HomeMy WebLinkAboutPermit Miscellaneous 2011-3-21
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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. '
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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
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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
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~;,~, 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. . ..
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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
$8,818.00
SITE ADDRESS: 1480 16TH ST, APT# 1, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703253102200
SCOPE:, ReRoof
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof
Plan Review
I
DeDartment
Application Acceptance
Received Due Date Comoleted Result
03/21/2011 03/21/2011 03/21/2011 Over the Counter
Electrical Review
03/21/2011 03/21/2011 03/21/2011 Not Required
Comments: Over the counter permit
~.~Ch~ni9alRe\,ieW' "F-,:;~",;:-:"Q37i1129117'r~:_O~/21/2dt1~ :'"03/21/201:1"~ _ ,'_No(Req'uirea~<: ;;:>~:
C~~?~-'~:~~~~~,2V~5t3q~~"e[~~i~0t~~~~"~';"\i~, "~ ;:'~:~:_ ;;;~. ,::..,;~" '::-Jl:~.,_~' f!:':~
Plumbing Review 03/21/2011 03/21/2011 03/21/2011 Not Required
Comments: Over the counter permit
Fire Review
03/21/2011 03/21/2011 03/21/2011
Not Required
Comments: Over the counter permit
Reviewer
David Bowlsby
David
",cDaiiid:Bowlsby ':'~'~{;-
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;;:'PC''"''ll. . Il'
::..--'-V<-~:__ '-_ ~ L .l'_
David Bowlsby
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.~ :1; '; '1
"',~
_4.
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David Bowlsby
Energy Code Review 03/21/2011 03/21/2011 03/21/2011
Comments: Over the counter permit
Not Required
David Bowlsby
Structural Review 03/21/201
Comments: Over the counter permit
Pla~~ln~:R~~_~.~:.~ T'~~;:*", ~,-:;;:f,\:,~~3/2{!~8!~_' ,r ..0:!2~ 7301il:!~3~j,2~,! 1
'~,So.mments": ."t9y~;;ltie!E2g~J.~~.'P~T~t-t~:~-'t-"'~' ;" '~{~., ',:~ ?~r'
N'ot;Require_Cj~~_~.~-: \i'2~baiJid;8owls15y'/:: -.
/;,~' , ; -,-:':!-'-:t"c:t~~~t,-=;1<~_'j~;e':: ~~~~>~,~t~-~;~~=~~:4~~:T:_f';~- .e.:~ ".~
~ ;' " ,:
"",.1
]
INSPECTIONS REQUIRED I
Inspections
1620 Roofing
Roofing: Prior to installing any roof covering.
Springfield Building Permit
3/21/2011 11:01:38AM
Page 3 of 4
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'''..$-'"$'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