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HomeMy WebLinkAboutPermit Building 2013-6-13 SPRINGFIELD away 225 Fifth St k. 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-SPR2013-01277 www.spnngfield-or.gov permitcenter @springfield-ocgov PROJECT STATUS: Issued ISSUED: 06/13/2013 EXPIRES: 12/09/2013 STATUS DATE: 06/13/2013 APPLIED: -06/13/2013 • SITE ADDRESS: 610 S 2ND ST,Springfield,OR 97477 SCOPE: ReRoof ASSESOR'S PARCEL NO: 1703353300500 - TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Re-Roof/Tear Off • OWNER: MOMENTIVE SPECIALTY CHEMICALS INC Phone Number: ADDRESS: 180 E BROAD ST COLUMBUS OH 43215 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MAIER ROOFING CO INC CCB 32989 05/29/2014 541-928-8253 INSPECTIONS REQUIRED Inspections 1620 Roofing Roofing: Prior to installing any roof covering. 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. ��, C (3 /3 •Owner or Contractor Signature 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 952-001-0010 through OAR 952-001- n^90. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR tt,,. ., ., _., the teleph., is ANY 180 DAY PERIOD. r )tificctuon • Springfield Building Permit 6/13/2013 2:11:42PM • Page 1 of 1 • SPRINGFIELD- CITY OF SPRINGFIELD r v�4. - " 225 Fifth St TRANSACTION RECEIPT SpnngfieldtoR 97477 REGON 541-726-3753 811-SPR2013-01277 wvnv.spdngfeldor goy 610 S 2ND ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013001232 RECORD NO:811-SPR2013-01277 DATE:06/13/2013 te1 Y� IC id(e�, , ,t- - 3a,c4,.4e-:?` "kbfACCOUNT:CODEITRANS,CODE S'' AMOUNTDUE:0 Building Permit Fee 224-00000-425602 1002 651.73 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 78.21 Technology fee(5%of permit total) 100-00000-425605 2099 32.59 TOTAL DUE: 762.53 PAYMENT>bTYP.E` PAYOR CASHIER:°crncEACHeRN,. COMMENTS AMOUNTP,AID Cash MAIER ROOFING CO INC 762.53 02893Z TOTAL PAID: 762.53 • Structural Permit Application S SPRINGFIELD DEPAR. TMENT USE ONL'z A 4iS 'vN. iitigE5.xel'ik rgE eggt d.A3. . e CITYOF PNGFELD OEGOW:i Pitt tic �• 1 Permit no 7 8( © (27 "` 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 .OREGON / Date: 6/73A-3 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. `k ' 'g LOCAL'vGOVERNMENT APPROVAL'' rt srZ':: ,,..'f. 14 1Mia(,_n- ,x_FEE SCHEDULE ' -Zt'af f: This project has final land-use approval. 1'-ValuattOn iiiformation "`„ - ;. �,,� Signature: Date: (a)Job description: This project has DEQ approval. Occupancy Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: p..�,``..CATEGORY OP.,_CONSTRucTioN„•„,-; r.. Cost per square foot: ❑Residential ❑Government ❑Commercial Other information: .'r y ' iJOB SITE;INFORMATIONxAND OCATION"*':,;x,g Type of Heat•. Sob site address: 6 7& - oc fr v Energy Path: City: f,e/ide/”/ccO State: 0 Z1171/77 ❑new ❑alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot: Total valuation: $ Name: M d in ¢A)1///b"` (a)Permit fee(use valuation table): 27r pe $ Address: %to a ./11,9( (b)Investigative fee(equal to[2a]): $ City:._S/4'/,‘O 6Fjir//) State: 0/f ZIP,it)? (c)Reinspection($ per hour): $ Phone:SW.—21-/A C(7 Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+21)+20]): $ (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3".plea review fees ,t"_,m .`"�` _. . , § T5... � .,, a rte .-' r> v-�' , (a)Plan review(65%x permit fee[2a]): $ Sign here: (b)Fire and life safety(40%x permit fee[2a]): S ❑This installation is being made on residential 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 4=Miscellaneous fees ,n requirements ands ORS 701.010. (a)Seismic fee, 1°%(.0I x permit fee[2a]): .;; r_3 ,CONTRACTOR INSTALLATION``z"ti Ux+o ;-:,:;. (b)Technology fee,5%(.05 x permit fee[2a1): $ Business name:`.?lc(70‹ • cO e!/vC< S3 TOTAL fees and surcharges(2e+3c+4a+4b): $ 76Z� Address: ,00x 62a City !S/-v/ State: C or ZIP:5 252, Phone:SUE �- gOZ S Fax:_ry,e 9 24'- �7 ir-Ar E-mail: /_5e[// e,"44/41-"WO a,efa- Coh7/4n),- CO CCB license no.:,2,2_ w-T Print name:" t. Atf I Signature /741. 11B CONTRAQTORINFORMATION ' E Name CCB License# Phone Number Electrical Plumbing Mechanical