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Permit Building 2014-08-12
SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 k'nREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01555 v .spdngfieldocgov permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/12/2014 EXPIRES: 02107/2015 STATUS DATE: 0 8/1 212 01 4 APPLIED: 07/21/2014 SITE ADDRESS: 3380 OREGON AVE, Springfield, OR 97478 SCOPE: Duplex ASSESOR'S PARCEL NO: 1702313106502 TYPE OF STRUCTURE: Residential —PROJECT-DESCRIP-NON. Addition-to-duplex,—expand-bedroom,add-haIU-bathandiaundry-room OWNER: SCHIPPOREIT STACI L Phone Number: 541.953-1275 ADDRESS: PO BOX 2137 JASPER OR 97438 OWNER: STEARNS MICHAEL P Phone Number: 541-953-1275 ADDRESS: PO BOX 2137 JASPER OR 97438 CONTRACTOR INFORMATION Contractor Type. Contractor Name Lie Type Lie 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 Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 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. 1530 Exterior Shearwall 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. ipringfield Building Permit 8/12/2014 9:59:50AM Page 1 of 2 SPRIN�OR iEGON v .spdngfieldor.gov Building / Residential Permit PERMIT NO: 811-SPR2014-01555 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@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 taws 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 Owner or Contractor Signature 1'I''f IGE: IIS PERMIT SHALL EXPIRE IF THE WORT( 1! H PRIZED UNDER CHIS PERMIT IS NOT �.(il ''MENCED OR IS ABANDONED FOR P!Y i 0 DAY PERIOD. Date ATTENTION: Oregon law requires you to follow rules adopted by the 0109011 Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 052-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephale number Cfor enieleis,ioII00 332 23' 4)6fication Springfield Building Permit 8/12/2014 9:59:50AM Page 2 of 2 LRGFIELD - CITY OF SPRINGFIELD 225 Fifth Sl ��, TRANSACTION RECEIPT Spnngfie1d,0R97477 'OREGON 541-726-3753 811-SPR2014-01555 ww .spnngfield-or.gov 3380 OREGON AVE permits nler@spnngfield-or.gov RECEIPT NO: 2014001561 RECORD NO: 811-SPR2014-01555 DATE: 07/21/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Structural Plan Review Fee Residential 224-00000-425602 1061 196.92 TOTAL DUE: 196.92 PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS 'AMOUNT PAID Check SCHIPPOREIT STACI L 196.92 6052 TOTAL PAID: 196.92 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 ,..y..: 541-726-3753 ' OREGON k v 'v.springfield-or.gov permitcenter@spdngfield-ongov RECEIPT NO: 389156 RECORD NO: 811-SPR2014-01555 DATE: 08/12/2014 DESCRIPTION ACCOUNT CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 $2.50 SDC: Total Storm Administration Fee 719-00000-426604 $6.39 Residential Fire (.05 Per Sci Fool) 100-00000-424005 $10.40 Technology fee (5% of permit total) 100-00000-425605 $15.15 Stale of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $36.36 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $52.05 SDC: Improvement Cost - Storm Drainage 440-00000-448028 $75.66 SDC: Total Sewer Administration Fee 719-00000-426604 $87.22 Planning - Minor Review - City 100-00000-425002 $119.00 Structural Building Permit Fee 224-00000-425602 $302.96 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $572.16 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,172.24 Technology fee (5% of permit total) 100-00000-425605 $4.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.84 Electrical Continuing Education fee 224-00000-425606 $2.50 Minimum Electrical Fee for 4 or fewer circuits 224-00000-426102 - $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $5.