The URL can be used to link to this page

Home My WebLink AboutPermit Building 2013-8-27 • SPRINGFIELD _ ' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ..:`ice Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01346 www.springfield-or gov • permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08127/2013 EXPIRES: 02/22/2014 STATUS DATE: 08/27/2013 APPLIED: 06/21/2013 SITE ADDRESS: 5279 HIGH BANKS RD,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702283401400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-New SFD-Lot 6 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 8 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 :ATTENTION. Oronnn la9PPteipeS you to 1370 Masonry Ventig.now rules adopted by the Oregon Utility • 1410 Underfloor int , atlon(.enter. Ti lobe t,.Ic3 crc cot forth "-'-'� n in OAR�5n-not-nn10 through OAR 952-001- WORK 1420 Insulation Va rri�r U may obtain copies of the rules by Ro i iCE M\T SHALE EXviRP IT Mfl IS N01 ;',1S PER NDER THIS PER 1430 Insulation Wall calling the ve nial• '�°N%au`insuiation ,P,rjgnto cover. nl ITHORIZED U NDDNE� FOR - na "or r r t a rlrPaOn nLAV c OMMENCED OR 6 ABA 1440 Insulation Ceiling Center is 1-800 Ceigng Insulation: Prior to cover. ,. n 1520 Interior Shearwall Shear Wall Nailing: Before covering:she`athirig wttkil$niAlNdtt�r alb ERIOn 1530 Exterior Shearwall 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 place, but prior to plastering. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. r . Springfield Building Permit 8/27/2013 10:50:15AM '' Page 1 of 2 SPRINGFIELD 225 Fifth St hit.. CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 ..c.�� REGON Bu ilding I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01346 www.springfield-or.gov pe rmitcenter @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. . jr 9(77 (13 . Owner or Contr ctor Si�re Date • Springfield Building Permit 8/27/2013 10.50:15AM Page 2 of 2 SPRINGFIELD-ass' CITY OF SPRINGFIELD -�_ ;is 225 Fifth St . TRANSACTION RECEIPT Springfield OR 97477 -- OREGON 541-726-3753 811-S PR2013-01346 www.springfield-orgoy 5279 HIGH BANKS RD permitcenter @springfield-or.gov RECEIPT NO: 2013001893 RECORD NO:811-SPR2013-01346 DATE:08/27/2013 DESCRIPTION_, j..., _ __ :_:w __ _ ,_ —, -:_,__ :ACCOUNT CODE/TRANS„CODE , . , _,_-.�AMVIOUNTDUE,j Address Assignment, each new or change 224-00000-425602 1020 42.00 Encroachment 201-00000-428060 1143 280.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 100.55 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 847.60 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 502.59 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 1,736.64 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 345.02 SDC:Total MWMC Administration Fee-Local 719-00000-426604 1121 - 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 129.21 SDC:Total Storm Administration Fee 719-00000-426604 1180 42.38 SDC:Total Transportation Administration Fee 719-00000-426604 1190 60.87 ' Structural Building Permit Fee 224-00000-425602 1002 1,103.44 . Willamalane fees-Single family detached 821-00000-215023 1074 1,482.84 TOTAL DUE: 9,500.00 PAYMENT TYPEy "= PAYOR ,;CASHIER.JLARSON _,- COMMENTS ; ) _ _ AMOUNT PAID- - a __ .. x__.... . . . ... .. ._gym Credit Card CUMMINS INVESTMENTS LLC 9,500.00 045539 TOTAL PAID: 9,500.00 6PRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-725-3753 811-S P R2013-01346 . www.springfield-or.gov 5279 HIGH BANKS RD permitcenter @springfield-or.gov RECEIPT NO: 2013001897 RECORD NO:811-SPR2013-01346 DATE:08/27/2013• +DESCRIPTION _, _ ACCOUNT CODE/TRANSCODE AMOUNT DUE__ Planning-Major Review-City 100-00000-425002 1231 211.