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HomeMy WebLinkAboutPermit Building 2013-10-3 SPRINGFIELD 225 Fifth St hlw-- -5.. CIT Y OF SPRINGFIELD Springfield,OR 97477 L Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01894 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/03/2013 EXPIRES: 04/01/2014 STATUS DATE: 10/03/2013 APPLIED: 08/23/2013 SITE ADDRESS: 6010 Graystone LOOP,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702343301700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-Single family residence OWNER: HANKINS ANNE MARIE Phone Number: 541-521-2457 ADDRESS: 3494 FALCON DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ARBOR SOUTH CONSTRUCTION INC GCB 59993 04/28/2014 541-344-3332 INSPECTIONS REQUIRED II 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 approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. ATrr_ni-rinN• nrn n.nn mitt ronuirAS VoU to 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. follow rules adopted by the Oregon Utility r I\iM^iQ.Tinfl I.PflIHI• -I Iiwe Iulco cue act ∎orth 1520 Interior Shearwall TICE: Shear Wall Nailin Bef r covering sheathing with finish mate la s., nnu or.o-nnii.Vi n thrnnnh OAR 952-001- 1530 Exterior Shearwalib PtHIVIfT SHALL EXPIRE If TIT WO".'. 0090. You may obtain copies of the rules by ^f'I' D UNDER THIS PERMIT IS NOT MITI 1 ""I"" 'aril P,rari I blii 1." lm0Puv,le 1540 Gypsum Board%Lath/D' v w I t ng. Lath/Plaster: Tob be made after all tathlngand gypsum CUMIV ED OR IS AU�tv�70� D �E�R I• no.tnr the Trey r1 utility Notification ar interior and exterior are in place, but pri r to plastering. /ANY -IOU WV PERIOD " n'""` 1999 Final Building 'Final Building: After all required inspections have been requested and app oved and r the building is complete. Springfield Building Permit 10/3/2013 12:56:40PM Page 1 of 2 SPRINGFIELD - , 225 Fifth St CITY OF SPRINGFIELD SpringfeldOR 97477 l Phone: 541-726-3753 °�6GON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-01 8 94 www.springtield-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 I. - _• at the front of the property, and the approved set of plans will remain on the site at all times during construction •' Owner or Co rotor Signature Date . Springfield Building Permit 10/3/2013 12'.56'AOPM Page 2 of 2 • • SPRINGFIELD- CITY OF SPRINGFIELD 225 Fifth St h '' ; TRANSACTION RECEIPT Springfield.OR97477 OREGON 541-726-3753 811-SPR2013-01894 www.springfield-orgov 6010 Graystone LOOP permitcenter @springfield-or.gov RECEIPT NO: 2013002211 RECORD NO: 811-SPR2013-01894 DATE: 10/03/2013 !DESCRIPTION=-' - -- - - --- ACCOUNT CODEITRANS_CODE ; - -_-AMOUNTDULi Planning-Major Review-City 100-00000-425002 1231 211.00 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.58 SDC: Improvement-Transportation SDC 447-00000-448027 1174 1,962.23 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 2,367.76 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,448.64 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 2,082.02 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 538.41 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 4,851.12 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 114.41 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 79.78 SDC:Total Sewer Administration Fee 719-00000-426604 1175 360.94 SDC:Total Storm Administration Fee 719-00000-426604 1180 189.87 SDC:Total Transportation Administration Fee 719-00000-426604 1190 125.03 Technology fee(5%of permit total) 100-00000-425605 2099 8.68 TOTAL DUE: 14,37247 PAYMENT TYPE 'W_..PAYOR._ -CASHIER: -,_ ; COMMENTS AMOUNT PAID• • ',1 Check ARBOR SOUTH CONSTRUCTION, IN' 14,372.47 5202 TOTAL PAID: 14,372.47 • SPRINGFIELD — CITY OF SPRINGFIELD A3 .... 225 Fifth St t TRANSACTION RECEIPT Spdngfield,OR97477 � O REGON 541-726-3753 811-SPR2013-01894 www.springfeld-cr.gov 6010 Graystone LOOP - permitcenter©springtield-or.gov RECEIPT NO: 2013001860 RECORD NO:811 SPR2013-01894 DATE:08/23/2013 tal nf:41a1a(al TS&•—' .-aar " !+ t'rACCOUNTgCODE/TRANSECODE g= t�Lal�l�etet Structural Plan Review Fee Residential 224-00000-425602 1061 1,349.27 TOTAL DUE: 1,349.27 .._a,.