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $12.24 Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $20.00 First Appliance Fee 224-00000-425604 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $8.40 State of Oregon Surcharge (12% of applicable fees) - 821-00000-215004 $20.16 Water heater 224-00000-425603 $21.0D Clothes washer 224-00000-425603 $21.00 Shower/Shower pan 224-00000-425603 $21.00 Water closet 224-00000-425603 $42.00 Sink/basin/lavatory 224-00000-425603 $63.00 TOTAL DUE: $2,871.43 PAYMENT TYPE PAYOR CASHIER: KWILSON COMMENTS AMOUNT PAID Credit Card Staci Schipporeit 3880 Oregon $2,452.09 5480D Credit Card Staci Schipporeit 3880 Oregon $98.44 5480D Credit Card Staci Schipporeit 3880 Oregon $121.84 5480D Credit Card Staci Schipporeit 3880 Oregon $199.06 5480D TOTAL PAID: $2,871.43 SPRINGFIELD OREGON w v.spnngfeldvcgov RECEIPT NO: 389156 DESCRIPTION CITY OF SPRINGFIELD TRANSACTION RECEIPT Spnn9eld,OR 97477 541-726-3753 RECORD NO: 81 I-SPR2014-01555 Continuing Education Fee SDC: Total Storm Administration Fee Residential Fire (.05 Per Sci Foot) Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) SDC: Reimbursement Cost - Storm Drainage ACCOUNTCODE 224-00000-425606 719-00000-426604 100-00000-424005 100-00000-425605 821-00000-215004 441-00000-448029 permitcenter@spingfield-or.gov DATE: 0 8/1 212 01 4 AMOUNT DUE $2.50 $6.39 $10.40 $15.15 $36.36 $52.05 SDC: Total Sewer Administration Fee 719-00000-426604 $87.22 Planning - Minor Review - City 100-00000-425002 $119.00 Structural Building Permit Fee 224-00000-425602 $302.96 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $572.16 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,172.24 Technology fee (5% of permit total) 100-00000-425605 $4.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.84 Electrical Continuing Education fee 224-00000-425606 $2.50 Minimum Electrical Fee for 4 or fewer circuits 224-00000-426102 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $5.10 Stale of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $12.24 Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $20.00 First Appliance Fee 224-00000-425604 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $8.40 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $20.16 Water heater 224-00000-425603 $21.00 Clothes washer 224-00000-425603 $21.00 Shower/Shower pan 224-00000-425603 $21,00 Water closet 224-00000-425603 $42.00 Sinklbasinflavatory 224-00000-425603 $63.00 TOTAL DUE: $2,871.43 PAYMENT TYPE PAYOR CASHIER: KN/1LSON COMMENTS AMOUNT PAID Credit Card Staci Schipporeit 3880 Oregon $2,452.09 5480D Credit Card Staci Schipporeit 3880 Oregon $98.44 5480D Credit Card Staci Schipporeit 3880 Oregon $121.84 5480D Credit Card Staci Schipporeit 3880 Oregon $199.06 5480D TOTAL PAID: $2,871.43 Page 1 of 1 SET to: 3380 OREGON Menu Pay Help Set Members: 4 Terminal #: All Fees Paid: 0 Cashler ID: CCARPENTER Valuation: $22,940.32 Date: 08/07/2014 Total Fee Assessed: $3,068.35 Total Fee Invoiced: $3,068.35 Payments: $196.92 Balance: $2,871.43 Transactions Data Amount Receipt# Cashier l0 Method Status Transaction 0 wo,d(s) found. https:Hay.prod. oregon.accela.com/portlets/feelsetPaymentList.do?mode=list&module=Build... 8/7/2014 Structural Permit Application SPRING-lel.D 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 e FAX(541)726-3689 oaEGON This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 1 suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date; This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION Residential El Government ❑ Commercial JOB SITE INFORMATION AND LOCATION ' Job site address: City: f5p6A 4tate: aQ. I ZIP:01-IL11 Subdivisi n: I Lot no.: Reference: %0 Z 3 13?Taxlot: ® S-0 Z„ PROPERTY OWNER '. Name: Gi4e V FC Gtiaae. S Address: 2 City: Phone: T ' `j' I Fax: E-mail: S., 4 wtat. Building Owner or Owner's agent authorizing this application: Sign here: v S. ❑ 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 requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name: Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: (e) Subtotal of fees above (2a through 2d): SUB -CONTRACTOR INFORMATION Name CCB License # Phone Number Electrical (b) Fire and life safety (40%x permit fee [2a]): $ Plumbing $ 4. Miscellaneous fees Mechanical (a) Seismic fee, 1%(.01 x permit fee [2a]): $ I DEPARTMENT USE ONLY I Permit no.: (1LJ- /55S Date: or if work is FEE SCHEDULE 1. Valuation information (a) Job description: -7QpV Gft-lLL-'p Occupancy 3 Construction type: yX Square feet: 20 F Cost per square foot: Other information: Type of Heat: Energy Path: ❑ new ❑alteration ©-addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ 2. Building fees (a) Permit fee (use valuation table): $ QZ (b) Investigative fee (equal to [2aj): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ CD (e) Subtotal of fees above (2a through 2d): $ 3. Plan review fees (a) Plan review (65% x permit fee [2a]):. $ (b) Fire and life safety (40%x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ 4. Miscellaneous fees (a) Seismic fee, 1%(.01 x permit fee [2a]): $ (b) Technology fee, 5%(.05 x permit fee[2a]): $ (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): $ 2.3 0 SPRINGFIELD - 225 Fifth St t CITY OF SPRINGFIELD Springfield,OR 97477 (, v� Phone: 541-726-3753 lwf -,, OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 641-726-3676 PERMIT NO: 811-SPR2014-01710 v .springfield-or.gov permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/12/2014 EXPIRES: 02/07/2015 STATUS DATE: 08/1212014 APPLIED: 08107/2014 SITE ADDRESS: 3380 OREGON AVE, Springfield, OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702313106502 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION• E-Add[tWn_to Sitiplex,-elmand bedroom, add half -bath and laundry room OWNER: SCHIPPOREIT STACI L Phone Number: 541.953-1275 ADDRESS: PO BOX 2137 JASPER OR 97438 OWNER: STEARNS MICHAEL P Phone Number: 541-953.1275 ADDRESS: PO BOX 2137 JASPER OR 97438 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone General Contractor OWNER CCB 000000 08/0112025 OWNER __..— —000000._0- ______.. _—.__.—._._. Me<hanicalContractor CCB 08._/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Oontraclor- ' 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. �'� 5, t \ AATTFnlnn.r. ,. Owner or Contractor Signature c)iIGE: I In PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER CHIS PERMIT IS NOT COf�4MENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Dale follow rulesI vregon law requires you to Notification Center Thoed se rulethe sareOregon Utility in OqR 95?_ -001-0010 through OAR 952.001• 0090• You may obtain copies of the rules by calling the center. (Nate. the telephone number for the Oregon Utility Notification Center is 1-800.332.2344), Springfield Building Permit 0/12/2014 10:06:02AM Page 1 of 1 SPRINGFIELD I, A'' OREGON wmv.spnngfeld-or.gov TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fnh St Spnngfield,OR 97477 541-726-3753 permitcenter@spdngfield-or.gov RECEIPT NO: 389156 RECORD NO: 81I-SPR2014-01555 DATE: 08/12/2014 DESCRIPTION Continuing Education Fee SDC: Total Storm Administration Fee Residential Fire (.05 Per Sq Foot) Technology fee (5% of permit total) Stale of Oregon Surcharge (12% of applicable fees) SDC: Reimbursement Cost - Storm Drainage ACCOUNTCODE 224-00000-425606 719-00000-426604 100-00000-424005 100-00000-425605 821-00000-215004 441-00000-448029 440-00000-448028 AMOUNTDUE $2.50 $6.39 $10.40 $15.15 $36.36 $52.05 $75.66 SDC: Total Sewer Administration Fee 719-00000-426604 Planning - Minor Review - City 100-00000-425002 $119.00 Structural Building Permit Fee 224-00000-425602 $302.96 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $572.16 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 $1,172.24 Technology fee (5% of permit total) 100-00000-425605 $4.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.84 Electrical Continuing Education fee 224-00000-425606 $2.50 Minimum Electrical Fee for 4 or fewer circuits 224-00000-426102 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $5.