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 132.41 Technology fee(5%of permit total) 100-00000-425605 2099 71.27 Willamalane fees-Single family detached 821-00000-215023 1074 1,927.16 TOTAL DUE: 2,341.84 I, PAYMENT TYPE_ PAYOR CASHIER JLARSON. COMMENTS -, AMOUNT PAID Check CUMMINS INVESTMENTS LLC 2,341.84 2093 TOTAL PAID: 2,341.84 • • SPRINGFIELD-_ CITY OF SPRINGFIELD 225 Fifth St '`OREGON OREGON RECEIPT Springfield,OR 97477 541-726-3753 • 811-SPR2013-01346 . wwwspringfield-or.gov 5279 HIGH BANKS RD perrnitc enter @springfield-or.gov RECEIPT NO: 2013001299 RECORD NO: 811-SPR2013-01346 DATE:06/21/2013 :DESCRIPTION - ,` . m_;._ACCOUNT CODE/TRANS CODE . AMOUNT„DUE J Structural Plan Review Fee Residential 224-00000-425602 1061 717.24 TOTAL DUE: 717.24 ;,,.;PAYMENT TYRE � •PAYOR_ GAS) R:CCARPENTER_____ COMMENTS_ - -' . . _J AMOUNT PAID Credit Card CUMMINS INVESTMENTS LLC 717.24 00111D TOTAL PAID: 717.24 • • Structural Permit Application SPRINGFIELD D li.'l DEP. -nvpiqrysp9N07 5/ tatmv,T2R3f4.3pc.Tmegtat..5±7-r-ig-T-1.-ww.pi-wkinizave. . ...,_ .,. . , ----"rryw h • 6-cAtkaitagsgEsamarrmistuogm4DiFseaskala x efr Permit no- - 5/7- /34,/ 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 :; Date: VZ/ 3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days I issuance or if work is . suspended for 180 days. . ::::tfik.*:"VV--IOCAlf::-.GOVERNI91ENT;',ARBEi0V.Al2;*gi":54.)-;24gi •±n-?..:1;A;;AVS:MFEE:;SCRED1-/LEA:','I:IMR:03-1,7.0";?; This project has final land-use approvaL :-1 Witifiliaillitg61411f457,-. 7:0;ifY3:55 ,- -.W,M.;-..ilgy.ii.: Signature: Date: (a)Job description: 5,,vp.e.- rr-Astif, jcs This project has DEQ approvaL Occupancy f/A Signature: tEre: Date: la Zoning approval verified: 0 Yes 0 No Construction type: 3/tA Property is within flood plain: 0 Yes 0 No Square feet: /9-321,-/..772,C ja7/144QWeket. -61§IiiibiZelekiikira1j60:i21.W.fka Cost per square foot: ErEesidential I 0 Government I 0 Commercial Other information: 11141.iiigl•l§iffricii•irokidAtibi.ifAkiiiliokfiiiiiir.laS Type of Beat: Job site address: 5t1 11-th if 6.4n i PO4-4 Energy Path: City: 5p11iNti rift.0) I State: at I ZIP: 974751 tiiiew Oalteration 0 addition Subdivision: litepsr o,--. p -er I Lot no.: (b)Foundation-only permit? El Yes lag° Reference: I 47 0 Zit-g 3 til Taxlot 0 f L./C.,0 Total valuation: I $ 177 572.M 1gtia:fg-AlgAtrAti2.41:R/3ileikFitileCAAEWAI7nISSPicciek? ,:e:iiiiiialit2P;AUWAtii:t0t:Mal(04-;:5!,4-*5-a:142,11, S,13_," Name: CL".1Aill-IS 'Pitt 1-1-4 (a)Permit fee(use valuation table): $ Address: 3 12,2.i 05p a fi L../...1. (b)Investigative fee(equal to pal): $ City: Li 3A.,-.9 ,-1 State: azt. ZIP:43/;5-5- (c)Reinspection(S per hour): $ Phone: n - . 