-...., _.... �....-. .��...k .,.-,..-,.._-..Y .r. RAYMEN-iiry„E PAYOR rcASHIERToeo'a wL BMO COMMENTS ; ' ' Mk.MQIIN_TARAFfierarriS Credit Card ARBOR SOUTH ARCHITECTURE 1,349.27 06052z TOTAL PAID: 1,349.27 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY SPPIN411)-b; l Lam%OREGON Permit no.: S13 -o f g 7y 225 Filth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: 8/an�f3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o Issuanc or If work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Plumbing . This project has final land-use approval. Signature: Date: Mechanical This project has DEQ approval. Signature: Date: Zoning approval verified: ❑Yes ❑No FEE SCHEDULE Property is within Flood plain: ❑Yes • ❑ No 1.Valuation information CATEGORY OF CONSTRUCTION (a)Job description:New residence FI Residential ❑Government ❑Commercial Occupancy Residential • JOB SITE INFORMATION AND LOCATION Construction type:VB Job site address:6010 Graystone Loop Square feet: 1,959 City:Springfield State:OR ZIP:97478 Cost per square foot: 125 Subdivision:Mountain Gate Lot no.: , Other information: Reference:'7o 23/"13'S Taxlot: 1 7-02-3 4-3 41 700) Type of Heat:Electric PROPERTY OWNER Energy Path:Perscriptive w/Additional Measures 2&A Name:Anne Hankins IN new Dalteration ❑addition • Address:3494 Falcon Drive lift q i�� (b)Foundation-only permit? ❑Yes 2 No n !��._ City:Springfield State:OR ZIP:97477 Total valuation: S>ire-. Phone:541-521-2457 Fax: - - 2. Building fees , E-mail:anne@ willamettecountrymusicfestival.com (a)Permit fee(use valuation table): $ L I�� Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): $ (number of hours x fee per hour) Sign here: . ``''7� (d)Enter 12%surcharge(.12 x[2a+2 GSG 6+2c]): $ i ❑This installation is being made on residential or farm property owned by me or a member of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): S requirements under ORS 701.010. 3. Plan review fees CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[2a1): � Business name:Arbor South Construction (b)Fire and life safety(40%x permit fee I2a)): $ Address:PO Box 1 1350 " (c)Subtotal of fees above(3a and 3b): $ City: Eugene State:OR ZIP:97440 4. Miscellaneous fees Phone: 541.344-3332 Fax: 541-344-1597 (a) Seismic fee, 1%(.01 x permit fee[2a]): $ !�� I,I E-mail:dan @arborsouth.com (b)Technology fee,5%(.05 x permit fee[2a]): $ 6.0 r�,. CCB license no.:59993 - TOTAL fees and surcharges(2e+3c+4a+4b): (533 `� Print name:Dan Hill Signature: SUBCONTRACTOR INFORMATION Name CCB License# Phone Number Electrical • SPRINGFIELD' 225 Fifth St • r 1 CITY OF SPRINGFIELD Springfeld,OR 97477 ; 1 H kPhone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01895 . vmw.springfield-or.gov permitcenterQspringfield-or.gov PROJECT STATUS: Issued ISSUED: . 10/02/2013 EXPIRES: 03/31/2014 STATUS DATE: 10/02/2013 APPLIED: 08/23/2013 SITE ADDRESS: 6010 Graystone LOOP,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702343301700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-Single family residence OWNER: HANKINS ANNE MARIE Phone Number: 541-521-2457 ADDRESS: 3494 FALCON DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ARBOR SOUTH CONSTRUCTION INC CCB 59993 04/28/2014 541-344-3332 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. A r /0Z - /3 • :r or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 10/2/2013 3:32:00PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD tw_ ; 225 Filch St TRANSACTION RECEIPT Spnngrieltl,OR 97477 OREGON 541-726-3753 811-SPR2013-01895 www.springfield-or.gay 6010 Graystone LOOP permitcenter @spnngfield-or.gov RECEIPT NO: 2013002200 RECORD NO: 811SPR2013-01895 DATE: 10/02/2013 ]e,L.I.0 1' [e7.� _.