HomeMy WebLinkAboutPermit Mechanical 2011-7-6
..
, SP~I~~:~
1~i;'!EGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01678
IVR Number: 811199695963
www.ci.springfield.or.us
225 Fifth Sf
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
. permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
Issued
07/06/2011
07/06/2011
07/06/2011
EXPIRES:
VALUE:
01/01/2012
$9,640,00
SITE ADDRESS: 995 HAYDEN BRIDGE RD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703261200100
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof overlay
Phone Number:
OWNER:
ADDRESS:
REVOCABLE LIVING TRUST
34725 DEVONSHIRE DR
EUGENE OR 97405
Contractor Type
General Contractor
Contractor Name
RIVER ROOFING INC "
CONTRACTOR INFORMATION ~
Lie Type
cce
BUILDING INFORMATION ~
# 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 Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing SpeciaJty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
79016
Phone
541~746~5000
Lic Exp
01/06/2012
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
~
Engineered Fill:
Fill Volume:
Flood Hazard Area: .
Land Hazard Ill\'ff:ENTION: Oregon law reqUires Y~~i~i~
Retaining WaftJllow rules adopted by the ,oregon et jorih
Soils ReporlflJ8lifilrelion Center. Those ru es are s
OAR 952-001-001 0 through OAR 952-001.
~090 You may obtain copies oj the rules by
Ii, the center. (Note: the telepl":l)'-,2
n~m~~r lor the Oregon Ut:lity Noti,:ca:,ull
Center is 1.800-332-2344).
NOTlCE:- .~"\",':;.:il";:"'"
THIS PERMIT SHALL EXPIRE lFTHE WORK ,
AUTHORIZED UNDER THIS PERMIT IS NOT,
COMMENCED OR IS ABANDONED FOR .:.'
ANY 180 DAY PERIOD. .,,':' ':', , .
Springfield Building Permit
716/2011 10:30:18AM
Page 1 of4
SP.RING...F IE ~.
~..
y~
,-{", '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-SPR2011-01678
IVR Number: 811199695963
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/06/2011
ISSUED:
APPLIED:
07106/2011
07/06/2011
EXPIRES:
VALUE:
01/01/2012
$9,640.00
SITE ADDRESS: 995 HAYDEN BRIDGE RD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703261200100
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof overlay
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION 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
Descriotion.
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
Description
State of Oregon Surcharge (12% of applicable fees)
Building~ermit Fee
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$16.32
$136.00
$6.80
$159.12
Date Pa id
07/06/2011
07/06/2011
07/06/2011
Recio! #
2011001889
2011001889
2011001889
Springfield Building Permit
7/6/2011 10:30:18AM
Page 2 of 4
;
...
SP~I~~~
~~
~~OR.E:GON
CITY OF SPRINGFIELD
Building I Commercial Permit
www.ci.springfield.or.us
PERMIT NO: 811-SPR2011-01678
IVR Number: 811199695963
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
07/06/2011
07/06/2011
Issued
07/06/2011
EXPIRES:
VALUE:
01/01/2012
$9,640.00
SITE ADDRESS: 995 HAYDEN BRIDGE RD. Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703261200100
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Reroof overlay
Plan Review
I
Deoartment
Application Acceptance
Received Due Date Comoleted Result
07/06/2011 07/06/2011 0710612011 Over the Counter
Reviewer
David Bowlsby
Electrical Review
0710612011 07106/2011 07/0612011 Not Required
Comments: Over the counter permit
--....,.-, -- .-
jMechal'),jC~I,Reyi~,~;~..\; 4-,t,,':: -07/9.tJ/2,011
L 9~.~::::m~nts:,'~qY,eJi,~e~~o~nterp~r~it.
Plumbing Review 07/06/2011
Comments: Over the counter permit
'0"\(06/2011 . 07/0612011'
'+'. t /-'" ""
,""'''-- 'l. "',
David Bowlsby
", Not:Required::>;;"d,{l, ,':;." '>David B6Wlsby,
_ e ~",'~'}:,'~~. 'r'C- ,.",..' ~.,,,.