7-4 5-6 Fax: - - (number of hours x fee per hour) izsg (d)Enter 12%surcharge(.12 x[2a+21)-1-2cD: $ /32-kij E-mail: T£cvs4Alt. -C e Co•Acts r. &I.r - (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: .:S:A'T;ttti-WWfee'iaqMRVZ:g:git ::14ki'gff;#iIcracilPNk (a)Plan review(65%x permit fee[2aD: S-7/7 ZY Sign here: lilt hst. (b)Fire and life safety(40%x permit fee[2a]): $ []This installau n 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 and is exempt from licensing l4 ifiCiiiikteliTs'YeeiaWklas.r:Qigi=i<ztilli0=?Zl*i requirements imder ORS 701.010. a_, ( )Seismic fee, 1%(.01 x pennit fee[2aD: $ 13.35CW.SA,GGIkTRACTGRANSTALLATIOKI4PiRa--ii (b)Technology fee,5%(.05 x permit fee[2aD: S SS-/-- Business name: DAN/15 ent-111-.e,ren‘v ea Strthei ite TOTAL fees and surcharges(2e-13c-1-4a-F415): 9 700,30 Address: 5.541 1 5725ti- City: Cpt-t r> State: a._ Z1P:47/73 Phone: s-14 i t 4 fr3 o2-9.1 Fax: - - E-mail: PA vi.CCO 1- e 40-e, toe., CCB license no.: 14 0 9 3 -1 - r(A) O .-¼C- Print name: C cow- D./1,n.) Signature: AA— 1/41M-. / • nr..--- (15.___27S. h_t___1—.T—ViGTORTINFORIVI_S Name CCB License# Phone Number Electrical 111170 9Lr9512 5 - . , E.4575 in it.fe Ma ( Plumbing p A le 0,Q,_, pL.,,,,,g.,,, 1S-3775 9 5-3 - Lit 7 Mechanical 1-7/7.0C• 91a9 - 3/g ) 5vg i-r.- tiv.4-e - • willamalane dello Park and Recreation District Job. No. 93 `(rqG PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 qq�� NAME: ( "(As-S (frt/• PHONE: 7.31 & 5b ADDRESS:3/2 Z( O 1/3(e, CITY:/E3? • STATE" ZIP: 5-273,- LOCATION OF PROPOSED BUILDING SITE: • Street address: 527y hy4`G 'IJ.Et r Plat name: • Tax Lot Number: 002.2 2-13%' D(V.& 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X $3,410 per unit= $ 3 t( ( v 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 �y credit approval.) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ 77/0 City of Springfield Date of building permit submittal eD a 8 , Z7/ /3. City of Springfield Date of building permit issuance ' SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 � « Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01347 www.springfield-orgov permitcenter©springfield-or gov PROJECT STATUS: Issued ISSUED: 08/27/2013 EXPIRES: 02/22/2014 STATUS DATE: 08/27/2013 APPLIED: 06/21/2013 SITE ADDRESS: 5279 HIGH BANKS RD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702283401400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-New SFD-Lot 6 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 8.AIR INC CCB 171706 08118/2014 541-554-2604 L INSPECTIONS REQUIRED Inspections 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. • l 91D-703 Owner or Co9 ignature Date 1, . THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth '^MMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- n'v Dcpinn 0090. You may obtain copies of the rules by calling the center. (Note: the teleoh.,t c, number for the Oregon Utility Notification Center is 1-800-332-2344). • • • • Springfield Building Permit 8/27/2013 10:41:34AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 OREGON 811SPR2013-01347 www.springtield-or.gov 5279 HIGH BANKS RD perrnitcenter @springfield-or.goy RECEIPT NO: 2013001895 RECORD NO:811-SPR2013-01347 DATE:08/27/2013 tDESCRIPTION�_ _ ACCOUNT CODE/TRANS CODE AMOUNT_DUE.,_• Each added 500 sq.ft. or portion _ 224-00000-426102 1004 55.00 Residence wiring 1.000 sq ft or less 224-00000-426102 1004 147.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.30 Technology fee (5%of permit total) 100-00000-425605 2099 10.13 TOTAL DUE: 236.93 L__PAYMENT TYPE PAYOR_ CASHIER:JLARSON _ COMMENTS°s , AMOUNT PAID I Check CUMMINS INVESTMENTS LLC 236.93 2093 TOTAL PAID: 236.93 • • • • Electrical Permit Application DEPARTMNT:USE ONLY. tlit; ® PsRINOVI11+.kET OR.E:WM , . —'-;sue -i,ar.