HomeMy WebLinkAboutPermit Building 2013-8-13 - r
SPRINGFIELD 225 Fifth St
1 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-SPR2013-01800
wwwspringfield-or.gov pennitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/13/2013 EXPIRES: 02/08/2014
STATUS DATE: 08/13/2013 APPLIED: 08/13/2013
SITE ADDRESS: 1542 I ST,Springfield,OR 97477 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703362200600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Reroof
OWNER: EVANGELICAL LUTHERAN CHURCH Phone Number:
ADDRESS: . 730 B ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor CL LARGE INC CCB 60147 05124/2014 541-344-1415
INSPECTIONS REQUIRED
Inspections
1620 Roofing Roofing: Prior to installing any roof covering.
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.
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Springfield Building Permit 8/13/2013 1:32:48PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
his225 Fifth St
`�,�, TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-S PR2013-01800
www.springtield-or.gov 1542 I ST permitcenter @springfield-or.gov
RECEIPT NO: 2013001754 RECORD NO: 811-SPR2013-01800 DATE:08/13/2013
;DESCRIPTION , . _ -_. _ -. _I., .a_ - .ACCOUNT CODE/TRANS,CODE-^_1 _ AMOUNT DUE_ J
Building Permit Fee 224-00000-425602 1002 626.72
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 75.21
Technology fee(5%of permit total) 100-00000-425605 2099 31.34
TOTAL DUE: 733.27
AMOUNTPAID.
PAYMENT TYPE ;_ PAYOR caswEa:oeowLSer •- �COMMENTS�_� -. .^- - . _J
Check evergreen roofing of oregon 733.27
1212
TOTAL PAID: 733.27
•
. Structural Permit Application SPRINGFIELD DEPARTMENTaJSE,ONLY14
CITY OF SPRINGFIELD;.OREGON' tom• `
Permit no.: S13. hp
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54I)726-3689 OREGON T
Date: g /S4/J
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days f issuance or if work is
suspended for 180 days.
L iitt 'j,^sL'OCAEFOOVERNMENT A 14OVAL '"?7 t-,`3��`� l; ,. m�„?,„„ F.EE S IIEDULE,t,,,;,. T t; rgrp g:
This project has final land-use approval t1'1mValuatl6nnformaiioiSINt* y Rr A"fi' J.tj+w,-°�','
Signature: Date: (a)Job description: 2'E-t1 ,c -
This project has DEQ approval.
Occupancy
Signature: Date: �_
Zoning approval verified: ❑Yes ❑No Construction type: V 1
Property is within flood plain: ❑Yes ❑No Square feet: -.
+g. .,' - ..__--. .,,r,,.. _.....,-.._ z,
i k ,-� 7.1; ATEGORY,OF.;4CONSTRUCTION 2��t ; ,.r i;.; Cost per square foot:
❑Residential ❑Government I>iiCommercial Other information:
..,..,.�....._ .r,_
`- �'�",�90B SITE*INFORMATION AND�LOCATION ��-]�'r�s,'+,
Type.of Heat:
Job site address:L�Z r Energy Path:
Cityt ,4"10,O/E' Stater ZIP? ' Q7 ') ❑new 1 .23alteration ❑addition
Subdivision: Lot no.: / (b)Foundation-only permit? ❑Yeso
Reference: 17 C)7„SAD lot: O L'a 0 Total valuation: $
?j_ -.i1 y.ii....; 4710PERTY�,';O'W�NE"R,�.#�:gliala:s._.'I.?t 72{Budding feearlac4 ,4a",_._„xi.. l:71 /I»s'y1/''',�2
Nadle:r,9 ia-D 4-0 2 (a)Permit fee(use valuation table): $ 646 �-
Address: —7 3 O c.e t
4/2- c (b)Investigative fee(equal to[2a]): $
City: 5 9FQ State: ZIP: /71177 (c)Reinspection($ per hour):
Phone: Fax: - -
(number of hours x fee per hour) $
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 7S
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: t-3tiplan review fees - �e .= z;.a �fir , - ��^ 3{i
(a)Plan review(65%x permit fee[2a]):
Sign here: (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): $
me or a member of my immediate family,and is exempt from licensing `4 Mtseellineous fee's'`` : - _ 't` f.
requirements under ORS 701.010.
(a)Seismic fee, 1%(.01 x permit fee[2a]): • $ _
. �.;< CONTRACTOR".INSTALLATION:,'-} "' 1,�` : `'-"' b Technology ee,5% 05 x emit fee 2a $ 3 f
�.vtetes2tDIJ2e4AJ4 ai e/2,7&o� ( ) gy ( P fee[2a]):
Busine_�s-�s'���nratmppe: el /
Addre
'sf� / W 'sir TOTAL fees and surcharges(2e+3c+4a+46): $ �s Z7
City:F ¢*/ .I State:eg„ ZIP:q,yi2l
Phone391 ./// Fax gil-clef 71,ki
E-mailtiQ/G#t 1p rgol m/it./Nen
CCB license nod;n/L7
Print name:�l!!!ic.. v2.
•
Stgnature/fl � -
t -'.fly"•(S��UBtONTRACTORINFORMATION "t a,- w ;?
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical