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,
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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
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Residential 0 Government D Commercial
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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 /
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(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
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(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
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(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
7
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.. . -,. \. 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:
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Springfield Building Permit
4/26/2011 9:23:27AM
Page 2 of3
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.
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
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~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:
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.... 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