, .,..~. ~,',
,~,.,. t, ,",.s,;";'''.<':t!SL'; "W"'_. ". __, '.~
Not Required David Bowlsby
I
'--'
Comments: Over the counter permit
tPubllc.Works:Review .J., j'. ~:;07/0612Qj('.o7/06l2011 07!0~/2011".'
I" ,,...-' :.. ,.,..-....... ....-."- "F. "'1'"",.' ~ ",:".'''..~ .F~'_~ ". ~i'~
I Comme~t:s':.' Ov~r.J~~ 'counter 'p'errPil ,'",,; _ ,~<: .. .~ ,.,",-" ,i' .
0,_ ~..__ ____..--JL...~~ -.. -,' -.:;".~~;j{~.J..c;.___..;...:.
Energy Code Review 07/06/2011 07/06/2011 07/06/2011
Comments: Over the counter permit
}traffl< Hrvi';Yi ,~.~:;c,."; _:;_;_:.~'~' :~.:'-O? ~~_~~iq,1"1:~~~~~~'612:0j~ :1'i:~~QJ~O?{tQ1-i~;$.:-,~~t~~_j,~~J,l::1:" :_; ~'C', D:Yi~~OWI~,9y:0,'F::;, - .>
t Comments: Over the: ,counter p,ermlt.. '~' . ,.. . '~'_ i'_'i~ ,_ r.. 'Y{>:i'0-'-;i'0,4L;:'t4,...'~/;::>+j"'i'~:,,- _;" !' ~::..
L '-'~',->~ -..,',"',-. .,-,;...."._,'-'-"....-,..-..'*-.,. , ~,- .,'- ,,,.' .."y..., '.~ ~
Structural Review 07/06/2011 07/06/2011 07/06/2011 Not Required David Bowlsby
07106/2011 07/0612011
Fire Review
07/06/2011 07106/2011 07/0612011
Not Required
,--'...-..",.
:~o(Require'd -
"'" " ~ ~, '':;
,~ .. ". :.J.... ',-:r-
Not Required
Comments: Over the counter permit
planlljng;R~vl?~;;:;" ';'1',' ..,,~7/02/20~:1~:~,07/Q@/g31,1 < .07/Q6/2P11.
Comments: '.. Over the counter-permit 'c"-" ~-"'."", ~ ~~~.)t'i!,;', '
,,,., . ,"'...... ".,. .""'....,.-+",'!ii' ,.-%1'\1....,..",..,.--'f";;;:;J;i.-,<<'.~. ..,,"~. .,.J
Inspections
1620 Roofing
1999 Final Building
::-- '.~<""{..-"";';-
INSPECTIONS REQUIRED
---'-1
David~B",^,lsby. '~
'1'" .".;
David Bowlsby
~.David:B6wTslir
, ~r 2-" "'--;;f -+
..
';,'
~:I
. I
.' .'w
David Bowlsby
d
V~d:~~~~~~~ ~):::~;r~~(: T _
~';
Roofing: Prior to installing any roof covering.
Final Building: After all required inspections have been requested and approved and
the building is complete. '
Springfield Building Permit
716/2011 10:30:18AM
Page 3of4
.
WW>N . ci. springfield. or. U S
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-0167B
IVR Number: 811199695963
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield,OLUS
PROJECT STATUS:
STATUS DATE:
Issued
07/06/2011
ISSUED:
APPLIED:
07/06/2011
07/06/2011
EXPIRES:
VALUE:
01/01/2012
$9,640.00
SITE ADDRESS: 995 HAYDEN BRIDGE RD. Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703261200100
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: .
Reroof overlay
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 corr~ct, 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 required inspectio are requested at the proper time, that each address is readable from the street, that the
permit car s 10 ated at the front the property, and the approved set of plans will remain on the site at all times during
constru on.
7-6 - / /
Own
Date
Springfield Building Permit
7/6/2011 10:30:18AM
Page 4 of 4
_at Permit Application
-'
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689
- , ." ,
DEPARTMENT USEONLV
Permit no, SI j- 01 (, 7
Date: 7- 6 -/ I
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.
