HomeMy WebLinkAboutPermit Building 2013-7-24 SPRINGFIELD 225 Fifth St
"'� CITY OF SPRINGFIELD Springfield,OR 97477
l Phone: 541-726-3753
-'OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 •
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01579
www.springfield-or.gov permitcenter @spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/24/2013 EXPIRES: 01/19/2014
STATUS DATE: 07/24/2013 APPLIED: 07/11/2013
SITE ADDRESS: 255 S A ST 1,Springfield,OR 97477 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703353207300 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: New roof, including new truss system
OWNER: BUCKRIDGE MICHAEL H&SHERRIE L Phone Number: 541-501-2402
ADDRESS: 1905 AGATE ST . •
EUGENE OR 97403
CONTRACTOR INFORMATION
Contractor Type Contractor Name . Lic Type Lic No ' Lic Exp Phone
General Contractor MICKEY GENE HOOVER CCB 195118 09/27/2013 541-521-5180
INSPECTIONS REQUIRED
Inspections
1110 Footing Footing: After trenches are excavated.
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
1630 Roof Sheathing • Roof Sheathing
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.
r � � —� 7 —24 TENTION: Oregon law requires you to 4..- ' to iuvv i uses adopted by the Oregon Utility
Owner or Contractor Signature Date Notification Center. Those rules are set forth
NOTICE: in OAR 952-001-0010 through OAR 952-001-
THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by
calling the center. (Note: the teleph::tt
'1UTHORIZED UNDER THIS PERMIT IS NOT
,OMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification
,NY 1 R� PAY PERIOD. Center is 1-800-332-2344).
Springfield Building Permit 7/24/2013 10:34:34AM Page 1 of 1
•
. SPRINGFIELD CITY OF SPRINGFIELD
...i_satlii
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
w'' tEGO N •541-725-3753
811-SPR2013-01579
www.springfield-orgov 255 S A ST 1 permitcenter @springfield-ar.gov
RECEIPT NO: 2013001625 RECORD NO:811 SPR2013-01579 DATE:07/24/2013
,_� - ,,--
e R ' :0` 1 -�m:__:�� tL._ �ei,�E 1 '� '�t'°-ACCOUNT Co DE/TRANS CODE ��,ty 'sAMOUNT DUE
Building Permit Fee �J �� 224-00000-425602 1002 586.69
Commercial Fire(.10 Per Sq Foot) 100-00000-424005 9112 25.80
Planning-Minor Review-City 100-00000-425002 1231 119.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 70.40
Technology fee(5%of permit total) 100-00000-425605 2099 29.33
If TOTAL DUE: 831.22
IIPIr.AYMENTITYP,E BAYOR casNtER:.JLARSDN ,COMMENTS AMOUNTPAID
Check MICKEY GENE HOOVER 831.22 .
1498
TOTAL PAID: 831.22
•
•
•
•
•
SPRINGFIELD--, CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngreld,OR 97477
OREGON 541-726-3753
811-SP R2013-01579
www.springfield-or.gav 255 S A ST 1 permitcenter®spnngfeld-or.gov
RECEIPT NO: 2013001496 RECORD NO:811-SPR2013-01579 ` DATE:07/11/2013
1,1 Ya 1i a[o1 I5,,,1"`-2114111rAI_ MI .:;,E ACCOUNT:CODE/TRANS;CODE_4-K1-'._ RW,AMOUNTDUE"41
Structural Plan Review Fee Commercial 224-00000-425602 1060 381.35
TOTAL DUE: 381.35
iP,AY,MENTIYP.E y' PAYOraoMT-ER CCARP.ENTER' 60MMEN7S MaraVA:MOUNaPAID; R ;E -":yi
Check H2 Construction 381.35
1404
TOTAL PAID: 381.35
Structural Permit Application SPRINGFIELD s DEPARTMENT"USE 9NLYY k
CITY OF SPRINGFIELD, OREGON ce Permit no SK 3 -/5-29.
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON I
Date: 7// 1 / (g
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.
_�., 1. _LOCALpGOVERNMENT,APP,ROVALiZiieCn, yn ;„ , ;.+ s, FEE,SCHEDULE+ zk ri
This project has final land-use approval. Ill }'aluatfou tnfocmat 0I z n w ;.5.r ' , -e :
Signature: Date: (a)Job description: ienQF/'EJDF *0774//V(,4- 09t-C
This project has DEQ approval. 6 fl T
)7,
Signature:
Date: Occupancy Si
Zoning approval verified: ❑Yes '❑No • Construction type:VI
Property is within flood plain: ❑Yes ❑No Square feet: v
�
.Fl its - `_.a ATEo6 V AF, CONSTRUCTION '"V' Cost per square foot:
❑Residential ❑Government ;Commercial Other information:
° 'i`t.17, 'JOB SITE INFORMATION*ANDiiLOCATION'lt , g:Itr. Type of Heat:
Job site address: 02.S S 0 P 3 i Energy Path:
City: ��ttrr ri.Je e.9 State: eye. ZIP:9 7'177 ❑new temtion ❑addition
Subdivision: (( Lot no.: (b)Foundation-only permit? ❑Yes ❑No ��q,,--vv--��
Reference: ] 70 3.35-3 4 Taxlot: 0 7 3 66 Total valuation: ' c;5,Zk O
�a+E r' '..r'9.�j s'n{PROPERTY�OWNERT'Y ,i y 'r,"xt '.. "l,I ty . -r f ? �, f:-s' s -[- F xr Atyire ,v a`'".
B.s.n...�,,,�M'���.-..°vkrti'a_ q . � t� i_.s I F;..__....,xtt,'..+.tM.e�:.:w ,t2.Buddmg,[ees�»��,t�. ,L,, _'f....,�.......,.+c .�14.n._
Name: /r l 1 kC pp4 e.4_i& e (a)Permit fee(use valuation table): $ r 6 '
Address: ,1O9 3 !f3 b/r� je.co (b)Investigative fee(equal to[2a]): $
City: e:/fcd•E State: (gt . ZIP: (c)Reinspection($ per hour):
(number of hours x fee per hour) S
Phones-9V-5- t-2.'fO'L Fax: - - //
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ //0 i.-
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 0 sPlan ev ew fees ,trat",; y f ax.;j, a'IIISZ j ",
�� ��JJ_ /J�_ �� (a)Plan review(65%x permit fee[2a]): $ 3
Sign here: t„.91/' �-Cr/E�e,a (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S
me or a member of my immediate family,and is exempt from licensing '4'Mscelladeous;feesr at'Oix'f w 'r x v 7�= -P w N `?t'
requirements under ORS 701.010.
.,,,-„ (a)Seismic fee, 1%(.01 x permit fee[2a]): $
';"` €<y a,`rk?°A CONTRACTOR INSTALL4TION..; `1,.';,i ..' :`t", 33
!�a e-- , ,2� (b)Technology fee,5%(.OS x permit fee[2a]): $
Business name: n ��iT
�acl( 4Q4�a.1 1/49)--
TOTAL fees and surcharges(2e+3c+4a+4b): $
Address:
City: C U r State:0e- ZIP:97,ee9
Phones4{(-:521 -5/f1V Fax '9{/"r¢,( '753
E-mail: .
CCB license no.: /4S17�
Print name: M,,,rff�,,�Ca L /IC;00671L.
•
Signature: C ick ,Crtt-A._ _ .
'rnxT!3ienrEIEOPI ONTRACTORINF,ORMATION',,IEi;,+,("+;iyti;,i..,aM'j:,
Name CCB License# Phone Number -
Electrical
,�cy4ir/e4 o�%
Plu. bing
•
Mechanical
•