8/22/2013 11:50:52AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St "`COflEGON TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 - 811-SPR2013-01434 wwws59695eld-or.gov 1111 S 40th CT permitcenter @spdngfield-or.gov RECEIPT NO: 2013001838 RECORD NO:811-SPR2013-01434 DATE:08/22/2013 DESCRIPTION > r = L_ t ; .a "°'ACCOUNTCODE/TRANS On 75;„ tlfAMOUNTIDUE Each added 500 sq.ft. or portion 224-00000-426102 1004 - 82.50 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 35.88 Technology fee(5%of permit total) 100-00000-425605 2099 14.95 Temp services 200 amps or less 224-00000-426102 1003 69.00 Imo,. TOTAL DUE: 349.83 r3PAYMENTr�TYPEAYORRR cnsHlera:DEwwW'ILSer .' . COMMENTS # AMOUNTPAID' '_,_; 1; i, Check MIKE BLANKENSHIP CORP 349.83 14705 TOTAL PAID: 349.83 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 iti . t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01436 www.springfieldor.gm/ permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/22/2013 EXPIRES: 02/17/2014 STATUS DATE: 08/22/2013 APPLIED: 06/27/2013 SITE ADDRESS: 1111 S 40th CT,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802061416300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New SFD-Lot 1 Golden Eagle OWNER: MIKE BLANKENSHIP CORP Phone Number: ADDRESS: 8063 THURSTON RD • SPRINGFIELD OR 97478 . L CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor DOUGS PLUMBING INC CCB 110163 11/24/2013 541-688-3385 General Contractor MIKE BLANKENSHIP CORP CCB 78966 01/09/2014 541-746-0194 L INSPECTIONS REQUIRED j 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 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 ithout per lbsion of the Community Services Division, Building Safety. I further certify that only contractors and employ ho are yrtnebn r,tMance with ORS 701.005 will be used on this project. I further agree to ensure that all required ins.ection - - roc, sled 'ta'_ptpper time,that each address is readable from the street,that the . permit card is located at t !runt . .-.prdperg\�i2 filo ved set of plan will remain on the site at all times during construction. �\' i eJ\eSa<Pg6rL-vevS•OY ..'. - . `- . v- ,.Gptiedr to-.e 0- \sc tot\ v , 2/ / 00." V31 .` \v so (\.\--° va\\\l ev J�\. ,1 ves A • Date p�W. M`.�\g N in\Owner or ContWdtot;\Sgnat*rrye Ob N NrOPPye\1'.Ge”OteO°�33223A 1 iQ10 M\� SNP� ��ts et �D F3R■ °°g° •��\<\9 \re• N-$° PEA NNS %k G,, et so t\s 1N\S \-1- \g P • F Springfield Building Permit 8/22/2013 11:53:40AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD I -•^ - - 225 Fifth St TRANSACTION RECEIPT Spdngfield,OR 97477 OREGON .541-726-3753 811-SPR2013-01436 www.springfield-or gov 1111 S 40th CT permitcenter@springfield-or.goy RECEIPT NO: 2013001839 RECORD NO:811-SPR2013-01436 DATE:08/22/2013 e • •; I 0 "=,1T- Fr v_.-tea .__==-.. !.. -'c Zk ACCOUNTTCODEILRANS`CODE _y- "f 4:AMOUNT DUE=77 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 49.32 Technology fee(5%of permit total) 100-00000-425605 2099 20.55 TOTAL DUE: 480.87 IMPAYMENT?.T:YP.E PAYOR CASNIER:,OBOwLSEIY COMMENTS N6OUNIP,AID 41ran Check MIKE BLANKENSHIP CORP 480.87 14705 TOTAL PAID: 480.87 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 � ` ��`� Phone: 541-726-3753 61' OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01435 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/22/2013 EXPIRES: 02/17/2014 STATUS DATE: 08/22/2013 APPLIED: 06/27/2013 SITE ADDRESS: 1111 S 40th CT,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802061416300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-New SFD-Lot 1 Golden Eagle OWNER: MIKE BLANKENSHIP CORP Phone Number: ADDRESS: - 8063 THURSTON RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 General Contractor MIKE BLANKENSHIP CORP COB 78966 01/09/2014 541-746-0194 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: Wien 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 cent kthat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws Z ofthe`S,' r Oregon pertaining to the work described herein, and that NO V.• Q OCCUPANCY will be made of any structure without,p�"Ym�s J the Community Services Division, Building Safety. I further certify that only contractors and employeeSWEetarakkAtsdkririth ORS 701.005 will be used on this project. I further agree to ensure that all required inspectionsare1e, -••a(4hp'- user ime,that each address is readable from the street,that the permit card is located at the�roilfOOF>;he .��Jy,�e�t�Ek9e,ptpvedO�et of plans will remain on the site at all times during.,:. .. construction. --0 \1 S ae�te ' " r:09\\e tr tie\0\.∎`.ca �wo� t y A ,� ,• a� O�30`1,3a�1 47 /2., X RE\F�N�\SNO o ak u J o, O` J oo X22 C� S�P���N\s Q�N D Yo� Owner or Contract�Sgnatl�rre the ,ire �•$ Date •0% M\� log% v\QO . ooy \\\C tie•C c\$ PEA \O p p ca _es e�te -00 no-6.m p \S � m G PGOM�nc tP∎QS�\p0. • • Springfield Building Permit - 8/22/2013 11:52:00AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth st a TRANSACTION RECEIPT Spdngfield,OR97477 00.EGON 541-726-3753 811-SPR2013-01435 w.vw.springfield-or.gov 1111 S 40th CT • permitcenter©spnngfield-or.gov RECEIPT NO: 2013001837 RECORD NO:811-SPR2013-01435 DATE:08/22/2013 D O� t, ^.:' -ins'; _F _ .-. .era WACCOUNT CODE/TRANSiCODELJX414ailYAMOUNT,DUCA 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-duct exhaust(bathrooms, toilet compartments, utility room: 224-00000-425604 1006 40.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 23.76 Technology fee(5%of permit total) 100-00000-425605 2099 9.90 TOTAL DUE: 231.66 `ifAYMENT TYPE,.-F;4;PAYOR" cnslia:DBOWLSBY 14 ;,L.,is.-COMMENTS Check MIKE BLANKENSHIP CORP 231.66 14705 TOTAL PAID: 231.66 • • h • •