�, ' w . 4-aw. t- / s Permit •no-. S 13 /310 225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 / Date: 6/Z/ // 7 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. :LOCAL.GOVERNMENT APPROVAL 4; I.;- FEESCHE15 ULE 'v, Zoning approval verified? ['Yes Number ofinspect,ons per item Q Qty ,� cost- , ❑No ` �, Cost Total - - �.'CA'fEGORY,�OF.:,CONSTRUCTION � .�_'_: . - - Residential,per unit,service included: 2/Residential ❑Government ❑Commercial ?:' JOB;SIT.E..JNFORMATION=AND' LOCATION 1,000 sq.ft or less(4) / $147.50 $/✓)l�1� Each additional 500 sq.ft.or portion Job site address: 527/ 14.140 Rhw v s poi. thereof -2 $ 27.50 $ S-roo City: 5PK;N6FIEt.0 -State; OQ ZIP: 97978 Limited energy(2) - $ 35.00 $ Reference: Taxlot Each manufactured home or modular = dwelling service or feeder(2) $ 69.00 $ ;<', , } iDESCRIPTION OF; WORE(;;m y „ Services or feeders:installation,alteration,relocation /VELA) SFR NJ 0 -riv\ p CIA 200 amps or less(2) $ 89.00 •$ N E.�VI.P.c PROPERTY OWNER, a,.>;, 201 to 400 amps(2) $ 104.50 $ Name: CUMMINS INV. 1-1-4- 401 to 600 amps(2) $174.00 $ Address: 3 122 t ospasq pa. 601 to 1,000 amps(2) $225.50 $ City: LE3s,NoN State: o/t ZIP: 973SS Over 1,000 amps or volts(2) $516.00 $ Phone:51/ 219 26.So Fax: - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders:installation, alteration,relocation T,scvAle t.S a CDtitchsr . NIT 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) property is not intended for sale, exchange, lease, or rent.OAR $ 96.00 $ 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 - '.'€^t - CONTRACTOR-1NSTALCATIONa; ar _ Branch circuits:new, alteration, extension per panel Business name: rA 5TS,D£ EL,Et T/2, t .INL . a.Fee for branch circuits with purchase of a service or feeder fee: Address: 302S'3 ao$cA6E LP. Each branch circuit $ 6.50 $ City: 5 pzt..4 F,u.n State: ca ZIP: 9-79-7g b.Fee for branch circuits without purchase of a service or feeder fee: Phone:5q( 9/5-- 912 t Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Qp l€)q_( e yA t+.D. rosy. Each additional branch circuit S 6.50 $ - CCB license no.: i 1777 o BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: f 7 17 s Each pump or irrigation circle(2) S 69.00 $ Print name of signing supervisor: I?obeli k,Nb - Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, $ 80.00 $ Signature of signing supervisor: ,' ` �' _/ alteration,or extension(2) Each additional inspection:(1) $80.00 $ `111•; „„'`l APPLICANT USE x ry`P"" (A) Enter subtotal of above fees $ 5"'29 (Minimum Permit Fee$80.00) _ (B)Enter 12%surcharge(.12 x[A]) $ -7 W (C)Technology Fee(5%of[A]) $ Al,. i TOTAL fees and surcharges(A through C): $ ??6 9J 440-2584-J(4/012013/C0M) • , SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 `tom Phone: 541-726-3753 kii......._ �� O REGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01349 www.Springfield-or.gov pe rm itcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/27/2013 EXPIRES: 02/22/2014 STATUS DATE: 08/27/2013 APPLIED: 06/21/2013 SITE ADDRESS: 5279 HIGH BANKS RD,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702283401400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-New SFD-Lot 6 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 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 INSPECTIONS REQUIRED . Inspections • 