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HomeMy WebLinkAboutPermit Building 2013-8-30 SPRINGFIELD . . 225 Fifth St _ CITY OF SPRINGFIELD Springfield,OR 97477 h , L Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00317 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/30/2013 EXPIRES: 02/25/2014 STATUS DATE: 08/30/2013 APPLIED: 02/14/2013 SITE ADDRESS: 5981 THURSTON RD,Springfield,OR 97478 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1702342200200 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Partial garage conversion to bathroom/laundry OWNER: FINE JON R Phone Number: 541-729-9734 ADDRESS: 5981 THURSTON RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION II 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 II - Inspections 1220 Underfloor framing 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. 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. 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. NOTICE: ATTENTION: Oregon law requires YOU to THIS P foilow rules adopted by the Oregon Utility PERMIT SHALL Notification Center. Those rules are set forth AI IT CXPIRE IF THE WORK pate n L Att OL-001-0010 through OAR 952 001 - Owner r cL(QW2E N@ER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by UOMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Springfield Building Permit - ' , • '8/30/2013 11:48:18AM Center is 1-800-332-2344). Page 1 of 1 • SPRINGFIELD • CITY OF SPRINGFIELD ht\ GON TRANSACTION RECEIPT 811-SPR2013-00317 www.springtield-or.gov 5981 THURSTON RD perrnitcenter @springfield-or.gov RECEIPT NO: 2013001931 RECORD NO: 811-SPR2013-00317 DATE:08/30/2013 DESCRIPTION_- "', : AC COUNT,CODE/TRANSCODE>, v-v___ _.,_AMOUNT_DUE_ 1 SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 101.71 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 208.40 SDC:Total Sewer Administration Fee 719-00000-426604 1175 15.51 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.47 Structural Building Permit Fee - 224-00000-425602 1002 87.25 Technology fee(5%of permit total) 100-00000-425605 2099 4.36 TOTAL DUE: 427.70 _. PAYMENT TYPE '•-_PAYOR CASHIER:CCARPENTER COMMENTS _._ -_. • AMOUNT_PAID i Check FINE JON R 427.70 3225 TOTAL PAID: 427.70 • • • • • Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) • This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: • I Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. • I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print Name of Permit Applicant ,i ce 3/�/3 • re of Pe it Apr Date Permit#: )J3 -3/7 ` °C tux, 1-101 of 0• Address: D '' /04S7ON iZ' f Kpft_D OYI, g7Y7f Issued by: Date: e ' This Copy for Permit Offices SPRINGFIELD CITY OF SPRINGFIELD _Latedi - 225 Fifth St kit\��; TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-S P R2013-00317 wwv.springfield-or.gov 5981 THURSTON RD permitcenter @springfiem-or.gov RECEIPT NO: 2013000319 ' RECORD NO: 811-SPR2013-00317 DATE:02/14/2013 DESCRIPTION, ACCOUNT CODE/TRANS,CODE `. ;.AMOUNT DUE'-:--;• Structural Plan Review Fee Residential 224-00000-425602 1061 56.71 TOTAL DUE: 56.71 I PAYMENT TYPE."' >--PAYOR, CASHIER:CCARPENTER':' COMMENTS', .. • ' --• -' AMOUNT PAID „ -; Credit Card FINE JON R s 56.71 014104 TOTAL PAID: 56.71 Structural Permit Application DEPARTMENT USE ONLY SPR�NGFlELD ri::A CITY OF SPRINGFIELD,OREGON -- 1 . , .._� . ._ ,- . ._ z.-.,� �� Permit no.:S'l3 _ ,� 17 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 rata Date: Z fill 03 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. -._LOCAL GOVERNMENT';APPROVAL This project has final land-use approval. -. ... Signature: Date: -FEE SCHEDULE This project has DEQ approval. 