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $12.24 Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $20.00 First Appliance Fee 224-00000-425604 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $8.40 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $20.16 Water heater 224-00000-425603 $21.00 Clothes washer 224-00000-425603 $21.00 Shower/Shower pan 224-00000-425603 $21.00 Water closet 224-00000-425603 $42.00 Sink/basinhavatory 224-00000-425603 $63.00 TOTAL DUE: $2,871.43 PAYMENT TYPE PAYOR CASHIER: KWILSON COMMENTS AMOUNT PAID Credit Card Staci Schipporeit 3880 Oregon $2,452.09 5480D Credit Card Staci Schipporeit 3880 Oregon $98.44 5480D Credit Card Staci Schipporeit 3880 Oregon $121.84 5480D Credit Card Sled Schipporeit 3880 Oregon $199.06 5480D TOTAL PAID: $2,871.43 Electrical Permit Application SPflINGF1ELD _. 225 Fifth Street* Springfield, OR 97477*PH(541)726-3753*FAX(541)726-3689 - DEPARTMENT USE ONLY Permit no.: �® Date: 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 Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: _33'Z v on__ Qi City: • e IState:` Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) Reference: r I Taxlot.: :DESCRIPTION OF WORK $ 91.00 $ PROPERTYOWNER tI �fa Name: t oV c i � cAnA Address: ' j`(5 1,- City" City: State: , ZIP: 1 2 K Phone. ( Fax: E-mail: 5'i-C"vt. t'✓LCtt t�-t This installation is being made on resided ' l or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) 479.560(1). Signature: S CONTRACTOR .INSTALLATION. Business name: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-J(5/21/2014/COK FEE SCHEDULE -:Number of inspections per item ()Qty, Cost ea, - Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $151.00 $ Each additional 500 sq. ft. or portion $ 28,00 $ thereof Limited energy (2) $ 36.00 Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 91.00 $ 201 to 400 amps (2) $106.00 $ 401 to 600 amps (2) $178.00 $ 601 to 1,000 amps (2) $230.00 $ Over 1,000 amps or volts (2) $527.00 $ Reconnect only (2) $ 71.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 71.00 $ 201 to 400 amps (2) $ 98.00 $ - 401 to 600 amps (2) $142.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extensionperpanel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 7.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) 62,00 $ Each additional branch circuit P$ $ 7.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 71.00 $ Each sign or outline lighting (2) $ 71.00 $ Signal circuit or a limited -energy panel, alteration, or extension (2) $ 82,00 $ Each additional inspection: (1) $82,00 $ APPLICANT .USE ' (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) (B) Enter 12% surcharge (,12 x [A]) $ Y (C) Technology Fee (5% of [A]) $ Yr C (D) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through D): $ IT SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springreld,OR97477 ,, v Phone: 541-726-3753 - OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01712 vnvw.springfield-w.gov permitcenler@springfield-ocgov PROJECT STATUS: Issued ISSUED: 08/1212014 EXPIRES: 02/07/2015 STATUS DATE: 08/1212014 APPLIED: 08/07/2014 SITE ADDRESS: 3380 OREGON AVE, Springfield, OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702313106502 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: P- Addition to duplex, expand bedroom add half -bath and laundry room OWNER: SCHIPPOREITSTACI L Phone Number: 541.953.1275 ADDRESS: PO BOX 2137 JASPER OR 97438 OWNER: STEARNS MICHAEL P Phone Number: 541-953.1275 ADDRESS: PO BOX 2137 JASPER OR 97438 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor OWNER CCB 000000 08/01/2025 ___...__.._,___.�_^1181_—._ Mechanical Contractor OWNER CCB 000000 08/01!2025 Plumbing Contractor OWNER CCB 00000006/01/2025 8888_^_. ___al Contr_�actor 000000 8888_-8_881.--_— 08/01!2025 ElectricOWNER CCB 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 approved set of plans will remain on the site at all times during construction. 