HomeMy WebLinkAboutPermit Building 2020-02-27OREGON
Web Address: www.springfield-or.9ov
Building Permit
Commercial Structural
Permit Number: 81 1-2O-OOO385-STR
IVR Number: 811061426548
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
Email Add ress: permitcenter@springfield-or.9ov
SPRINGFIELD
'b
Permit Issued: February 27, 2020
TYPE OF WORK
Category of Construction: Commercial
Submitted Job Value: $117,015.00
Description of Work: Reroof- Class A comp shingle 6 buildings
Type of Work: Other
JOB SITE INFORITIATION
Worksite Address
886 HARLOW RD
Springfield, OR 97477
Parcel
1703220002206
Owner:
Address:
CLOVERDALE LLC
B4O BELTLINE RD STE 202
SPRINGFIELD , OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
CL LARGE INC - Primary
License
CCB
License Number
60L47
Phone
54t-344-14L5
PENDING INSPECTIONS
Inspection
1999 Final Building
1630 Roof Sheathing
Inspection GrouP
Struct Com
Struct Com
Inspection Status
Pending
Pending
Various inspections are minimally required on each project and often dependent on the scope of work' Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project'
ScheduleortrackinspectionSatwww.buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR numberl 811061426548
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERMIT FEES
Fee DescriPtion
Technology Fee
Structural building Permit fee
State of Oregon Surcharge - Bldg (12olo of applicable fees)
Quantity
Total Fees:
Permitsexpireifworkisnotstartedwithinl8oDaysofissuanceorifworkissuspendedforl8oDaysorlongerdependingon
exempted bY ORS 7O1.O1O
Fee Amount
$s3.73
$ 1,074.58
$128.9s
$t,257.26
the issuing agencY's PolicY.
AllProvisionsoflawsandordinancesgoverningthistypeofworkwillbecompliedwithwhetherspecifiedhereinornot.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction'
ATTENTION: Oregon law requires you to follow rules adopted by the oregon utility Notification center' Those rules are set
forth in oAR 952-oo1-oolo through oAR 952-oo1-oo9o, you may obtain copies of the rules by calling the center at (503)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless
(Structural/Mechanical), oRS 479'540 (Electrical)' and ORS 693'O1O-O20 (Plumbing)'
Ptinted ont 2127/20 Page 1 of 2 C:\myReports/reports//prcduction/01 STANDARD
SCHEDULING
Permit Number; All-20-OO03as-STR
Printed on: 2/27120
Page 2 of 2
C: \myReports/reports//production/O 1 STAN DARD
Page 2 of 2
SPRINGFIELD
OI{EGON
www.springfield-or. gov
Worksite address: 886 HARLOW RD, Springfield, OR97477
P arc.el 1 7 03220002206
Transaction Receipt
8f 1 -20-000385-STR
IVR Number: El 1061426548
Receipt Number: 473946
Receipt Date:2127120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
perm itcenter@spri ngfield -or. gov
Fees Paid
Account code Fee amountTransaction Units
date
2127120 1.00 Ea
2t27t20
2t27120
1.00 Ea
'1 .00 Automatic Technology Fee
Description
Structural building permit fee
State of Oregon Surcharge - Bldg
(12o/o ol applicable fees)
224-00000-425602- 1 030 $1,074.58
821 -00000-2't 5004-0000 $128.95
204 -00000 -425605-0000 $53.73
Paid amount
$1,074.58
$128.95
$53.73
Payment Method: Check number: 3082 Payer: EVERGREEN
ROOFING
Payment Amount:$1,257.26
Cashier: Chris Carpenter Receipt Total:$1,257.26
P tinled: 2127 120 1 0:20 am Page I of 1 Fl N_TransactionReceipl_pr
Structural Perrni t Application
225 Fifth Streer 0 Springfleld, Op. Slqlt i PH(s4t )726-3753 c F AX(54 )726_3689
,{$ft€to
o*sgoN
This permit is issued under oAR 9rg-460-0030. permits expire if
suspended for
work is not started within lg0 davs of
180 days.
nce if work is
DEPARTMENT USE YONL
permirno.;(
>O_ fit
Dafe:>1
GOVELOCAL RNMENT A LPPROVA
Thrs project has final land-use approval
Date:
project has DEe approval.
S
This
Date
Zoning approval verifi ed :E Ye.ENo
Iyes ENoProperfy is within flood plain:
CATEGORY OF CONS TRUCTION
Resrdential I Government fl Commercial
JOB SITE TIONINFORMA LOCAAND TION
Job site address:
State
Subdivision:Lot no.
Reference Taxlot:
PROPERTY OWNER
Name
Address
E-mail:
Owner or Owner's agent authorizing this apphcationBuilding
Sign here:
D This installation is being made on residential or farm property owned
by urc or a nrcmbcr of my irnmediate family, and is excmpt from
licensing requirements under ORS 701 .0 I 0.
CONTRACTOR INSTALLATION
Business
\)Wtt-e€State'Oj(ZtP61j,
PhonEall;/q4 - /4 f Fas?t -4A/- /1h t^
CCB ticelse no:6O/q),
E-rnail
Print name:fft72.Jy@7Qfyd1gfui €Rs c fr *yie.Q
Signature: AUU
FEE SCHEDULE
1. Valuation information
(a) Job description:
Occupancy
Construction t)?e:
Square fleet:
Cosl per square loot:
Other information
'l'ype of Heat:
Energy Path:
I additionI ne* lalteration
(b) Foundation-only permit?EYes nNo
Total valuation:a)$
(a) Permit fee (use valuation table )$
(b) Investigative lbe (equal to [2a ):$
(c) Reinspection 1g per hour)
(nunrber ofhours x lee per hourl $
(d) Enter I 2% surcharge (. I 2 x a+2b+2cl ):$
(e) Subtotal offees above (2a through 2d):s
3. Plan review fees
(a) Plan review (65% x fee [2a]):s
(b) Fire and life (65% x permit f'ee [2al):$
(c) Subtotal of fees above (3a and 3b):$
4. Miscellaneous fees
(a) Seisrnic fee, l% (.01 x lee ):$
(b) Tech tbe, 5% (.05 x permit f'ee[2a]+PR t'ee [3c])$
AL fees and surcharges (2e+3c+4a+b):)$
Name CCB License #Phone
Electrical
Plumbing
Mechanical
Last cditcd 5-5-20 I 9 BJoncs
c:rY or,OREGON
Ciryq/i,Nt.hEt i)Stalwt?ztWtq.
Addressf,Tl-1 tN, i:ry /r€
(2. Building fees
SUB-CONTRACTOR INFORMATION