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HomeMy WebLinkAboutPermit Miscellaneous 2011-3-21 _J.' tru. a Permit Application DEPARTMENT USE ONLY 511~oa lfSf. Penmt no.: : . '. , . CITY OF SRRINGFIELD:'oimGON: --~,<, ',": :':~,;:' , . ' . > Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' . .,'. ..t!0GAL...~:fQY~RNM~N'f:A8gRQV,6,Llf;i\i."iiiiiiihi~fi This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~1i~~~~~;;~~ft~f~(9AtEI'9iiy,119FfiiG:9/11~fR.uc:if:19N~~;,;g:h;i~i;g:~~i: o Residential 0 Government Commercial ii:,i,,'i';..;;6qB,:Srn::i.iNiTPRMAtj'9N~ANt'j'i!~ .j5Aij9Nt~JM::i::jWi;:J Job site address: \4 '" SI. City: [ ~ie State: Or. Subdivision: Lot 225 Fifth Street. Springfield, OR 97477' PH(541)726-3753. FAX(541)726-3689 Reference: Name: Address: City: Phone: I , f. E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. SPRINGFlEI-D a~~ " <:,',:),,/;t'iFEE'SCHEDULE>,' H" .. .'~!:~~Y,~tij~i(p~J*(o~rW'~-t~P.~:;:~~g;~%;~.tl,OiJ:::~~:'{ :.s-'(,;,~';i/~;'[;: (a) Job description: EtZ..<:>O(= Occupancy "'.' ~;,~, r ':~,~:;,/':k~i,~,~,:).' Construction type: Square feet: Cost per square foot: Other infonnation: Type of Heat: Energy Path: o new Ion (b) Foundation-only permit? o addition ~O F- . DYes ..--Eh'<o Total valuation: :~7~~:'~.1;I.U_~i~;lg";Iee.~ittSl~;~~:?:~f.;~t~~,~h:@i!i-:i~~\::'~1.',-~11,>:f ~ \Y: (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ $ $ Sign here: Address: City: Phone: E-mail: CCB license no.: Print name: Signature: .._Gmqf{;INf9~_M*mlq~~~~1W~~F~~f~~: CCB License Number Phone Number Electrical Plumbing Mechanical (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a)): $ (c) Subtotal offees above (3a and 3b): $.. d ". ~::!l;:M~'s.s~~i~~.~"b:~s}f~~~1$~~11~~~':~:}F~Q~: '.,~;/':;.;:_:/~,f ,~~ '" :'"}';~;';:1} (~~~,: }~<:.,.: {,':.'~.;. (a) Seismic fee, J% (.01 x permit fee [2a]): $ TOTAL rees and surcharges (2e+3c+4a): S J 71 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00456 IVR Number: 811118980880 www.ci.springfleld.or.us PROJECT STATUS: STATUS DATE: Issued 03/21/2011 ISSUED: APPLIED: 03/21/2011 03/21/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 . Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 09/17/2011 $8,818.00 SITE ADDRESS: 1480 16TH ST, APT# 1, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253102200 SCOPE: ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof Phone Number: OWNER: ADDRESS: HARWARD PROPERTIES llC PO BOX 8516 COBURG OR 97408 CONTRACTOR INFORMATION .~ Contractor Type General Contractor Contractor Name ARMADILLO ROOFING INC # of Units: o Lie Type CCB BUilDING INFORMA nON ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 129597 Lie Exp 05/19/2012 Phone 541~988~3661 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Ires you to . Flood ~'I'f'!:!H\"I\6N: Oregon law req~e on Utility land rreKiWl MillS adopted by the \0 s a~e set lorth RetaiNBlI.f<<1!ttion Center. Those ruheOAR 952-001- Soils ~ElGf1-001 ~ throui~S 01 the rules by 0090. You may obtain c~fe. the telephone calling the cen~r. (~n Utility Notilication number lor the. ~e8g00-332-2344). Center IS ,- NOTICE: E IF THE WORK THIS PERMIT SH!l.~~ ~~~ PERMIT \S NOT !l.UTHORIZED UND\S !l.B!l.NDONED FOR COMMENCED OR !l.NY 180 D!l.Y PERIOD. . . Springfield Building Permit J/21f2011 11:01:J8AM Page 1 of 4 SP~It...G... f..IE~ D. . .. .~; ~..~ , ", m\"'~~EGON www.cl.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00456 IVR Number: 811118980880 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/21/2011 ISSUED: APPLIED: 03/21/2011 03/21/2011 EXPIRES: VALUE: ' 09/17/2011 $8,818.00 SITE ADDRESS: 1480 16TH ST, APT# 1, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253102200 SCOPE: ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Type of Construction Unit Amount Unit Tvpe 'Unit Cost Value FEES PAID I Description State of Oregon Surc~arge (12% of applicable fees) Building ~_:rmit Fe-=_...