__?I.: '_-' ..:_ .:. i : ti'_ ACCOUNT CODE!TRANS CODE t%41 . !'AMOUNTDUE:: Each added 500 sq.ft or portion 224-00000-426102 1004 220.00 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 52.38 Technology fee(5%of permit total) 100-00000-425605 2099 21.83 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 510.71 IWPAYMENTATYPE PAY,OR casrnER:.uLai COMMENTS :' A(sOUN.IFMAID ¢ ;; ' pvi,11,_ .:, Credit Card ARBOR SOUTH CONSTRUCTION INC 510.71 03236g TOTAL PAID: 510.71 Electrical Permit Application DEPARTMENT USE ONLY * � .r r v.r n..t*.4r,Fai -.;'�R SRRINGf5LD CITYOF SPRINGFIELD ORECO ' --- t Permit no.g/1 Zvt3 COCE3 7C 225 Fifth Strcet•SprinpfidA,OR 974 77H'11(5407263753•IAN(5 4 1)7 2 6-3 68 9 oaecon Date: ((2/Z//3 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 approval verified? ❑ Yes ❑No Number of inspections per item() Qty. Cost Total rt. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: esidential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. ft.or less(1) $147.50 S Each additional 500 sq. ft.or portion $ 27.50 S Job site address: thereof City: State: ZIP: Limited energy(2) $ 35.00 S Reference: Taxlot.: Each manufactured home or modular $ 68.00 $ DESCRIPTION OF WORK dwclline service m feeder(_>>) Services or feeders: ins(alanoi&alicraliun.reloealiun 200 amps or less(2) $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) S 104.50 S 'Name: 401 to 600 amps(2) $174.00 $ Address: 601 to 1.000 amps(2) $225.50 S City: State: ZIP: Over 1.000 amps or volts(2) 5516.00 S Phone: - - Fax: - - Reconnect only(2) S 69.00 $ E-mail: 'Itniporary services or feeders: ii stall i/un.alteration, relocation This installation is being made on residential or farm property 200 amps or less 12) $ 69.00 $ n 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). 40110 6(10 amps(2) $130.50 $ Signature; Over 600 amps or 1.000 volts.see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:new.alteration. extension per panel Business name: q NC�.I'C.(ii')c El CL/f5 L Vic. • a. Fee for branch citcuils with purchase of a service or lieder tee: Address: T, 0• aox AL9/ 23 Each branch circuit ....-..-__n $ 6.50 $ City: 1:u'oi C- Stale: QT ZIP: 9 P//7105 b. Fee for branch circuits without purchase ofa service or feeder fee: Phone: SM -9533-S'(➢,Jr(1 Eax:.541/ ((C,S3— 7/ 30 First branch circuit(2) $ 60.50 $ E-mail: .t/fo(t Hard; lea(t . corn rt Each additional branch circuit $ 6.50 S CCB license no.: j,32UO 9 BCD license no.:20-2/370 Miscellaneous fees:service or freder not included Signing supervisor's license no.: 57995 Each pump or irrigation circle(2) $ 69.00 S Print name of signing supervisor: „Icen6,- and 1/I Each sign or outline lighting(2) $ 69.00 $ "� Signal circuit or a limited-energy panel. $ 80.00 $ Signature of signing supervisor: _ O[` alienation.or extension(2) ` Each additional inspection:(I) $80.00 S APPLICANT USE _ (A) Enter subtotal of above tees $ (I1linimiun Permit Fee$80.00) (B) Enter 12%surcharge(.12 x[A]I $ (C)Technology Fee(5%of[A]) $ 440-2584-)(4/012013/COM) TOTAL fees and surcharges(A through C): L $ SPRINGFIELD 225 Fifth St ' CITY OF SPRINGFIELD. Springfield,0R97477 , t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01896 vow springfield-orgov permitcenterQspdngfield-orgov PROJECT STATUS: Issued ISSUED: 10/02/2013 EXPIRES: 03/31/2014 STATUS DATE: 10/02/2013 APPLIED: 08/23/2013 SITE ADDRESS: 6010 Graystone LOOP,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702343301700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-Single family residence OWNER: HANKINS ANNE MARIE Phone Number: 541-521-2457 ADDRESS: 3494 FALCON DR SPRINGFIELD OR 97477 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No - Lic Exp Phone General Contractor ARBOR SOUTH CONSTRUCTION INC CCB 59993 04/28/2014 541-344-3332 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 th- .11 required inspections are requested at the proper time, that each address is readable from the street,that the permit card •-ted at the front of the property,and the approved set of plans will remain on the site at all times during constructio . Owner or Contr. to 'ature . 