HomeMy WebLinkAboutPermit Building 2013-5-20 •
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SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD ' Springfield,OR 97477
Phone: 541-726-3753
- OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-00993
www.springfiel d-or.g ov perm itcentergspringfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/20/2013 EXPIRES: 11/15/2013
STATUS DATE: 05/20/2013 APPLIED: 05/20/2013
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SITE ADDRESS: 1369 B ST,Springfield,OR 97477 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703362313700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: reroof
OWNER: HOPE EVANGELICAL LUTHERAN Phone Number:
ADDRESS: 1369 B ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type ' Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor SIZEMORE ROOFING 8 CONSTRUCTION CO CCB 189901 03/11/2014 541-895-4288
INSPECTIONS REQUIRED II
Inspections
1620 Roofing Roofing: Prior to installing any roof covering.
1630 Roof Sheathing Roof Sheathing
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.
/../
tinier or Contr. . ignatuu Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
NOTICE: 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 5 i, 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the teleph
number for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344).
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Springfield Building Permit 5/20/2013 8:24:41AM Page 1 of 1
SPRINGFIELD i CITY OF SPRINGFIELD
hi- e*.. 225 Fit[h St
`( TRANSACTION RECEIPT Springtield,OR97477
OREGON 541-726-3753
811-SPR2013-00993
www,springtield-or.gov 1369 B ST permitcenter @springfield-or.gov
RECEIPT NO: 2013000981 RECORD NO: 811-SPR2013-00993 DATE:05/20/2013
DESCRIPTION_ w .., ';ACCOUNT CODE/TRANS CODE :;„ AMOUNT DUE, 1
Building Permit Fee 224-00000-425602 1002 286.52
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 34.38
Technology fee(5%of permit total) 100-00000-425605 2099 14.33
TOTAL DUE: 335.23
_PAYMENT TYPE w_-__PAYOR____CASHIER:CCARPENTE2, _e_'..t . COMMENTS 71.., AMOUNT PAID
Check SIZEMORE ROOFING&CONSTRUC- 335.23
1449 CO
TOTAL PAID: 335.23
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Structural Permit Application SPRINGFIELD DE ARTMENTUSE ONLY
µ., i e i ",.,, l !,'...t .an,,.
i o CITY OF SPRINGFIELD OREGON v '' ' ' `;e�x as: (
,. • _. ya ..., • Permit no.. ✓I3— %5'_3
225 Fifth Street•Springfield,OR97477•PH(541)726-37531 FAX(541)726-3689 OREGON
Date: �--7 J
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuan���f work is
suspended for 180 days.
5a- n ..,....G..Wa »-.. i �,,. ,g y' . at .5 Sir. is iir ° v
�t�sCOCAL�GOVERNMENT"�'APPROVAL�+i�:-r,',,?,, �,,,; [a+.3;n"'-„��^ � z FEE,YSCHEDUL ,'`,�: .e„r�,t„F� ,�;,
This project has final land-use approval. - 'ark-an-wow for a a j a `x[: es"t.ess' -,rte ,„:J K
Signature: Date: (a)Job description ,,Q_ C
This project has DEQ approval. Occupancy 71
Signature: Date:
Zoning approval verified: ❑Yes ❑No - Construction type:
Property is within flood plain: ❑Yes ❑No Square feet: .
-.aerIT ...N..,s-,-o..,•,x. ..
� ��,�';^, CATEGORYyOF�CONSTRCiION�,a � 3Y"��y�;�; Cost per square foot:
❑Residential ❑Government ❑Commercial Other information:
pya JOB'SITE;rINFORMATIOwAND jLOCATION2'- Type of Heat:
Job site address: %'3/e g S S7 Energy Path:
City: r5 '6iO I State: 6/2 I ZIP: 9 797? ❑new • alteration ❑addition
Subdivision: I Lot no.: (b)Foundation-only permit? ❑Yes allo
2 ” "/
Reference: /2)536 Taxlot: �J 7OO Total valuation: $Zr,°""
r aW Sfl iroiroiktgain l« !` 's.§°. 'w3 r HBurld g feeartE3 mE ava7 2 .:.4m ^+y'e
_Name: /7/0"E L1'T#£Pd/ e 1,4Z1C,f! (a)Permit fee(use valuation table): $>�,�z
Address: /j&6 e 5 T (b)Investigative fee(equal to[2a]): $
City: sA/LO State: 0'2 I ZIP:975'7? (c)Reinspection($ per hour): $
Phone: Sy/ -5-7 J o717 Fax: - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $. 9
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: r",3 PIao review fe ''' Tz ''_ .I § y� �' "
/J (a)Plan review(65°%x permit fee[2a]); $
Sign here: /7 �% y (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is mmgg made o 7 Ydential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing q.`'�.MIS e118na o s feea,� antitiEraiRral
requirements under ORS 701D la
" � T a,"'Y�t's- yr; -- aX.Y'i2' „a y� (a)Seismic fee, 1%(.01 x permit fee[2a]): $
" yy1r;a4q CONTRACTOR INSTALLATION �1, �'X4-4" ° 23
_ (b)Technology fee,5%(.05 x permit fee[2aj): $
Business name: .51.z f,sz'n! yeun4a- eon,cT Z J
ft—TOTAL fees and surcharges(2e+3c+4a+46): $3
Address: pc'. 411' AO ' 7�
City: (' /Z£S<vLLL State: d4' I ZIP:*7y�y .
Phone:4/I- 63'5" yZ89 Fax: - - .
E-mail:„5",ze tn"rab ir5 t€g l&.V, Co e4-1
CCB license no.: ,/7572-1/
Print name: I'%� ,S/Z£ss/%'z C-
Signature /�,� p� _ e
SUBCO INFORM__ATONs- `l :a
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical