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Home My WebLink AboutPermit Building 2011-5-19 . www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01009 IVR Number: 811172630572 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitcenler@cLspringfield.or.us w \0 ISSUED: 05/t91201'., 'I'''' pQ\.lllu' . \l\ll\l 05/19/2011 ~t'MEI1r:~~9.~19J~')~\ 101\~ VALUE: ("i\OI'l' - \eO ,,) \.lle<; 00' - 02..\.le. ' SITE AODRESS: 1161 28TH ST, SPringfieldYOR 9;:'4mdo\l, ,\lOse 19\\ 01>-'" 9 ,\.lIeS '(t;COPE: ReRoof , :oN {"'\ 'c \\\6,' "10\.l ,,\:\<0' ASSESOR'S PARCEL NO: 17023122001l0iP. \\0\\ e, 00\0 II' ,.;\e5 01 W\ORI:('IN\10LVED: Repair \\IICa. 2.00" '\\CO~ ,,,~\e~~ -.io\\ ~o OP-'" go - a.i O'o\a.1 ~",o\e'1YP~.Qf,\STRUCTURE: Industrial 1\\090. '1o\.l (\\ ce\\\e\. ~o\\ 1J\\I\\~3AA). () . _~ ,\Ie _ ()Ie" . n"'?'r.- c'O.\\\"'-' 'o( \\\V. '\~~Uv- \\\.l(\\'oel ce\\\el IS PROJECT STATUS: STATUS DATE: Issued EXPIRES: 11/14/2011 $9,895.00 PROJECT DESCRIPTION: Re-roof OWNER: ADDRESS: SULLIVAN JON L PO BOX 41404 EUGENE OR 97404 Phone Number: Contractor Type General Contractor Contractor Name RIVER ROOFING INC lie Exp 01106/2012 Phone 541-746-5000 CONTRACTOR INFORMATION # of Units: o Occupancy Type Construction Type Occupancy Type Construction Type F-1 Type VB S-1 Type VB o # of Bedrooms: Sprinkled Building: Fire Alanns: 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: 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 5/19/2011 8:45:38AM Page 1 of 3 SP~I.HGfIE L.~ ll4S ~ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01009 IVR Number: 811172630572 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 05/19/2011 ISSUED: APPLIED: 05/19/2011 05/19/2011 EXPIRES: VALUE: 11/14/2011 $9,895.00 SITE ADDRESS: 1161 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702312200800 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Re-roof 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: Downspout/Drains: Valuation Description ~ Description Bid Tvpe of Construction NA Unit Amount Unit Tvoe 9,895.00 Bid Unit Cost 1.00 Value 9,895.00 9,895.00 FEES PAID ~ Description State of Oregon Surcharge (12% of applicable fees) Building Permit Fee _"__._ Technology fee (5% of permit total) Total Amount Paid Amount Paid $16.32 $138.00 -_.._---- $8.80 $159.12 Date Pa id 05/19/2011 05/19/2011 05/19/2011 Reciot # 2011001149 2011001149 2011001149 Springfield Building Permit 5/19/2011 8:45:38AM Page 2 of3 ... S~:I~G'::E~ ~"'t!tJ; *~>' ",' , OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01009 IVRNumber: 811172630572 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued' 05/19/2011 ISSUED: APPLIED: 05/19/2011 05/19/2011 EXPIRES: VALUE: 11/14/2011 $9,895.00 SITE ADDRESS: 1161 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702312200800 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Re-roof Plan Review ~ Deoartment Application Acceptance Received Due Date Completed Result 05/19/2011 05/19/2011 05/19/2011 Over the Counter Reviewer Chris Carpenter Planning'Review 05/19/2011 05/19/2011 05/19/2011 Comments: Over the counter permit Not Required Chris Carpenter Public Works Review 05/19/2011 05/19/2011 05/19/2011 Not Required Chris Carpenter Comments: Over the counter permit Energy,Code Revie~;':'":"'>-:.,~,:05/19Ii0;11;'*'05/1g1261;1:~'~65/19/:201;1 .' ;' Ncit'Required~ ~ " ~~,f:(Chris Carpenterv-" '~F';;; ~'. '_~',.-~,~;>;,,'~":_-" ~', 'J!<r?;;';:',,~.4~f"~.'\"'':'~'~".;~L:-:,~,,~''''''':;E:~''~Z~F::'./:?"-~7 i!!.~.p%,,;:, l;t~ p .,F;f'''''';; 5;ommellts.. OY;e:r\.~~7 c.<?untel,p~rmlt-:;-",",,~, """ " ,'L c ....7!..r-_,.~~-"..<: ,";.""'i-.h...tV;~~,,". ;; ,'t, 3,,/"; %;2w'L~'" """~.'.'~. ~';"". :.; , ',' . ~ . J :.' ..c. Structural Review 05/19/2011 05/19/2011 05/19/2011 Not Required Chris Carpenter Comments: Over the counter permit fFir1>'Riiview' -::~i2if:;;,.,.:: ~'~~65/,1~/ioJl:.::;g5i'19!2011: t.