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HomeMy WebLinkAboutPermit Building 2011-4-26 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, " 'j.iL0.CAP9Qy~@rviE~X;:iXF?~RQ.v~~;)~';i4{!i:\ili&~'i~i This project has finalland~use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval veritled: DYes D No Property is'within fiood plain: DYes D No ~~~~~j~.{~~(gATE.'g~9RY1:Q~~;J~~ON_$:,f::R:~:c:iiHf}N~:ft~~~~~:'~t>;~;~,~.:~ Residential 0 Government D Commercial '[f".,;fBf;<;~;:~:JQBksIJ~l.ll{f;ORMATiQN~%@I~Qg:ATIQ.~J:'~t1:~;~;~\~ Job site address: Str.u,;,tura'1- Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541)726,3753. FAX(541)726-3689 City: Reference Name: Address: sT ZIP: City: Phone: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here:. . ~ONTRACI9~ ,iNST:AI.:LATI<;lNk,'" City: Phone: E-mail: CCB license no.: Print name: Name Electrical Plumbing Mechanical ACJOR,INFORMATIQ~'f]t!i';~'j"~';!5,tlffi~?rJ,; CCB License Number Phone Number .f' DEPARTMEI'.lTUSEONL Y 5/1-00 b8"O Permlt no.: Date: C(-Zt,-f / "':':,':}~'iFEE'scHEDiJLE'~":', :c' P:-, ,', ",,'I'."',:';'V'." 'a"/J'.u',.'ia":,t-'I;oJ\n""II"n''''fo'!<r','m'.''''.:~" >" .h.",,,,",,, ~'"""4 -..~...." ,~.. -, .', ,) .ro>~.. "''-'-~'''' -t- ..., . ___'., ... .'. .' ,......... .. -.' ._ _ _,. _ I_Qi:(,ii~f.YtA,~,~~~k,g::{'~i;;&;~\~~d';~;;~:i~~;X:'_~;:~~;;~:1:~~}~;,: (a) Job description: Occupancy r Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: D new D alteration (b) Foundation-only pennit? Total valuation: D add DYes 70 i~~F~,uU#irtg,'~fe~~~t*'~~t~1~~~1~~}fttf;~t#l~~~~Wt:Jf;i(ii~':_ ,{jj;f,'~i;,: ;:'~' (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ 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); $ $ $ $ $ .j':" (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x pennit fee [2a]): (c) Subtotal of fees above (3a and 3b); $ $ $ 1 ~~.~iij!sI~-~ia n~9~rrsJf~~e~};J~ft}f::%~~h~:.i~~~:~~;0t~j;f{~~L:~;; :;~~J,~~:;_ (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ 7 .i , SPR....~ NG-.FIE?ij ~'\... .0"f\.~ .. . -,. \. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00680 IVR Number: 811177316605 www.cLspringfield.or.us 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 PROJECT STATUS: STATUS DATE: Issued 04/26/2011 ISSUED: APPLIED: 04/26/2011 04/26/2011 EXPIRES: VALUE: 10/23/2011 $8,170.00 SITE ADDRESS: 2727 GATEWAY ST, APT# 1, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703223402400 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reroof Phone Number: OWNER: ADDRESS: SECRETARY OF HOUSING & URBAN DEVELOPMENT 4400 WILL ROGERS PKWY STE 300 OKLAHOMA CITY OK 73108 Contractor Type General Contractor Contractor Name RIVER ROOFING INC CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled BUilding: Fire Alarms; Energy Path: Electrical Specially Code Edition: Springfield Fire Code Edition: Mechanical Specjalty Code Edition; Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 79016 Lic Exp 01/06/2012 Phone 541-746-5000 Lot Size: Sq Ft1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood HaZir A_' Land Hazar ,r~fNTION: Oregon law requires you to R Ia. . .ow rules adopted by the Oregon Utility e mmg " Soils'Re lflcatISlfl Center. Those rules are set forth p 1l~~52-001-0010 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 ;s 1-800-332-2344). ,,>...1, NOTICE: E lFTHE WORK THIS PERM1T SHA~~ ;X~~ PERMIT \S NOT AUTHORIZED UNO ABANDONED FOR .' , ' COMMENCED OR IS .., ANY 180 DAY PERIOD. ., ' Springfield Building Permit 4/26/2011 9:23:27AM Page 1 of 3 r . S~~~~:L~ .t~ ~,Ji'l)..