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HomeMy WebLinkAboutPermit Building 2014-08-155PRt4G FIELU - `C .✓� 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01604 wmv.sprmgfield-or.gov permilcerder@spdngfield-or.gov PROJECT STATUS: i Issued ISSUED: 08/15/2014 EXPIRES: 02/10/2015 STATUS DATE: 08/15/2014 APPLIED: 07/25/2014 SITE ADDRESS: 115 WOODLANE DR, Springfield, OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703262202100 TYPE OF STRUCTURE: Residential —PROJECTDESCRIMON• S- RodJbath_Additio OWNER: SHORT KRISTIN & RICHARD Phone Number: ADDRESS: 115 WOODLAND DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Typo Contractor Name Lie Type Lie No Lie Exp Phone INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1170 Post & Beam Post and Beam: Prior to floor insulation or decking. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1530 Exterior Shearwall 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1920 Miscellaneous Building ATTENTION: Oregon law requires you to follow rules 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). NOTICE: TRIS PERMIT SHALL EXPIRE IF THE WORK AIJ IHORIZED UNDER THIS PERMIT IS NOT CWJ[ IENCED OR IS ABANDONED FOR !tiv!Y 1 U DAY PERIOD. Springfield Building Permit 8/18/2014 2:19:OOPM Page 1 of 2 SPR;NGFIELD -- 225 Fifth St '" CITY OF SPRINGFIELD Springfield,oR97477 ''�, C�s� Phone: 541-726-3753 "0REG0N Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 641-726-3676 PERMIT NO: 811-SPR2014-01604 v m.spnngfield-ongov permitcenter@spdngrield-orgov 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. 1 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 Dale Springfield Building Permit 8/15/2014 2:19a0PM Page 2 of 2 SNRINGNIELD CITY 01: SPRINGFIELD 225 Fifth Sl TRANSACTION RECEIPT Spnngfield,OR 97477 „, -, �a, t✓J 541-726-3753 oRecoN 811-SPR2014-01604 www.spnngfield-ocgov 115 WOODLANE DR permits nter@spring(ield-or.gov RECEIPT NO: 2014001791 RECORD NO: 811•SPR2014.01604 1175 DATE: 08/15/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 564.80 2.50 Planning - Minor Review - City 100-00000-425002 1231 119.00 Residential Fire (.05 Per Sq Foot) 100-00000-424005 9111 26.10 SDC: Improvement Cost - Local Wastewater 443-00000-448025 1184 572.16 SDC: Improvement Cost - Storm Drainage 440-00000-448028 1176 148.13 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 1183 1,172.24 SDC: Total Sewer Administration Fee SDC: Total Storm Administration Fee State of Oregon Surcharge (12% of applicable fees) Structural Building Permit Fee Technology fee (5% of permit total) Check SHORT KRISTIN & Jason 0697780 719-00000-426604 719-00000-426604 821-00000-215004 224-00000-425602 100-00000-425605 M .91 1175 87.22 1180 12.50 1099 67.78 1002 564.80 2099 28.24 TOTAL DUE: 2,902.58 TOTAL PAID: tID 2,902.58 2,902.58 LLINGFIELI) - CI'PY OP SPRINGFIELD225 Fifth St TRANSACTION RECEIPT Sp ng(eltl,OR97477 OREGON 541-726-3753 811-SPR2014-01604 v v.spdngfield-or.gov 115 WOODLANE DR permitcenter@spdngfield-or.gov RECEIPT NO: 2014001600 RECORD NO: 811-SPR2014-01604 DATE: 07/25/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE ' Structural Plan Review Fee Residential 224-00000-425602 1061 367.12 TOTAL DUE: 367.12 PAYMENTTYPE PAYOR 'CASHIER: ccARPENTER '. COMMENTS "AMOUNT PAID.' Check SHORT KRISTIN & RICHARD 367.12 2917 TOTAL PAID: 367.12 Structural Permit Application 225 Fifth Street 1 Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPa�NGPIELD t OREGON This permit is issued under OAR 918-460-0030. Permits expire if work is not started within % suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final Ian d -use approval. Signature: Date; This project has DEQ approval. ' Signature: Date: Zoning approval verified: El Yes El No Property is within flood plain: []Yes ElNo AT€OORY-O"ONSTRU_CTIO El Residential ❑ Government El Commercial JOB SITE INFORMATION AND LOCATION ' Job site address: S LJvr�< ,,, ri ✓� City: > r,-„ •,� State: 0r ZIP:97 7% Subdivision: Lot no.: Reference: 6 Taxlot: O Z1 U (Z) PROPERTY OWNER Name: `�; ;� •. r%` Address: City: ,S ,.; -_.. / State:0� ZIP17Y71 Phone: _ _ 37-11 3 � Fax: - _! ,, G�s 'v W. E-mail: �j S I-..,.