__."_,, """.. _0_".____ Technology fee (5% of permit total) Total Amount Paid Amount Paid $15.15 $126.25 -,,--",'.---"--- $6.31 $147.71 Date Paid 03/21/2011 03/21/2011 _.__..._-~ 03/21/2011 Recipt # 2011000517 2011000517 2011000517 Springfield Building Permit 3/21/2011 11 :01 :38AM Page 2 of4 .~S~::NGfIElD ~~F tf>> ;Af:.::\ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00456 IVR Number: 811118980880 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/21/2011 ISSUED: APPLIED: 03/21/2011 03/21/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax 541-726-3676 permitcenler@ci,springfield.or.uS EXPIRES: VALUE: 09/17/2011 $8,818.00 SITE ADDRESS: 1480 16TH ST, APT# 1, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703253102200 SCOPE:, ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof Plan Review I DeDartment Application Acceptance Received Due Date Comoleted Result 03/21/2011 03/21/2011 03/21/2011 Over the Counter Electrical Review 03/21/2011 03/21/2011 03/21/2011 Not Required Comments: Over the counter permit ~.~Ch~ni9alRe\,ieW' "F-,:;~",;:-:"Q37i1129117'r~:_O~/21/2dt1~ :'"03/21/201:1"~ _ ,'_No(Req'uirea~<: ;;:>~: C~~?~-'~:~~~~~,2V~5t3q~~"e[~~i~0t~~~~"~';"\i~, "~ ;:'~:~:_ ;;;~. ,::..,;~" '::-Jl:~.,_~' f!:':~ Plumbing Review 03/21/2011 03/21/2011 03/21/2011 Not Required Comments: Over the counter permit Fire Review 03/21/2011 03/21/2011 03/21/2011 Not Required Comments: Over the counter permit Reviewer David Bowlsby David ",cDaiiid:Bowlsby ':'~'~{;- ~...'t,._ " " .";.'~:, :"'~ ~'. ,,"" . ;;:'PC''"''ll. . Il' ::..--'-V<-~:__ '-_ ~ L .l'_ David Bowlsby ~'-'~, "',' .~ :1; '; '1 "',~ _4. ,. .-:.._--_.. David Bowlsby Energy Code Review 03/21/2011 03/21/2011 03/21/2011 Comments: Over the counter permit Not Required David Bowlsby Structural Review 03/21/201 Comments: Over the counter permit Pla~~ln~:R~~_~.~:.~ T'~~;:*", ~,-:;;:f,\:,~~3/2{!~8!~_' ,r ..0:!2~ 7301il:!~3~j,2~,! 1 '~,So.mments": ."t9y~;;ltie!E2g~J.~~.'P~T~t-t~:~-'t-"'~' ;" '~{~., ',:~ ?~r' N'ot;Require_Cj~~_~.~-: \i'2~baiJid;8owls15y'/:: -. /;,~' , ; -,-:':!-'-:t"c:t~~~t,-=;1<~_'j~;e':: ~~~~>~,~t~-~;~~=~~:4~~:T:_f';~- .e.:~ ".~ ~ ;' " ,: "",.1 ] INSPECTIONS REQUIRED I Inspections 1620 Roofing Roofing: Prior to installing any roof covering. Springfield Building Permit 3/21/2011 11:01:38AM Page 3 of 4 .S~i:~~=~ ~,\ -i/U; '''..$-'"$'l,-~ "''it /m. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00456 IVR Number: 811118980880 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 03/21/2011 ISSUED: APPLIED: 03/21/2011 03/21/2011 EXPIR!=S: VALUE: 09/17/2011 $8,818.00 SITE ADDRESS: 1480 16TH ST, APT# 1, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253102200 SCOPE: ReRoof WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof 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. 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 card is located at th nt of the property, and the approved set of plans will remain on the site at all times during construction. ,3r2/-) I Date Springfield Building Permit 3f21/2011 11:01:38AM Page 4 of 4 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00456 1480 16TH ST. APT 1 permitcenter@cLspringfield.or.us RECEIPT NO: 2011000517 RECORD NO: 811-SPR2011-00456 DATE: 03/21/2011 tDESCRI~TION, -_:~c:..~-_:;>~:.?f:':..:'e,",;;-;-;:ry-:;;p-_\:'4" ''ACCOUNTltODE\:;" i;!'~" ""';r ,-MMO(fNT:DUE ::!t-""-" 1 Building Permit Fee 224-00000-425602 126,25 ~~ of Oregon Surcharge (12% of applicable fees) 821-00000-215004 15,15 Technology feel, (5% of permit total) 100-00000-425605 6,31 TOTAL DUE: 147.71 r,; f>AYMEN';WPE'4;W?? ;f!AYOR ' "~CA''-H;Eil:lDI'l6WLSBy~!)'?t ;t'~~OMMENIsr; ;';~"fj'b,,'J '. ';C,::'AMOUNT pAID.," ,,:::;'~:;;:I Check ARMADilLO ROOFING INC 147,71 4936 TOTAL PAID: 147,71