The URL can be used to link to this page

Home My WebLink AboutPermit Miscellaneous 2010-11-1 Structural Permit Application Date 1--1 - J.. This permit is issued under OAR 918~460-0030. Permits expire if work is not st:u1ed within 180 d:1YS of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Date: This project has DF.Q appro-val. Signuture: Date: Zoning approval verified: 0 Yes D No Pmperly is wilbin noml pIll in: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential I:&f Commercial o Government JOB SITE INFORMATION AND LOCATION 5 City: Subdivision: Reference: \ PROPERTY OWNER Name: Address: City: Phone: S'll- 3SO- 04/10 . . Fa.x: E-mail: This installation is being made Oil rcsiuential or farm property owned by me or a member of my immediate family, and is'exempt from licensing requirements under < 7 ;Ol~ Sign here: '. -s::, <'" CONTRACTOR INSTALLATION Business l;all~'~~~--~ Address: City: Phone:'Y( - E-mail: CCR license no.: Pri nt name: r- Signatm . SUB,CONTRACTOR INFORMAtiON Name Ji:leell'ical Plumhing Mecb:Ulical ceo License Number PIlOllt'. Number FEE SCIiEDULE 1. ValulItion information ~_~b deocr;pl;on: g,&,41OV,t;'t- ~F Occupancy AA Constl1lctioll type: ~ Square Iht: Cosl per square foot: Other information: Type or Heat: Energy Path: Dncw o alteration o udditiOll( ~ F) (b) Foundjlion~only permit? DYes DNo Total valuation: s:28 Plt\? 2. Building fees (a) Pemlit fee (u:;c valuation lahle): $ (b) Investigative fee (equal to pal): $ (c) Rcil1spcction ($ per hour): $ (number of hours x fee per hour) (d).Enter 12% surcharge (.12 x 12a+2h+2c1): $ (e) SubtotaJ uf Ices above (2!1 fbnJUgh 2d); S 3. Plan I'cvicw fees (a) Plan review (65% x permit fee pal): $ (b) Fire and life safety (40% )( pennit ret: [2aJ): $ (c) Subtotal of fees above (3a and 3b): ~- /""" .~, 4. MisccJJ:meous fees .rP (u) Seismic tcc, 1% (.01 x pcnnit Ice (2a)): $ \ TOTAL fees and 1>urchllrgcs (2c+3c+4a): ~J -- ~ tf I "\ \., S:!.i....~H :"IEL~ W;,~",. ,..+- 'ft,' .....- \:...1,.,> OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00625 IVR Number: 811176343683 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 11/01/2010 ISSUED: APPLIED: 11/01/2010 11/01/2010 EXPIRES: VALUE: 04/30/2011 $28,280.00 SITE ADDRESS: 5892 MAIN ST, Springfield, DR 97478-5496 ASSESOR'S PARCEL NO: 1702343200511 PROJECT DESCRIPTION: SCOPE: ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Reroof~ removing old layer. Phone Number: OWNER: ADDRESS: ROBBINS SCOTT B & LISA C 59805 MEDICINE HAT LN BEND OR 97702 Contractor Type # of Units: Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Contractor Name STRINGHAM INC o M Mercantile(DepVDrug/R etail/Etc.) Type VB CONTRACTOR INFORMATION ~ Lie Type GGB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: ,Range Type: Hazmat: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specially Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 154376 Lie Exp 02/1412011 Phone 541-382-2432 lot Size: Sq Ft 15t Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq FIOther: Occupancy Load: o 2010 Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information NOTICE: ' '. ,'...,' THIS PERMIT SHAll EXPIRE IF THE WORK. AUTHORIZED UNDER THIS PERMIT IS NOT. COMMENCED OR IS ABANDONED FOR .\ ANY 180 DAY PERIOD. 1111/2010 3:28:49PM ~ ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 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), Page 1 of4 StRIN.,G.. F.IEL~..~ ..