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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