^7 7,V CW e -. Building Owner or Owner's agent authorizing this application: l Sign here: This installation is being made on residential or farm property owned by fa me or a member of my immediate mily, 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: 3. Plan review fees SUB -CONTRACTOR INFORMATION Name CCB License # Phone Number Electrical (c) Subtotal of fees above (3a and 3b): $ Plumbing (a) Seismic fee, 1% (.O1 x permit fee [2a]): Mechanical (b) Technology fee, 5% (.05 x permit fee[2a]): $ DEPARTMENT USE ONLY Permit no.:�� Date: 180 days of issuance or if work is FEE SCHEDULE 1. Valuation information (a) Job description: l -&DID/ 1-211) tti/ Occupancy 2-3 Construction type: t/s Square feet: Cost Der s uare foot: Other information: Type of Heat: Energy Path: a El new ❑lteration addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ 2. Building fees (a) Permit fee (use valuation table): $ E (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ $ (e) Subtotal of fees above (2a through 2d): S 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% (.O1 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): S lPL� 0/c l , A'?, - ac � ns. i3wY' — I' I.Q/RtiT' S 2rnylM�rrnwt--lam+ � C�y,Q�r.ecQ� SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 - Phone: 541-726-3753 oaecoN Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 641-726-3676 PERMIT NO: 811-SPR2014-01750 N v .spnngfield-or.gov Permilcenler@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/15/2014 EXPIRES: 02110/2015 STATUS DATE: 08/15/2014 APPLIED: 08/13/2014 SITE ADDRESS: 115 WOODLANE DR, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703262202100 TYPE OF STRUCTURE: Residential ROJECT-?ESC RI PTJON*PBed-battvAdditio OWNER: SHORT KRISTIN & RICHARD Phone Number: ADDRESS: 115 WOODLAND DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone Plumbing 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 approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 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 telephone number for the Oregon Utility Notification Center Is 1.800.332-2344), NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORE( AUTHORIZED UNDER THIS PERMIT IS NO I COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/15/2014 2:24:32PM Page i of 1 LINGPIELD CITY OF SPRINGFIELD 225 Fifth St Spsingfeld,OR97477 TRANSACTION RECEIPT -'* OREGON 541-7263759 811-S P R2014-01750 V w .spnng(eld-ocgov 115 WOODLANE DR permits nter@spnnggeld-ocgov RECEIPT NO: 2014001790 RECORD NO: 811-SPR2014-01750 DATE: 08/15/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Fixture 224-00000-425603 1005 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 147.00 17.64 Technology fee (5% of permit total) 100-00000-425605 2099 7.35 TOTAL DUE: 174.49 'PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Check SHORT KRISTIN & Jason 0697780 TOTAL PAID: 174.49 Plumbing Permit Application SPRINGFIELD _..... i i f i DEPARTMENT USE ONLY 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 ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION obsite-address City: ] Each additional kitchen (over 1) $107.00 $ 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: e, %L. , �,-' ✓ e City: State: Z) ZIP: Phone:_Sf/ 33- / 13 L I Fax: E-mail: �54<.-%7`f c�lrr�_s/•/f%e71 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 >918-695-0020. Signature. 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 (MI/2014/COM) FEE SCHEDULE Description Qty Cost ea. Total cost New residential 1 bathroom/1 kitchen (includes: first 100jeet ojwater/sewer lines, hose $268.00 $ bibs, ice maker, underfloor low point drains and rain -drain packages) 2 bathrooms/1 kitchen 420.00 _ 3 bathrooms/1 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 pre -fab circle one) Connections to building sewer and water supply $82.00 $ 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 $85.00 $ 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.) $82,00 $ 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. $ APPLICANT `t)SE, (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]) $ Z 1' (D) Technology Fee (5% of [A]) $ 51,3 (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $ Z ? OWNER: SHORT KRISTIN & RICHARD ADDRESS: 115 WOODLAND DR Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone 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. Owner or Cpntraclor Signature NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AH FHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. �5 /I Date ATTENTION: Oregon law requires you to follow rules 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). Springfield Building Permit 8/15/2014 2:21:OOPM Page 1 of 1 225 Fifth St V",;— �OR CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 eco rl Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01748 mwi.springfield-orgov permiteenter@springrield-ocgov PROJECT STATUS: Issued ISSUED: 08115/2014 EXPIRES: 02/10/2015 STATUS DATE: 08/15/2014 APPLIED: 08/13/2014 SITE ADDRESS: 115 WOODLANE