\; ~. <s: l~bcAL :"G'OVE'RNMENt;:'ARR'R'0VAj}{}0i1i';,,:',:>\:~ ;:~+'i'iji)
, "'_-'" "L_, _ _ ",', ,,' , ,,' ,,' ',L," '''__.,''~. ,,,,,c,,,,,,",,,f<: ,-'0.,1.1
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
[~~,i.i:;#~i~~i!!::9AtEgQig~~Q~-i;~PNS;t~i.icI[IQ~~i:~~;iji\KJ,j';~*j;:I'
0 Residential D Government Commercial
'il'.hi;;;,i,;;[0B;isl~EI.fN"9RMAII6~!iANR~'L.oPATio,Ni~~1:~fu!f;?'
'j jtl/J - ifJ
City: D L ZIP: ~?
Subdivision:
Reference /7 () 1 Z {Z 0 D f 0 a
;'_ PROPERTY OWNER, '
Name: \
I
StatOt'\e.
Fax:
City:
Phone:
E-mail:
This installation is being made on residential or farm property owned by
.me or a member of niy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
CONTRACTOR i~si;AlLATI\:>N<"
City:
Phone:
E-mail:
CCB license no.:
Fax:
.
Print name:
tbf{I_~~9f{M~rl:q,N~~~:f0f~~z~~~~;~$~'i
Name CCB License Number Phone Number
Electrica I
Plumbing
Mechanical
<, '
, . ';. ~,)~~t:ttFEE"SGH~'Di:n:~i.t'!::~'.'~>:~::\i~i:,~,~1,,:~;,~'-, " ;}"
5r~-\:y~t~-~~t)b;riY(~.fOfID~.t)9>>i&K~~Ii~Th1;~~tt~\;t*:h;!\:it;~if5\~jI;;;r~~~N;;~~,~b~J;,,~};~i~~
(a) Job description:
Occupancy
Construction type:
Square feet: S 0
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new 0 alteration
(b) Foundation-oryly permit?
Total valuation:
D addition
DYes
DNo
(a) Permit ree (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):
$ 6 0
$
$
$
$
$
~'3'~'i7:1i'I"'~'ik~V/:S"\";Ht:''''~i-:':'1':?..(.,~JF.ll'''f.<?i;.'f!;.:.e~J~~;;'.:!1,(,i.:"'~~r~t;-a':~W:;:;:~~~:"l';;~
~}'.,,'i.l),J1J~xL~Y!~~J !..~,~~,_.;,'fiifu1i;'-",~~iZl!it\f*i;:;~itt',f"::;i,>;t,t~~~~l..-~~~~'J!ifi..,,~:a:.~',~,:;t,i-i
(aJ Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit ree [2a]):
(c) Subtotal of fees above (3a and 3b),
(,~~~~',M~ic~H:~~~l"~Ji~slt~~zj~:ir~%i~,f~Si}~1~:t:~:i;U~~~,~~; ~,~,.
(a) Seismic fee, 1% (.01 x pemit fee [2a)):
TOTAL fees and surcharges (2e+3c+4a):
$
$
$
$
$ I S'cr
Il
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth'5t
Springfield,OR 97477
541.726-3753
www.ci.springfield.or.us
811-SPR2011-01678
995 HAYDEN BRIDGE RD
permitcenler@ci.springfield.or.us
RECEIPT NO: 2011001889 RECORD NO: 811-SPR2011-01678 DATE: 07/06/2011
!DESCRIP..TION';', '~Ar;,",~jf,;;~;'~';';.;d';ti;, '~AC:COUNi~C0[)E" 'c,. :'l;:';;::';~',6.MOUNif2DUE 'I
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
l;!jPA YMENi<iYIiE;;";)<PAY0R..y~~~CASHiE~:~6.BQwi1SBY;';;~;C-OMMENfs~,-'_-;q>;;:;-j;'t-"f:". 'AM0UNT;pAID- ',,' ,"
Check RIVER ROOFING INC $159.12
31238
TOTAL PAID:
$159.12