HomeMy WebLinkAboutPermit Building 2013-9-5 SPRINGFIELD - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
c' ;:' Phone: 541-726-3753
"' OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01848
wvnv.springfield-or.gov - permitcenter@spnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/05/2013 EXPIRES: 03/03/2014
STATUS DATE: 09/05/2013 APPLIED: 08/19/2013 •
SITE ADDRESS: 3500 E 17TH AVE,Eugene,OR 97403 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703343400301 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Partial reroof and rebuild mechanical penthouse
OWNER: LANE TRANSIT DISTRICT Phone Number:
ADDRESS: PO BOX 7070
SPRINGFIELD OR 97475 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor UMPOUA ROOFING CO INC COB 51465 10/06/2014 541-302-6850
INSPECTIONS REQUIRED
Inspections
8688 Fire Sprinklers
8690 Fire Sprinkler Final
8999 Final Fire
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1620 Roofing Roofing: Prior to installing any roof covering. •
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.
�/ //,
Owner 7r •ntractor Signature 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 0090. You may obtain copies of the rules by
Springfield Buc1QNE1'M. LACED OR IS ABANDONED FOR 9/5/2013 2:27:20PM calling the center. (Note: the telephone
ANY 180 DAY PERIOD. number for the Oregon Utility NotificatIt9W1 of 1
Center is 1-800-332-2344).
SPRINGFIELD.® CITY OF SPRINGFIELD
°t. .... 225 Fifth St
this TRANSACTION RECEIPT Springfield,OR 97477
Id"" OREGON 541-726-3753
811-SPR2013-01848
www.springfield-cr.gov 3500 E 17TH AVE permitcenteragspringfield-ar.gov
RECEIPT NO: 2013001800 RECORD NO: 811-SPR2013-01848 DATE:08/19/2013
D ESCRIPTION 1i`_ - S� dtY [t°. rfit -'ACCOUNT'CODE/TiRANSICODE±a-11 ZHAMOONT DUE 4
Building Permit Fee 224-00000-425602 1002 2,776.60
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 333.19
Technology fee(5%of permit total) • 100-00000-425605 2099 138.83
TOTAL DUE: 3,248.62
.PAY,MENSRTYP.E -. P,AYOR asFug oeorvcser COMMENTS -- - A 01444P,A1D
Check LTD 3,248.62
83584
•TOTAL PAID: 3,248.62
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r. actural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
i
CITY OF SPRINGFIELD, OREGON i Permit no.: St _O 1 tLIIf
225 Fifth Street.Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON
Date: / f -J3
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.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
This project has final land-use approval. 1. Valuation information
Signature: Date: (a)Job description:f3$.t,G/vecof LrPAA'n MA Rezone LTDtaa4Hu
This project has DEQ approval. Date:
Occupancy nett= F.4 Ad n en �PM �e '77
Signature:
Zoning approval verified: ❑ Yes ❑No Construction type: Fleet n E5/ maim = V-B
Property is within flood plain: ❑ Yes ❑No Square feet: n/A _
CATEGORY OF CONSTRUCTION Cost per square foot: —
❑Residential %Government ❑Commercial Other information: —
JOB SITE INFORMATION AND LOCATION Type of Heat: NS
Job site address: 3500 EA sr 17th 4VE_ Energy Path: /Vf}
City: SprOn,FcelA State: OR. ZIP:cipos ❑new alteration . ❑addition
Subdivision: 4/4 Lot no.: AM (b)Foundation-only permit? ❑Yes I0.No
Reference:4yp 17 03 3K 39 Taxlot: 301 S go( Total valuation: I $$607 COO
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PROPERTY OWNER 2. Building fees
Name: LANE TRANSIT Pl5 TI C.T (a) Permit fee(use valuation table): $ Z776,60
Address: 3 500 EA5 T 17 rA A LIE (b)Investigative fee(equal to[2a]): $ 0
City: SprOi/c aCA State: Q/ ZIP: 17'/O5 (c)Reinspection($ per hour): $ 0
Phone: Gi I -6 02_6 Isl. Fax:r}}(-6$z 6111 (number of hours x fee per hour)
E-mail: Joe, NLcConn.tck P u-i.0�� (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ 333, /`f
(e)Subtotal of fees above(2a through 2d): S 3(Of 71'
Building Owner or Owner's agent authorizing this application: 3.Plan review fees •
(a)Plan review(65%x permit fee[2a]): $ • 0
Sign here: (b)Fire and life safety(40%x permit fee[2aJ): $ £7
❑This installati is being made on residential or farm property owned by (c) Subtotal of fees above(3a and 3b): s 0
me or a member of my immediate family,and is exempt from licensing 4. Miscellaneous fees
requirements under ORS 701.010. °
(a) Seismic fee, 1%(.01 x permit fee[2a]): $ 0
CONTRACTOR INSTALLATION
(b)Technolo gy fee,5%(OS x permit fee[2a] $ (3S,P3
Business name: ()nfrt... Oom any yn6• TOTAL fees and surcharges(2e+3c+4a+4b): S 3z z cm a
Address: 1010 So..tt PAM ebo
City: Eia.,tme State: 0fZ ZIP: 97•/02
Phone:641-3o2- 6850 Fax:511-301- 68V9
E-mail: y,.{r0Ok-a uat/t to a/re&-t' ,co.-n
CCB license no.: 5-"I 96 5 _
Print name: .
Signature:
SUB-CONTRACTOR INFORMATION
Name CCB License# Phone Number - ,
Electrical •
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Plumbing
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Mechanical -, .
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