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Home My WebLink AboutPermit Building 2013-8-23 SPRINGFIELD-- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 s"�i�aR�i� " Phone: 541-726-3753 OREGON - Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01705 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/23/2013 EXPIRES: 02/18/2014 STATUS DATE: 08/23/2013 APPLIED: 07/29/2013 SITE ADDRESS: 2822 20TH ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703244204700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Expand bathroom and add master closet and pellet stove OWNER: MOWER RICHARD L&PEGGY A Phone Number: 541-747.8797 ADDRESS: 2822 20TH ST SPRINGFIELD OR 97477 . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER . CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 • Electrical Contractor OWNER CCB 000000 08/01/2025 L INSPECTIONS REQUIRED b Inspections 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1170 Post& Beam Post and Beam: Prior to floor insulation or decking. 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. . - - 1530 Exterior Shearwall 1999 Final Building Final Building: After all required inspections have been requested and approKed and the building is complete. Ou t0 u\res Y IaN req °n utrldy N•, Oreg°r pre9 set{p01- Wiu10s adopted by th ales are Pr 1110Ser OA 95r;re by �OR� {olio Lion �tp 10 thr°ugh of th`e s O. 0 140.1 c n52.00 °bta\n°opre one ph=:w \\SO% \C\S to OM;You Note'. 1401:11\Get° ��C�: S\\P\\ N\S Q�N O F�Et • Oeige. n9 the pentO.eg°n NUIit23g4). �1�\S POI,�<JOES PgPNO� numbe6entee is 1-800 332 SP 1upM� t c.O o�F.V\�� SI Ogtvief Butli�PNfmit 8/23/2013 11:40:38AM Page 1 of 2 F D SPRINGFIELD ' 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 'OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01705 wvrr.spdngfield-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. • Owner or Contract ignature Date • r:. , t • • r/ • ,� - � ' • • • r.r r.' 1 '- , Springfield Building Permit 8/23/2013 11:40:38AM . Page 2 of 2 SPRINGFIELD -- CITY OF SPRINGFIELD - 225 Fifth St 15.1‘014:6-G. t EG 04-N. TRANSACTION RECEIPT Spnngfteld,OR97477 541-726-3753 811-SPR2013-01705 www.springfeld-ar.gov 2822 20TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001853 RECORD NO:811-SPR2013-01705 DATE:08/23/2013 ru :-rzsetzvsg.c_ ACCOUNT CODE/TRANS CODE `li= -1C1AMOUNT DUE 11. Planning-Minor Review-UGB 100-00000-425002 1231 286.00 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 61.32 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 - 1177 42.17 SDC:Total Storm Administration Fee 719-00000-426604 1180 5.17 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 23.23 Structural Building Permit Fee 224-00000-425602 1002 193.58 Technology fee(5%of permit total) 100-00000-425605 2099 9.68 TOTAL DUE: 621.15 KA-PA—WI " P.AYOR.;, cas riE o aivire Y '` COMMENTS e MO U NTO FP-MEM.. Check MOWER RICHARD L&PEGGY A 621.15 1372 TOTAL PAID: 621.15 SPRINGFIELD, I CITY OF SPRINGFIELD r1 t m+1Fme. 225 Fifth St tza EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01705 wwwspring961dor.goy 2822 20TH ST permitcenter @springfield-or.gay RECEIPT NO: 2013001655 RECORD NO: 811 SPR2013.01705 DATE:07/29/2013 �.-.