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Permit Building 2013-6-28
1. SPRINGFIELD: 225 Fifth St .. CITY OF SPRINGFIELD Sp ngfeld,OR 97477 r` Phone: 541-726-3753 'l OREGON Building / Commercial Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01455 . www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/28/2013 EXPIRES: 12/24/2013 STATUS DATE: 06/28/2013 APPLIED: 06/28/2013 SITE ADDRESS: 5415 MAIN ST,Springfield,OR 97478 SCOPE: ReRoof ASSESOR'S PARCEL NO: 1702334203300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: SWOP-Commercial Reroof OWNER: MCKENZIE PLAZA LLC Phone Number: ADDRESS: 1600 VALLEY RIVER DR STE 160 EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone CL LARGE INC CCB 60147 05/24/2014 541-344-1415 • INSPECTIONS REQUIRED II 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 tha -II required inspections are requested at the proper time,that each address is readable from the street,that the permit card ••- -� the front of the property, and the approved set of plans will remain on the site at all times during construct'• ' AlIi 6 - 15/ - 13 - Owner or Contractor • . ure Date :- on law reQ uiresYUC1ry ON:Oreg the Oregon •• \FINC-wOj pTTENT► tedbY P\R M\� \S\A0 follow rules adop h OAR 952 001- Z�C�; SNp�1 \S PER FOR totification pp1t0010througlesare setes ∎• PERM\t UNotikl NR�NC-0 In OA you mg obtain copiei�e to eprert3y 1N-(NOR\LO OR\S p8P _ 0090.lling the centeOregontUtility Notification . NCO MENO D PER\00• number for the. 1-800-332 2344). • Springfield Building Permit 6/28/2013 1:21:22PM Page 1 of 1 SPRINGFIELD -- CITY OF SPRINGFIELD il ;,,, , 1'1,i h 225 Flfth St TRANSACTION RECEIPT Spdngfield,OR 97477 ON OREGON 541-726-3753 811-SPR2013-01455 www.springfieldocgov 5415 MAIN ST permitcenter©springfield-or.gov RECEIPT NO: 2013001384 RECORD NO:811SPR2013-01455 DATE:06/28/2013 joln.'i!3:1 • o ntanata_`r< ,1152 1,:ffi 'ACCOUNT_CODEITRANS CODE=-..=; ' `. AMOUNT DUE IA Building Permit Fee 224-00000-425602 1002 433.99 Building Without Structural Permit Penalty 224-00000-425602 1002 433.99 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 104.16 Technology fee(5%of permit total) 100-00000-425605 2099 43.40 TOTAL DUE: 1,015.54 IFPAYMENT TiYPE FAYOR ASw'EB oBowuser - COMMENTS, AMOUNT¢P41D Check evergreen roofing of oregon 1,015.54 1159 TOTAL PAID: 1,015.54