HomeMy WebLinkAboutPermit Building 2014-6-26 •
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfeld,OR 97477
�� Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01386
www.springfeldor.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/26/2014 EXPIRES: 12/22/2014
STATUS DATE: 06/26/2014 APPLIED: 06/26/2014
SITE ADDRESS: 2310 MAIN ST,Springfield,OR 97477 SCOPE: ReRoof
ASSESOR'S PARCEL NO: 1703364101700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Re-roof
OWNER: CALDWELL AUTOMOTIVE 8 • Phone Number:
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ADDRESS: 2310 MAIN ST
SPRINGFIELD OR 97478
OWNER: MACHINE SHOP INC • Phone Number:
ADDRESS: 2310 MAIN ST •
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• SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No • Lic Exp Phone
General Contractor MCKENZIE ROOFING INC GCE 106380 05/16/2016 541-744-2448
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 located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
C 4//y
Owner or Contractor Signature Date •
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NOTICE: ATTENTION: Oregon law requires you set to •
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are
COMMENCED OR IS ABANDONED FOR in OAR 952-001 0010 through OAR 952 001
0090- You may obtain copies of the rules by
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ANY 180 DAY PERIOD. calling the center. (Note: the telephone
number Center isOre800 332• Notification. Page 1 of 1
Springfield Building Permit 6/26/2014 1:49:36PM g
SPRINGFIELD--- - CITY OF SPRINGFIELD
it 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR97477
541-726-3753
An OREGON 611-SPR2014-01386
www.springfeldor.gav - 2310 MAIN ST permitcenter@springfield-or.gov
RECEIPT NO: 2014001386 RECORD NO:811-SPR2014-01386 DATE:06/26/2014
rolht4 1 iAy 0 1Fr r zT 4::ACCOUNT:CODETRANS CODE .wt -AMOUNTLDUE,
Building Permit Fee 224-00000-425602 1002 134.61
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 16.15
Technology fee(5%of permit total) 100-00000-425605 2099 6.73
TOTAL DUE: 159.99•
P.AYMNS3TsYP, P,AYOR'`casHIER::ccnRPENTEC •C=.:::COMMENTS - "-s j:#= ".AMOUNT�PAID
Credit Card MCKENZIE ROOFING INC 159.99
00534g
TOTAL PAID: 159.99
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
_
E .,'-CFTY OFSP-M9M.WED OREGON u{;,:1+ks L s Mktg Permit no.:
225 Fifth Street♦Springfield,OR 97477 4 PH(541)726-3753•FAX(541)726-3689 OaE ton S/y'� �3
Date: viol,/
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issua ce or if work is
suspended for 180 days.
,; _ 1LOCAL .GOYERNMENT<APPROVAL -!. _; z [ , F.EE SCHEDULE" ti'a s =
This project has final land-use approval :w1.Valuation Information -' ,r a '
Signature: Date; (a)Job description: ,C72 r
This project has DEQ approval. ,I _ - -
Date: Occupancy
.
Signature: - - - -
Zoning approval verified: Yes ❑No Constructioh type:
Property is within flood plain: ❑Yes ❑No Square feet:
Cost per square foot:
,❑ Residential . ❑Government .a-Commercial. Other information:
INFORM�IA�ITION i'AND`LOCATION -; ;� Type of Heat:
Job site address: D3 (0 , 'a:� S',' Energy Path:
City: Sp t,v j •c i4 State: 0 Q ZIP: Virg ❑new Oalteration ❑ addition
Subdivision: V Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot Total valuation: $ /.4i/
.PROPERTYL,OWNER. ?':Z\: ,,.
_ut . f A..r �•_
Name: r . f t,a„et( /{�'t-u�a`�t^e (a) Permit fee(use valuation table): $ /51/1
Address: rS q„f (b)Investigative fee(equal to[2a]): $
City: S State: or ZIP:tTi Iq T'(_ (c)Reinspection($ per hour):
P (number of hours x fee per hour)
Phone: Fax: - -
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ //0 s-
(e) Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application 3 Plan review
(a)Plan review(65%x permit fee[2a1): $
Sign here: (b)Fire and life safety(40%x permit fee[2a]): S
❑This installation 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
¢�:Miscellaneous fees ;. ',- ..
requirements under ORS 701.010 - - - n
(a) Seismic fee, 1%(.01 x permit fee[2a]): $
;CONTRACTOR,INSTAL/�LATIppON ,.,,. • (h)Technology fee,5%(.05 x permit fee[2a1): $ 3
Business name: G Pet? 7.T eCdu7�r t'�C
(c)Continuing Education Fee$2.50 $2.50
Address: I SS i&--•
TOTAL fees and surcharges(2e+3c+4a+4b+4c): S
City: 'SP f, 'cld State: C)(� ZIP: R7Y77
Phone:9-'1-747r!-d[ $�C Fax: - -
E-mail: sm.G k ro o e eat 4h 4M k' ,,^e>(.
CCB license no.: ] O(O 38-Q
Print name: S'ti f h C(et 6fle•C
Signature:
'+;= ..-SUB=CONTRACTOR INFORMATION-` �s �' .'
Name CCB License II Phone Number
Electrical
Plumbing
Mechanical
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