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 0 OAR You may obtain copies OAR rules 1- 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone AI�v 1 R0 DAY PERIOD. number for the Oregon Utility Notification Springfield Build- Per 10/2/2013 2:28:17PM Center is 1-800-332-2344). Page 1 of 1 SPRINGFIELD'-- CITY OF SPRINGFIELD 225 Fifth Sl t t TRANSACTION RECEIPT Springfield,OR97477 ''' ^ OREGON 541-726-3753 811-SPR2013-01896 www.springfeldar.gov 6010 Graystone LOOP permitcenter©springfield-or.gov RECEIPT NO: 2013002198 RECORD NO:811SPR2013-01896 DATE: 10/02/2013 1,14RM:71:9rf01 I;I_14=; .?..f 1 ti_ r r, ACCOUNT,CODE/TRANS.CODE. ( '���_ `AMOUNT DUE-'E First Appliance Fee 224-00000-425604 1006 80.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 10.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 Gas Piping-each additional above 4 224-00000-425604 1006 9.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.50 Heat pump - 224-00000-425604 1006 18.50 Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 50.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.96 Technology fee(5%of permit total) 100-00000-425605 2099 10.40 TOTAL DUE: 243.36 PAXMENTpTXP.E PAYOR CASNIER:.JLARSON COMMENTS AMOU, P„,dID Credit Card ARBOR SOUTH CONSTRUCTION IN( 243.36 03236g . TOTAL PAID: 243.36 • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 1. ". Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01897 www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/02/2013 EXPIRES: 03/31/2014 STATUS DATE: 10/02/2013 APPLIED: 08/23/2013 SITE ADDRESS: 6010 Graystone LOOP,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702343301700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-Single family residence OWNER: HANKINS ANNE MARIE Phone Number: 541-521-2457 ADDRESS: 3494 FALCON DR SPRINGFIELD OR 97477 . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ARBOR SOUTH CONSTRUCTION INC CCB 59993 04/29/2014 541-344-3332 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 wit 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 thestreet, that the permit card is • ated at the front of the property, and the approved set of plans will remain on the site at all times during construct•. .�. L �C 2' t3 Owner or Contractor Signature Date NOT/CE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL follow rules adopted by the Oregon Utility AUTHORIZED EXPIRE IF THEW Notification Center. Those rules are set forth COMMENCED UNDER THIS PERMIT IS ORK in OAR 952-001-0010 Center. through OAR 952-001- qNY 180 DAY 0 R IS ABANDO NOT 0090. You may obtain copies of the rules by • PERIOD NED FOR calling the center. (Note: the telephone Springfield Building Permit 10/2/2013 2:27:40PM number for the Oregon Utility Notifica,pa§e 1 of 1 Center is 1-800-332-2344). SPRINGFIELD i CITY OF SPRINGFIELD - -A, - 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 *- er ON 541-726-3753 811-SPR2013-01897 www.spdngfield-or.gov 6010 Graystone LOOP permitcenter@springfield-or.gov RECEIPT NO: 2013002197 • RECORD NO:811-SPR2013-01897 DATE: 10/02/2013 DESCRIPTIONd44I =4:105Y?±, l' f if FIdt!ACCOUNT,CODEITRANS.CODE: idi.ne'AMOUNTDUE 'u Each Additional Bath 224-00000-425603 1005 104.50 One or Two Family Dwelling with Three Bath 224-00000-425603 1005 483.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 70.50 Technology fee(5%of permit total) 100-00000-425605 2099 29.38 TOTAL DUE: 687.38 P.AYMENTiaTYP.E RAYOR caswER:u esoN COMMENTS - "AMCWri;AID Credit Card ARBOR SOUTH CONSTRUCTION INC 687.38 03236g TOTAL PAID: 687.38 t t • • • • • • SPRINGFIELD --- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfeld,OR 97477 EGON 541-726-3753 811-SPR2013-01895 wwvi.springfield-or.gov 6010 Graystone LOOP permitcenter©springfield-or.gov RECEIPT NO: 2013002200 RECORD NO:811-SPR2013-01895 - DATE: 10/02/2013 e7 .lgilla11�7d�a7iL_ _AL: 9f t ` gym= =:2 4s`.; _` 114--ACCOUNT.CODE/LRANS CODE.:. -t.� :7i2_`AMOUNT.DUE. Each added 500 sq.ft. or portion 224-00000-426102. 1004 220.00 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 52.38 Technology fee(5%of permit total) 100-00000-425605 2099 21.83 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 510.71 PAYMENTtTYPE "." PAYORd. JLARSONit COMMENTS a ,S:F;...niA .tfAMo- Tr-AID,-- ,y,4, Credit Card ARBOR SOUTH CONSTRUCTION IN( 510.71 03236g TOTAL PAID: 510.71 • • •