� _ .1' €7_ACGOUNT_GODElTRANS;CODES'° tiFAMOUN7'DUEsP= Structural Plan Review Fee Residential 224-00000-425602 1061 125.83 TOTAL DUE: 125.83 PAYMENT-TYPE aJ..:.PAYORi,' ±12 4 COMMENTS _ `c...4 . i.:...&' 0 P_ D.'.' ER'-e Check MOWER RICHARD L& PEGGY A 125.83 1355 TOTAL PAID: 125.83 • • Structural Permit Application , .�Application SPRINGFIELD DEP..ARTMENT USErO NL•Y ..T CITY OF SPRINGFIELD OREGON ., , «.OREGON Permit no 9931- /70S— 225 Fifth Street•Springfield,OR97477•PH(541)726-3753•FAX(541)726-3689 Date: 772 / (CI This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. F --; _ LOCAL_GOVERNMENT AP„P,1:Fort i -,� a ' .; .-Y; ,,y FEE.SCHEDI�1ne, -Vs `. This project has final land-use approval. i1ttaliAho_n info m do`ffin £''t,fiTasa"xw t ;w-r .n`,"T: ,,.["' -1 Signature: Date: This project has DEQ approval. (a)Job description:epDrrIL / Signature: Date: Occupancy /Lc . Zoning approval verified: ❑Yes ❑No Construction type: VV Property is within flood plain: ❑Yes ❑No Square feet: /w L"tr' ,1—7 CATEGORY-,'fy,OF,r3 tiRUGTIOie Cost Cos per square foot: esidential ❑Government • ❑Commercial Other information:. , ” JOB1SITEtiIIF„ORMATIaNTAND�'1Ioni10N xr Type of Heat Job site address: 29-2-2_ 2QTi _ c.i, Energy Path: • Citycp?1 LI(}r.tP L n state(_ ZIP:C(7Lt77 ❑new ❑alteration addition Subdivision: �t Lot no.: - (b)Foundation-only permit? ❑Yes No Reference: 170•3 V14 t T axlot: 0L/70 0 Total valuation: s/25315 r *'..•,•.;rm =Pr 'P,ROPRIYeOWNER'rk, 'i2r» '"2 i3Talai ee�"sv `.y:. X V.n' -:ara .r5r.,. ti Name:12-10.[M2-(") L,at- ? -C--{- �LLc t' __ (a)Permit fee(use valuation table): $ Address:2CSZ . 2)---rid - \ . _T (b)Investigative fee(equal to[2a]): $ Cit } -` 14(1-c-I E./ State: CFy =CC 71.(77 (c)Reinspection($ per hour): Phone:5-41_11i'7-�r7 C('7 Fax: - - (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ (e)Subtotal of fees above(2a through 2d): s Building Owner or Owner's agent authorizing this application: ?3P n view fees ^ 't" It 'a" '""r''{ (a)Plan review(65%x permit fee[2a1); $ Stgu ere \�n - --�- (b)Fire and life safety(40%x permit fee[2a]): S////// s installation is being kade on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): .$ me or a member of my immediate family,and is exempt from licensing `'4&Mu el neon fees, nt_'", - 'n'�` °=a�'*< arms ` requirements under ORS 701.010 5341 -.4 ice" (a)Seismic fee, 1%(.01 x permit fee[2a]): $ `",, ";ret"adR'1INSTALLATION+ * g,°-°�""; 't„,�g``t,"it (b)Technology fee,5%(.05 x permit fee[2a]): S Business namel TOTAL fees and surcharges(2e+3c+4a+46): $ Address: City: State: ZIP: Phone: - - Fax: - - ^ E-mail: �Ja lY1 oI.UG�.(Ce) t ,ir!..�bU , 51jYh CCB license no.: %v1 Print name: Signature: _ ' .ry-;LSUB CONTRACTOR=INFORMATION€'° Name CCB License# Phone Number Electrical SO-/7oC Plumbing -- 93 / 7Da Mechanical S/3 - 1707 • SPRINGFIELD- 225 Fifth St irk 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-SPR2013-01708 www.springfieldor.