~'9~i~~:~~:~:?V~'r~the'i~~n!~i.E~~~n~; ~::~:._'~cjj;;"-':~~: . I ,O~/19/~Q1f:,~' . 'Not,Re_qUi[ed:,~'*;;~-~~;r'f~'€hr!Sk~~te["'" :,:~::~. ':.1f:r~~ "_''- ':::::_~ _~~2~',;C}X"-' ...t :-:~' ":~ ~,~.. '4~v~f ,'" .. ~ .....-...._. _ ~ 0.,'< _ ;' '_;::."_.~ .. ~'~'l ~. ".v' . _.' " . - . '.""' .' , . - "-'j .1 INSPECTIONS REQUIRED ~ Inspections 1620 Roofing 1999 Final Building 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 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. I further agree to ensure that all required ins ions are requested at the proper time, that each address is readable from the street, that the permit ca is located at th r t of th property, and the approved set of plans will remain on the site at all times during cons ctio 7~/7'- I ( Date Springfield Building Permit 5/19/2011 8:45:38AM Page3of3 ':81 Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 DEPARTMENTUS~ ONLY' 5PRINGFIELD ~~l Permit no. "SI! - / {)::'f1 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. ,". "?a-c'" 'L'" ';'G'O""'''V''''"E''''R' N'M""~'E"""'N"'T';'::-:MnR""O'-VY'A"'i'~;':'''Y..;l';:';i'j:;.~.t,,:,,:,'q; "",L..', ,A,:'" '. .....'""oA'ir:, ,'"~\~",;,,:~'1,''l!i:,,,~1 This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes D No Property is within flood plain: 0 Yes 0 No ij",,~~,:',;tT,,:~jj~-!CA'-EG0R'y'.''r1.:0'Fj,'C;ONS;';R''U:'.c.;floNY~.';~,"~.:l.~.;.:J.i"f!i~,',l,"_'~"'~?~ ;!;.l'.1[n".....,..o'..??.i:'_;~f:i'r;w-,.._.....,.;.... .,'_ ..... .. ~_~"'"_. ;'<"''''' _... .. _ __._ fl.;.,.....,_....~, .".., ....,..~,"').J".".-"'.~""~"o.."J:T" \ ., o Residential 0 Government l2f Commercial ~~",;L'9i,: .'Bi'O.'B"':S' ("EP, I'N' 'ooO""RM'''A'',,'I'O''-NwA''''N' D7L"O""'C"'A"+'IO'''N'''!""i1,,:,q::', ;'v' ,)<-t1'P'~~';f;:V.~".. . .~, ...'1. _ "'_.r.:. ,.._:1..... ..,,', ..::; _.0.... _...:1,........., '}"",;i-\\1i;'<'.f#!:~~ Job site address: 8 if' "1 City: '5 State: 0 f'le Subdivision: Reference: 2 "3/2 :, P.ROPERTYOWNER . - .. . j./ Name: Address: City: Phone: ZIP:"? 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. "'.~ . ;':"-'~",~-'.:::::~"~$';;:~;.FEE':S~H'~pi11Z~'i::;;'->:l'~. ~l>_~~~? ii,:.'....,:. -~~, , .. ,'i\ ~i~::yW~.li~~~9n:'hnf6hlf~ t~9:Q([~t.S~;%~~~,}thif,W')(?t;(tft;~:'~~;~~;f:. ~,~t,~:;:Y';~:~lk or (a) Job description: Occupancy fi Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new []41feration (b) Foundation-only permit? Total valuation: o addition DYes ONo $ $ ( JC:, $ (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee pe.r hour) (d) Enter 12% surcharge (12 x [2a+2b+2c]): (e) Subtotal of fee, above (2a througb 2d): $ $ t-L- $ Sign here: Address: City: Phone: E-mail: I.-t--~ Print name: Signature: ~:iG{;i~r2.P~:~~t;~.::~{r;s\:JEf:G,0N:~8AG,j[9R:~JN~.9..81Vi_AmiQN[~t\t1~*1}~~~f Name CCB License Number Phone Number Electrical Plumbing Mechanical (a) Plan review (65% x permit fee [2a]): $ (b) Fire arid life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ 2'~1!Mi~~~~na~~~~~rs;':f~~~;!f~~~/blj71:eiWtt~~~7~!~; :;,';;'~,~~'~'~'i") ctf':'~. (a) Seismic fee, 1 % (.01 x permit fee [2a)): $ TOTAL fees and surcharges (2e+3c+4a): $ 'S7 ~2.. S:)~N:-. F.IEL~ ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRTNGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.U5 811-SPR2011-01009 1161 28TH ST perm itcenler@cLspringfield.or.us RECEIPT NO: 2011001149 RECORD NO: 811-SPR2011-01009 DATE: 05/19/2011 [DESCRI~TION~::'.:.l#i+!;f i~~;.;_~.~?;f t~j{::':{.:- ,~n ';"5T~Acc.()tjNRC:0DE~_..::"':::-'i<:'iAMOlJNT~[)(jE,.1 Building Permit Fee 224-00000-425602 136.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 .___.. 16.32 Technology fee (5% of permit total) 100-00000-425605 . 6..80_~__ TOTAL DUE: 159.12 l1:EAYMgt:lt..iYi1I;;-;'!:t'R~Y6BdilPAS";'ER'CcARPEN!l'i'li::'~:~",~9J5MM~~:t.s~-;i~_:1'.; '7;' .... '~OUNT -"AlD" .'",--' . .. 1 Check RIVER ROOFING INC 159.12 31157 TOTAL PAID: 159.12