-_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-SPR2011-00680 IVR Number: 811177316605 perm itce nter@cLspringfield,or.us PROJECT STATUS: STATUS DATE: Issued 04/26/2011 ISSUED: APPLIED: 04/26/2011 04/26/2011 EXPIRES: VALUE: 10/23/2011 $8,170.00 SITE ADDRESS: 2727 GATEWAY ST, APT# 1, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703223402400 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reroof Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMA nON 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 Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Descriotion Stat~_~_?regon Surcharge (12% of applicable fees) ~uil~~Q,~~!.f:!1it,.~:.:,~__ .'_""'.,__.".._._._.__..",.,...__.... Technology fee \5% of permit..total) Total Amount Paid Amount Paid $15.15 $126.25 $6.31 $147.71 Date Paid Recio! # 04/26/2011 2011000799 04/26/2011 2011000799 04/26/261T'~-.'---:--~:+-201i'i)0079fr: , ' .' '_'~' .".-" .~ _ ' ~l' "j, -, . .~ "I - v: ": f :_~.. (" :/\ :) 'I \. .1 Springfield Building Permit 4/26/2011 9:23:27AM Page 2 of3 -. . S;R ING,fIEl,~ - .'" "'~ ,""",.8"";' ~REGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00680 IVR Number: 811177316605 www.ci.springfield.or.us 225 Fifth SI 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 04/26/2011 ISSUED: APPLIED: 04/26/2011 04/26/2011 EXPIRES: VALUE: 10/23/2011 $8,170.00 SITE ADDRESS: 2727 GATEWAY ST, APT# 1, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703223402400 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reroof Plan Review I Deoartment Permit Issuance Received 04/26/2011 Due Date 04/26/2011 ComDleted 04/26/2011 Result Issued Reviewer David Bowlsby Public Works Review 04/26/2011 04/26/2011 04/26/2011 Not Required Comments: Over the counter permit ''ErR,>,,,,,, ~~",,,,.,,~1('",,,:.t'."'--;,j,,, ~~~~r~~~~Zfu~;lew ~Pr~,n;~~9';;~:0;.~o!-ln er, Structural Review 04/26/2011 04/26/2011 04/26/2011 Comments: Over the counter permit. David Bowlsby Not Required David Bowlsby INSPECTIONS REQUIRED I Inspections 1620 Roofing 1999 Final Buildin9 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 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 qivision, 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 i ections are requested at the proper'time, that each address is readable from the street, that the permit ca located at t rant of the property, and the approved set of plans will remain on the site at all times during constr ti y- ~6- II Date Springfield Building Permit 4/26/2011 9:23:27AM Page 3 of 3 -. . . SP;I~.~~EL~ ~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00680 2727 GA TEWA Y ST. APT 1 CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permjtcenter@ci,springfield.or,us RECORD NO: 811-SPR2011-00680 . ;"t:+A r"-)"':'>'\0.~?5'}" '~:;'Y'7'~'::".(l.C.CO;UNJ~e0bE"Yc;t.-.;;: ; :". 224-00000-425602 821-00000-215004 1 00-00000-425605 TOTAL DUE: r...... .'..... .. - .. ,', .... <"'~':. _ .." c:.....::...,.. ''''~.''.'~'.. ,.~'" ..i'," ~.,', ':, m,',,"',\.~..:.' ".. ,...~,w0'.. ".._ .. ,M j " .:',' -',":' '",,:.~C.Tj4/".,', .. .... vp,.; l...:BA.'LI'i!.EtojJdXeE:.. .~ .'A~AX.oB ~ ifC!',SHIERbBOW,~ .: .;..:: : ..&QJ'I[MENTS'; , q .L;-';:':"':; -.. r' Check RIVER ROOFING INC 31119 RECEIPT NO: 2011000799 !bESCRI~TION'i.' ....v.....; Building Permit Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) DATE: 04/26/2011 . "";..AMOUNTJ5UE 126.25 15.15 6.31 147.71 AMOUNT PAID " ." 147.71 1 , "..J TOTAL PAID: 147.71