HomeMy WebLinkAboutPermit Building 2006-6-27
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00558
ISSUED: 06/27/2006
APPLIED: 05/1112006
EXPIRES: 12/27/2006
VALUE: $ 17,235.00
.
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
.
SITE ADDRESS: 1396 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363203501
Springfield TYPE OF WORK: ReRoof
PROJECT DESCRIPTION: Reroof with single ply membrane
TYPE OF USE: Repair
Commercial
Owner: SEVEN ELEVEN #18092-2351
Address: % SOUTHLAND CORP PO BOX 711
DALLAS TX 75221
Contractor Type
General
, CONTRACTOR INFORMATION I
Contractor License
WASHINGTON ROOFING C6M~ANY~.~.,~?, 55201
, ", _" ,) BU1LDlNG.JNF.ORMAillION I
, in 0/"-, Sb2-D01-u01 0 throuoh QAR 952-001-
# ofURlts: bt' #rof',Stones:,e rules by
n090 Y u may 0 am 1,;,11- ~~ u' "
Primary Occupaucy Group':' ,0 Heipht of Structure
11' the center (~'m8' lI'~_''''''f.I"uole
Secondary Occupancy Group:.:a mg , Type,of Heat: ' ,
, . b f the Orega" ,'1111'" ,"ulIflcatlon
Pnmary Construchon Type num er or, Wal~r}>:!!~:
Secondary Construction Type: Center IS 1-80R~ TYjle~'
# of Bedrooms: Eoergy Path:
Sprinkled Building: o/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
..
Overlay Dist:
# Street Trees Rqd: .'
Paved Drive Rqd:
% of Lot Coverage:
Expiration Date
06/04/2008
Phone
503-435-2668
Lot Size:
Sq Ft1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
"
N01\{!~'. IPU!lLIC'll'{fRlil,V.~M~lh{I~~~ t.
1\'11S PH\~~O UNOER 1\'1\';) t't:NEOfOR Sidewaik Type:
A\J1\'10R\ CEO OR IS ABANOO Downspoutsmrains:
COMMEN 01\'1 PERIOO.
AN'I1 BO
Street Improvemeots:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2elof2
Value
Date Calculated
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00558
ISSUED: 06/27/2006
APPLIED: 05/11/2006
EXPIRES: 12/27/2006
VALUE: $ 17,235.00
Status
Issued
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Lioe
Estimate
Estimate
$1.00
17,235.00
$17,235.00
$17,235.00
05/11/2006
Total Value of Project
Fees P,'ilULJ
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
$16.98
$13.58
$169.80
6/27/06
6/27/06
6/27/06
Receipt Number
1200600000000000969
1200600000000000969
1200600000000000969
Total Amount Paid
$200.36
1 Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
IRe~
Final Building: After all required inspections have been requested and approved and the building is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereoo is true and correct, and I further certify that aoy and all work performed shall be dooe iu accordance with
the Ordinaoces of the City of Springfield and the Laws of the State of Oregon pertainiog to the work described herein, and
that NO OCCUPANCY will be made ofany 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.
Owner or Contractors Signature
l./Zf6 oJ.l6-/ 'N A-<...
)/C~ r
SI}I<~
f';11 t~
Date
Pace 2 of2
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-00558
ISSUED:
APPLIED:
EXPIRES:
VALUE:
05/11/2006
11/11/2006
$ 17,235.00
Estimate
Estimate
$1.00
17,235.00
$17,235.00
$17,235.00
05/11/2006
Total Value of Project
~
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
U"ollir..r1I~
Final Buildiog: After all required inspections have beeo requested and approved and the building is complete.
By signature, I state and agree, that I have carefully examiued the completed application and do hereby certify that all
informatiou 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 of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany 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 frout ofthe property, and the approved set of plaus will remain on the site at all
times during con c .
6 -.2./-0b
/
Date
Paee 2 of2
225 Fifth Street
4"'" .
Springfield, Oregon 97477
541-726-3759 Phone
. 1j;~:~
~"..
.. .. -, -
~ _ 'c. .
Caof Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00558
COM2006-00558
COM2006-00558
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Building Permit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
W ASHfNGTON ROOFING CO
1200600000000000969
Date: 06/27/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 5646 In Person
Payment Total:
Page I of I
8:5S:02AM
Amount Due
169,80
13,58
16,98
$2UU.36
Amount Paid
$200,36
$2UU.36
6127/2006