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. • 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 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 isppcaLedtal tUhytrent.ottthe propecyiva eS y0U [O ved set of plans will remain on the site at all times during constructlon.foilow rules adopted by the Oregon Utility • Notification Center. Those rules are set forth i T ICE: i f r' 952-001-0010 through GAR 952-001- r9�Z��i{?5 PERMIT SHALL EXPIRE IF THE WORK Je .; �y AUTHORIZED UNDER THIS PERMIT IS NOT Owner orC ntractdr:Signaturelier, rip "q itlep :,w,, Date nucloe for the 1— COMMENCED OR IS ABANDONED FOR 1 ANY 180 DAY PERIOD. Springfield Building Permit 8/27/2013 10:46:59AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD :1 d .a 225 Fifth St (` TRANSACTION RECEIPT Springfield,OR 97477 ''. ``OREGON 541-726-3753 811-S PR2013-01349 www.springfield-or.gov 5279 HIGH BANKS RD permitcenter @springrield-or.gov RECEIPT NO: 2013001896 RECORD NO: 811-SPR2013-01349 DATE:08/27/2013 'DESCRIPTION _ _ ' _. ACCOUNT CODE/TRANS CODE__:, - AMOUNT DUE.II 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 LPAYMENTTYPE a PAYOR CASHIER:JLARSON °°COMMENTS _ ';'': :- , AMOUNT PAID _^- �i _J Check CUMMINS INVESTMENTS LLC 480.87 2093 TOTAL PAID: 480.87 SPRINGFIELD 225 Fifth St hit", CITY OF SPRINGFIELD Springfield,OR 97477 t� Phone: 541-726-3753 ` OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01348 www.springfield-or.gov permitcenter(ojspringfield-or.gov PROJECT STATUS: Issued ISSUED: 08/27/2013 EXPIRES: 02/22/2014 STATUS DATE: 08/27/2013 APPLIED: 06/21/2013 SITE ADDRESS: 5279 HIGH BANKS RD,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702283401400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC -New SFD-Lot 6 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 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 addres GIs readable from the street,that the permit cardyiUt at the front of the property, and the approved set of plans will rern l�i M� JetGtILti�t�es ringe construction. follow rules ado t y Orego You t THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rulOrare set folrth WJTHORIZED UNDER THIS PERMIT IS NOT / in OAR 952-001-0010 through OAR 952-001- " ' In .IF,FfI f1R IS ABANDONED FOR 0f 7/(30090. You may obtain copies of the rules by Owner or c ntractEirSl`grihiure:RIOD. Date Calling the center. (Note: the teleph:.:r� g number for the Oregon Utility Notification Center is 1-800-332-2344), 1 Springfield Building Permit 8/27/2013 10:44:07AM Page 1 of 1 SPRINGFIELD--- CITY OF SPRINGFIELD 225 Fifth St LAP`OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01348 www.springfield-orgov 5279 HIGH BANKS RD permitcenter©springfield-or.gav RECEIPT NO: 2013001894 RECORD NO:811-SPR2013-01348 DATE:08/27/2013 DESCRIPTION ' ACCOUNT CODE/TRANS CODE AMOUNT_DUE First Appliance Fee 224-00000-425604 1006 80.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 Gas Piping up to 4 outlets 224-00000-425604 1006 7.50 Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms, toilet compartments, utility room: 224-00000-425604 1006 40.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.26 Technology fee(5%of permit total) • 100-00000-425605 2099 8.03 TOTAL DUE: 187.79 L!PAYMENT YPE �PAYO „CASHIIE :JLARSON __ - OMMENS, w AMOUNT PAD , t Check CUMMINS INVESTMENTS LLC 187.79 2093 TOTAL PAID: 187.79 • •