Loading...
HomeMy WebLinkAboutPermit Building 2014-4-9 7 r. SPRINGFIELD 225 Fifth St - CITY OF SPRINGFIELD Springfield,OR 97477 TICK, + Phone: 541-726-3753 , OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00761 www.spdngfieltlar.gov permitcenter @springfield-or.gcv PROJECT STATUS: Issued ISSUED: 04/09/2014 EXPIRES: 10/06/2014 STATUS DATE: 04/09/2014 APPLIED: 04/09/2014 SITE ADDRESS: 505 S A ST,Springfield,OR 97477 SCOPE: ReRoof • ASSESOR'S PARCEL NO: 1703353113001 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof OWNER: LAXTON LILY G Phone Number: ADDRESS: 2899 WAYSIDE LOOP SPRINGFIELD OR 97477 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor RIVER ROOFING INC CCB 79016 01/06/2016 541-746-5000 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 I ated at the front of the property,and the approved set of plans will remain on the site at all times during constructs - Ow r or Contractor Signature Date 1. 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 .1-HIS PERMIT IS NOT o calling-You allingothe ce ter. (Note1: the telephone by COMMENCED COMMENCED OR IS ABANDONED FOR • number for the Oregon Utility Notification ANY 180 DAY PERIOD. • Center is 1-800-332-2344). Springfield Building Permit 4/9/2014 2:09:54PM Page 1 of 1 • - L SPRINGFIELD' CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfeld,OR97477 C (y 3 \ OREGON 541-726-3753 811-SP R2014-00761 www.springfleld-or.gov - 505 S A ST permitcenter @springfield-or.goy RECEIPT NO: 2014000770 RECORD NO:811-SPR2014-00761 DATE:04/09/2014 D ESCRIPTION - d -} :7h:R a wk :. fit . 4CCOUNT'CODEITRANS'CODE n `yI iCAMOUNT4DUE Building Permit Fee 224-00000-425602 1002 214.24 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.71 Technology fee(5%of permit total) 100-00000-425605 2099 10.71 TOTAL DUE: 250.66 ,.SPANMENTrTYP,E ctrr,.,,PAYOR, cgsNtERrecgRRENTERk ,,; � ,..-.COMMENTS'cn , ea=g _rOMOUNTR_AID; Check RIVER ROOFING INC 250.66 32974 TOTAL PAID: 250.66 • . Structural Permit Application DEPARTMENT USE ONLY `itttAV +'r' ^Stitt*:Bkti ti Ini 4 } .fit t4 SY arum C1TtY291 SPR N IAMPAPPMc itai az ,��,�.. >~..,.�>.�.n .�».+.,.t..,� ...,� @@yy Permit no.: 5/el n//, 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 fi - v/77 - _ /`� / 'Date: y/y�/G/ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of is uan a or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL ei This project has final land-use approval. Signature: Date: FEE SCHEDULE This project has DEQ approval. 1.Valuation information Signature: Date: (a)Job description: i*1 STALLI Nb IS SO Na L,toietE, Zoning approval verified: ❑Yes ❑No Occupancy Property is within flood plain: ❑Yes- ❑No Construction e: IYP ROOF N(S CATEGORY OF CONSTRUCTION Square.feel: 52068` ❑Residential 0 Government El Commercial Cost per square foot: JOB SITE INFORMATION AND LOCATION Other information: Job site address: 5 0j -'r4{ A StIKEett Type of Heal: Cit jpRi.NC>4 CCD State:CC ZIP:41477 - Subdivision: 1,ot no.: Energy Path: / 7 ❑new [,];iteration ❑addition Reference: /7o 3 1 5 / Tarlot: 75c)0,/ /PROPERTY OWNER (b)Foundation-only permit? ❑Yes 0X43 Name: Lit i i t,' L� T[-O�f Total valuation: $ J[.} I-ft�,0 O Address: 28C19 (JJ# cj's1 f e 0 by 2.Building-fees Cit3 Ictamset-f 6l� State a._ I 211167/477 (a)Permit fee(use valuation table): $ [L� Phone'[=141 8 7 Fax: - - (b)Investigative fee(equal to[2a]): $ •(c)Reinspection($ per hour): $ E-mail: - (number of hours x fee per hour) This'installation is being made on residential or faun property owned by (d)Enter 12%surcharge(.12 x[2a+26+2c]): $r'1 7 [ me or a member of my immediate family,and is exempt from licensing 6� requirements under ORS 701.010. (e)Subtotal of fees above(2a through 2d): S Sign here: 3.Plan review fees CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[2a]): $ Business name: R i.v/ E t4 R�Wi N& I'. O (b)Fire and life safety(40%x permit fee[2nD: $ r,. (c)Subtotal of fees above(3a and 3b): $ Address: /484 (J.114 4.Miscellaneous fees Cit)• Of2rNC-afl'$bD State: _ Zlf(�1L('(7 (a)Seismic fee, I%(.01 x permit fee[2a]): I $ /D Phonc&I.i-744, 60co Fa: /-74'7 7/$9 . - � TOTAL fees and surcharges(2e+3c+4a): S/�7V€ E-mail: roses- P7 rt-4 erre:t?9 A • C(,M (� CCB license no.:✓✓ 1 L:t O it„, �JJ Print name: 0C4 gWEIeT� Signature: /y-0.2, : -� Sl7B-CONTRACTOR INFORMATION • - Name COI License Number Phone Number Electrical Plumbing - 4 r/ Mechanical w / ( •