HomeMy WebLinkAboutPermit Building 2011-4-29
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00715
IVR Number: 811179248432
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/29/2011
ISSUED:
APPLIED:
04/29/2011
04/29/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
EXPIRES:
VALUE:
10/26/2011
$38,000.00
SITE ADDRESS: 302 SHELLEY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271007700
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof wI class A TPO membrane
Phone Number:
OWNER:
ADDRESS:
PICNUK INC
1600 VALLEY RIVER DR STE 160
EUGENE OR 97401
Contractor Type
Contractor Name
ClLARGE ING
CONTRACTOR INFORMATION I
Lie Type
Gee
Lie No
60147
Lie Exp
05/24/2012
Phone
541-344-1415
BUILDING INFORMATION ~ ''10\J 10
. 18C\\J1les Utllll'!
# of Stories: 018gon la'lLot Size:gOn 1\011\'1
0\,\: 0""'''' - .0Se
Height of Structure: ,:\,E-\,\,I odO\lled, Sq !'iUsfFloo"2-_00"l-
" uleS ~ ,\'IOS" , (\~" \:,:; 0"
Type of Heat: 10\\0'J'J { cenlel, 1\'I\~q.!Jt\2ndIFloqGleS ,
I catIOn '0010 '^O 01 n'" .^ ne
Water Type: \,\otl I S2-00' - 'n cSq>Ft'Basement: 0
, Of',R 9 "ootal, "p.' In'" ,- "l'catlOn
Range Type: In '10\J (l\a, tel ~~Sq 'It Gar~gi;,1 I
Hazmat: 0090\'\lng l\'Ie c~ne o;egrs!t ~ilc~pMtl'
ca 101 ", BoO-",J~
n\J(l\oel cenlel Is "I - Sq Ft Other: 0
Occupancy Load:
# of Units:
o
Electrical Specialty Code Edition:
Springfield Fire cO~,e Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition: . . "
Residential Specialty Code Edition: \\t \jI\Ot'-\Z
Structural Specialty Code Edi!ion: 2Q11J,\t'-t \r" .,. \'21 ~Ol
_,t"~ ."" \-,)\.f' l\l\l\
Site Inf~fmaiio!J",,\J\\ ~.':: 'lEt'- li\I';) r o~tD r
"..- t'-\Lt U' c ~b~~D .
1\\\1\\0 ED Ot'- \"
CO~\J\t}\C ~ I"Et'-\OD-
~~'i ~'O() DI'\
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
FjJJ Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
4/29/2011 1O:2D:5?AM
.Page10f3
.i
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00715
IVR Number: 811179248432
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cj,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/29/2011
ISSUED:
APPLIED:
04/29/2011
04/29/2011
EXPIRES:
VALUE:
10/26/2011
$38,000.00
SITE ADDRESS: 302 SHELLEY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271007700
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Reroof wI class A TPO membrane
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 Sew~r:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
DownspoutlDrains:
Valuation Description
~
Descriotion
Bid
TVDe of Construction
NA
Unit Amount Unit Tvoe
38,000.00 'Bid
Unit Cost
1.00
Value
38,000.00
38,000.00
FEES PAID
~
Oescriotion
State of Oregon Surcharge (12% of applicable fees)
Buildin~ Permit Fee _"._. _.____,__,_~.,_"_,_
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$45.29
$377.41
$18.87
$441.57
Date Paid
04/29/2011
04/29/2011
04/29/2011
Reciot #
2011000836
2011000836
--.------
2011000836
Springfield Building Permit
4f29f2011 10:20:57AM
Page 2 of 3
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~OREGON
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CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-00715
IVR Number: 811179248432
www.ci.springfield.or.us
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:
APPLIED:
04/29/2011
04/29/2011
Issued
04/29/2011
EXPIRES:
VALUE:
10/26/2011
$38,000.00
SITE ADDRESS: 302 SHELLEY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271007700
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof wI class A TPO membrane
Plan Review
~
Public Works Review 04/29/2011 04/29/2011 04/29/2011
Comments: Over the counter permit
I?r\ergy Code;Review.': ., "d4l29/20f;:~ "04/29!201,1', ;d4/29i2011 '''', Not Required ~'i!l' ,,;::,'7", ChriSlCarpenter . ,', ,
l:~~~-~;h~~:':~~9i~"t~~~6?U~t~'C,'p~~it~,:;~~;'~."~~:{. ~;~..;'~~::~ji \~~.?,;:X;~(""~~'~~r,ii:':-:'~~.~~2j,
Structural Review 04/29/2011 04/29/2011 04/29/2011 Not Required Chris Carpenter
Comments: Over the counter permit
~~'ReYi~wi' ,;., ,':s;5~~Z~1;,;. .. " t0412W20'11.,J~~94/29/2.b1:1(":,{04/~912q1:1';/ ,~~'N6tReQGi~~d;:;1i;' '~,Chris.Carp_ente~'~"'~:-'-;;":,"'"('~'~~'---
rp;'~o~~*4~~L:~!~t!b;2~.qnt~rter~itf~'S:':~:~~:?:~~:'~';;;1::?:::}::f1:Gi:~~~\~::',;~',-<+*t;:~t'2,i,~L .:~'~,;\,," ~-~:_ -~1! : ~"'~' ~,?_-'-
~
DeDartment
Application Acceptance
Received
04/29/2011
Due Date
04/29/2011
ComDleted
04/29/2011
Result
Over the Counter
Planning Review 04/29/2011 04/29/2011 04/29/2011
Comments: Over the counter permit
Not Required
Not Required
INSPECTIONS REQUIRED
Inspections
1620 Roofing
1999 Final Building
Roofing: Prior to installing any roof covering.
