HomeMy WebLinkAboutPermit Building 2009-9-23
CITY OF SPRINGFIELD
BuildingiCombination Permit
Status
Issued
PERMIT NO: COM2009-01410
ISSUED: 09/23/2009
APPLIED: 09/2312009
EXPIRES: 03/23/2010
VALUE: $ 42,920.00
225 Fifth Street, Sprin~field. OR
541-726-3753 Phone
541-726-3676 F~x' ''ie,:
541-726-3769 Inspectiori Line
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SITE ADDRESS: 1144 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Re-roof
,
Owner:
Address:
, '" I L..I'\III\......\I. VIC'.\jUrllaW requires you to
GATEW~Y MALL PARTNERS follow rure~ adopted by the Oregon Utility
110 N W A~KER DR BSC 3-04 A TTN,pR0.PltfcAX:J~PM.IN'-hose rules are set forth
CHICAGO IL 60606 in OAR 952,001-0010 through OAR 952,001-
"'.............. ,.
Contractor Type
General
Contractor
RIVER ROOFING INC
--:-~....;._'_'-'~, "''-'1 UUlClll~_vU/JIt:::~ Ullfle rUles oy
I CONTRAC(OR~INF.ORMA:'fION' .elephone ".
. - _._~_.. -"""] ,.otlilcatlon
Center is 1-S0L",;18?'?144) E . t' D t
Icense . xplra Ion a e
79016 01106/2010
Phone
541-746-5000
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary OccupancytGroup:
Primary Construction1iType
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
NrW/ater_Type: Sq Ft Basement:
~ u ....
Range'Type: Sq Ft Garage/Carport
THfhggf,plithGHALL EXPIRE IF THE '^!tqfftl Other: .
jl,USp~lliklea[Bl\.i!"lilgl THIS PEY~~lIT IS ~\J?pant Load:
f"\r\nnr.~.....,....__ __
I DE\iiLOPMEN,~;INF.6RMATIOj.rtU rUK
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I~UBL1C IMPR~VEMENTS I
Street Improvements: "
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
.
I V aluation De~criDtion I
Description
1: .
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Value
Date Calculated
Paee 1 of 2
Status
IS5 u ed
. .~.:. '.
CITY OF SPRINGFIELD
~Building/Combination Permit
PERMIT NO: COM2009-01410
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE: $ 42,920.00
~; ,
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
42,920.00
$42,920.00
$42,920.00
09/23/2009
Total Value of Project
~! ~"
Fees Pa~d I
Fee Description"
+ 12% State Surcharge
+ 5% Technology-Fee"
Building Permit
Amount Paid
Date Paid
Receipt Number
$49.68
$20.70
$414.01
9/23/09
9/23/09
9/23/09
2200900000000001081
2200900000000001081
2200900000000001081
Total Amount Paid
!I
~I .
$484.39
Plan Reviews I
~; 1 f
I Reouired In~\lections I
Roofing: Priorto installing ~ny roof covering.
Final Building::: After all required inspections have been requested and approved and the building is complete.
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By signature, I state a,!d agree, that I have.carefully examined the completed applicatiou 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 M Springfield and the Laws of the State of 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 o~ly 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 ~a is locat d at the front of the property, and the approved set of plans will remain on the site at all
tinring construct" .
.:4 . fj f..
OVer or Contr~ctors':Signature
,
q-)'1-0(
Date
i'
Page 2 of 2
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Sttuctural P,ermit Application
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.225 Fifth Street. Springfield,l'OR 97477. PH(54 1)726,37.53 . FAX(541)726,J689
1/.iDEP,ARniifENTiUSE;O,:'N,'UY';1
.~"". <,:", _.,..~ - _"-'_.' . .'.. c,' " .,.-i',,__.. .,", ','
Penn it noe?- FifO'
I Date: '"1 / ").... j } 0-;
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ofiss'uance.ol if work is
, ,
suspended for 180 days.
