HomeMy WebLinkAboutPermit Building 2013-8-21 SPRINGFIELD_ 225 Fifth St
Ilia 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-SPR2013-01163
www.springfield-or.gov pormitcenter @springfieId-or.gov
PROJECT STATUS: Issued ISSUED: 08/21/2013 EXPIRES: 02/16/2014
STATUS DATE: 08/21/2013 APPLIED: 06/05/2013
SITE ADDRESS: 1028 53RD ST,Springfield,OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1702283402100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: STR-New single family dwelling -Lot 13 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
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 n,\\C es 1°\R\1\\`J
1260 Framing eg°c\a\N he O\5 a eara rove3dnspection: Prior to cover and after all rough in inspections have been
_.,,. O\ _A'ci ,.\e r. PP -N
1370Masonr-\\%�neesraAOV c\\OS ' t\Ur'�e Os't,,;rwg
1410 Un er00or1'nsu1atton\,-QO\n G09,. , e\e"`„ ca'`, 0. _ ,.;:;,<?>.�.. Ql
1420 Ins�lla�.E19 or rder l \id`I 'Ai q : • w "�
1430 Insulajjuf`it\ZVall�thet the O\:ap0'3''- Wall Insulation: Prior to cover. ��p\CV \\I\\O`CQ.
1440 Insulatio`\geiling'cep\e\ Ceiling Insulation: Prior to cover. mac. �P\, �.\\\\ Ont
1520 Interior Shearwall Shear Wall Nailing: Before covering,,�slrealhiiinn�,\a�AInniMritate,7i P\i"
1530 Exterior Shearwall -(\C\\.c\AO%\��' C) 7OQ•
,rti� p�R\
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be\ma tafZ II lathing and gypsum
board, interior and exterior are in place, butripr:to plastering.
1999 Final Building Final Buildin g: After all required ins ectioris�have been requested and approved and
the building is complete.
Springfield Building Permit 8/21/2013 11:48:16AM Page 1 of 2
SPRINGFIELD - 225 Fifth St
4 =°- . , CITY OF SPRINGFIELD Springfield,OR 97477
•=C« ` ' Phone: 541-726-3753
` OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01163
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. .
g /vr !I3
Owner or Contract
o Signature Date
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Springfield Building Permit 8/21/2013 11:48:16AM Page 2 of 2
•
SPRINGFIELD CITY OF SPRINGFIELD
hit 225 Fifth St
` EGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-SPR2013-01163
www.springfield-or.gov 1028 53RD ST permitcenter @springfield-or.gov
RECEIPT NO: 2013001824 RECORD NO:811-SPR2013-01163 DATE:08/21/2013
°DESCRIPTION_v- . _ : . ..xsACC.OUNT CODE/TRANS:GODE_;_ ;-_._ :>.AMOUNTb.UE_i
Planning-Major Review-City j 100-00000-425002 1231 211.00
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 90.60
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 . 125.58
Technology fee(5%of permit total) 100-00000-425605 2099 57.78
Willamalane fees-Single family detached 821-00000-215023 1074 1,200.45
TOTAL DUE: 1,685.41
LPAYMENT TYPE_ PAYOR CASHIER_DSOWLSev - ..?COMMENTS . „ - AMOUNT PAID - ,-I
Check DAVIS CONSTRUCTION SERVICES L 1,685.41
2084
TOTAL PAID: 1,685.41
l
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•
•
•
SPRINGFIELD CITY OF SPRINGFIELD
,.„„_•"#-: 225 Fifth St
OR E . TRANSACTION RECEIPT Springfield,OR97477
541-726-3753
811-S PR2013-01163
www.springlield-or.gov 1028 53RD ST permitcenter@springfield-or.gov
RECEIPT NO: 2013001820 RECORD NO: 811-SPR2013-01163 DATE:08/21/2013
IDESCRIPTIOiki ACCOUNT CODEITRANS CODE; AMOUNT DUE,_I
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 485.31
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 333.15
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 40.92
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 1,046.50
Willamalane fees-Single family detached 821-00000-215023 1074 2,209.55
TOTAL DUE: 9,500.00
I ' PAYMENT TYPE-`@PAYOR 'CASHIER:DBOWLSBY _•. COMMENTS ; AMOUNT PAID -
Credit Card troy cummins 9,500.00 •
045872
TOTAL PAID: 9,500.00
•
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Structural Permit Application SPRINGFIELD , DEPARTMENT&USE ONLY
%c'�.�.t?_a�L'1'i'Y OF SPRINGFIELD-`taOREGON rt ;;ez .s'"'kz.`' x S '%_ 4: Permit no.• S/3 —II 3
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 - -OREGON
Date: w 5V/3
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days ol'issua(nce or if work is
suspended for 180 days.