1.]Valuation information a r li , Signature: Date: (a) Job description:8R,4in,, //A. 4 w. Zoning approval verified: ❑ Yes ❑No Occupancy 23/l.A' Property is within flood plain: ❑ Yes ❑No Construction type: Uj i t w CATEGORY OFECONSTROCTION i Square feet: geResidential ID ❑Commercial 5� Cost per square foot: JOB•SITE INFORMATION='•AND LOCATION, , Other information: Job site address:6-9s1, t,(,rs'h--\ ea- - Type of Heat: " City: �i'fc-,nc ,Q,A� State: � ZIP: {1W - - "t` J Energy Path: Subdivision: Lot no.: - - . - ❑ new teration ❑addition Reference: 170 2-1,e{ZZ.1 Taxlot: Co ZOO PROPERTY OWNER (b)Foundation only permit? ❑ Yes DNo �., - - Total valuation: I S52,636 Name:jo-r, HOPI Address: 57 g( '�u,,5 '� -2;.Building-fees , ; '::, //�� OE (a) Permit fee(use valuation table): $ '2. City:clevt QVClda State:v I ZIP: 73' - `�f J (b)Investigative fee(equal to [2a]). $ Phone: - -Sy[-9t1 -9 37 Fax: - - (c)Reinspection(S per hour): �-'j E-mail: o.rn Q k,(mk.;■ ,t,>m (number of hours x fee per hour) $ This installatio6 is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+2h+2c]): $ �n 11� me or a member of my immediate family, and is exempt from licensing requirements under 0 70.1.010. (e) Subtotal of fees above(2a through 2d): S Sign here: / �— ..._. 3 :PlaniPMgW fees1Vi;, ''"'^S° `s c,,w—}. Kr, -: :tiia (a)Plan review(65%x permit fee[2a]): $ Sf 7/ CONTRACTOR INSTALLATION:. (b)Fire and life safety(40%x permit fee[2a]): $ Business name:O Lon e r (c) Subtotal of fees above(3a and 3b): S Address: 4_Micelanoufees t , t' ,s � am .C;ty: State: ZIP: (a) Seismic fee, 1%(.01 x permit fee[2a]): $ Phone: - - Fax: - - E-mail: TOTAL fees and surcharges(2e+3c+4a): S /5� CCB license no.: Print name: 6(.J 5itiJ■1v1-)t.—`, ce- en-- Signature: ,'.SUB CON,T._RACTOR 1NFORMAT[O'Nlir-1 < - Name CCB License Number Phone Number Electrical I Plumbing et°` j EK Mechanical I SPRINGFIELD 225 Fifth St -- C CITY OF SPRINGFIELD Springfeld,OR97477 ``OREGON Phone: 541-726-3753 Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00405 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/30/2013 EXPIRES: 02/25/2014 STATUS DATE: 08/30/2013 APPLIED: 02/27/2013 SITE ADDRESS: 5981 THURSTON RD,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702342200200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Partial garage conversion to bathroom/laundry • OWNER: FINE JON R Phone Number: 541-729-9734 ADDRESS: 5981 THURSTON RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor - OWNER CCB 000000 08/01/2025 Mechanical Contractor • OWNER COB 000000 08101/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 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. / V i /T/ Owne.•r Con - .r Sig - ure _ P-te NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ARENTION: Oregon la nr requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon utility, COMMENCED OR IS ABANDONED FOB Notification Center. Those rules are set forth ANY 180 DAY pc HMO In OAR through R 0090. You may 952-001-0010 obtain Copies of OA the rles 952-001- u by calling the center. (Note: the telephone numbeCentee101e80O-332 2344 r fication Springfield Building Permit 8/30/2013 11:50:22AM . Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD , A.. 225 Fifth St C TRANSACTION RECEIPT S pringfield,OR 97477 541-726-3753 OREGON 811-SPR2013-00405 . www.springfield-or.gav 5981 THURSTON RD permitcenter @springfield-or.gov RECEIPT NO: 2013001928 RECORD NO:811-SPR2013-00405 DATE:08/30/2013 [DESCRIPTION • -_ACCOUNT CODE/TRANS CODE,_± __ AMOUNTDUE,. . Branch circuits without service or feeder-1st circuit 224-00000-426102 1004 55.00 Branch circuits without service or feeder-each additional 224-00000-426102 1004 12.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 8.04 Technology fee(5%of permit total) 100-00000-425605 2099 3.35 TOTAL DUE: 78.39 L_PAYMENT TYPE_ PAYOR - CASHIER:CCARPENTER COMMENTS _ AMOUNT PAID - I Check FINE JON R 78.39 3225 TOTAL PAID: 78.39 • Electrical Permit Application DEPARTMENT USE ONLY SPNINGi1HlD 'CITY OF SPRINGFIELD,tOREGON tf W °-`°' 1„ Permitno.: 57 — c/6.S -., . .t , ..a.x. `.xz.. •, `ux'!.. . n '.. . ,e .'s..e{ 'rv, .,w- _ 225 Fifth Streets Springfield,OR 97477♦PH(541)726-3753*FAX(541)726-3689 n �/ �J Date: �i/i / ( } 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 ,_ FEE