)'~\;;'~~itf;dlN~fj}:x~l;Q~A~2~'QY]FI~H~g:NIJ{~MRQY~,'~j~(~~~~fj;41'~~f.i;iHl
I This project has finalland-u'se approvaL I I
Signature: Date:
I This project has DEQ approval., I I
Signature: Date:
I Zoning approval verified, 0 Yes 0 No I
I Property is within fiood plain: 0 Yes 0 No I
ID-0fiV},'tn/'t:'i''-';';;'''''l;:lJJ?'j'''''''''''''''''' ,... ".,' '-'" . c. "-~,->--,'" ,~~~ ",...",,~..o.,' ,. ......,'. ,,"'",."F'_~<o.. ""~' .':-t*," ""1-",' 'J." -, -,.f;~~ '
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1.i:J~~~.~.~~.~:i~~,l'l':C" ", J.~ ?~.~;~_~:~~...,.,..".J.~c~~~;;:,I,"c'll
~"l.{;i",i:::1@QBl!,S.I;TE,L:1 NI;()RMATI()N;'If.NJ).I;~QGA'TII.9.Ni'k,\'t;4il);i{0h;l
I Job site address: II /..fLf 4Itt'e-v.-tr'f t-f I
I City, C, Pr= f) V I State, (9'~ I ZIP I
I Subdivision: I Lot no,: I
I Reference \1 €;1?f2.:7 9 f"j)Taxlot 0 ']A,rR I
, "::' '" P,ROPERT.Y, 6WNE~;'.',,;:' .~"\;~'::;., "1
I Name.4n 1tl1M../'i11 11t/VJJ~,{. I
I Address: Cl ~O ...u11)Lfb"I1J..n-e.. I
I City F.lA f~ f) I State:()1e- I ZIP: I
I Phone, . , Fax: 4 jJ'''I7 06 0 I
I E-mail: I
This installation is being made on' residential or farm property owned by
me or a member of my im~ediate family, and is exempt from licensing
requirements under ORS 791,010:
Sign here:
:.: .':.:'1
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I Print name ~M~'" ~/l1 fI/J /~ I
I Slgnature( _ A /'l..--" < I
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"SUEi..60NIRA OR,INFcORMAII.QN~\jr~~.fllil!~~i;f.:1
k. . ..:<,!::6N1;RACitQ~iINS'pAL:lA'P9Ni;".,<,:,);::
I Business name: iJ I {}Q.../!..... . ~ F IIW..
I Address: /4 94'S t jr
I City: <:;f)F.D I State:l?tio
I Phone,<S"'q.(- 7<.J{. ,,600 Fax, '
I E-mail:
I CCB license no" / Cj 01 L"
I ZIP:
I r( e
I Electrical
I Plumbing
I Mechanical
CCB License Number
Phone Number I
I
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I :~t~;.~:?-':",F?,:~:f~;t,:p:~~;'';~?tJir~{i;,~'~~~~'S~98'[[)iJrf'~T-;':~r,"::~~:~:~r'l~J_~~\r:}V~~;:i~:i:z I
I !X,;~~Y~J~'W~Hiffti[(oI~~1itjQ;~j~'~i~~k*j]~SKi~T;f,~~_r~{f-,~K?:mt~1~~(~&1]~t:t.u-,,;
I (a) Job description, ~-I/?-D[) F
I Occupancy
, I Construction type:
Square fee~:
Cost per square foot:
Other information:
Type of Heat:
I Energy Path:
I D new D alteration D addition
I (b) Foundation,only penn it? 0 Yes 0 No
li{~;~~D~i~~~;;;~sliJ~1lt;;~jIMi\~}lil~~!l:(iE~~~0'&~;;::;C'1\i~i'!i!~'::~;~i;'i':t~:
I (a) Permit fee (use valuation table), $ 'f~." wi
I (b) Investigative fee (equal to [2a]), $ H ILj ~
I (c) Reinspection ($ per hour): I
(number of hours x fee per hou~) $
(d) Enter 12% surcharge (.12 x [2a+2b+2c]), $ ~'1f ~
(e) Subtotal of fees above (2a througb 2d): I $ I
~_~~f::~J,aQI[~~ij~wlf~~:~~~~~~~~~}i~~~~f~~i!!~;~1:~~~~1
I (a) Plan review (65% x permit fee [2a]), $ I
I (b) Fire and life safety (40% x permit fee [2.]), $ I
I (c) Subtotal of fees above (38 and 3b), $ I
1~~;\'M~f~lf~=ri~9~~~Jl~~~}~i;~,~jn{k~@;~j<'~;Ms1::~~::i:;~~1~:0)'~~~1_f:(j~i~':(?~::~~,;:'1
I (a) Seismic fee, J% (.01 x permit fee f2a)): J $ I
I TOTAL fees and surcharges (2e+3c+4a), I $ t/f't}.!I
EP-02-2009
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OPTION B:
OPTION C:
10:24 Fr~m:8ENNETT MRNRGEMENT
. '
River
!~~fing
I mil;;' (. ouniy"" Oldl".! I(noitllq f Ull'lp;IIIY
i
N"'I1l~ Be'inett Managel"!1ont Co.
