HomeMy WebLinkAboutPermit Building 2014-5-29 •I
SPRINGFIELD - • 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
?,\tt Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR201 4-01 1 69
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/29/2014 EXPIRES: 11/24/2014
STATUS DATE: 05/29/2014 APPLIED: 05/29/2014
SITE ADDRESS: 1126 Gateway LOOP,Springfield,OR 97477 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703222002413 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Roof repairs
OWNER: GE ALLIED LLC Phone Number:
ADDRESS: 30169 LEBLEU RD •
EUGENEOR 97405 •
OWNER: NATHAN&ROBIN PHILIPS FAMILY TRUST Phone Number:
ADDRESS: 30169 LEBLEU RD
EUGENE OR 97405
CONTRACTOR INFORMATION •
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
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.
Owner or Contractor Signature Date
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. ATTENTION: Oregon law requires you to
NOTICE: follow 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).
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Springfield Building Permit 5/29/2014 3:07:40PM _ _ Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
•` E�o« TRANSACTION RECEIPT Springfieltl,OR97477
541-726-3753
811-SPR2014-01169
www.springfieldor.gov 1126 Gateway LOOP permitcenter @sprngfield-or.gov
RECEIPT NO: 2014001171 RECORD NO: 811-SPR2014-01169 DATE:05/29/2014
{ d1. :7 :otiS h ,442..2 L lal. _airitra - ACCOUNT CODEITRANSiCODE
Building Permit Fee 224-00000-425602 1002 82.00
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84
Technology fee(5%of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
PAYMEFITE YP.E+ FAY,OR, cASHIER:,ccaagEN7ER , , COMMENTS ... AMOUNS PAID;W4 it
Check RIVER ROOFING INC 98.44
33103
TOTAL PAID: 98.44
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• Stnictural Permit Application SPRINGFIELD •--DEPARTMENT,USE oNLy:
Permit no
, — _
''.- t c{-f...;?if,CITYA)ESF!'kECIGFIELD,',OREGON:brt-:?ci:l'S't: .n.':,:-"I 4% 11
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54I)726-3689 .-77 7
Date: 5 57/ V
----/Z
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.
43,15 eAL:difiVErii4finENTA0P,A0VA,11 ..?WC?
This project has final land-use approval. •-1 Nalintiominformation,' -, ..--, '1 ,..-.: 1,,,-,..4
Signature: Date; (a)Job description ,4,4,9, 7 4_
This project has DEQ approval.
Occupancy lz„ ...(1-,a..r.79)..e.e eq--- nvoe...
Signature: Date:
a I--aern.",7
i
Zoning approval verified: El Yes El No Construction type:
Property is within flood plain: CI Yes 0 No Square feet:
CATEGORY..,dreb N§1-gilefitini"2'14::,aki11,tt,* Cost per square foot:
CI Residential CI Government elMommercial Other information:
.440oRiatio*i;'4ki521L1"66AtidNicik11-2:1z _ Type of Heat: _ _
Job site address: / #2 c C.....4 ree.4..,,a7 L. a., Energy Path:
City: .5.,A--4- 4 State: al.#21 ZIP:4 )V 7? 0 new ['alteration 0 addition
Subdivision: Lot no.: (b)Foundation-only permit? 0 Yes D No
Reference: Taxlot: Total valuation: $
lik09ikt,i.ZoWlsibi :-4.,iiitiiciliiiri,EAtn5,55-,1041777.72%A-ZW:W,M
Name: C-. 6 A 6 C.-. ...0 L. 4, C (a)Permit fee(use valuation table): $ 415-
Address: 3 • i 4 g e.. f _- s C.s_'-c_ 46) . *F (b)Investigative fee(equal to[2a]): $
City: „..a .. State: epet, - ZIP:97year (c)Reinspection($ per hour):
$
(number of hours x fee per hour)
Phone: Fax: - -
(d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 9 ill(
E-mail: -
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: X01'11:414Skie651qii400g(41:anlj'EgAki: :'M
(a)Plan review(65%x permit fee[2a]): $
Sign here: i...„.71_,....0....., ___9,---
'1 (b)Fire and life safety(40%x permit fee(2a1): $
0 This ins tot ation 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 1\11 'enllann:OVaifenA =.3X14Pagq:igv.A!'25X"..kg-1,FIF:t
requirements under ORS 701.010.
., . __ „, ,. (a)Seismic fee, I%(.01 z permit fee[2a]): $
Wr'A''Z:''':C,V[TOi5kfFzXcj-6R-‘ii■jST41arATIOi■Ir'AP4-1r1ft,.04 L,-(0
',..---'-- --•'-.-'1/4----- -- •— - -'-'''''''-'-'----•kr '- (b)Technology fee,5%(.05 x permit fee[2a]): $ -r ---
Business name: ".-/-0-.*4._ 12-sete.;=..-‘11- (c)Continuing Education Fee$2.50 $2.50
Address:/ 5.-my-...r . 8 . s 7- .
TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ 9a-"I
City: SA ...-r-:Z.. .0 Statee/L ZIP?pee 2 7
PhoneCcee, tz cf c -s-coe,r> Fax: - -
E-mail:
CCB license no: 7 9.e i A
Print name:'D' .a,-.) ic , 04. 7
Signature: ,....-4,--2.7 .r: "41111
,11,34,0:MATSUBItoNTRiSCTORiINFoRmATIONT:fiZAWA
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical