HomeMy WebLinkAboutPermit Building 2014-09-29SPRINGFIELD
CITY OF SPRINGFIELD
OREGON Building / Commercial Permit
PERMIT NO: 811-SPR2014-02103
m w.springfield-ocgov
PROJECT STATUS: Issued
STATUS DATE: 09/29/2014
SITE ADDRESS: 740 MAIN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703364205300
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
parmitcentef@spdnpfield-or.gov
ISSUED: 09/29/2014 EXPIRES: 03/28/2015
APPLIED: 09/29/2014
SCOPE: ReRoof
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Replace single -ply TPO roofing
OWNER: COLUMBIA PROPERTY HOLDINGS LLC
ADDRESS: PO BOX 1630
Phone Number:
OREGON CITY OR 97045
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone
General Contractor MCKENZIE ROOFING INC CCB 106380 05/16/2016 541-744-2448
Inspections
1620 Roofing
INSPECTIONS REQUIRED
Roofing: Prior to installing any roof covering.
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.
'7Dq
Owner or Contractor Signature Date
r,!OTICE:
'[I I IS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMIMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Ai-TENTION: Oregon laud requires you to
follow rules adopted by the Oregon Utility
! io;ifc;,tion Center. Those rules are setforth
In OAR 952-001-0010 through OAR 952-001-
0000. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 9/2912014 9:29:25AM Page 1 of 1
NGFIELD
DATE: 09/29/2014
CITY OF SPRINGFIELD
Ltiw—�,,
TRANSACTION RECEIPT
225 Fifth St
!4
176.70
Springfield,OR87477
OREGON
811-SPR2014-02103
541-726-3753
yr .spnngfield-ocgov
740 MAIN ST
permitcenter@spdngfield-or.gov
RECEIPT NO: 2014002149 RECORD NO: 811-SPR2014.02103
DATE: 09/29/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNTIDUE "
Building Permit Fee
224-00000-425602 1002
176.70
Continuing Education
224-00000-425606
2.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004 1099
21.20
Technology fee (5% of permit total)
100-00000-425605 2099
8.84
TOTAL DUE: 209.24
'PAYMENTTYPE PAYOR CASHiER:CCARPENTER
COMMENTS
AMOUNT PAID
Credit Card MCKENZIE ROOFING INC
209.24
04327g
TOTAL PAID: 209.24
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within I
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date;
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
❑ Residential ❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 71YO k;n S 4 -
City: s q
t
State: 0 ZIP: ?N7'1
Subdivision: Lot no.:
Reference: %f Taxlot: (753ac3
PROPERTY OWNER'
Name: ° (`Gn
Address: Aeo'X yd
City:
State: Q/G ZIP o5—
Phone:
Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is being made on residential orfarm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name: ( _ t .
Address: g
City: (
State: ZIP: ?71(7
Phone: - t(
Fax: - -
E-mail: htG (bv� •� .` nL
CCB license no.: '3
Print name: -4 5
Signature: --
3. Plan review fees
SUB-CONTRACTOR INFORMATION ,
Name
CCB License #
Phone Nmnber
Electrical
(c) Subtotal of fees above (3a and 3b):
$
Plumbing
(a) Seismic fee, 1%(,01 x permit fee [2a]):
Mechanical
(b) Technology fee, 5%(05 x permit fee[2a]):
$ -�
DEPARTMENT USE ONLY
Permit no.: A(— — 2 0
Date: V
80 days of i. nuance or if work is
FEE SCHEDULE
1. Valuation information ,
(a) Job description: i� 7P 6 Xtn
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
[Jnew alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$ V
2. Building fees
(a) Permit fee (use valuation table):
$ �(p
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection IS per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$ 2 2�
(e) Subtotal of fees above (2a through 2d):
$
3. Plan review fees
(a) Plan review (65%x permit fee [2a]):
$
(b) Fire and life safety (40%x permit fee 12a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4. Miscellaneous fees
(a) Seismic fee, 1%(,01 x permit fee [2a]):
$
(b) Technology fee, 5%(05 x permit fee[2a]):
$ -�
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
S 2,'j L