SCHEDULE - Zoning a pp roval verified? —❑Yes —0 No"-- -- Number of inspections per item Qty. Cost '-Total �• .cost. . ..CATEGORY OF,CONSTRUCTION .. Residential,per unit,service included: ❑Residential ❑Government ❑Commercial JOB SITE INFORMATION AND.LOCATION 1,000 sq.ft.or less(4) $134.00 $ S/g/ /l/urs 77M Je Each additional 500 sq. ft.or portion $ 25.00 $ Job site address: f� thereof City:rinGleCACV State: � ZIP:c j'3 Limited energy(2) $ 32.00 $ ReferenCCCe: '- Taxlot.: Each manufactured home or modular $ 63.00 $ - DESCRIPTION OF .WORK dwelling service or feeder(2) �, 't OTm' / / _ ���� Services or feeders:installation,alteration,relocation F�M"YV\ 1 L.f toll 200 amps or less(2) $ 81.00 $ PROPERTY OWNER tot to 400 amps(2) $ 95.00 $ Name: �nzh 1C.:11\9.._.-t\.A. 401 to 600 amps(2) $158.00 $ Address: Iq�[ km i-on w ,� 601 to 1,000 amps(2) $205.00 $ City: S{)1`Nt531Z\(ki I State: of I ZIP:TNT? Over 1,000 amps or volts(2) $469.00 $ Phone: 11 - -5'j(-7Ztj-973 4 I Fax: - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders: installation,alteration,relocation �ner� )one n3 sd 'Lynn 200 amps or less(2) This installatib'n is being made on residential or farm property $ 63.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale,exchange,lease,or rent.OAR 479.5400)and 479.560(1). . 401 to 600 amps(2) $126.00 $ Signature:�� Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR IN - •TION . Branch circuits:new, alteration,extension per panel Business name: 3u34 &._ a.Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.00 $ City: State: -ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) 1 $ 55.00 $ E-mail: Each additional branch circuit - $ 6.00 $1 Z CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 63.00 $ 8tt g g P alteration,or extension(2) Each additional inspection:(1) $58.00 $ .`APPLICANT,USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$58.00) 9,7 (13)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ T%5 TOTAL fees and surcharges(A through C): $ 70i 440-2584-7(9/08/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-SPR2013-00406 wvm Springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/30/2013 EXPIRES: 02/25/2014 STATUS DATE: 08/30/2013 APPLIED: 02/27/2013 • SITE ADDRESS: 5981 THURSTON RD,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702342200200 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Partial garage conversion to bathroom/laundry OWNER: FINE JON R Phone Number: 541-729-9734 ADDRESS: 5981 THURSTON RD SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08101/2025 Mechanical Contractor OWNER CCB 000000 08101/2025 Plumbing Contractor OWNER CCB 000000 08101/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED 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. • .`/ i a tr3D/3 • 41or Cant = •r Si 9 nature Date ATTENTION: Oregon law requires you to NOTICE: - follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK ? Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT '' in OAR 952-001-0010through OAR 952-oot- • 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR :::,'; `.' caging the center. (Note: the telephone ANY 180 DAY PERIOD.tw£`%a"^%;s"' "` - , .,_r tor the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 8/30/2013 11:53:12AM Page 1 of 1 • ____....._....t SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT 499091(1,0R 97477 :..c\eti 541-726-3753 . - OREGON 811-SPR2013-00406 www 99999991d-or gov 5981 THURSTON RD permtcenter©springfield-or gov RECEIPT NO: 2013001930 RECORD NO:811-SPR2013-00406 DATE:08/30/2013 [DESCRIPTION :: ,•.. — : -tl , ACCOUNT-CODE/TRANS CODE ---- --- AMOUNT DUEI First Appliance Fee 224-00000-425604 1006 79.00 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 9.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.56 Technology fee(5%of permit total) 100-00000-425605 2099 4.40 TOTAL DUE: 102.96 PAYMENT TYPE_. _PAY9R CASHIER:CCWENTEI‘ , , 'COMMENTS__ Check FINE JON R 102.96 3225 TOTAL PAID: 102.96 • • • • Mechanical Permit Application 'Y DEPARTMENT USE ONLY Fis { �4 ; .Ff SPRINGFIELD + 1/4 �f`i.-+- ��. &J`f �,9ix�i'iE q'-�.. 1i° s�a.. `��. +kr aie:.M,ps1} 7� [�/ _ CITY OF SPRINGFIELm OREGON t,; Permit no 51 ,) / 1) G.,JL.FSL -,tom_ ,_ ,..M,-: _TaL.__.,ri., ., ialt;.� „, t� 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 171E T Date: 2-( / ! / )3 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. j CATGORYt'OF,r CONSTRUCTION jn '' FEE SCHEDULE ❑ Residential ❑Government ❑Commercial Residential a{yix ' C ost Total. , .e ,, n c A 1 <ea L 4wacost . '; ?zic. tJOBy SITE°INFORMATIONANDD LLOCATION_*'Ih: t,,rc First Appliance ( $79.00 $ 7`? Job site address: 3 9 i [ 1 )tAf b�t F+^ 1 Furnace/burner including ducts and vents City: I^t Uzi d State: ` e, ZiP:139 7 0 Up to 100k BTU/hr. $17.00 $ Over I00k BTU/hr. $20.00 $ Reference: J Taxlot.: Heaters/stoves/vents DESCRIPTION:1OF WORK Unit heater $17.00 $ Pi4 war„/ Lvv-` Prom Wood/pellet/gas stove/flue $38.00 $ Repair/alter/add to heating appliance/ q;;r u * ,L .�, , ,, ,_,/ refrigeration unit or cooling system/ $58.00 $ „ ';fpg h � ,e r PROPERTY OWNER,f„K ;AI :;AP;';; absorption system Name: 5a„ ' 'yke Evaporated cooler $13.00 Sy/ Address:S9 ic] thurs` b.,, �� Vent fan with one duct/appliance vent �/ $9.00 C$J Hood with exhaust and duct $13.00 $ City:;..-rinLciA State: ZIP: -f� Floor furnace including vent $58.00 $ Phone: - J-S-4(-`129-9-3Y Fax: - - Gas piping E-mail:.'elc'oti, e vim(-mq;it c n One to four outlets _ $7.00 $ This installation is being made on property owned by me or a Additional outlets(each) $4.00 $ member of my immediate family, and is exempt from licensing Air-handling units, including ducts Signature: requirements r S 701.0 Up Over 10,000 CFM $11.00 $ Stgnature: Over 10,000 CFM $20.00 $ NAVE:,, CONTRACTOR INS LLAT,ION `.-r , i .?„ i; Compressor/absorption system/heat pump Business name: Okkane,r Up to 3 hp/IOOk BTU $17.00 $ - Up to 15 hp/500k BTU $29.00 $ Address: Up to 30 hp/1,000 BTU - - $43.00 $ City: State: ZIP: Up to 50 hp/1,750 BTU - $57.00 $ Phone: - - Fax: - - Over 50 hp/1,750 BTU $95.00 $ E-mail: Incinerators Domestic incinerator $20.00 $ CCB license no.: - K; '..-t a -_7q n�a .tWA- zv �K-. .-v' ltt �Comme�cial_ Print name: - Enter total valuation of mechanical system and installation costs$ ' Signature: Enter fee based on valuation of mechanical system,etc. $ :k vk: lfees 44 ;¢ itemsci Cekcii cost;^== Reinspection $58.00 $ Specially requested inspections(per hr.) $58.00 $ • Regulated equipment(unclassed) $13.00 $ . Each additional inspection: (I) $58.00 $ "i7S.-n'-r. 're"I<"° �:,.,3 3,..APP,LICANTc4USEaPAI E"atWA (A)Enter subtotal of above fees(or enter set i minimum fee of $79.00[ $ 00 (B) Investigative fee(equal to [A]) $ (C)Enter 12%surcharge(.12 x [A+B]) $ /C � (D)Seismic fee, I%(.01 x [A]) $ (E)Technology Fee(5%of[A]) $ 440.. 440-2545-1(I I/08/COM) TOTAL fees and surcharges (A through E): $ I DZGi SPRINGFIELD 225 Fifth St 't CITY OF SPRINGFIELD Springfield,OR 97477 5 �� Phone: 541-726-3753 \ OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00407 www.springfield-or.gov pe rmitcenter @springfieId-or.gov PROJECT STATUS: Issued ISSUED: 08/30/2013 EXPIRES: 02/2512014 STATUS DATE: 08/30/2013 APPLIED: 02/27/2013 SITE ADDRESS: 5981 THURSTON RD,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702342200200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Partial garage conversion to bathroom/laundry OWNER: FINE JON R Phone Number: 541-729-9734 ADDRESS: 5981 THURSTON RD SPRINGFIELD OR 97478 L 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 COB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing . Underfloor Plumbing: Prior to insulation or decking. 