HomeMy WebLinkAboutPermit Building 2009-3-12
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00337
ISSUED: 03/1212009
APPLIED: 03/1212009
EXPIRES: 09/12/2009
VALUE: $ 19,600.00
Status
Issued
,
225 Fifth Street, Springfi~ld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 201 S 18TH ST ,-:--:---;;-'~N, Or4~pJ:i,ngti~ld'q1iY'P.E\0F_~ORK: ReRoof
ASSESSOR'S PARCEL NO,: -1703360000~0~v~ 'i~'''11 tl~')F';~O by the Oregon Ut~~:y
',;.''',.;,;\;, I QB!l\Qr. TtlOse rule'f,YJP.Ef0F' tlslE: Repair
- PROJECT DESCRIPTION: Re-roof f~'!"~~'fi~6~,o61 ,001 0 through OAR 952-001-
~k~R Vau mnv ()otaln copies of the r~I~~_bY
_ \" \1 @ (l@I'I~r, \IWl"." 'v .~.~~.. - -_ -
CITY OF SPRINGFIELD _e~1\~~. f~' \11" Orepon Utility Notification
202 S 18TH ST ATTN SPRINGFlEIOOfUTlLIT,Y BRD'}_332-2344).
_ SPRINGFIELD OR 97477 \,;€iIWlf " lOW
Owner:
-Address:
I CONTRACTOR INFORMA:ION I
Contractor Type
- General
Contractor
ARMADILLO ROOFING INC
License
129597
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
NOTICE" BUILDING INFORMATION'
, <::1-11\11 EXPIRE IF THE WORK
THIS PERMIL~,,?l~rO~iesiS P RMIT IS NOT
AUTHORIZED l!.'~i~h~otlSt~ncfilrED FOR
COMMENCED lFype:oAH~a,PUN
ANY 180 DAY t\Y."tf:j)i}~pe:
Range Type:
Energy Path:
Sprinkled Building: nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Type of Construction
Pa2e I of 2
Commercial
Expiration Date
05/19/2010
Phone
541-988-3661
Lot Size:
Sq Ft 1st-Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
6,500
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
Status
Issued
ClTYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00337
ISSUED: 03/1212009
APPLIED: 03/1212009
EXPIRES: 09/1212009
VALUE: $ 19,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amonnt
Use Bid Amonnt -
$1.00
19,600.00
$19,600.00
$19,600.00
0311212009
Total Valne of Project
Fe~s P,~irll
Fee .Description
+ 12% State Snrcharge
+5% Technology Fee
Bnilding Permit
Amonnt Paid
Date Paid
Receipt Nnmber
$28.02
$11.68
$233.50
3/12109
3/12109
3/12/09
2200900000000000255
2200900000000000255
2200900000000000255
Total Amonnt Paid
$273.20
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. AII'inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Relll~"i,.~erl 1 n~necti~nsJ
Roofing: Prior to installing any roof covering.
Final Building: After all reqnired inspections have been requested and approved and the building is complete.
By signatnre, I state and agree, that I have carefnlly.examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 of Oregon pertaining to the wor~ described herein, and
that NO OCCUPANCY ~ill be made of any structure without permission or'the Community Services Division, Building SlIfety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is read~ble from the
street, that the peJ91it card is located lit the front of the property, and the approved set of plans will remain on the site at all
timeSd~~, " 3~/2.09
/4///"' .------::::
v~tractors Signatnre
Date
Pa~e 2 01'2
r\
"~ ._ c~...
Struaur"itl Permit Application
--
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726'3689
b":"';"""""'"C""''''~''''~''''"''''-'~'''~\''''''''-'''''''t;;..",.~;t;;''''''''I~I'
~~R~e~,'i-;r.:.~~~~R~~~~~~
Penn it no.: 00/ - 337
I Date ;) 1/ 2- / () 7'
, .
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issnance or if work is
, " suspended for 180 days.
