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Home My WebLink AboutPermit Building 2011-7-22 .; ... CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01795 IVR Number: 811196476717 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 07/22/2011 07/22/2011 07/21/2011 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us EXPIRES: VALUE: 01/17/2012 $14,550.00 SITE ADDRESS: 590 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353108600 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: . Repair ..~ co~al~~~~~tj PROJECT DESCRIPTION: Replace Exterior Flashing only. Phone Number: OWNER: ADDRESS: CITY OF SPRINGFIELD 150 N 4TH ST SPRINGFIELD OR 97477 ReRoof Contractor Type Contractor Name FM SHEET METAllNC CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Occupancy Type Construction Type A-3 Type VB # 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 Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 89710 Lie Exp 03/15/2013 Phone 541-726-3000 Lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Fl Basement: Sq Fl Garage: Sq Fl Carport: Sq Ft Other: 0 Occupancy Load: 2010 Site Information I Engineered Fill: Fill Volume: Flood Hazarjl:rifeiNTION: Oregon law requires you to Land Hazarfbl\(lUJ:rules adopted by the Oregon Utility Retaining WlIIltfication Center. Those rules are set forth Soils Repqn lM/iliBliQ-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rulas by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). . ';', :.',...f'~~';,:: ",. NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT , COMMENCED OR IS ABANDONED FOR .;:,-." ANY i 80 DAY PERIOD. . . Springfield Building Permit 7/22/2011 8:13:11AM Page 1 of 3 ... SP.RI.N.G.. FIE~.D .' .~ > ~ . v,( I!;;;iJ ,i%;w:'E OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01795 IVR Number: 811196476717 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci,springfield.or,us PROJECT STATUS: STATUS DATE: Issued 07/22/2011 ISSUED: APPLIED: 07/22/2011 07/21/2011 EXPIRES: VALUE: 01/17/2012 $14,550.00 SITE ADDRESS: 590 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353108600 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace Exterior Flashing only. DEVELOPMENT INFORMA TION ~ Overlay Dist: # StreetTrees 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: DownspouVDrains: Valuation Description ~ Descriotion Bid Tvpe of Construction NA Unit Amount Unit Tvpe 14,550.00 Bid Unit Cost 1.00 Value 14,550.00 14,550.00 FEES PAID ~ Descriotion Slate of Oregon Surch"!il~j12% of applicable fees) Building Perr:nit Fee Technology fee (5% of permit total) Total Amount Paid Amount Paid $22.17 $184.75 ~_.~_____.~0_~...___~ $9.24 $216.16 Date Paid 07/22/2011 07/22/2011 07/22/2011 Reciot # 2011002091 2011002091 2011002091 Springfield Building Permit 7/2212011 8:1J:1IAM Page 2 of 3 .. SPRIHGflE L:ilD ,1,.t-6Ii:@;;*- - ,tb -" OREGON CITY OF SPRINGFIELD 225 Fifth 51 5pringfield,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-SPR2011-01795 IVR Number: 811196476717 permitcenter@cLspringfield,or.us PROJECT STATUS: STATUS DATE: Issued 07/22/2011 ISSUED: APPLIED: 07/22/2011 07/21/2011 EXPIRES: VALUE: 01/17/2012 $14,550.00 SITE ADDRESS: 590 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353108600 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace Exterior Flashing only. Plan Review ~ Department Application Acceptance Received Due Date 07/21/2011 07/21/2011 Completed 07/21/2011 Result Over the Counter Reviewer Kip Kaufman Planning Review 07/21/2011 07/21/2011 07/21/2011 Comments: Over the counter permit ~~jfe,:~e,view<~?,.:"-.:,~-~2~;';_-f~~;~':27/,U:~O;;1-:;:~!~~_~~~:~~liWiWL~1~p1};~':.;~?k"~~~i~ri~;g4~~~;:::1[:;:i::~~, t~. :>.