Reviewer
Chris Carpenter
Chris Carpenter
_'t
Chris Carpenter
. ~ '. '1
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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 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. f further agree
to ensure tha required inspections are requested at the proper time, that each address is readable from the street, that the
permit car s loc d at t front f the property, and the approved set of plans will remain on the site at all times during
construe on.
4-1 C{- t \
Owner
Date
Springfield Building Permit
4/29/2011 10:20:57AM
Page 3 of 3
DEPARTMElhUSE9N~Y .
Struc,tl!ral Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(54])726-3753. FAX(54!)726-3689
Pennit no.s II - t-; I S-
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days';
suspended for 180 days.
';"';'~'; ,-''';~;_\'~9cG'A~~.f~:QY~-B~M.~~Nfr~':~~~~9,Y~UI~~01~I';!~~1:Ji~~~:;'i
This project has fi!lal 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
~':pi~JJl'~~~\lI>'c:t.TE9'QJ1,Y~C!>~~i:QH~JRU'GXi\:1Ni:~1i;~~,llt(;'i,i~~Ifi
o Residential D Government Commercial
ijhkt:Mf;,)i,rJ9BkslJi:gLiN~ORMi>,tIQNf,O:@'}il!:Qj;}\;tTQNt;~~'ifbii
Job site address:?.. S t
City: S ' <J\ (:', " ZIP: qt tl77
Subdivision:
Reference:
, ,
Name: PI,.(.Nu
Address: ll:,oo ~(i. l
City:
Phone:
State:
Fax:
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.
Sign here:
....,.
E~maiJ:
Print name:
Signature:
:~~:~j~f,;,;~l!!;)ilI!fSVEl'(;(i)N;ljRAc;r;9'{iN17(Jt{r.1AIIc>.N~~),'~~~~!
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
;'-"';' ,:.~ ;',-',"::';.-',(FEE 'SCH~i5Ui.E'""<'
I"'"
,
~j.~Y.~~A~i~9'K/i~t6rilf!!i~~w~1j~;~1g~~~~h:,{~r?~;~fA~;~'~~;K;i)J;.r?1i@il:,:'
(a) Job description:
Occupancy .-
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new 0 alteration
(b) Foundation-only permit?
Total valuation:
p=
o addition
DYes
ONo
(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 ]2% surcharge (.12 x [2a+2b+2c]): $ 4 S 2..3-
(e) Subtotal of fees above (2a through 2d): $
,03-"?;::"P"'''I'''r~~~;t'->:l.:t~;"<'':'?;;,J''j('.{"t'';f,::7;-;cj,'So'f~~~~K-i~""""N:U<t~'~5~...t,'~t!J'it;,*1'i;;,\';
't.. ~/'~" ~~l.r:~Y),~W,:~~e..~,S?i;Tt?;i~X,li~'{~~~~,";!tyt;;~tf~P:;~~~~~~,:t;r-!,*~'l%ti%'~{~r;,ZFi!
(a) Plan review (65% x permit fee [2a]): $
(b) Fire and life safety (40% x permit fee [2a]): $
(c) Subtotal of fees above (3a and 3b), $
~~M~~S:~H.~:~~(}'t;~lf~~~~i\1f~'; o'~~~~~!iJ;~c"e~~i:~y:,;'i';:~,;s;r"
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $ ~
S'7
-
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SP~~N~=L~
18:: \e'i
\'~.' OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
811-SPR2011-00715
302 SHELLEY ST
pe rmitcenter@ci.springfield.or.us
RECEIPT NO: 2011000636
lDESCRI~TlbN :
Building Permit Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00715
DATE: 04/29/2011
-.., ;;
".' .
~".-
ACCOllNT_CODE AMOUNT_DUE
224-00000-425602 377.41
621-00000-215004 45.29
100-00000-425605 16.87
TOTAL DUE: 441.57
. , ' AMOUNT.!!.AID
UM'III!Ef:lJ_lXP-E
Check
16762
p~.Y9B,. CASHIER: CCARPENTER;.. ~.91;iIll!E~TS:~ C ,
Evergreen Roofing of Oregon CL
Large
441.57
TOTAL PAID:
441.57