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HomeMy WebLinkAboutPermit Building 2013-10-22 SPRINGFIELD 225 Fifth St 1 -- CITY OF SPRINGFIELD Springfield,OR 97477 •to EGON Phone: 541-726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-02340 • vAvw.spnngfieidor.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/22/2013 EXPIRES: 04/20/2014 • STATUS DATE: 10/22/2013 APPLIED: 10/22/2013 SITE ADDRESS: 815 28TH ST,Springfield,OR 97477 SCOPE: ReRoof ASSESOR'S PARCEL NO: 1702310001500 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: Re-roof-TPO membrane • OWNER: G 8 C PIERCE ENTERPRISES LLC Phone Number: ADDRESS: 815 N 28TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MCKENZIE ROOFING INC - CCB 106380 05/16/2014 541-744-2448 INSPECTIONS REQUIRED ` . Inspections 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. /O/zz/Oat 3 Owner or Contractor Signature Date • • • • ATTENTION: Oregon law requires you to NOTICE:follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0013 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 10/22/201 9:22:31AM Page 1 of 1 - SPRINGFIELD CITY OF SPRINGFIELD ' 225 Fifth St OREGON TRANSACTION RECEIPT Springrield,OR 97477 rk. 541-726-3753 811-SPR2013-02340 wwwspringfield-or.goy 815 28TH ST permitcentera@spdngfield-or.gov RECEIPT NO: 2013002317 - RECORD NO:811-SPR2013-02340 DATE: 10/22/2013 e 0'zir ni,.),_l sx- , -. 's'u-i._1;_ ;c.:7,;_gra=ACCOUNT CODE rRANS.CODE ?T AMOUNT DUE ' Building Permit Fee 224-00000-425602 1002 472.82 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 56.74 Technology fee(5%of permit total) 100-00000-425605 2099 23.64 TOTAL DUE: 553.20 P.AYMEN7x Int PAYOR.. cast♦ier reCaRPEN iii" COMMENT& . > AMRUNTIIPAID, � F�Credit Card MCKENZIE ROOFING INC 553.20 02558G TOTAL PAID: 553.20 • • Structural Permit Application SPRINGFIELD DEPARTMENT?.USE ONLY; 'iris CITY OF SPRIN ,O GFIELD, REGQN f � Permit no.: 225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 OREGON �I �— �� Date: /7 �2 2 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance o ifw work is suspended for 180 days. ' x ""uLOCAL GO\A—Wliiki APPROVAL ,,, ;, + .."1:: �, ¢`°`4`4 ' FEE;SCHED(1LE1,TH E, { 4-5.1. ,x . 4`•r "t" 'x41'"' 1 'This project has final land-use approval. 1 aluatr n Signature: Date: (a)Job description: 'RE- "Zoo F This project has DEQ approval. �-f Occupancy l cCa Pc..n4 ns Signature: Date: r2 Zoning approval verified: ❑Yes ❑No Construction type: t� i�.Q,r� Property is within flood plain: ❑Yes ❑No Square feet: 13Coca 3 Cl2ooF) Cal CATEGORYOF.�IONSTRUCTIONI„t,E�;x,-At Cost per square foot 2.5 ❑Residential ❑Government 1,{11 Commercial Other information: 14Re 1 eitiraITr� ?NORMATIONvAD�LOATION Ta a. Type of Heat: Job site address: OI S /1/ 28 774 - Energy Path: City: 5PFt.,D State: o,C ZIP:474 71 ❑new ['alteration ❑-addition Subdivision: Lot no.:y� r (b)Foundation-only permit? ❑Yes ❑No Reference: /7 7az ")(/ c 7S OQ Total valuation: S t�.� / I ' 3CfS Name: wiser i-ceCC (a)Permit fee(use valuation table): $ 1172 el Address: 815" Ai 28 ' (b)Investigative fee(equal to[2a]): $ City: 5PFLo State:QC ZIP: 97//-1 (c)Reinspection($ per hour): Phone: 541- 741-3434 Fax: - - (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 56 _ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: L3 Plan review fees'r` ? '�_ s, rV�`! q... r:4 ,C:;'}- 'i€t7 [s, (a)Plan review(65%x permit fee[2a]): $ Sign here: caote (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 ' ne ti 's ", fl+, xC u.(;',tTM °` 2s = nT; ,: 4.Miscellaneous fees'^ _ ,� �„�I�,g,�,, ,,,� ,. 'ms �,, .�,,,_,,; requirements under ORS 701.010 r 0 -_. (a)Seismic fee, 1%(.Ol x permit fee[2a]): $ L,t ' . ;*i,CONTRACTOR INSTALLATION'_y ;.xo` 1 =, �z'e, t - (b)Technology fee,5%(.05 x permit fee[2a]): $ ��- Business name: Merry ZfY .f L r' TOTAL fees and surcharges(2e+3c+4a+4b): $ c53 Address: 8r /cc /$rN Sr City: SPFLD State: AC ZIP: 974rt Phone:54-144 - 2448 Fax:/9 (a �Q( -147-[o84 E-mail: /YlCKroof (11) �/"rnlN K•n24 - CCBlicenseno.: loco 38oc Print name: / EVE; uceebi.Q,r Signature: uNinplimpItubicaNTRAcToR,,,,,,,oRmAporsiimmalggigp Name CCB License# Phone Number Electrical Plumbing Mechanical •