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Home My WebLink AboutPermit Building 2008-7-16 CITY OF ~rKlj'l\.JJ11J<.,L1J' Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED' EXPIRES: VALUE. COM2008-01070 07/16/2008 07/16/2008 01116/2009 225 FIfth Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-3769 InspectIOn Lme SITE ADDRESS 201 S 18TH ST ASSESSOR'S PARCEL NO 1703360000500 Springfield TYPE OF WORK ReRoof TYPE OF USE New CommercJ31 PROJECT DESCRIPTION Reroof Booth Kelly Owner CITY OF SPRINGFIELD Address 202 S 18TH ST ATTN SPRINGFIELD UTILITY BRD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Contractor MCKENZIE ROOFING License 106380 ExpIratIOn Date 05/3012009 Phone 541-744-2448 I, BUILDING INFORMATION I # of Umts Primary Occupancy Group Secondary Occupancy Group Pllmal y ConstructIon Type Secondary ConstructIOn Type # of Bedrooms # of Stories. HeIght of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldlDg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gdrage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I Frontyard Setback SIde 1 Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Drive Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compdct I PUBLIC IMPROVEMENTS I Street Improvements SIdewalk Type Storm Sewer AvaIlable Downspouts/DralDs SpecJ3llnstructlOn ATTENTION Oregon law reqlll'es v~' 10, NOTICE' follow rules adopted by the 0, e90r, ~ ,11\ Notes' NotificatIOn Center Those rules are 5e. tort r~~ :~~~I~ &~~~~ ~~~~~~~ ~~~TE,~2~~ ~nuetR ,:,5u2;~~: -~~!~o t~r~~~~ 9:;~o9~~~~O~~ COMMENCED OR IS ABANqO{'i~IUg~n DescriDtion f calling the center (Not~t ~~e ~~~R~~~~n ANY 180 DAY PERIOD I number for the Oregon , I Y Center IS 1-800-332-2344) Descl IPtlOn Tvpe of ConstructIOn $ perlSt qlFt squBardeAFootage Value Date Calculated or mu Ip ler or I mount Page I of2 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED' EXPIRES: VALUE: COM2008-01070 07/1612008 07/16/2008 01/16/2009 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total V Jlue ot Project Fees Paid I Fee DescriptIOn Amount PJld Date Paid Receipt Numhel Total Amount Paid $000 I Plan Reviews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns requested befol e 7'00 a.m. will be made the same workmg day, mspectIons requested after 7 00 a.m. will be made the followmg work day I Reouired TnsnectionsJ Fmal BUlldmg After all reqUIred mspectlOns have heen requested and approved and the hUlldmg IS complete By Signature. I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby cerhfy that all mformatlOn hereon IS true and correct, Jnd I further certlfy that any and JII work performed shall be done m accordance With the Ordmances of the CIty of Sprmgfield and the Laws of the State ot Oregon pertammg to the work descllbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permISsIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety I further certlfy that only contractors Jnd employees who Jre m complIance WIth ORS 701 005 wIll be used on thIS project I further agree to ensure that all reqUired mspectlOns are requested at the proper time, that each address IS readable from the street, that the permit card IS 10cJted at the front of the property, and the approved set of plans wIll remam on the site at all h"'lJ;g~iA~A /r;~~< 7- /&- 0 e O~ner o-r C~tractors Signature - Date Page 2 of2 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 CIty Job Number c?oJ?12.6-zllf ---- () / cJ 7 U Date o I & 2 FamIly Dwelling or Accessory 0 New ConstructIOn o ~tJ-Fam"y 0 AddltlOnlAlteratlOn/Replacement .e:r Commercl3l/1ndustnal ~ 0 Tenant Improvement lob Address ___502 S -::::> /. , Lot Block o Residentlal Projects Heat Source Prunary Water Heater Range Do you reqUIre any of the followmg for thIS project? Over-wIdth or Second Dnveway 0 Yes 0 No Temporary Power 0 Yes 0 No AIr CondJtJonmg 0 Yes 0 No NotIce All contractors & subcontractors are reqUIred to be hcensed WIth the ConstructIOn Contractors Board of the State of Oregon under proVlSJons ofORS 701 and may be requITed to be licensed 10 the lunsdlctlOn where work IS bemg performed I For o.ffice Use Only I PLAN CHECK FEE I SubdlvlSJon Project Name DescnptlOn of Work/locatIOn on premIses/special conditIOns ~meP'eLQw57 ~/n//ltS~ MallmgAdt!res./ ~}..5t J8tf' ~I clty~;;d,::;L-State ()U ZIp 97'-/77 Phone({"L;?-:1lf6' - 27W Owner RepresentatIve Phone Fax o Applicant Name Mallmg Address CIty Phone State Fax Zip o Archttect/Destgner/Engmeer Name Address CIty Contact Person State ZIp Phone Fax o Contractor(s) " Contractor's Name General )'n e/b f7 /' / G ~1~ ~q Plumbmg I J Mechanical ElectrICal D CommercIal/Industrial Projects Has SIte reVIew applIcation been submitted? o Yes 0 No 0 N/A If so. Name of Planner lournal Number I RCPT# I BUILDING SPRtNGF'ELD "J I -I 0 ~ 06'" o DemolitIOn o Other BldgNo Tax Map/Tax Lot SUIte No 1 & .2 Family Dwelling SQFt x $/SQ Ft Value New Dwelhng Area Garage/Carport Area Other Structure Area Total Value Commercial/lndustriaIJMulti-Family SQ Ft X $/SQ Ft Value EXlstmg BUlldmg Area New BUlldmg Area Total Value EXlstmg New Occupancy Group( s) Const Type( s) Number of Stones CCB# JO&JZ"'O ExpIratIOn Date 6/rJ9 Phone # 7'-/- '-/ -,;;;.1/<.)6 Secondary Energy Path I DATE I I BY I PERMIT APPLICATION Shared Dnve(T )/BUlldmg FonnsIBUlldmg PerIDlt ApphcatlOn 3-08 doc 225 Fifth 'Street Spnngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 I 070 COM2008-0 I 070 COM2008-0 I 070 COM2008-0 I 070 Payments Type of Payment Check cRcLcmtl RECEIPT #, DescrIptIOn BUlldmg Permit + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By MCKENZIE ROOFING ;i~ City of Sprmgfield OffiCial Receipt Development Services Department PublIc Works Department 2200800000000001095 Datc: 07/16/2008 Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received njm 4036 In Person Payment Total Page I of I I 50 55PM Amount Due 5000 250 600 500 $63 50 Amount Paid $63 50 $63 50 7!I6/2008