HomeMy WebLinkAboutPermit Building 2013-10-22 SPRINGFIELD -.. 225 Fifth St
} CITY OF SPRINGFIELD Springfield,OR 97477
-`ice 14 Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02350
www.springfield-or.gov permitcenter @springfield-or.gav
PROJECT STATUS: Issued ISSUED: 1012212013 EXPIRES: 04/20/2014
STATUS DATE: 10/22/2013 APPLIED: 10/22/2013
SITE ADDRESS: 1660 MOHAWK BLVD,Springfield,OR 97477 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703253105600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Re-roof
OWNER: 1ST CONSERV BAPT CHRCH SPFD Phone Number:
ADDRESS: 1660 MOHAWK ST
SPRINGFIELD OR 97477
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L CONTRACTOR INFORMATION.
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone •
General Contractor RIVER ROOFING INC GCB 79016 01/06/2014 541-746-5000
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 lo ated at the front of the property, and the approved set of plans will remain on the site at all times during
constructi...
/O-2 2.-/3
Owrr€r or Contractor Signature Date
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon 'Utility r a
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Notification Center. Those rules are set forth :.QTICE. `
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 ,IJTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit 10/22/201 2:35:13PM Page 1 of 1
SPRINGFIELD CITY Oh SPRINGFIELD
225 Fifth St
LEA TRANSACTION RECEIPT SpringfielQOR97477
OREGON 541-726-3753
811-S PR2013-02350
www.springfield-or.gov 1660 MOHAWK BLVD permitcenter @springfield-or.gov
RECEIPT NO: 2013002322 RECORD NO:811-SPR2013-02350 DATE: 10/22/2013
DESCRIPTION ACCOUNT CODE/TRANS CODE 1 -AMOUNT DUE_
Building Permit Fee 224-00000-425602 1002 364.09
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 43.69
Technology fee(5%of permit total) 100-00000-425605 2099 18.20
TOTAL DUE: 425.98
I_PAYMENT_TYPE - PAYOR CASHIER:ccARPENTER ' COMMENTS '. AMOUNT PAID `
Check RIVER ROOFING INC 425.98
32682
TOTAL PAID: 425.98
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Structural Permit Application DEPARTMENT USE ONLY
' tf Bfi.'t7x. yJ� ., i- ?.PE�criel.'gC. -h ^s t,;� 1i w,warmcn -
4.,V IMPF(XigAIGF;IELD:OREGON , , w _-"It Permit no.: 5 -2350
223 Fifth Street•Springfield,OR 97477♦PH(541)726-3753 1 FAX(541)726 3689
Date: /02773
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
This project has final land-use approval.
Signature: Date: FEE SCHEDULE
This project has DEQ approval. 1.Valuation information
Signature: Date: (a)Job description: 11J en&U,-tNC' 50m[. 16 AIEA..c tl -
Zoning approval verified: ❑Yes ❑No Occupancy
Property is within flood plain: ❑Yes- ❑No Construction type: bQOCE(N G'
CATEGORY OF CONSTRUCTION Square feet: ID 2.34
❑Residential ❑Government ❑Commercial Cost per square foot:
JOB SITE INFORMATION AND LOCATION Other information:
. Job site address: l(0(420 Nk041-A19.3i ., $LV'D
Type of Heal:
City:SPl2th eerie StatnR. _ ZHQ1'477 -Energy Path:
Subdivision: Lot no.: ❑new ff.-alteration ❑addition
Reference: QI
�76-C� Taxlot (b)Foundation-only permit? ❑ Yes ❑No
ERTY OWNER
Name:raCONSERNI ATNE..SApMe e t{t ezn 'Total valuation: $30089.00
2.Building fees
Address: Re.b MoRRA&K 31va .I�yd?
(a)Permit IS(use valuation table): $ J
City:51244.68&FELD Stater I ZIP:41477
(b)Investigative fee(equal to[2a]): $
Phone: - - Fax: - - (c)Reinspection($ per hour):
E-mail: - (number of hours x fee per hour) $
This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ Ce b yy
me or a member of my immediate family,and is exempt from licensing
requirements under ORS 701.010. (e)Subtotal of fees above(2a through 2d): S
Sign here: 3.Plan review fees
CpONTRACTOR�'ppINSTALLATION (a)Plan review(65%x permit fee[2a]): - S
Business name: rl't V ea. tSeOp=t(.38. f N f(' (b)Fire and life safety(40%x permit fee[2a1): $
(c)Subtotal of fees above(3a and 36): $
Address: 14844 Soul{ 13 (-72t-E14.Miscellaneous fees
City:SRI • CoFtlZab State(,YL ZIFIW1477 ]
Phot)�{I gz4(o �j-0017 Fa5N - 41 �(1�j� (a)Seismic fee, I%(.01 x permit fee[2a]): $7�' q -
E-mail: jecsse.' 1N- erroo{t43. corn TOTAL fees and surcharges(2e+3c+4a): S 72 SSA
COI license no.: 1401 b
Print name:'V( At.l,e-f.1
Signature,etc,_
SUB=CONTRACTOR INFORMATION '
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
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