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 08/23/2013 EXPIRES: 02/18/2014 STATUS DATE: 08/23/2013 . APPLIED: 07/29/2013 SITE ADDRESS: 2822 20TH ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703244204700 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Expand bathroom and add master closet and pellet stove OWNER: MOWER RICHARD L&PEGGY A Phone Number: 541-747-8797 ADDRESS: 2822 20TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ` Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED 1 Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 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 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 furt w agree to ensure that all required inspections are.requested at the proper time,that each address is readable from theos(�reet�t at the permit card is located at the front of thepiope and the approved set of plans will remain on the site at a0 tithes i . -10 construction. `� �NCwOR tegor�a�r Otsalese`LCp�- � E� HP` SM, �vN�N• o�relotgh oPret r ga ZNto �N gi 13 Dattp% . .Gaktot 001-0o.0 cope the Nep eatle� PUj ENrJEO O �Op. �o�t6 9,9y1 al ob <. ep X301 Qql. CO OP`X180 D P� PAR t0N.r9 C 1 ih`v`�?pe-332•z3 ne0e Oerte Springfield Building Permit 8/23/2013 11:42:34AM Page 1 of 1 SPRINGFIELDsine CITY OF SPRINGFIELD { �a TRANSACTION RECEIPT Spnng(eId,OR 97477 `?fit' 541-726-3753 OREGON 541-726-3753 www.springfield-or.gov 2822 20TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001854 RECORD NO:811SPR2013-01708 DATE:08/23/2013 _E � Y 5Y `i5 F_ :. . �. DESBRI',TION _.�� ice.'. sJ_u',��x9 «��.m CGOUNT:CODElfRANS CODE "{�Ara _-__- AMOUNTuDUEs;�i Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 80.00 State of Oregon Surcharge(12%of applicable fees) • 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 P W/IENI'rW.# V AXOR cnsra oeow ser ';af COMMENSS _ a I=F .. A,M_QY.NIT FAIDINSMOVIE4 Check MOWER RICHARD L& PEGGY A 93.60 1372 TOTAL PAID: 93.60 Plumbing Permit Application DEPARTMENT.USE ONLY , ti gltia:tatasgRWtY17%'s$1:SiargitVikrf;a4;i11.;?;*iirliatfiRlic#Ct !'SPRINGFIELD rrS° y . _.-_. CHTh ;OFJSPRYNGF�L-�OREGON. "' Permit no-: 5/..7-/765 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 772, This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. .:.LOCAL GOVERNMENT APPROVAL.[ 'c' =hx"t ri. ,. 1 ,, ,�F EE,'SC H EDU LE, ,... ' , , .,t,; _ #}'j Zoning approval verified? Ill Yes ❑No Description a 1 `t?t " t Qty tCostl*' r Fa 0 approval verified? ❑ Yes i '" ' '-ny4-Ii '`. ',"``g `--°'ea ., ;co`st cn ❑No ,New residential :7- `[CATEGORY;OF"CONSTRUCTION 1 xT n: 1 bathroom/] kitchen(includes:first Ly'tcesidential ❑ Government ❑Commercial 100 ibs, ice maker,water/sewer lines, hose $262.00 $ bibs, ice maker, underfloor low point t,i.„2 '::10B' INFORMATION:'AND •LOCQTIONsi 470,2 drains and rain-drain packages) ) Job site address: .- ..7---2.-- �Q • G ]-I • 2 bathrooms/I kitchen $411.00 $ CityC�l M( '1I♦✓ D StatC]W ZIP:G17L1 1 3 bathrooms/1 kitchen $483.00 $ Each additional bathroom(over 3) $104.50 $ Reference: Taxlot.: Each additional kitchen(over I) $104.50 $ r4,_l;, , 0, %,DESCRIPTION '0E1[1,VVORKAMAgCM Residential fire sprinklers(includes plan review) Y' rir>cn--r] I� (} AN.