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HomeMy WebLinkAboutPermit Building 2013-10-22 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ccer -• Phone: 541-726-3753 OREGON • Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02342 ww,.springfield-or.gov permitcenter @spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 10/22/2013 EXPIRES: 04/20/2014 STATUS DATE: 10/22/2013 APPLIED: 10/22/2013 SITE ADDRESS: 1890 M ST,Springfield,OR 97477 SCOPE: ReRoof ASSESOR'S PARCEL NO: 1703254301500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Re-roof • OWNER: KINGS COURT/BIRD LLC Phone Number: ADDRESS: 2677 WILLAKENZIE RD STE 003 EUGENE OR 97401 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 L INSPECTIONS REQUIRED - Inspections 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. // /07Zz/00/3 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: rules adopted by the Oregon Utility 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 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 9.19.37AM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD ?t- 225 Fifth St :. (441$1 OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-02342 www.springfieldocgov 1890 M ST permitcenter©springfield-orgov RECEIPT NO: 2013002316 RECORD NO:811-SPR2013-02342 DATE: 10/22/2013 Iof*Yo7:71iltl[o1 (Ou i t .; i�r x ''_ tES a J!i . _ .ti� M .s:L�. -,�' .,-_��,.:,: ,:i��4�t'A6000NTsCODE/TR.4NSECODE 3=r','Vitrrn{`e'YT) ; Building Permit Fee 224-00000-425602 1002 651.73 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 78.21 Technology fee(5%of permit total) - 100-00000-425605 2099 32.59 TOTAL DUE: 762.53 ' lTA—YM E N 116 WWII P,AYORasxleR:,ccARrexreR. CO m ME NregIg.S MOUNT0ID Credit Card MCKENZIE ROOFING INC 762.53 1315.73 . TOTAL PAID: 762.53 structural Permit Application SPRJNGAELD - - rtDEPARTMENTIUSEsONLYvt .4tt, . - CITY OF SPRINGFIELD, OREGON 11‘titiaGoN Permit no c 3 -23 tr2,.. 225 Fifth Street•Springfield,OR 97477•PH(54I)726-3753 4 FAX(541)726-3689 Date: /O/227/5 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. LleZinttlaTtaKETEIgel-liotirEMEMEtg.f3 This project has final land-use approval. Signature: Date: (a)Job description: - de-00f This project has DEQ approval. Date: Occupancy kinp e ap-r s Signature: Zoning approval verified: D Yes 0 No Construction type: Property is within flood plain: 0 Yes fl No Square feet: 5,b4.-ArtAiGisirdelki?,,YOVelii■IgtiottleTKATMYtit1( Cost per square foot: 0 Residential p Government 2Commercial Other information: :117111-61:Kfgrii):ikkoniviAilif*WOhE5CA1-1531147,J;Ea Type of Heat: Job site address: /MC) FYI 5.-1 Energy Path: City: 6erto State: oe_ ZIP: 97411 0 new Ealteration 0 addition Subdivision: Lot no.: (b)Foundation-only permit? E Yes 0 No Reference: /70'32 Tel Taxlot: 6/.5:op Total valuation: $ 7<„, WILVICS-15A60:t ktYZOMIERirit':-fdiaZ.rZa cftige-kraLrvicrtriTi .P.24132.:itA,TOSPi Name: . ie./41‘..‘ Arr-C (a)Permit fee(use valuation table): S &C,/ ? Address: H390 /t4 51- (b)Investigative fee(equal to[2a]): City: .5,0,c(6 State: 0 e ZIP: 4-7 7 (c)Reinspection(S per hour): (number of hours x fee per hour) Phone: 541-344-Co 28 Fax9fi cane a r E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 7 e (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 4.93121-11-WW:1"--a4?•V5ff-7:1;-.1;1iignatf.clf.31:77 cc,„ eck_ (a)Plan review(65%x permit fee[2a]): Sign here: (b)Fire and life safety(40%x permit fee[2a]): 0 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 L'4,1Micrealiru4;70110ff-ar-2.::: , ..(711i411-:1;i417;H:11i requirements under ORS 701.010. a, ( )Seismic fee, 1%(.01 x permit fee[2a]): i11111L5152Q04:11144710007-1i4-S-ftg 7' 1-00-__111-ZearY(11ttN (b)Technology fee,5%(.05 x permit fee[2a]): $ 32 Business name: mcge,ozi e 2 o rtsiO / ni Sl- Address KS- TOTAL fees and surcharges(2e+3c+4a-F4b): 762 : City 3prtp• State:QC ZIP:f-Mr phone:541- 744 044 g Fax:517-170'agge., E-mail: friCercaol ece4411 ri..44- CCB license no.: iota g • Print name: (.57-&vc 6chluc.#-&-ei • Signature: c§aotatese- Weargtar-r---XISLIBTGLiNTRACTORIINFORMATIIONEttaTMA, Name CCB License# Phone Number Electrical Plumbing Mechanical