DR, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703262202100 TYPE OF STRUCTURE: Residential OWNER: SHORT KRISTIN & RICHARD ADDRESS: 115 WOODLAND DR Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone 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. Owner or Cpntraclor Signature NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AH FHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. �5 /I Date ATTENTION: Oregon law requires you to follow rules 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). Springfield Building Permit 8/15/2014 2:21:OOPM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spdngfield,OR97477 --` OREGON 541-726-3753 811-SPR2014-01748 w .spnngfield-ocgov 115 WOODLANE DR permitcenter@spdngfield-or.gov RECEIPT NO: 2014001788 RECORD NO: 811-SPR2014-01748 DATE: 08/15/2014 DESCRIPTION ACCOUNT CODE/TRANS'CODE AMOUNT DUE Electrical Continuing Education fee 224-00000-425606 1032 2.50 Minimum Electrical Fee for 4 or fewer circuits 224-00000-426102 1075 82.00 State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) SHORT KRISTIN & Jason 0697780 821-00000-215004 1099 100-00000-425605 2099 TOTAL D TOTAL PAID: 98.44 9.84 4.10 Electrical Permit Application > DIfflaa D .z.. ^-#..vim 225 Fifth Street o Springfield, OR 97477 o PH(541)726-3753 o FAX(541)726-3689 DEPARTMENT USE ONLY Permit no.: - 17V Y Date: 1124 t/ 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 I ❑ Government I ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: j/ S tit iL [mite energy 2 36.00 Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) Reference: Taxlot.: DESCRIPTION OF WORK r $ PRO ERTY OWNER Name: Address: City: j R 1,Q State: ©� ZIP: 9 71'7" Phoneli-411133?, 113 Fax: - - E-malCr.v�.s1 This installation is being made on residential 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) and 479.560(1). Signature: CONTRACTOR INSTALLATION.. Business name: �L✓��_ 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: 440-2584-1 (51212014/COM) FEE SCHEDULE Number of inspections per item O 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 $ yg,00 $ thereof [mite 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, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit 1 1 $ 7.00 1 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 62.00 $ Each additional branch circuit $ 7.00 $ Miscellaneous fees: service orfeeder 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 DOSE - (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) $ (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (6% of [A]) (D) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A Through D): $ SPRINGFIELD- EXPIRES: 02/10/2016 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 cd3% Residential ... Phone: 541-726-3753 --> oREGOR Building � Residential Permit Inspection Phone: 541-726-3769 ADDRESS: 115 WOODLAND DR Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01749 v mapmngfield-or.gov Lic No Lie Exp Phone permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 08/15/2014 EXPIRES: 02/10/2016 STATUS DATE: 08/15/2014 APPLIED: 08113/2014 SITE ADDRESS: 115 WOODLANE DR, Springfield, OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703262202100 TYPE OF STRUCTURE: Residential ... --PROJEC-T-DESCRIPTION - M-BedJbath-Addition OWNER: SHORT KRISTIN & RICHARD Phone Number: ADDRESS: 115 WOODLAND DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone Mechanical 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. Owner or Contractor Signature ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952.001.0010 through OAR set forth 1- 0090. You may obtaincopies of the rules by calling the center. (Note: lephone Centthe te number for the Oregon Utility Notification er is 1.800-332-2344). lh /S Date NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Springfield Building Permit 8/15/2014 2:22:40PM Page 1 of 1 FiN CITY OP SPRINGFIELD 225 fdth St TRANSACTION RECEIPT Springfield,OR97477 811-S PR2014-01749 541-726-3753 tm"v.springfield-or.gov 115 WOODLANE DR permitcenter@springrield-or.gov RECEIPT NO: 2014001789 RECORD NO: 811-SPR2014-01749 DATE: 08/15/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE ' Continuing Education Fee 224-00000-425606 2.50 First Appliance Fee 224-00000-425604 1006 82.00 Single -duct exhaust (bathrooms, toilet compartments, utility room: 224-00000-425604 1006 10.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 11.04 Technology fee (5% of permit total) 100-00000-425605 2099 4.60 TOTAL DUE: 110.14 PAYMENTTYPE--PAY e12 C0141MENT OUNTT'AI Check SHORT KRISTIN & Jason 110.14 0697780 TOTAL PAID: 110.14