~"- _~ ->~~. ,. . .,. l .C.om"!,,e~ts., GY1J'W~~t~r pe~mlt "r~., ',<'ti~~t~.,' q.;~L " ~ " :_,~n "';:'~:;:":iI:~ ," ,", PUblic Works Review 07/21/2011 07/21/2011 07/21/2011 Not Required Kip Kaufman Comments: Over the counter permit f:En~~7gy COde'Review~,&~ ,q~?}!2011 ~>'67/2J/20fJ: .;:t~71?1!201 ~n~~: ~~~;!41~~g~;~Lrmlt '> - ~:;~,,~:~?-:;;- !l: . ,,'\':",:: Structural Review 07/21f2011 07f21/2011 07J21f2011 Comments: Over the counter permit ~, ,h ,m :,,,,,--r---""~"~"~.":>'~""~'~'''''--''-~~''~'-A-:-~-' ,_~'_"',"_ . __~IW~--;\"""'~"::~--"'_~__ -_. -_. '~"'-""----~'---.~,--, l~e~~it;ls~~ance' m;;'~l[,:;"~~ -'1,.j~R7.(21!2~1.J, ,__,9I!?1/_~~11;;:,'Q~{??I.?P]f,":;" " Is~ued r" . >;o/':~i;" David ~owlsby '" - ~, . ',~ I [-w'-"~~- :_-'~;i:'~_;;:'':', :-~' ,:,'. ",,"_ -~,'" ".;~~4~':i:_"u~~>-~:~ :...LJ!~~ ~; __ '" .~:.,_ ~"'"_ :,_"_._._::~_~.'~ .;~~'., '.~.j I Not Required Kip Kaufman I ., Kip Kaufman INSPECTIONS REQUIRED ~ 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 inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Inspections 1620 Roofing 1999 Final Building J\pAlt8t~--+ Owner or Contractor Signature 7 -Jd.--lL Date Springfield Building Permit 7/22/2011 8:13:11AM Page 3 of3 , ; .. Structural Permit Application DEPARTMENT USE ONLY .~ '?4~~f':, r~'>:~:~I{~tt~~lt{, ~ 225 Fifth Street + Springfield, OR 97477 . PH(541 )726-3753 . FAX(541 )726-3689 ~ I(, Permit noS:// ~ J 7 ~ r- Date: - Z- Z -! This permit is issued under OAR 918~460-0030. Pel"mits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has tinalland.use approval. Signature: Dale: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain; 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential o Government o Commercial JOB SITE INFORMATION AND LOCATION o Reference: Name: Address: City:S Phone: E-mail: This installation is being mude on residential or farm property owned by me Of n member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: CONTRACTOR INST ALLA TlON Business name: CCB license no.: Print name: ;< Signahlre: Name Electriclll Plumhing Mech:mical ceo License Number Phone Number FEE SCHEDULE I. V.11untion information (a) Job description: (:~\( '-cil., ~ "::(/'5":!ffAC{;- Occupancy Cunstrw.:tioll type: Square leel: Cost per sq uare foot: Other infommtion: Type or He3t: Energy P31h: o new ~Iteration o addition (b) Foundation~only pennit? DYes DNo ~- " Total valuation: $ /LI ) '-' 2. Building fees .1' - r- (u) Pennit fee (use valuation table): $/01 (b) Investigative fee (equal to [2a]): $ (c) Rcinspeclion ($ per hour): $ (number of hours x fee per hOllr) ., (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ z.. 'C..T (c) SubtotaJ of fees abo\'c (2a through 2d): $ 3. Plan review fees (a) Plan review (65% x permit fee [ZaJ): $ (b) Fire and life safety (40% x permit fee [2aD: $ (c) Subtotal orrees above (3a and 3b): $ 4. Miscellaneous fees IL.~ ~ ; ~_'Zll ~~ x pennit fee [2a]): $ f TOTAL fees und surcharges (2e+3C+4a): $ 7- 1(..., ~ . ~ TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 541-726-3753 www.ci.springfield.or.U5 811-SPR2011-01795 590 MAIN ST perm itcenler@ci.springfield.or.us RECEIPT NO: 2011002091 RECORD NO: 811-SPR2011-01795 DATE: 07/22/2011 lOESCRIH.TIClN"'i< .....ff-:;_,".~_;;17.'f<: ,,;;l j-ft~~&.{JACC-011NtrcobE~:lt;."'I .1". ,:'J.i.MClllN:tibuE-.; ,';;-: J Building Permit Fee 224-00000-425602 184.75 State of Oregon Surcharge (12% of applic~r:!.:.!eesL _,._,~2_~-000()~~15004 22.17 Technology fee (5% of permit total) .._. _~()_:()()()()ct~_~~,5 9.24 __ TOTAL DUE: 216,16 L 'l'f._.Y_~ENJ~.t,.'fJ'...!'..... cPA_YORe ..:. CA.Sti'.ER: DBO~CSElY .F:::eoMMENIS"'iC:,' .:.'c'>' .':' ,AMOUNT'PAlb ..n;" ." J -.- ,- ~.. ...._ --", ....-.., _ ~..._ ... _......,. ___.. _ .____. ~""'...." ._.~"'. _",._. .I.l._~_._.._._~_.,,~;h;=._ _~"_""~~'______~__.4-_,-,_.___ Credit Card FM SHEET METAL INC $216.16 004189 TOTAL PAID: $216.16