5&(-1 Owner or Contractor Signature Date WITICE: TI IIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZr�ED UNDER THIS PERMIT IS NOT srnngfieldBulltlingKNCED OR IS ABANDONED FOR 8/12/2014 10:01:55AM N,!Y 180 DAY PERIOD, Al-TENTION:Oregon In ^a requires you to follow rule.; adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1.800-332-2344)page 1 of 1 Llo�GFIELD -- CITY OF SPRINGFIELD 225 Fifth Sl TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 w .spnngfield-ocgov RECEIPT NO: 389156 RECORD NO: 811-SPR2014-01555 permitce me r@sp4ngfield-or.gov DATE: 08/12/2014 DESCRIPTION ACCOUNT CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 $2.50 SDC: Total Storm Administration Fee 719-00000-426604 $6.39 Residential Fire (.05 Per Sq Foot) 100-00000-424005 $10.40 Technology fee (5% of permit total) 100-00000-425605 $15.15 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $36.36 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $52.05 SDC: Improvement Cost - Storm Drainage 440-00000-448028 $75.66 -JkI Vi�VIQF�i CsWCa I-pV HI1HIJli9lltlH-F6E /-1-a=V V V V Vw4V V Vq W4a-. �.� Planning - Minor Review - City 100-00000-425002 $119.00 Structural Building Permit Fee 224-00000-425602 $302.96 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $572.16 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,172.24 Technology fee (5% of permit total) 100-00000-425605 $4.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.84 Electrical Continuing Education fee 224-00000-425606 $2.50 Minimum Electrical Fee for 4 or fewer circuits 224-00000-426102 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $5.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $12.24 Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $20.00 First Appliance Fee 224-00000-425604 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $8.40 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $20.16 Water heater 224-00000-425603 $21.00 Clothes washer 224-00000-425603 $21.00 Shower/Shower pan 224-00000-425603 $21.00 Water closet 224-00000-425603 $42.00 Sink/basin/lavatory 224-00000-425603 $63.00 TOTAL DUE: $2,871.43 PAYMENTTYPE PAYOR CASHIER:KWILSON COMMENTS AMOUNT PAID Credit Card Staci Schipporeit 3880 Oregon $2,452.09 5480D Credit Card Staci Schipporeit 3880 Oregon $9844 5480D Credit Card Staci Schipporeit 3880 Oregon $121.84 5480D Credit Card Sled Schipporeit 3880 Oregon $199.06 5480D TOTAL PAID: $2,871.43 Plumbing Permit Application SPRINGFIELD ti z DEPARTMENT USE ONLY Permit no.: !i Date: 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 Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential 10 Government 10 Commercial JOB SITE INFORMATION AND LOCATION Job site address: ' k, City: 5pr11 State: Og ZIP: 1 t ('Z Reference: Taxlot.: DESCRIPTION OF WORK 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 $ PROPERTY OWNER Name: Address: 3'1 JC(o (age -i ' City: :e State: ZIP: Phone: 't (445;' j ( Z"1.5 1 Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from ensi» g requirements under OAR 918-695-0020. Signature: �t F CONTRACTOR INSTALLATION Business name: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: BCD license no.: Plumbing license no.: Print name: Signature: 440-2500-J (SM/2014/COM) FEE SCHEDULE DescriptionCost Qty ea. Total cost New residential I bathroom/l kitchen (includes: first 100feet ofwaterlsewer fines, hose $268.00 $ bibs, ice maker, underfloor low -point drains and rain -drain packages) 2 bathrooms/] kitchen $420.00 $ 3 bathrooms/] kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes pillan review 0 to 2,000 square feet $82.00 $ 2,001 to 3,600 square feet $131.00 $ 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 $ Manufactured dwelling or prefab (circle one) Connections to building sewer and water supply $62.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $82.00 $ Each fixture $21.00 $ Miscellaneous fees 100' storm, sewer, water line $65.00 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceedingthe first 100 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of hrs. x fee per hr.) $82.00 $ Special requested inspections (no. of hrs. x fee per hr.) $62,00 $ Each additional inspection: (1) $82.00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value. $ ARPLi, Q NT USE: (A) Enter subtotal of above fees $ - (Minimum Permit Fee $82.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ �zb (D) Technology Fee (5% of [A]) $ (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $ OG SPRINGFIELD -- 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR97477 r,t✓ Phone: 541-726-3753 = oRecoN Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01711 vnvw.spdngfield-ocgov, permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/12/2014 EXPIRES: 02/07/2015 STATUS DATE: 08/12/2014 APPLIED: 08/07/2014 SITE ADDRESS: 3380 OREGON AVE, Springfield, OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702313106502 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: M- Addition to duplex, expand bedroom, add half -bath and laundry room OWNER: SCHIPPOREIT STACI L Phone Number: 541-953.1275 ADDRESS: PO BOX 2137 JASPER OR 97438 OWNER: STEARNS MICHAEL P Phone Number: 541-953-1275 ADDRESS: PO BOX 2137 JASPER OR 97438 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor OWNER CCB 000000 08/01/2025 0-5.0_. ____.__.--.0000___ ....000000.0_.0_ 00 __________ 08!01_ /2025.0 Mechanical Contractor OWNER CCB Plumbing Contractor OWNER CCB 000000 08/01/2025 _C_.C__e........... Electrical Contractor OWNER 000000 OS/O1I2025 INSPECTIONS REQUIRED Inspections 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 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. Oregon law requires YOU tO Owner or Contractor Signature Date f':IHTME: I IIS PERMIT SHALL EXPIRE IF THE WORK I I*HOP,I7ED UNDER PHIS PERMIT IS NOT `'If=(� OR IS ABANDONED FOR Springfield Buildin4'Pe m [ 8/12/2014 10:04:09AM r,,,nl-^Illi) follow rules adopted by the uregon uumr Notification Center. Those rules are set forth in OAR 952_-001-0010 through OAR 952.001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page 1 of 1 SPRINGFIELDCITY OF SPRINGFIELD t 1=� 225 Fifth St �J TRANSACTION RECEIPT Springfield,OR97477 OREGtlN 541-726-3753 v m.springfield-ocgov permitcenter@springfield-or.gov RECEIPT NO: 389156 RECORD NO: 81 I-SPR201,1-01555 DATE: 08/12/2014 DESCRIPTION ACCOUNT CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 $2.50 SDC: Total Storm Administration Fee 719-00000-426604 $6.39 Residential Fire (.05 Per Sq Foot) 100-00000-424005 $10.40 Technology fee (5% of permit total) 100-00000-425605 $15.15 Stale of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $36.36 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $52.05 SDC: Improvement Cost - Storm Drainage 440-00000-448028 $75.66 Planning -Minor Review-VCity 100-00000-425002 $119.00 Structural Building Permit Fee 224-00000-425602 $302.96 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $572.16 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,172.24 Technology fee (5% of permit total) 100-00000-425605 $4.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.84 Electrical Continuing Education fee 224-00000-425606 $2.50 Minimum Electrical Fee for 4 or fewer circuits 224-00000-426102 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $5.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $12.24 Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $20.00 First Appliance Fee 224-00000-425604 $82.00 Continuing Education Fee 224-00000-425606 $2.50 Technology fee (5% of permit total) 100-00000-425605 $8.40 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $20.16 Water heater 224-00000-425603 $21.00 Clothes washer 224-00000-425603 $21.00 Shower/Shower pan 224-00000-425603 $21.00 Water closet 224-00000-425603 $42.00 Sinktbasin/lavatory 224-00000-425603 $63.00 TOTAL DUE: $2,871.43 PAYMENT TYPE PAYOR CASHIER; KWILSON COMMENTS AMOUNT PAID