-- cC: ~~. ~~..OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Bui/ding I Commercial Permit PERMIT NO: 811-SPR2010-00625 IVR Number: 811176343683 permitcenter@Ci,springfield.OLUS PROJECT STATUS: STATUS DATE: 155 ued 11/01/2010 ISSUED: APPLIED: 11/01/2010 11/01/2010 EXPIRES: VALUE: 04/30/2011 $28,280.00 SITE ADDRESS: 5892 MAIN ST, Springfield, DR 97478-5496 ASSESOR'S PARCEL NO: 1702343200511 SCOPE: ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Reroof~ removing old layer. DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: , Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line:' REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Building Permit Fee Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $311.53 $15.58 $37.38 $364.49 Date Pa id 11/01/2010 11/01/2010 11/01/2010 ReceiDt # 374765 374765 374765 Springfield Building Permit 11/1/2010 3:28:49PM Page2of4 SP~I~~=. ~ .\"':~ "" . . x"'. OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00625 IVR Number: 811176343683 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/01/2010 ISSUED: APPLIED: 11/01/2010 11/01/2010 EXPIRES: VALUE: 04/30/2011 $28,280,00 SITE ADDRESS: 5892 MAIN ST, Springfield, OR 97478-5496 ASSESOR'S PARCEL NO; 1702343200511 SCOPE: ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof. removing old layer. Plan Review I Deoartment Permit Issuance Received Due Date Comoleted 11/01/2010 11101/2010 11/01/2010 Result Issued Reviewer Kip Kaufman Initial Review 11/01/2010 11/01/2010 11/01/2010 Kip Kaufman Over the Counter Comments: Over the counter permit ~Je'9lriF~ER~iieW~':7 ;~~c:~~i "T~>' .11/?11?q\g~;~}t1;q_~_I?g1,gJ",~,t~P?O! q~~;:~uY-~.~;-:'_1 ,,;': '~t;,_/ .', Ki~~~~ytrri~,n. I' Comments:'~_0ver the:counter,perl1}itY0,,~/:, <"_*~> /i4'">,,< ' * 1,"~ \; ,I"" 'f\,~'h, ",z' >.., :'- ",; - '~ ~,"_~~,..s.",,,,...," '*_"""'~''''"~-'~ *~:::~;;;,"" _~-~.,;;:'J.*".~, .~-"':!..-~' ":'~, ';:',,-,- Mechanical Review 11/01/2010 11/01/2010 11/01/2010 Not Required Kip Kaufman Comments: Over the counter permit ~ {'- " l '-..,'-,.-"" --.-.- H" . , _;c:..:.-...;t':.-__,,~;,.,;....---.J Planning Review 11/01/2010 11/01/2010 11/01/2010 Comments: Over the counter permit Not Required Kip Kaufman Public Works Review 11/01/2010 11/01/2010 Comments: Over the counter permit Not Required Kip Kaufman Traffic Review Not Required Kip Kaufman 11/01/2010 11/01/2010 Comments: Over the counter permit ~~~~~i:~&:ri~~':~~e~ ~~0~:~:{~;.~}/0;;2J~~'}:(0~/2~1 t <'10!:'~~~~!~t~!~';iir::f-:~;~~ . ';Z~~;'.~:.. INSPECTIONS REQUIRED I "0" J i:1 Inspections Springfield Building Permit 11/112010 3:28:49PM Page3of4 S1;.RIN..G. flE~, D. I8i7 ;j~ rJ1i1 , ~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00625 IVR Number: 811176343683 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/01/2010 ISSUED: APPLIED: 11/01/2010 11/01/2010 EXPIRES: VALUE: 04/30/2011 $28,280.00 SITE ADDRESS: 5892 MAIN ST, Springfield, OR 97478-5496 ASSESOR'S PARCEL NO: 1702343200511 SCOPE: ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof. removing old layer. By signature, I state and agree, that I have carefully examined the, completed application 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 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 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. 9t6 fjr~ Owner or Contractor Signatut? II-i-clot' (/ Date Springfield Building Permit 11/1/2010 3:28:49PM Page 4 of4 11.t-- tN' II Quality, Integrity, Stability Since I939 CENTRAL OREGON ROOFING q ~ U - LH/1 j hi/,.,!, -~ _ e.../I (!Iv/- / '!