I"" ^"",,,, 1 1 44 Gateway Lp.
Dear Customer.
5414857000
10: :::>'t.l f'"1 I
1..l....JJ
148'1 <.; fi "In~(:t
\prllllJlllfld, OrF'qon 9/411
I i(t~1l5f: Nu. 190 I it
~nlld No 1 J'05 I 7
Ins.UI eu
lI';opo'sa!
nd
ontract .
.' ,
('>'11) 14b 5000
h.. ('>41) /41./1 ~9
www.IIV('rr11olinquH"fl
Altn: Mark Tanner
\'I. III August 06, 2009 '
Mail: 980 Wlllame!te Street Ste 200, fugime OR 97401
Fa.: 485-7000
Wl' pr(1pll'.F: III lllflll~h ,111 111'.11l'1l'11\ IIld flr-IIPIIII .11l1,lht'll "l'l ,. ,',IlY tlllUlllplr:lf Ihl' h,lIl1Wlllq.
1. Clean and prepare exi&tlng &urface to accept now roofing &ystom.
"
2. Install IE! ,050rnll PVC mochanlcally fastened mombrane roofing system, white, ovor
ba~e shoet, Oller oxlsting roofing,
3. Install new ba68 flashing for HVAC units, wind driven \/onto, Hatch, fan curbs and walle,
4, Install now metal vonts, pipe and chimnoy basa f1ashlnge,
5. Install now drain IInor flashing units.
6. 20 ~ear non-proratod warranty on IB metorlal.
7. Ob!aln propor pormlte,
8, Remo~e all roofing debrl& from job site,
BID PRICE: $42.920',00
~
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1, Sa(T'o as Option A oxcept, Install .060mll TPO mochanlcally fesloned membrano roofing
systom.
2. 20 'year proratod malarlel warranty,
BID PRICE: $40,302.00
1, Samo as Option A o.copt, Install .045 TPO mechanically fa stoned membrane roofing
systom.
2. 15:yoar proratod material warranty,
BID PRICE: $37.770.00
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Duri!1~1 darnolilion dabll!;: 1l1i."\Y !Jill inlo aUk ;:H1)~I!:l 1.)le':IslJ 100k.O llll;lauura 10 cavo,' \/;.Jhl;-lllIW:l
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RECblYEIl I\Ul, 1 (l ll\O'\
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L~NE U:ADER5
ASSOCIATION
c
225 Fifth Street:.:. .
Springfield~ Oregon,97::177",..
541-726-3759 p~~n,~i,;'";;''' .
Job/Journal Number,
COM2009-01410
C0M2009-01410
C0M2009-01410
Payments:
Ty~e'of Payment
Check
cReceiptl
'.'
.), ,
,. RECEIPT#:'
. DescFipti~n . .
Building Permit
+ 5% Technology Fee
'. j:', ..;}12% Stale,Sursharge
"y..-.~; -\>:i>':.. y.", .~.~ ~;~.: .-
.'PaidByl.
..... . !.
RIVER ROOFING
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2200900000000001081
Received By
cjc
Check Number
Batch Number
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/23/2009
Item Total:
Authorization
Number How Received
30082
In Person
Payment Total:
9:54:15AM
Amount Due
414.01
20.70
49.68
$484.39
Amount Paid
$484.39
$484.39
9/23/2009