,;? u ,,'.,r LOCAL' BOVERNMENT APPROVAL °`` T is'y , 5>.`'^- r"', ;,.t,l _FEE SCHEDULE , SV i* ,� r
This project has final land-use approval 1t-Valuation nformahone�. p,, „ _ :-_ _v..
Signature: Date: �,J
gn (a)Job description: Ne S FD
This project has DEQ approval. Occupancy ,,? /4
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type: \j3
Property is within flood plain: ❑Yes ❑No Square feet: i 5 Z /4-/q0
i ,i- ,`l"'',=CATEGORY OF, CONSTRUCTION„, s ,'�-?'` Cost per square foot:
0 Residential ❑Government ❑Commercial Other information:
,`2„A r;,JOB SITE-.INFORMATION`AND LOCATION' -.1, Type of Heat E.>� CA.'.
Job site address: /01 0 5-3 ^ S r Energy Path:
City: SP Ft o State: oti ZIP: 17y 79 2 new Ealteration ❑addition
Subdivision: jt(-,t-g 3,2r_j�pegr S Lot no.: /3 (b)Foundation-only permit? ❑Yes ❑No ,,// 7y�!�
Reference: /.O ZZ O J 7 Taxlot: 07.) 0 0 Total valuation: ig(pL/260°'6
:g-ts4 y A. . "_' .#..PROPERTYT OWNERS . .�.:; ,_-.'at'he' :2t'[Building[fee`s tv t, _"era, ',.1` h . . .n .'.-��ti. RiU;•_ I.
Name: (v.%411A-5 (.,),-- LLC (a)Permit fee(use valuation table): $ /� /Co
Address: 3 12.11 ow 17 Rd. (b)Investigative fee(equal to[2a]): $
City: tfSIi.s-o,-.. State: o._ ZIP: 973SY (c)Reinspection($ per hour): $
Phone: co Fax: - _ (number of hours x fee per hour)
Pr/ zr' 2GS `
E-mail: 7£C""...,t"-5 c (nays i-, .�f+ (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ J?U '�
(e)Subtotal of fees above(2a through 2d): S [
Building Owner or Owner's agent authorizing this application: 3lPlan i laS tees = �"'":'�.:� '`-r n ,--'
=+sue i s...n.. -. -
(a)Plan review(65%x permit fee[2a]): $ [off a�
Sign here: j"N-' (b)Fire and life safety(40%x permit fee[2a]): $
❑This installati n is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S
me or a member of my immediate family,and is exempt from licensing 'II::Miscellaneous fees 'a a„y,i s p e ,;,s«.a 6 -
requirements under ORS 701.010. °°
(a)Seismic fee, I%(.01 x permit fee[2a]): $
;;y r-+-, ?-°`:CONTRACTOR INSTALLATION + �.- ,., 6 (b)Technology fee,5%(.05 x permit fee[2a]): $51�
Business name: PA"`I (orfM-c,.r a 3in",cr. s-L,
TOTAL fees and surcharges(2e+3c+4a+4b): S
Address: 536,1 Z 57 -
City: S,e4i) State: 02 ZIP:9717 g
Phone: 5741 . ‘,..e _62_lei Fax: - -
E-mail: 9Av.5(, 1 5 r1A-C . Co"'
CCB license no.: 1603 47
Print name: 5 Co q- Of]-"i
Signature A. Ar -
rin5U CONTRACTOR_INFORMATION
"z
Name CCB License# Phone Number
Electr ical
E'51SIDL fifer
Plumbing
?P-f col a, ps--wr,r,
Mechanical
S‘JnS4f '4vn
•
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
5ki '+ Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01164
www.springfieldor.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/21/2013 EXPIRES: 02/16/2014
STATUS DATE: 08/21/2013 APPLIED: 06/05/2013
SITE ADDRESS: 1028 53RD ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702283402100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ELE-New single family dwelling -Lot 13 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
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.
# 8/Z///)
Owner or Contractor Signature Date
ATTENTION: Oregon law s Util ty requires
follow rules adopted by the Oregon
Notification Center. Those rules are set forth NOTICE'
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by • THIS PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note: the telepi "t:'
AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is .800-332-2-''_^4i ANY 180 DAY PERIOD.