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 a•.roved set of plans will remain on the site at all times during construction. F a• er or Cactor Signatur- Date ATTENTION: Oregon law requires you to follow rules adapted by the Oregon Utility • Notification Center. Those rules are set forth -r l"E: In OAR 952-001-0010 through OAR 952-001- 4'nIT SHALL EXPIRE IF THE WORK '., 0090. You may obtain copies of the rules by "_""' calling the center. (Note: the telephone ')K:7.ED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification ,.,,v1ENCED OR IS ABANDONED FOR Center Is 1-800-332-2344). .vY 180 DAY PERIOD. a - • Springfield Building Permit • 8/30/2013 11:55:18AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • t- a 225 Fifth St (O OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-00407 www.springtield-orgov 5981 THURSTON RD permitcenter @springfield-or.gov RECEIPT NO: 2013001929 RECORD NO:811-SPR2013-00407 DATE:08/30/2013 !DESCRIPTION __ _ _ _ _ ._ _._.m. -_ACCOUNTaCODE/TRANS CODE vamAMOUNT DUE„_,,: Clothes washer 224-00000-425603 1005 19.00 Shower/Shower pan 224-00000-425603 1005 19.00 Sink/basin/lavatory 224-00000-425603 1005 19.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.12 Technology fee(5%of permit total) 100-00000-425605 2099 3.80 Water closet 224-00000-425603 1005 19.00 -- -- TOTAL DUE: 88.92 • PAYMENT TYPE- • PAYOR. CASHIER:CCARPENTER COMMENTS . AMOUNT PAID Check FINE JON R 88.92 3225 TOTAL PAID: 88.92 • • Plumbing Permit Application :DEPARTMENT`, USE ONLY-4,-=z *i.,. SPRINGFIELD CY'Ri-'' Cl 2 ,l CITY OF SPRINGFIELD OREGONa Lt-e Permit no.: 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726 3689 Date: 21 (c'I 1 /3 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. ,•, ;( „KLOCALY GOVERNMENT. APPROVAL ` ,' r1 , 3 y °,' r:FEE'SCHEDULE ,x , ` 'i t: Zoning approval verified? ❑ Yes ❑ No De sen t l on,,:, ;� "t �; Qty, _.lCeoas;t Total°" ;+ Sanitation approval verified? ❑ Yes ❑No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes first Residential ❑Government ❑Commercial 100 feet makers/sewer, lines, hose $238.00 $ bibs, ice maker, underfloor low-point r1;JOB SITE ,INFORMATION,ANDLOCATION4•: ; '!j drains and rain-drain packages) Job site address:6981_ //J C51\5-Th Rd. 2 bathrooms/1 kitchen - $374.00 $ 3 bathrooms/1 kitchen $439.00 $ City: Ix(n9�ieAa State: � ZIP:9P-1 _r y Each additional bathroom(over 3) $95.00 $ Reference: J Taxlot.: Each additional kitchen(over I) $95.00 $ :,;- ,:=DESCRIPTION;OF'-WORK ?, , ,]..r �'z;' Residential fire sprinklers(includes plan review) B4-4+ v/ et (7-cn - i n Jfc� 0 to 2,000 square feet $58.00 $ ��JJ 2,001 to 3,600 square feet $116.00 $ PROPERTY;OWNER , , f`?, , V:' :yi. 3,601 to 7,200 square feet $174.00 $ Name: ��YZ �n� 7,201 square feet and greater $232.00 $ `_ n � Manufactured dwelling or pre-fab(circle one) Address:51 gi Thu(56\ 2 Connections to building sewer and $58.00 $ City:Oct nc1 field State: OR. ZIP:9397 water supply 'TTu Commercial,industrial,and dwellings other than one-or Phone:5'/- -729- ?id Fax: - - two-family E-mail: - Minimum fee $58.00 $ ne' . �J�'rtll}�) '�'� Each fixture • $19.00 $ This installation is being made on residential or farm property owned by me or a member of my immediate family, and is Miscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line $76.00 `!/CI Signature: Each fixture,appurtenance,and piping L1 $19.00 W7tp _.; .CONTRACTOR,INSTALLATION, . Storm water retention/detention facility $19.00 _ $ Business name: 0 Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ Address: systems exceeding the first 100 feet City: State: ZIP: Specialty fixtures $19.00 $ Reinspection(no.of hrs.x fee per hr.) $58.00 $ Phone: - - Fax: - - Special requested inspections(no. of E-mail: hrs. x fee per hr.) $58.00 $ CCB license no.: BCD license n0.: Each additional inspection: (I) $58.00 $ Plumbing license no rMedical,gas,pipmg` Minimum fee $ Print name: Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature: _ . APPLICAMf 'USElmesia 'if t (A) Enter subtotal of above fees -----,- .- (Minimum Permit Fee$58.00) ,/ (B) Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x [A+B]) $ -/ /2- (D)Technology Fee(5%of[A]) $, 3 i. TOTAL fees and surcharges(A through D): $ -$c' 440-2500-3(11/08/COM) •