--0?nom -col 0/: 0to2,000 square feet $80.00 $ 2,001 to 3,600 square feet $128.00 $ ,d,'I:`, '° .1b" IlPROPERTY'owNER ''n;i ri"h ',"e, (, 4 3,601 to 7,200 square feet $192.00 $ NameQjCJ M7 t L � (15 ' A-n\0(Ub(i _ 7201 square feet and greater $255.00 $ Manufactured dwelling or pre-fob(circle one) Z Address:2� 2 - 2l///��-T N • S c , Connections to building sewer and Cit ,t 1,]c,,,41-112 L'(D State: CW ZIPq`]I4-77 water supply $80.00 $ �-r t�,�� Commercial,industrial,and dwellings other than one-or Phone:SL 1 - / 47 c /-I- Fax: - - two-family E-mail: ¶�Q Loc(2 l � �/A-nrn,act n^ Minimum fee -$80.00 $ This installation is being made on residential or farm property Each fixture $21.00 $ owned by me or a member of my immediate family, and is Miscellaneous fees exempt-fr licensing requi ements under OAR 918-695-0020. 100' storm,sewer,water line -$83.50 $ Signature -\(\k\ (mow=€_ -' Each fixture,appurtenance,and piping $21.00 $ l'.1:1 t, .%'.CO TO RA INSTALLATION f'�ty`t',", akk Storm water retention/detention facility $21.00 $ Business namebt_d't.' ]"-- - Irrigation systems $21.00 $ Piping or private storm drainage Address: systems exceeding the first 100 feet $21.00 $ City: State: ZIP: Specialty fixtures l $21.00 $ Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone: - - Fax: - - Special requested inspections(no.of E-mail: - hrs x fee per hr.) 1 $80.00 $ CCB license no.: BCD license no.: Each additional inspection:(I) 1 $80.00 $ Plumbing license no - =Medlcal'gas,plpmgc, }rir 'u ' ;£4 Minimum fee $ Print name: Enter value of installation and equipment$ . , Enter fee based on installation and equipment value. $ Signature: a",iii APPLICANT `USE" ;" .c 72, (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ (B)Investigative fee(equal to[Al) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges (A through D): $ 440-2500-I(4/12013/COM) 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-SPR2013-01707 www.springfeldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/23/2013 EXPIRES: 02/18/2014 STATUS DATE: 08/23/2013 APPLIED: 07/29/2013 SITE ADDRESS: 2822 20TH ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703244204700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Expand bathroom and add master closet and pellet stove OWNER: MOWER RICHARD L&PEGGY A Phone Number: 541-747-8797 ADDRESS: 2822 20TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 • INSPECTIONS REQUIRED j Inspections 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. VC N , �Owner or Contract Signatur . ^-�wO�K Date . efUtte o °Zt\t�y`� ENE O, n\ate 1 01eg se\\ot \ P\RE\� M\S\SN n,eg°c a\DI -\esa`Pg20° Y O��C�� \� SNP` \R \SPpNEpEOR <0' saa ete�h°coJ9hp°PheN�Yb It*C't\EO � \S N%3°- N-140.0 o gip°O„you a\�°ove\re Nop\Ga�tO� PORN O\�OEO 0p0 N OPPg`'Umay bet, lo��\Sd.0q ). G N M*OPT Q ,o°co\\�g<�o<•0e at1 a°°-332 be Ge°\e Springfield Building Permit 8/23/2013 11:36:40AM Page 1 of 1 SPRINGFIELD-- - CITY OF SPRINGFIELD 225 Fifth St r 1 TRANSACTION RECEIPT Springfield,0R 97477 'a.'OREGON 541-726-3753 811-SPR2013-01707 wwvcspnngfield-ar.gov 2822 20TH ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013001851 RECORD NO:811-SPR2013.01707 DATE:08/23/2013 DESCRIPTION+. .,E tsit d ;rs tA a ' :r&1Jfl-ACCOUNT:COD : RANS1'CODE.t t AMOUNTDUE l4?I First Appliance Fee 224-00000-425604 1006 80.00 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 10.