Credit Card Sled Schipporeit 3880 Oregon $2,452.09 5480D Credit Card Sled Schipporeit 3880 Oregon $9844 5480D Credit Card Staci Schipporeit 3880 Oregon $121.84 5480D Credit Card Staci Schipporeit 3880 Oregon $199.06 5480D TOTAL PAID: $2,871.43 r"oENEf AL NOTF,S 1. mi am mand alto representdacrealconstruction resuh.IT is The ruponsibility of i -in structuralintegrity of the bolding wring construction, It is thep ibilTy of the b eq - d permits from the regulat ry jurisdi prior V Via start if construction. The contractor shall met II responsibilityf II changes requiredby the jurisdiction sh Id he/she notfollow this procedure 3 Contractor t fy nP d before rt g construction,d bring any all discrepe ices; to'h rot the des goer Prior to proceeding with 'k in the dfac.ed ai T;'iis - cluiuss verifying roofptches All drawings scaled t'04 1 011 unlessd otherwise' 4. Substitucliorm by the comormclar for specified materials shall be submitted to iha designer and approved prior to 'ng work Or imaffected Mamorals specified as 01(orq) plans may be bstit t d without priorpp I or the d g provided tract product p f i showing equol'ty or superiorityt the p f' d material. - 5 Ind i d d' q- d T rp d' T d rds cresplate+ dstud plate at the indicated 'd unlesss specifiedotherwise. m No stole measurements from blueprintsor copies shall be considered vola. 6. Cdnlroinn responsibleforthey require inspect n ofall one ar involvedin this pe�ruction orals mal, and for assuring required Inspections ore requested and tarmea in afimery manner. ]. All corstruction shall comply with The 2010 Oregon Specialty Structural Code OSst) - -- r•� �y tole uregon Utliny Notification Center. Those rules are set forth In JAR 952-001- 0010 through OAR 952-001-0090, You may obtain — 3 ON of the rules by calling the center (Note: the — - o 0 telephone number for the regon tllity N tificatio m 950 "enter is 1-800-332-, 44), _ p ca a _______ I - G oQw 111 z z Go BMW xa 3 <a L7 4 enno mI LL onDue me 10 TP I 3 Rr Aniu o„ oda c gN — pRO1o5ED EXCITING B. All conmctarsspecified shall be Simpson Strong -Tie Brand, If available. Th ese in SOUTH ELEVATION nnenors may be substituted for with onothe� brood If noted on plans, bur shall n r be substituted for if an "(m eq.)" note is not Included for any specific siruafmn. z 1 i�It z6'n9. Any changes to the final draft of plans submitted to the customer afterOREGON AVE. ELEVATION NOTES mow acceptance of the plans by the customer shall be considered new plans 1 3 10. All wood assumed to be DF #2 ar, better, unless zs noted otherwise. 0 N e ROOFING: COMPOSITION ROOFING, OVER #15 FELT (OR EQ.), OVER MIN. Ni 1/2" Eq.j CDX PLYWOOD (OR 11. All Window and door headers shall be (2) 2 x B unless specified otherwise. See ofZ 0 - m the multi -member header octal 1. SIDING: NG: LAP SIDING ( MATCH EXISTING), OVER TYVEK (OR Eq.) OVER MIN. NOM. 1/21? COX PLYWOOD (OR O sad 12. All exterior walls where no openings occur are to be considered preemptive- mee path brace panels. Panels that require special nailing(that is alternate brace WINDOWS: VINYV PER CONTRACTOR/HOMEOWNER �Wa w panels)a noted anthe plans. PLOT PLANw T, S, - RAKES AND FASCIA: 2 X 6 S.P,F. (OR MATCH FMw STING) uC�I an AC '/ SCALE: 1"– O" TRIM: CONFIRM WlHOMEOWNER: Is CEDAR(OR Eq.7 MATCH EXISTING vIn RECEIVED 1/.y/ JOa NO.Si`7'O/SSS WEATHERIIIN6: FLASH ALL EXTERIOR DOORS, WINDOWS AND HORIZONTAL TRIM. COORDINATE ALL UI FLA5HUN6 INSTALLATIONS WITH YOUR BUILDING INSPECTOR N OC=PANcy GROUP sr OCCUPANCY LOAD f ss 1!4' MIN, 6API.E VENT Q k n 21E5I — _ TYPE CONSTRUCTION ATTENTION: Oregon law -THE..CONTENTS HERE-ONHAV$ BEEN--BEV[EWED,WtTH ALTERAT{OAlS INOICATEO ON COLORED PEpdCIL. CHANGES QR ALTFRATITJEJ3-Pv]RDE-TO-THE Arr ROVED-OF.AWINGS-OR P-ROJECT Al THE DATE BELOW SHALL BE APPROVED 13Y THE BUILDING OFFICIAL. EI¢6TIN6 i pppppSEp NORTH ELEVATION SCALE 1/4"= 1 0 WEST ELEVATION SCAL - 0" SCHIPPOREIT DUPLEX ADDITION REVi5ZON5: SHEET: 1 4 OF: