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Home My WebLink AboutPermit Building 2014-6-13 SPRINGFIELD Fifth St „400i . k4 .4. CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 ''Kea OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01284 www.springfield-or.gov pe rmitcenter @sprin gfield-or.gov PROJECT STATUS: Issued ISSUED: 06/13/2014 EXPIRES: 12/09/2014 STATUS DATE: 06/13/2014 APPLIED: 06/13/2014 SITE ADDRESS: 3995 MARCOLA RD,Springfield,OR 97477 SCOPE: ReRoof ASSESOR'S PARCEL NO: 1702200000700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof OWNER: CHILDREN INC Phone Number: ADDRESS: 3995 MARCOLA RD SPRINGFIELD OR 97478 OWNER: MENTAL HEALTH FOR Phone Number: ADDRESS: 3995 MARCOLA RD SPRINGFIELD OR 97478 _ 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 L INSPECTIONS REQUIRED Inspections 1620 Roofing Roofing: Prior to installing any roof covering. . 1630 Roof Sheathing Roof Sheathing 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. / .._ 6 i -/e-/ Owner or Con/actor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- JTICE: 0090. You may obtain copies of the rules by IF calling the center. (Note: the telephone UTHORIZED 118 PERMIT UNDER SHALL THIS EXPIRE PERMIT THE IS WORK NOT number for the Oregon Utility Notification Center is 1-800-332-2344). OMMENCED OR IS ABANDONED FOR ■NY 180 DAY PERIOD. Springfield Building Permit 6/13/2014 6:12:15AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD I - 225 Fifth St �`o OREGON TRANSACTION RECEIPT Springfiel oR97477 541-726-3753 811-S PR2014-01284 www.springfield-or.gov 3995 MARCOLA RD permitcenter @springfield-or.gov RECEIPT NO: 2014001289 RECORD NO:811-SPR2014-01284 DATE:06/13/2014 • {DESCRIPTION <_ _.__..:..._: -_ • v-.-_..*ACCOUNT_CODE/TRANS,CODE .=_.� -'AMOUNT DUE- _. Building Permit Fee 224-00000-425602 1002 166.17 Continuing Education 224-00000-425606 2.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.94 Technology fee (5% of permit total) 100-00000-425605 2099 8.31 TOTAL DUE: 196.92 ILPAYMENT TYPE PAYORp�CASHIER:CCARPENTER ,- _COMMENTS _ .AMOUNT PAID_ .j Check RIVER ROOFING INC —196.92 33122 TOTAL PAID: 196.92 Structural Permit Application DEPARTMENT USE ONLY avM n y ) n 4n�.CT YLOF SPRINGFEL ;OREONS 1PPINOPIEL Permit no.: r 225 Fifth Street•Springfield,OR 97477+P11(541)726-3753•FAX(541)726-3689 )W-72 P/ Date: 0//7//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. 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: InS-Init 00,64+5 C,Orninq DC&ilage J r Zoning approval verified: ❑Yes ❑No Occupancy ero .n1/4000d Property is within flood plain: ❑Yes ❑No Construction type: (13 C -F-11- q-1 CATEGORY OF CONSTRUCTION Square feel: 3 790 ❑Residential ❑Government I ®.Commercial Cost per squire foot: JOB SITE INFORMATION AND LOCATION Other information: Job site address:!aC1 S M.kW LA IQO fI-il Type of Deal: cityrjprin5-Pi e I el state: o(2- I ZIP:41i41g . Energy Path: Subdivision: Lot no.: ❑new 0-alteration ❑addition Reference: /Z, z, `2000 Tarlot 6 0700 Rl PROPERTY OWNER (b)Foundation-only permit? El yes ❑No Name: Merl-F(21 Hea 4h or Total valuation: $q(ppp- Address: 3 19 5 nn carte 1 a 12-d 2.Building fees SP OR ZIP:1 141$ (a)Permit fee(use valuation table): $ /(do 4--- City: rjn E i C Id State: (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]): $ /9 5t' 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 (a)Plan review(65%x permit fee[2a]): $ CONTRACTOR INSTALLATION - Business name: F.;\ter �OOTa n I fl G , (b)Fire and life safety(40%x permit fee[2a]): $ ,� (c)Subtotal of fees above(3a and 3b): $ Address: 1 t•]+g'+ S B St • 4.Miscellaneous fees -•y',(} C. l:� 31/(2 '�v, City:dpr-inage id state: O(- ZIP:ong-1�1 1 - r Phones`]I-`f-t SS000 FaxC'4l- 141 1 IC d --(a)Seismic fee, I%(.01 x permit fee[2a]): $ TOTAL fees and surcharges(2c+3c+4a): S n& CI- E-mail; rOQPl � r r VP�rpof-' CA M ina , CCB license n�o.: '-f 9 O 1 (.• �l Print name: 12_os er S IeL4J '1 Signature: I,ciy-ifr- L(�`---- 'V-SUB-CONTRACTOR INFORMATION Name CCB License Number Phone Number Electrical Plumbing Mechanical . • •