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.80 Technology fee(5%of permit total) 100-00000-425605 2099 4.50 TOTAL DUE: 105.30 PAYMENTTYP,E P-AYOR OnsRIERcOe trif = COMMENTS ANI9UNTgRAIf) Check MOWER RICHARD L& PEGGY A - - 105.30 1372 TOTAL PAID: 105.30 Electrical Permit Application DEPARTMENT.'LSE ONLY �y $PNINGFIELD M�e .'Y-`k..` payu'°'!'-'tSt✓",Ti e`Y^. .. t�uW ' '+Y4S.'7`IX t .. d C TYOKSPRTNG a ! LI OREGON r /�7 fru;=. s•+ ..: i - .<.4::•! s;. a#� ;..� .�.'. -� Petmitno.: 51 —/ !� 225 Fifth Street•Springtield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: 772,70 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. .;LOCALCGOVERNMENT]iAFPROVAL > ; " _,. r. q,„2„ ;E,EErwSCHEDULE ,o'zt *i g,,ti , ,” , Zoning approval verified? Yes ❑No ' f ` 'rLt ]]Cost�Ne p ettm() ea '„ r., cootsatl b H` n ' ',:;CATEGORY O.Fet;CONSTRUCTION * = 6 Eij , k_- Residential, per unit,service included: 'Residential ❑ Government ❑Commercial !_;,,,,JOB.,[[SITE INFORMATION AND-`LOCATION °}�i , 1,000 sq.fr. or less(4) $147 50 $ Each Job site address: 2c:5-2-2.. 20- 1 thereof additional 500 sq.ft.or portion $ 27.50 $ City:CS i ],[( FI ELVJ State: Ole_ ZIP:g7 L'--)1.7 Limited energy(2) $ 35.00 $ Reference Taxlot.: Each manufactured home or modular $ 69.00 $ 1st` aWi PDESCRIPTION OF;;WORK`.�4% ;'-;: ]]mar. dwelling service or feeder(2) Rr, ..ilra ff 11,�,, ,d Services or feeders: installation, alteration,relocation NMI-Ro i. I -To Pcn N i" —t OT 1Jv �� 200 amps or less(2) $ 89.00 $ of a Y zR r PRO PERTY4OWNER 9* `;-L" : 201 to 400 amps(2) $ 104.50 $ Name: 2i C440217 L, A_ \ W C-(/L 401 to 600 amps(2) $174.00 $ Address: 2cs22. '20 Ti-I, 601 to 1,000 amps(2) $225.50 $ Citys't[a( F]eL]7 State:OW ZIPC(`]Lf 77 Over 1,000 amps or volts(2) $516.00 $ Phone-54i -` '�-] 17i Fax: - Reconnect only(2) $ 69.00 $ �0�) 'e" ^ %`, '1 Go rp` _ Temporary services or feeders: installation, alteration, relocation E-mail: tyJ Yttt t Vl This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $ 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 ,A _ Over 600 amps or 1,000 volts,see services or feeders section above "-;'--L y,,CONTRACVOR;,INSTAL`L''ATION t c ,..:P?< e Branch circuits: new alteration, extension per panel Business name: %1..-✓A/'6-17 a. Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.50 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included _Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, - $ 80.00 $ alteration,or extension(2) Each additional inspection:(1) $80.00 $ (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ TOTAL fees and surcharges (A through C): $ 440-2584-J(4/012013/COM) • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01706 www.springfeld-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/23/2013 EXPIRES: 02/18/2014 STATUS DATE: 08/23/2013 APPLIED: 07/29/2013 SITE ADDRESS: 2822 20TH ST,Springfield,OR 974771 SCOPE: ASSESOR'S PARCEL NO: 1703244204700 TYPE OF STRUCTURE: • PROJECT DESCRIPTION: Expand bathroom and add master closet and pellet stove OWNER: MOWER RICHARD L&PEGGY A Phone Number: 541-747-8797 ADDRESS: 2822 20TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION _ _I Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER COB 000000 08/01/2025 Electrical Contractor OWNER COB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 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. Owner