Springfield Building Permit 8/21/2013 11:54:50AM Page 1 of 1
• SPRINGFIELD CITY OF SPRINGFIELD
l �� - ' •- 225 FiM St
dr-
TRANSACTION RECEIPT Spnngfield,OR 97477
OREGON 541-726-3753
811-SPR2013-01164
www.springfield-or.gov 1028 53RD ST pernstcenter @spnngfeld-or.gov
RECEIPT NO: 2013001822 RECORD NO:811-SPR2013-01164 DATE:08/21/2013
s ;�''ACCOUNTtGODETTRANS CODE • ta„h:U AMOUNTTDUE
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
PIP.AYMENToTiYP.E P.AY,OL2 rCASIa�ier DBSEWnCOMMENTS "'""aAMOUNTiRAID 5TA „;
Check DAVIS CONSTRUCTION SERVICES L 317.66
2084
TOTAL PAID: 317.66
�t lectrical Permit Application OEPARTMENT.USE ONLY: :;
SPNINGFlELD ..
�c 719Rt PSG a D ra CON- �3�ii s/7 _ , , y
�rt .<^ a?x^s-EY"-%i _ a-as:r�wla ? i` a Permit n0.'
225 Fifth Street•Spnngfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 T k' �
Date: W'
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.
„ LOCALOOVERNMENT-APPROVAL °., s ,=,FEE;SCHEDULE :;
Zoning approval verified? ❑Yes ❑No .Number of;nspections per dem O Qty , Cost ..Total
'�' /,-CATEGORY;OF:CONSTRUCTION _ - -l'^ .- = ,_ _ . cot.
,_./ Residential,per unit,service included:
Uv Residential D Government ❑Commercial 1,000 sq.ft.or less(4) $147.50 $/t( C,'�
JOB_SIT.E .INFO.RMATION=AND' LOCATION '§ -
Each additional 500 sq.ft or portion
Job site address: /QZE. SAD thereof -2_ $ 27.50 $ 5-5—.i
City: 5pgIN6FIft,.0 State: OR ZIP: 17.1-7•6 Limitedenergy(2) $ 35.00 $
Reference: Taxlot.: Each manufactured home or modular
.i I ? -DESCRIPTION'*.OFSWORK = t _'t dwelling service orfeeder(2) $ 69.00 $
Services or feeders:installation, alteration,relocation
NEW 5F R 200 amps or less(2)
$ 89.00 $
`',rc _. , EL RORERTY,,OWNER ,?i'_ s, rr =T. 201 to 400 amps(2) $ 104.50 $
Name: CV/Anti/OS INV. 1-1-4- 401 m 600 amps(2) $174.00 $
Address: 3 12 2.1 ospasy Rd. 601 to 1,000 amps(2) $225.50 $
City: LEoit+NNG/J State: oft ZIP: 973S-S- Over 1.000 amps or volts(2) $516.00 S
Phone:.Sy f 2.58 ZG S o Fax: - Reconnect only(2) $ 69.00 $
E-mail: Temporary services or feeders: installation,alteration, relocation
TEcvmA tNS e coMLi45r . to
This installation is being made on residential or farm property 200 amps or less(2) / $ 69.00 $°5
owned by me or a member of my immediate family. This 201 to 400 amps(2)
property is not intended for sale, exchange, lease, or rent.OAR $ 9s.00 $
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
+iE; t vCONT,RACT;OR 1NSTALLATION. ` n+4 a _ Branch circuits:new alteration, extent,on per panel
Business name: rA STStb E ELEct gi t .ttx . a Fee for branch circuits with purchase of a service or feeder fee:
Address: 3$2S'3 (jo$cA6 E LP. Each branch circuit
$ 6.50 $
City: Sprit,is pt u-a State: o2 ZIP: et-jy7*3 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:Sy/ 9!S 9 i2 S Fax: - - First branch circuit(2) $ 60.50 $
E-mail: Rp 1t)94,( e m tko a Co M Each additional branch circuit $ 6.50 $
CCB license no.: 11-7-7-70 BCD licehse no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: LI 7 2 7 S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: Ro6Ea kin& Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: go v4 Signal circuit or a limited-energy panel,
;fig P 4 - alteration,or extension(2) $ 80.00 $
Each additional inspection:(1) $80.00 $
Mgali rAP_PLI. ANT.USES _iJ,,01 i, _a&;
(A) Enter subtotal of above fees
(Minimum Permit Fee$80.00) $07(5=
(B)Enter 12%surcharge(.12 x[A]) - $ 12�
(C)Technology Fee(5%of[A]) $ /3 Si
TOTAL fees and surcharges(A through C): $3(7
440-2584-1(4/012013/COM)
SPRINGFIELD 225 Fifth St
iii-ar.- CITY OF SPRINGFIELD Springfield,OR 97477
.....A___Aii
( i Phone: 541-726-3753
.OR EGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01165
www.springtield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/21/2013 EXPIRES: 02/16/2014