~!ID:(;"iiliG:~MI~:rrmRRl.:l2~~~~~1
This project has tinalland-use' approval. I' I I~'''''''I!M' ,- "'~-' '"," '''''','- ,<, - "", __~'" '" "'_'~ ~
' ,,,,"1"" '1m', EEE>SCf:iEDUEE'" ~, 'li'"""" ~,
SIgnature: Date. ~~, $ttlJfi':"Ai' .~~_r;.. p_, ~ _ i'!" -= ~ ,,_ ,~
r"----. -~""- "~."'n~"-\\\' ",,3fa~'~~'-'lli!j:''''_~
This project has DEQ",approv8;l. I I ~l~}:~!lI!ijltjp~}.i~to~fuJiJjQ~"Tfl4it~~'~~jk~~~~~~~~~~
Signature: Date: (a) Job descnptlOn i2eroo~ pl't)J,..rr 1
Zoning approval verified: 0 Yes 0 No I I Occupancy I
Property is within flood plain: 0 Yes 0 No .I 1 Construction type: 1
1_~Kg~]g~~~~QNS.ffi@g.fuIQR~ii_~il~~ Square feet 1
I 0 Residential I "M"Government "I 0 Commercial. Cost per square foot: J
1~~[T;'E~~MATiQ~~R~il'[@'Q~..E~N~~Jj 1 Other information: 1
1 Job site address: 201 S' 18;':; 1 1
Type of Heat:
.1 City: -S:,)""'iry;\C.-e...!:\ I State: (, r. 1 ZIPS 7Lf71 .1 1
\,J Energy Path:
1 Subdivision: 1 Lot no,: I 0 0 0 1
new alteration addition .
1 Reference: lTaxlot:
11~.a:e~-.'f'~.l'!.\-~~O~RR~~~\~~N.~'~_:.~~~~~~~~~!'~~~1 : ~~t:~~:~::i::~~nl~q6;d ~~e~ DN01; _' :
. l. . lA r- JI~' I ;:j v trI l~i~'J~~!j~I~*gli~~~m~~lm;)'1;?;~~~\{ff~1~tl~_~~~~~4~r
1 Address: ?Ji> 5'" S T 1
I (a) Permit fee (use valuation table): $233 ?o I
1 City: . '::;:""'''.'1~~(rl. I State:()I", 1 ZIP:C,7477 1 (b) Investigativefee (equal to [2a]): $ 1
I Phone;j''11 -15"f tJn~ Fax!JII-7zJ, ,1,/:'21 . I
I (e) Reinspection ($ per hour): $ I
1 E-mail: ...Ie.: I (number ofhourn fee per hour)
This installation is being made On residential or farm property owned by 1 (d) Enter 12% surcharge (,]2 x [2a+2b+2c]): $ 2,.SE.: 1
me or a member of my immediate family, and is exem'pt from licensing
requirements under ORS 7010 10, 1'i'(:~'S'~'=~'~~:::':;;~~;'~;~~;;:~;;:~jIf"'!!;f~_~~~1
~~~R!~Pir~.Yl~1"1f~,~,~~'~JttJi^'t:~~~1~J;tili~~t~~ill&~;~
1 (a) Plan review (65% x permit fee [2a]): $ 1
I (b) Fire and life safety (40% x permit fee [2a]): $ I
1:~i~M~~ifiai~;';~~~:~~k;:~~,k~~~~~~ia;~~~i
(a) Seismicfee, 1% (01 x permit fee [2a]): $ 1
TOTAL fees and surcharges (2e+3c+4a): $ 27-1 ~I
Sign here:
lIiIii~~~N:rRP;c:r0R"lNSJ;Al!i!\i'T:10N'~!'lfT{l-.4J!'''''~:lI~~'tl1
rb:=:1>:=~~Ar;:,,-21;JI;-~~r.~'i:.~'W~"""'1
1 Address: '1t/d) nt.J'n J,2,/.L c. #44'D ~ . 1
1 City ..5tJn 0e(;~ t4.. I State: . ('Jr. I ZIP:'i7Cf77 1
I Phone: ,"'1/- "ifF, 3t:{.( Fax;?'!1 -'711r ?Y{)(') I
1 E-mail: n {('. I
1 CCB li~enseno.: I 2-.'i b':{7 , 1
1 Print n~e: . \~ f!W.~ry-> ____, 1
I Signature . 0/.# ~~ ___ I
c,-./,r .. '--!" ,~
F~'~'~~Mg~~~;;~~~~&'fl~~~=:,~1t1.