or Contrac .r Signature `*1 o? - Date V 1es.1�tt��{y P\ottV I*Z\S Not ote9°\'by{h O s 90 se{{ot{h ate 0°\ IlkCO Ve\00. Nn{o PRVp�maebeao lo\:‘,3‘\23�Q�G PN18�S P� p0�a�\1�9 tot the o1e 82. Or Der{et • • Springfield Building Permit 8/23/2013 11:39:17AM Page 1 of 1 SPRINGFIELD " CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 EGON 541-726-3753 811-SPR2013-01706 vmnv.spnngfieldar.gov 2822 20TH ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013001852 RECORD NO: 811-SPR2013-01706 DATE:08/23/2013 n 'L-: u'-. -" T i - `--Fra ''-.' -,.•nit" ACCOUNT CODE/TRANS CODE-_.-.l` . 5'h1AMOUNT.DUE 5`;i Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 PAYMENT�IYP.E _ P.AYOR CASHIERT tiSTY Qsav __ _ _ COMMENTS AMOUNT PAID Check MOWER RICHARD L& PEGGY A - 93.60 1372 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY v] •y ,pp yn5 '- SPRINGFIELD 4r'Z'PZ"'f" C YA,o3rG ��i O uECO Permit no.: 31 y---/ 7617 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(54l)726-3689 t( 5*- * 't,' Date: 7(2,(( 7 This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. // ',CATEGORY'OF,rCONSTRUCTION FEE SCHEDULE r ,a Rkesidential ❑Government ❑Commercial Residential +, .I 4; , Qty `Qast ' ` coral '?-?„ JOB SITE-INFORMATION', AND„LOCATION First Appliance $80.00 $ Job site address: .Z ZZ ZOTN- `r Furnace/burner including ducts and vents CityG [N( [ELL State°(? ZIIL(71-t 7`J Up tol00kBTUhr. $18.50 $ Over 100k BTU/hr. $22.00 $ Reference: Taxlot: Heaters/stoves/vents I J 'DESCRIPTION`OF„WORK Unit heater $18.50 $ P.1)I N G- >Pi t E -( O 0 E Wood/pellet/gas stove/flue $42.00 $ ar c), 0 h�Ci N nr.`�f� \r(I'Zcon\ F- Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ 2`u N PRO_PERTY tO,MINER ,, is ' , _ I, _ absorption system Name:9J(AM7p LI c4- Y(".�T�71 m0(,0 Evaporated cooler $14.50 $ Address:z�22. 20-TU . ST I Vent fan with one duct/appliance vent $10.00 $ Hood with exhaust and duct $14.50 $ City [ (� StateCyL ZIPCC7 j`] 7 Floor furnace including vent $80.00 $ Phone:511 I --7L !--/q-7 Fax: - - Gas piping E-mail: ( rx MoLc��--(_./PACO ,7-z One to four outlets $7.50 $ This installation is being made on property owned by me or a Additional outlets(each) $4.50 $ member of my immediate family, and is exempt from licensing Air-handling units,including ducts requireme under ORS 7011 01\0. �, Up to 10,000 CFM - $12.00 $ Signature: . ra V V\(_ Over 10,000 CFM $22.00 $ s . O NT tOR INSTALLATION m �. a r Compressor/absorption system/heat pump Up to 3 hp/100k BTU $18.50 $ Business name: Up to 15 hp/500k BTU $32.00 $ Address: Up to 30 hp/1,000 BTU $47.50 $ City: State: ZIP: Up to 50 hp/1,750 BTU $62.50 $ Phone: - - Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ CCB license no.: - • - u ,, Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. - $ Miscellaneous fees" , items cost Total x .�,..^a-.e-a, r ., .-r•.r., ..� � r;ea .. cost.° Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ t ,, a'_v ., APPLICANTErUSE31) =.k..-= 1 (A)Enter subtotal of above fees(or enter set minimum fee of $80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Seismic fee, I%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ 440-2545-J(4/I/2013/COM) TOTAL fees and surcharges(A through E): $