STATUS DATE: 08/21/2013 APPLIED: 06/05/2013
SITE ADDRESS: 1028 53RD ST,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702283402100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: MEC-New single family dwelling -Lot 13 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 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 prope tyoandtfiet,a proved set of plans will remain on the site at all times during
construction. On/awl tPO;Yegpn Utt1It Fi
AT TF ,,��1�`0��5' Dopten'03 k ides ate 952 opt
1^ti f C ,Uv'•d11to. C you esOP�P r Ae-S by M. �G HAIL EXPIRE IF THE WORK
Owner or Cbntrac rr§i§the tako Coc , e te1eP Date THIS PERMI
p00p You may et ligotutil y No cattu AUTHORIZED UNDER THIS PERMIT IS NOT •
�Ulmber tot the 0100.232:2
3.. COMMENCED OR IS ABANDONED FOR
0entet t6 ANY 180 DAY PERIOD.
•
Springfield Building Permit 8/21/2013 11:58:08AM Page 1 of 1
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SPRINGFIELD CITY OP SPRINGFIELD
225 Fifth St
.:< ea OREGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S P R2013-01165
www.springfield-or.gov 1028 53RD ST permitcenter @springfield-or.gov
RECEIPT NO: 2013001821 RECORD NO:811-SPR2013-01165 DATE:08/21/2013
tDESCRIPTION - • _}_`. ACCOUNTCODE/TRANSCODE - AMOUNT_DUE: J
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
PAY -AMON .PAII
MENT TYPE PAYOR cns UTD `
xfgR:peow�sev �? -COMMENTS _ ._ _' -_. __ <_,.
Check DAVIS CONSTRUCTION SERVICES 1 176.09
2084
TOTAL PAID: 176.09
•
•
SPRINGFIELD °— 225 Fifth St
( CITY OF SPRINGFIELD Springfield,OR97477
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01166
www.springfield-or.goy permitcenter @springfield-or.goy
PROJECT STATUS: Issued ISSUED: 08/21/2013 EXPIRES: 02/16/2014
STATUS DATE: 08/21/2013 APPLIED: 06/05/2013
SITE ADDRESS: 1028 53RD ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702283402100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: PLM-New single family dwelling -Lot 13 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
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.
3450 Drywell/Soakage Trench . Drywell: Engineered Drywell is Required.
3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing.
3999 Final Plumbing Final Plumbing: When all plumbing work is complete. -
By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein,and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time,that each address is readable from the street,that the
permit card is located at the front of the property,and the approved set of plans will remain on the site at all times during
construction. -
A TON: Oregon law requires you to
f..n., tlLLe 2ctc.r.,,i by th.. n'^o^n 11+,ity "( .
Owner or cohf kb-rS5igrlafurenter. Those rules are set forth Date RU I I
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the mile; by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the teient.,:nc. COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Gbh ANY 180 DAY PERIOD.
Center is 1-B00-332,231,i
Springfield Building Permit 8/21/2013 11:57:08AM Page 1 of 1
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is
SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
711( eat TRANSACTION RECEIPT SpringfieldpR 97477
4"' OREGON 541-726-3753
811-SPR2013-01166
www.springfeld-cr.gov 1028 53RD ST permitcenter@springfield-or.gov
RECEIPT NO: 2013001823 RECORD NO: 811-SPR2013.01166 DATE:08/21/2013
DESCRIPTION €leg stMa' . ActoUNTCODE/,TRANStcODE"1= AMOUNTMUE
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
-.W,.�..._-.,..... W -' :.:s.,-.Sorg., ..m a r�„ °__ ,. ^ ,.e AMOUNT PAID - '<'1
='PAYMENT-TYP.E14•yPAYOR�caswea:ioaowLSer ,..�_ COMMENTS°�-�._=�v..} ..��" = 3- �: _ - ��..:':;,,�
Check DAVIS CONSTRUCTION SERVICES L 505.44
2084
TOTAL PAID: 505.44