HomeMy WebLinkAboutPermit Building 2014-1-31 f SPRINGFIELD • 225 Fifth St
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-SPR2014-00199
www.springfield-or.gov permitcenter @springfield-or.goy
PROJECT STATUS: Issued ISSUED: 01/31/2014 EXPIRES: 07/30/2014
STATUS DATE: 01/31/2014 APPLIED: 01/31/2014
SITE ADDRESS: 303 S 5TH ST,STE#195,Springfield,OR 97477 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703350000307 TYPE OF STRUCTURE: Commercial
•
PROJECT DESCRIPTION: Gutter work
OWNER: CITY OF SPRINGFIELD Phone Number
ADDRESS: 225 N 5TH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor MCKENZIE ROOFING INC .. COB 106380 05/16/2014 541-744-2448
INSPECTIONS REQUIRED
Inspections -
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.
• //37/9oiq
Owner or Contractor Signature Date
NOTICE:MIT SHALL EXPIRE iF TH
ATTENTION: Oregon law requires you to THIS PERE WORK
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth COMMENCED AUTHORIZED OR UNDER THIS PERMIT IS NOT IS ABANDONED
in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. FOR
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 1/31/2014 10:32:16AM Page 1 of 1
SPRINGFIELD---' CITY OF SPRINGFIELD
225 Fifth St
,r`t O TRANSACTION RECEIPT SpdngfieRIOR 97477
L OREGON 541-726-3753
811-SPR2014-00199
www.spdngfieldor.gov 303 S 5TH ST. STE 195 permitcenter @spdngfield-or.gov
RECEIPT NO: 2014000200 RECORD NO: 811-SPR2014-00199 DATE:01/31/2014
c g .gip , --.. n'
-
DESCRIPTION,�_d �`rr. .-_.'������� .;�ACCOUNT:EODE/TRANS CODE S= 5r.a!.:rAMOUNTbUE '` f
Building Permit Fee 224-00000-425602 1002 141.96
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.04
Technology fee(5%of permit total) 100-00000-425605 2099 7.10
TOTAL DUE: 166.10
PAYMENTiIYP-E' . PAY.OR CASHIER::JLARSON ' -� =CCOMMENTS _ :AMCIUNT2gID
Credit Card MCKENZIE ROOFING INC 166.10
06385G
TOTAL PAID: 166.10
4
Structural Permit Application SPRINGFIELD {7DEPARTMENT_USEpNLY=
CITY OF SPRINGFIELD,OREGON �� {x Permit no.:
225 Fifth Street♦Springfield,OR 97477•P1-1(541)726-3753•FAX(541)726-3689 OREGON eel ( -Zc9l-i O t c[ e[
Date: •/3/// Y
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.
,_ 7Ea;LOCALsGOVERNMENT,APRROTVALi:. a,'3 ,','.', t ;,, ,,,r f iri "FEEgSCHEDUalf:rN4. t;,'_
This project has final land-use approval.
Signature: Date: a Job description: �I�''""
This project has DEQ approval. O p �t/12 Csal4vS Ldt.ry; pat M•P�c.t
Occupancy
Signature:
Date:
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No . Square feet:
Cost per square foot
❑Residential ❑Government ❑Commercial Other information:
,.cr r,•.r.-.�b..�..� -..4- .,s....,.
_� k�-,{',-iJOBe`SITEiINFxORMAION ANDJ:L'OCATIONx w;%E �.;,..',p; Type of Heat:
Job site address: S r✓3 SU 9TO\ Energy Path:
City: SQ l- L� State: ZIP: ❑.new • ['alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation: '7C5oo $
Name: ( , eii.c 5 p e' (a)Permit fee(use valuation table): $
Address: (b)Investigative fee(equal to[2a]): $
City: State: ZIP: (c)Reinspection(S per hour):
(number of hours x fee per hour) S
Phone: Fax: - - -__
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]):
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: , • `°1 ^!j, '' :: c n a'i ".e, '
(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 faun property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate famil y=and is exempt from licensin g •4:M rscellaii ufes m`- t.f,- z, a :;u
requirements under ORS 701 010 (a)Seismic fee, 1%(.01 x permit fee[2a]): T$
t-'t"CONTRACTOR INSTALLATIONti-'-z ' : '4�:4
'" cow `- '"°' (b)Technology fee,5%(.05 x permit fee[2a]): S
Business name: M4eeritiE Ree'/1G
/5-5- /gt-i ST TOTAL fees and surcharges(2e+3c+4a+4b): $ /64:
Address: ��••��
City: ,�r'�GD State:Che ZIP42(71
Phone:(-141 Z'14O Fax: 791-628f/(O .
E-mail: (flCLroa( G &O7dl✓t[(.ivL-f-
CCB license no.: JOG' 3 30
Print name: Ste-le $c/1 tX- ''f3/e!C
Signature:
irl rr.'S IB LIM/CONTRACTOR'INF,-ORMATIONt M „.;M -
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical -