HomeMy WebLinkAboutPermit Building 2014-4-9 7
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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
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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
•
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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
/ (
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