HomeMy WebLinkAboutPermit Building 2010-9-27
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00377
IVR Number: 811150331312
225 Fifth St
Springfield,DR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
5~RI.N...G.. F.'E.~. 0
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,~,,,.;;u
""~~'""~.OREGON
permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/27/10
APPLIED: 9/27/10
EXPIRES: 3/26/2011
VALUE: ~12.800.00
SITE ADDRESS: 1865 .oLYMPIC Springfield
ASSESDR'S PARCEL ND: 1703253107400
SCDPE: ReRoof
WDRK INVDL VED: Repair
TYPE .oF STRUCTURE: Commercial
PRDJECT DESCRIPTIDN:
Reroof
.oWNER:
ADDRESS:
NADINE L BURGE EXEMPT MARITAL TRUST
830 MCKENZIE CREST DR
SPRINGFIELD DR 97477
Phone Number:
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
HATTEN ROOFING & CONSTRUCTION INC
Lie Type
CCB
Lie No
158323
Lie Exp
01/16/2012
Phone
541-461-5691
BUILDING INFDRMA TIDN ~
# of Bedrooms:
Sprinkled Building:
Hazmat:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft .other:
Occupancy Load:
# of Units:
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Sp'ecialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition: .
Structural ~pe'~ialty Code Edition:
Site Information
,
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
.Land Hazard Area: ATTENTION: Oregon law requires youto
Retaining Wall: \I w rules adopted by the Oregon Utility
Soils Report ReqUir~f~ication Center. Those rules are set forth
Ino~AR 952-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1_800-332-2344).
" .~~ .;!.-.<,..;;:':":~~:.:""~-
NOTICE: fTHEWORI<
THIS PERMIT SH~~~ ~~~~~RMIT IS NOT...
AUTHORIZED UN A' BANDONED fOR C";'
COMMENCED OR IS . ,.' ,'"".
. ANY 1 SO DAY PERIOD."
Springfield Building Permit
9/2712010 11:28:34AM
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00377
IVR Number: 811150331312
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-Z26-3769
Fax: 541-726-3676'
sr,~:;G~"I,EL,';j
~,~.
~OREGON
permitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/27/10
APPLIED: 9/27/10
,
EXPIRES: 3/26/2011
VALUE: $12,800.00
SITE ADDRESS: 1865 OLYMPIC Springfield
ASSES OR'S PARCEL NO: 1703253107400
SCOPE: ReRoof
WORK INVOLVED: Repair
. TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof
DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees ~eqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure to
north property line:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
DownspoutfDrains:
Valuation Description
I
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
Descriotion
Building Permit Fee
Technology fee (5% of permit ~otal)
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$165.25
$8.26
$19.83
$193.34
Date Paid
09/27/2010
09/27/2010
09/27/2010
Receipt #
374403
374403
374403
. Springfield Building Permit
9/27/2010 11:28:34AM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00377
IVR Number: 811150331312
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspeclion Phone: 541-726-3769
Fax: 541-726-3676
S.r~:.;:.I. E~
~~
~'OREGON
perm itcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/27/10
APPLIED: 9/27/10
EXPIRES: 3/26/2011
VALUE: $12,800.00
SITE ADDRESS: 1865 OLYMPIC Springfield
ASSES OR'S PARCEL NO: 1703253107400
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof
~~-:'~::':~'-,,' >,:':;;E~;:C~:?~tP'::;' '::;"'~~,,7~j~_~; _,},;_':FPI~n:Re~i'ew.,":"":'):.1fy:;,~~",;_::-~ ',\,,~~k ~;t.:~~~"e;iL~):.~'~ ,0 :-'~'%> -;~
By signature, I state and agree, that I have caref!Jlly examined the completed application and do hereby certify that all
information hereon is true and correct, and J 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 or 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 only contractors and employees who are in compliance w',th ORS 701.005 will be used on this project 1 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 ca front of the property, and the approved set of plans will remain on the site at all times during
. constructio
. /
~'
?b7h
Owner or Contractor Signature
Date
Springfield Building Permit
9/27/2010 11:28:34AM
Page3of3
, '
Phone: (541) 461-5691 . Fax: (541) 687-5798
2611 W. 5th Avenue, Suite C' Eugene, Oregon 97402-2794
Proposal Submitted To:
Location of Work:
Company:
Name: Nadine Burge Job Address: 1865 Olympic
Mail Address: 830 McKenzie Crest Dr City: Springfield State: OR
City: Springfield S,!!~: ORZip: 9?4?2 Phone: (541) 912-7404
Phone: (54_1.)747:336l!---~- .. ~=--- Color-request:
~ -- .
Wellereby~e to furnish the materials andperfonn the labor for the com pie . n of: Install a slip sheet
ith-A.:11 fasteners and apply a .045 mil white TPOmembrane. All pipe jack boots are al included. New
uppers are also included. All disposal fees are included. All grounds will be cleaned.upon completion.
. --
'to'YEAR'WORKMANSHIP GUARANTEE
All material is guaranteed to be as specified, and the above work to be perfonned in accordance with the drawings
and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
$12,800.00 with payment made upon completion. ,
Hatten Roofing and Construction, Inc. is not respon!!ible for any debris accumulated in the attic due to tear off or
damage due to vibration. Hatten Roofing and Construction, Inc. will obtain any required pennits, however the
customer is responsible for all additional fees for pennits. Any alteration or deviation from the above specification
involving extra costs will become an extra charge over and above the estimate. Due to the fluctuating price on
materials, this bid is valid for 30 days. All prices include a 3%% discount for paying by check or cash. If paying by
Visa or Master Card, the 3%% discount must be added back into the total price. There will be a 25% cancellation .
fee.
Respectfully Submitted by:
Date: September 24,2010
Danny Hatten (President)
ACCEPTANCE OF PROPOSAL
The above price, specifications and conditions are satisfactory and are hereby accepted. Hatten Roofing and
Construction is authorized to do the work as specified. Payment will be made as outlined above. I have also read
and understand the Hatten Roofing and Construction's "Frequently Asked Questions. page included with this
proposal.
S~n~ure Dare
THANK YOU FOR YOUR BUSINESS!
. . , ,
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00377
1865 OLYMPIC ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
pef1Tlitcenter@ci.springfield.or.us
RECEIPT NO: 20 I 0000400 RECORD NO: 8 I I -SPR20 I 0-00377 DATE: 09/27/2010
rDESC:RIPTII::lNc c_c::;-7;C".q;:-~"~i;.+ "'~'c'~'j:s:+P:::';;~';i:.1::Mc:ttUI.!]tLcJ~RI;~;~';;::~~M9JjNT @I; ..- ,: ',,~,;,
Building Permit Fee .' 100-00000-425602 $165.25
Iechnology fee (5% of permit total) 100-00000-425605 $8.26
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $19.83
TOTAL DUE: $193.34
L:.EM'ME;tl.I.I:(EE; J :PA Y_CH~~:; CASHIERDBOiVh~~Y.::":U:.9_MME;NIS:.;L:i~':IL; ,.,-;;;;};:!';; 'AMOLllil.:.E...~JD....,-;;;'.L~....;J
Check
1053
NADINE L BURGE EXEMPT
MARITAL TRUST
$193.34
"
$193.34