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Home My WebLink AboutPermit Building 2011-4-27 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00699 IVR Number: 811162672201 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/27/2011 ISSUED: APPLIED: 04/27/2011 04/27/2011 225 Fifth 51 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 10/24/2011 $2,460.00 SITE ADDRESS: 204 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353102900 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Roof repair Phone Number: OWNER: ADDRESS: CITY OF SPRINGFIELD 225 5TH ST SPRINGFIELD OR 97477 Contractor Type General Contractor Contractor Name RIVER ROOFING INC CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bed rooms: 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: Lie No 79016 Lie Exp 01/06/2012 Phone 541.746.5000 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 I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: . Retaining v.4j[1"ENTION: Oregon law reqUIres yout,O Soils Re o1Plillq'i,Ir'JlP.s adopted by the _Oregon Utility p 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). "". ...... NOTICE: THE WORK ~~~H~E~~16 ~~~~~ ;.x~~~~~M\T \S NOT COMMENCED OR IS ABANDONED FOR. ANY 180 DAY PERIOD. . . Springfield Building Permit 4/27/2011 10:55:46AM Page 1 of 3 SP:..N. G. ;:E?i4 .~~ ^~~ 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-SPR2011-00699 IVR Number: 811162672201 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 04/27/2011 04/27/2011 EXPIRES: VALUE: 10/24/2011 $2,460.00 04/27/2011 SITE ADDRESS: 204 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353102900 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Roof repair Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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: DownspoutfDrains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion State of Oregon Surcharge (12% of applicable fees) Buildin~~~~~"~_0 0~~__~ ~:chn~~.9Y fee (5% of permit total) Total Amount Paid Amount Paid $8.13 $67.75 $3.39 $79.27 Date Paid 04/2712011 04/27/2011 04/27/2011 Reciot # 2011000815 2011000815 2011000815 Springfield Building Permit 4/27/2011 10:55:46AM Page 2 of 3 ~S:~I\NGFIELO ,til "L~ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00699 IVR Number: 811162672201 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/27/2011 ISSUED: APPLIED: 04/27/2011 04/27/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield,or.us EXPIRES: VALUE: 10/24/2011 $2,460.00 SITE ADDRESS: 204 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353102900 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Roof repair Plan Review , Comments: Over the counter permit ~?tr~~t~~?!~~~~~i~~; ;~/.":~>': :,< "",: t:':~'d2fgJ?011 ~::.O~!~Zi~2~1~:~Q,~r?~/~~2.~'>~ ,~~!:~~,~~t~:?~$:::~,'."k>#>'i1\8~,2i~,-~6~,IS~Yt~\~,?t;G~. ~~.; Col1lments: OlJe~t~.e::cou!lt~rpermlt-:';'.HI'~,~?;t',: _,' \~"i<}L,:~,",:,? '_W,H'" .r' t "'/' ":'>"'1'~_ .'."',,~,,",'_-"".>.>:w:'., ~j',~,!.I:-_;'.,~,:'--_""-'~~'~'_ --.." r..-'. "-"~'. ',l.~' ~ -,"~,..,~~ ",. =_ ,... Fire Review 04/27/2011 04/27/2011 04/27/2011 Not Required David Bowlsby Comments: Over the counter permit 'P';blic Works'Re~;e: :':-::'; ;"O~/Z7/201 f, "64;27Izo1:1'04/27i20.11.-=-'"N0t RequireCl. .-,' "'," " DaVid" Bowlsby" . Cb~ments: over,th~tdt'hte-rp;; ermit'~c~ ;'," ~;:~;,"';~.":.i2;.,::~~..',"..,..:.._ "',', /.-4:;;', c',' ~"._' "';-"'- _ .:~,~;;.~~",. ~'. ~.\ ',' '""-':" .. '.' ','.''''''''.'._' . ,""""^,C""L..d~....-.~..,,-,,,._,~! c.......... ~ 'i." ;;",.~'~......:f;~..1f-",",,",," Energy Code Review 04/27/2011 04/27/2011 04/27/2011 Not Required David Bowlsby Comments: Over the counter permit pra~riing;R~v(~tv;;{:'.:.,~.'e:.,'~..P :a'P1{271?01;1;.:2J,Qt!