>.;,t < i (1- 0 - /0 - l-1r7 Proposal DATE: 08/24/2010 Scott Robbins 59805 Medicine Hat Lane Bend, OR 97702 JOB: 5892 Main St., Springfield OR We hereby submit specifications and estimates for: _30 year landmark series shingle by CertainTeed---------------------23,670.00 ---v1- 40 year Landmark Plus shingle by CertainTeed----------------------------------26,395.00 r-50 Year Landmark Premium architectural shingle by CertainTeed-------------e8,280.~ Includes the following: -Set up safety and ground protection barriers and covers -Remove and properly dispose of existing roofing -Prepare and inspect roof deck, sweep, remove loose material, etc. -Apply ice and water shield to plywood at all eaves from edge to 3 It -High Profile Hip and ridge cap included -Install ASTM 30# felt moisture barrier -Install metal edge at perimeter and roof to wall araes -Replace one 2 It X 4 It skylight -Replace attic vents as necessary using new vents -Complete jobsite clean up and disposal of all roofing debris .060 TPO membrane at cricket areas at HV AC units, also new base and counter flashing at these -Transferable 10 yr. Workmanship warranty from us and a 4 star Certain Teed warranty OPTION: 5 star warranty from CertainTeed (ask about details)-----ADD $ 750.00 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs, will be on written change orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by workmen's Compensation insurance. CENTRALOREGONR~ ~ Authorized signature ~ t Acceptance of Proposal The above prices. specifications and conditions are satisfactory and are hereby accepted. Yau are authorized to do the work as specified. Down payment is due upon acceptance. There will be a 1.5% filUUlce charge on balances 30 days past due. Balance due upon completion. Accepted Authorized signature Date Please sign both copies and return one, thank you Note: Acceptance acknowledges lien information on reverse side of this form ~ \ urtJ OB/oa9 ~ It Me: Pf~ w-rtV o p ;...v o~G- M k-r~.:r: Itt-- kft/9 51-M & . ~ Y::>ec-rf3-.K - ~A:;:-~CA'Z'"J:e)J: ~ & CENTRAL OREGON ROOFING Y ESTIMATE I WORKSHEET \ f\) Starter U(]' ----!L-.,. ~ater ~ Felt '11<'t Steo flashina End Wall NAME: MAILING ADDRESS: CITY: PHONE: JOB LOCATION: (qcw: . .' s~9Jo~ ~Q(\\C\~ ~~ L~ ftodi'j ~ e ;\10011 f ~) : ' '/..=> \ I: (--1.-'/ \ 11 111 II I ~ f\YI.\ 1) Ij 'it\ ~ )pt;il (1-- jt1- "f-'ZS;' '1J1~ 6- 1~ -( z <; /' I it1l 3'1'(-25/7.1 t ' . <J(Jt'O ) tiD 'f '7'6 ~A , /1'115~ c u ~ (1 '/r~ . Overhanas openlclosed 1PU df-~ 1- ..."1 r., , .,G \ V l( - A- 4D ~ - .- (~C1N 2r n 5:1 yirrlate worksheet-063009.wps \ . \.1.,~~ Ski\\'~ o t::7 \Z- 02-fkt . !,?O LOADED / IN t1J 9,-d '~I'/ "( ~t7 'i <' 1l-'i tj(rJ IJO 1St? , l.( Total sa ft Type Access IM1 Ffa /'1 ~ Pitch Existina Tear Off Lavers Eaves -r Gable Edoe '\ (/(ttl'51 P (. Skvlioht Chimney Pipe Jacks Vents -;f')~ crl:-hf Vallev . PIVWff / fi ,(uz-,..-kr Ridae ) t?Jl/L Wv-"l /Ie--<' 'j> Pan f1ashina i es Vents &, 1./ . ~ Ov(t: yjoll{( qS. tf'S &1- &, ,/ . . . . SP~:~.G.;~~ ..::~ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00625 5892 MAl N ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permilcenler@ci.springfield.or.us RECEII'T NO: 2010000723 RECORIJ NO: 8 I I .S1'1\20 I 0.00625 ',6.C.C,O.U'N:r_C.QQE 224.00000-425602 100.00000.425605 821.00000.215004 TOTAL DUE: IJATE: 11/01/2010 AMOUN] DUE $311.53 $15.58 $37.38 $364.49 AMOUNT.PAID . I DESCRIPTION' Building Permit Fee Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) I 'P~YMENt':TYPE "f',P,6.Y9.B" -"CASH'IER:KKAUFMAN",. .:'CPMJIi1EiIIJ-S...1." A' ,. ,.>M. ~'"u~ ':1 Check 11297 Central Oregon Roofing $364.49 $364.49