I Electrical -& V I
I Plumbing _ /)'1 -;::Y I . I
I Mechanical \ v / I I
/, "'. J
;. ,.-;It/ ,
/ /
ATTACHMENT 1
PROPOSAL & CONTRACT
'\
ARMADILLO
ROOFING, INC.
CGB #129597 (541) 988.3661
PROPOSAL SUBMITTED TO: . l<.c..n~ Nc.u..xJc..ri iec
NAMEOij cJ: Spn'ljhe8 JOB LOCATION: nc.ir\lenGJ"Ce...
STREET: 2.01 s. 16 K or . STREET: 201 S.' /8 ~
CITY, STATE, ZIP:5pN-"'6~e,ld, ~ CITY: 6pnr-e)-,dd, or:
PHONE: C;54 - 0478 '
FAX: 72k -3102 J
DATE: l-L{ - 0'1
\38.
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
AREA TO BE ROOFED: 3 upt::e- i:::..rtJ:::.S
RECOVER 'i'eve., TEAR OFF OTHER
~""'\'ir. r. \h-.1P j,r::\ CPA r7t"'flhn::Y\{-'. .
p Ar~-l\:3 r:., "Ir,t"'r\r \'c..oc:1f"'('" --:::'~ (";Onc."a n-, f)i- LLX\I h,t', Ie I
.'-S 1?P1o'J4<'_ ,-ir'/"~'" ~"'P5-.'lr.d'\r\ r.M ~ nnr-ro (,ME bOXJ"",..,.{.}VI\~
~ Rr..s\'" ~-.l\ UY.J\.:l r+r~~",:.\-\\./Ar (')I\il<..,,/ j:-l'f>tfrrb-c." ~,Tr, .
~.Arnc....c\\ I~ RtY)~0 fl1"\\ ~r d\ nC""("'~.-r\ p=rnl)~ .'
,nrli"'mc.,il'-j_ ,.<-j) ~il r;.LJ\-'ileJJ!'i 'J'-'I'_-.r..-v~'iPsYl<., r.L\.....r-n:..n~ ~ILf.~L>)~
I #? RtYhiL ('"lh,'F.lz""-,:rr..r ~rj(;J,<.,rN~I~A -:: Iq055~
. 11'-,~, b.~i.....l:i I<:tO In ~ rr;. .-D6.\'<:.,-=-'J \'"YA:::'Ex-r'"l"-il".J:;-7~
WAR~NTIES.: " , ."2 -rhCJ:\~oO
Armadillo Roofing Inc. warranties the l,!bor for a period of ,-) years. . I.. ' ,
Materials warranty will be provided by the manufacturer. . ct:....SLr\
I NOTE: Dryrot repair shall be done on a time and materials basis@$50.00 per man hour plus materials.
Armadillo Roofing Inc. proposes to furnish the materials and labor in accOrdance with the manufacturer's
. and ~he .above s.~ecifj~a~~ th~um, C.-r:~ _ _~)I'7\to be 'paidir~<_I: _"... U:C..,"',
of thiS llF6pesa I., Jt~'r-" .- . "'''''1 f""" "tHld",.-..... ..?i t_ _k.. .._j a 1 09~al-: .--, ", ._ _ M""
'. (' -" . t, (',7t :1e~-; ;.~ r.::;-\..,-; -~ -~....,.
Authonzed by: _/ .. _ ,r -- 7'--=- ",,' .,~ ::..::;--:.-.:....:::-r "
Ii this proposa' acceptab , ease sign and mail to: 0
10Roofl, nc., 4660 Main Street, Building C, Suite 440, Springfield, OR 9?478
or fax to (541) 746-2409.
I HER'EBY ACCEPT THIS PROPOSAL AS OUTUNED ABOVE. X
\
THIS PROPOSAL IS VALlO FOR A PER/OD OF 30 DAYS.
./
~'d
, 6OVG~9VL-~YS
spnpOJd NSV
eH:SO 60 90 qe~
27,5 Fir:;.ia Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
'COM2009-00337
COM2009-00337
COM2009-00337
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
raid By
ARMADILLO ROOFING
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000255
, Date: 03/1212009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJC
4283
In Person
Payment Total:
Page 1 of I
1O:27:IIAM
Amount Due
233.50
11.68
28,02
$273.20
Amount Paid
$273.20
$273.20
3112/2009