/2JJ~Q)T~tr04127j2"'~ ...,-:::;".:' .' ,.~it<>\;.:>;:.. ""'0. """--'--:'P"'..".'c-C,,,",..b:, "~Gciinments:~:-6vftr::the!cOunter'iperrilit';-:r:,?;:::,:v,> ."!",,r;,. :~~0i .'(;;;"..,;..... _.,..."",2~;-";"\"""""',;,,,:---.,j,-''f:<,?j%'''',>i'' ....'_ Deoartment Permit Issuance Received Due Date 04/27/2011 04/27/2011 Result Issued Comoleted 04/27/2011 Initial Review 04/27/2011 04/27/2011 04/27/2011 Over the Counter Inspections 1620 Roofing 1999 Final Building INSPECTIONS REQUIRED Reviewer David Bowlsby David Bowlsby ., .'t-.-- .' I 't.._-,,;.,~..~,___~ t;?'T;l2~.Yl<t\~~~I,~g{.7::h~~;':. ";< . . ,..._."~+'o':;;"'-'.. /'P"".>.., 0."_.-,.if.-:""~..-;," '..~ .~. ' ~~J Roofing: Prior to installing any roof covering. 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 carefuffy 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 t~e 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 contr, ors and employees who are in compliance with ORS 701.005 will be used on this project. I further agr,ee to ensure that all re ui ed inspections are requested at the proper time, that each address is readable from the street, that the permi ard is loca at the rant of the property, and the approved set of plans will remain on the site at all times during con ction. q-?6-J( Date Springfield Building Permit 4/27/2011 10:55:46AM Page 3 of 3 ~"I' S~~:I Permit Application . ? - 225 Fifth Street. Springfield, OR 97477 +PH(54 1)726-3753 . FAX(541)726-3689 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, . ....Ai'0'\;LClP'At::.c;.QYERi-:!MgN'r~';t<Fjif[Qy4il~!jiJ,ii.'\~!&~~~1 This project has final land-use approval. . Signature: Date: This project has DEQ approva1. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~~.-.~.t,.;:8tiLi~:~),i~jfi.C;ATEGORY~icj'F.j(c.oNsfR(ictl(fN:~~fl~~r.";r'~.,*tf}'~~~'~j1; ;;"tL&1i~ "'-~.<'. ~'''"'.'~' ",__..__,-___".,.-,,",_.-'_' .l:'...,; .0,;;;", ,....._.... .,._ ".h'- . ,_, ."__"..""".'e_..'....^"..~I;"'il1>,...'''''':l"\''.. City: Phone: -7eb-J7f".J Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: CONTRACLQ.R .1t:l~TAtLAfl9N}.,J ' I I ~"r- State: 6Pe.- Fax: >-,;'1' Address: City: Phone: E-mail: eCB license no.: /'t-3 Print name: Signature: , AGm()~!~Nf,9,_~MAI(Q,N~;rtfJlnl~~~~~~t CCB License Number Phone Number Electrical Plumbing Mechanical ,DEPARTMENT USE ClNlY S/lU:>II-OOb ." Permit no.: '; t ~':'; .:!,:,~~,:,." ?':,:.':~:~:;:::;;?''TFE'E "-SCH~DUL~yt;l.,1:!r::':'j:'~?rr~~i-,"':'~I', ", i':' 'fr::$j,atu~~tj9'ff/i,~f6rii!~t)9,'~~f~:tl~}\,'~;~:;~,;~i7~~jJ.f t(~r,';{it!f\f!l~f.:t; .,~~:~!~~;\~,::.~.:t,' (a) Job description: ~fffHlt, Occupancy Construction type: -:>'" Square feet: \,) Cost per square foot: , Other information: Type of Heat: (b) Founda lon-only permit? Total valuation: ..,'-', (a) Permit fee (use valuation table): (b) Investigative ree (equal to [2a]): (c) Reinspection ($ 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): $ $ $ $ (a) Seismic fee, 1% (.01 x permit fee [2a}): $ TOTAL fees and surcharges (2e+3c+4a): $ z ~~\9 ~rp~ b<.. ~\Y \P- ;...... s~::~. :-. FIEL~ ~ ~OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00699 204 5TH ST CITY OF SPRINGFIELD 225 Fifth St Springfield. OR 97477 541-726-3753 pe rmitcenter@ci.springfield.or.us RECEIPT NO: 2011000815 lDESCRI~TION' .""J;.'. '.',. Building Permit Fee _State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811.SPR2011.00699 ., .";.:;~, ~ ~ '<:I - ACCOUNT-CODE . 224.00000-425602 821.00000-215004 100.00000-425605 TOTAL DUE: DATE: 04/27/2011 'AMOUNT.D.UE . 67.75 8.13 3.39 79.27 I\MOUNT PAID 79.27 L~Y_~~~J_TO:;'--.---..:.f'AYO~' CASHIER: DBOWi..SBY"'-'~. Check RIVER ROOFING INC 31122 COMM~riT.~ ,'. TOTAL PAID: 79.27