HomeMy WebLinkAboutPermit Building 2011-8-1
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CITY OF SPRINGFIELD
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t" OREGON
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01862
IVR Number: 811111443559
www.ci.springfielo.or.us
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.oLuS
PROJECT STATUS:
STA TUS DATE:
Issued
0810112011
ISSUED:
APPLIED:
0810112011
08/0112011
EXPIRES:
VALUE:
0112712012
$49,636.00
SITE ADDRESS: 2470 PHEASANT BLVD, APT# 1, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703271200600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
ReRoof
New
Commercial
PROJECT DESCRIPTION:
Replace roof covering
Phone Number:
OWNER:
ADDRESS:
TERRA BUONO PROP II LLC
PO BOX 1338 '
EUGENE OR 97440
Contractor Type
General Contractor
Contractor Name
CL LARGE INC
CONTRACTOR INFORMATION ~
Lie Type
eeB
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 Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
60147
Lie Exp
05f2412012
Phone
541-344-1415
lot Size:
Sq Ft 1.t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq FIGarage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Infonnation
~
Engineered Fill:
Fill Volume:
~ood Hazard Area:
Land Hazard Area:
Retaining Wall: . oU to
, , I w reqUires Y
SOil. Report1R~ulred,. Oregon a 0 on Ut'\I'lty
AI [.;.1. II""" . tne reg
. follow rules adopted by utes are set forth
, Notification Center. Those r hOAR 952-001.
in OAR 952.-001-0010 throui~S 01 the rules by
0090. You may obtain ~~fe: the telephone
calling the center. ( Utility ~,otHica\)9n ,
number lor the. or1e8g00~'332-2.344),
Center IS -
NOTICE: . .....--.,. .
THIS PERMIT SHALL EXPlRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR x';'
ANY 180 DAY PERIOD. ""
Springfield Building Permit
B/1f2011 1:2B:47PM
Page 1 of4
....~:...
S~~~HG._. :.?ii
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~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01862
IVR Number: 811111443559
225 Fifth St
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
08/01/2011
ISSUED:
APPLIED:
08/01/2011
08/01/2011
EXPIRES:
VALUE:
01/27/2012
$49,636.00
SITE ADDRESS: 2470 PHEASANT BLVD, APT# 1, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271200600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
ReRoof
New
Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace roof covering
DEVELOPMENT INFORMA TION ~
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
~
Descriotion
TVDe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
~
Oescriotion
Stat~ of Oregon Surcharge (12% of applicable fees)
Building Per~it Fee ___.,_,..
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$55.83
$465.25
$23.26
$544.34
Dale Paid
08/01/2011
08/01/2011
08/0112011
Reciol #
2011002157
2011002157
2011002157
Springfield Building Permit
Bf1f2011 1:2B:47PM
Page 2 of4
;:........
~
SPR.ING...f.IE..l~
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"'0~ OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01862
IVR Number: 811111443559
www.ci.springfield.or.us
225 Fifth 51
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 641-726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/01/2011
ISSUED:
APPLIED:
08/01/2011
08/01/2011
EXPIRES:
VALUE:
01/27/2012
$49,636.00
SITE ADDRESS: 2470 PHEASANT BLVD, APT# 1, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271200600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
ReRoof
New
Commercial
PROJECT DESCRIPTION:
Replace roof covering
Plan Review
~
DeDartment
Permit Issuance
Received Due Date ComDleted Result
08/01/2011 08/01/2011 08/01/2011 Issued
Initial Review
08/01/2011 08/01/2011 08/01/2011 Over the Counter
Comments: Over the counter permit
Electneal Review.., .". ''.>' 08iOt/20M':,..08J01J2011.," 08/01/201.1
",J:~:~m~e'n;s~; ';Q~~hth~~D~ter:pei~jt:7':~~:i~'~.L ,"C7~ ,~, - , ," l'
Mechanical Review 08/01/2011 08/01/2011 08/01/2011
Comments: Over the counter permit
Not,'Required
~, '.~,~,:~:-.~ r{'
~:<' "'"
Not Required
Planning Review 08/01/2011
Comments: Over the counter permit
r:--'""'.'~-~:,.',:::---'''-'''
(ir~~evi~~" .'r,;-' ';28/0,1/2011
~ Comments:~"'Over;the couhterpermit<,,'
r ,~i.....:i.:;;3',~_~.::."_,,,_. '~"
Public Works Review 08/01/2011
08/01/2011 08/01/2011
Not Required
Reviewer
David Bowlsby
David Bowlsby
~': Dav.id~~i~i5t0_ > ,
,,# : ," ':~f1~":*)0. .-,Ll , '
~... ' "' ;''',---'" - '-
David Bowlsby
- ~ "f:';0~.'"
.."=J
,id
David Bowlsby
, 08101/201"V~ '08/011201it:y",."'NotR;ql.Jired'7",~::;Oav~i'dBO;^;-is'by"~'~~1' \
,',;", ':"'m:- ":-'-,'; ',~ ",-,." \.. .;'_ ii',i", "," m i' <w., ' ", '" ' ".,;_"".~ .of; . /' "',;
" r~: .. " :~S,;;;::!:%:';:~,\____""~,,_~_~,_,,.""~L,",-":!
08/01/2011 08/01/2011
Not Required
Comments: Over the counter permit
iEner~WS;6<J'i'Re~;;;;":" . J:.,l,q~(q)l2~JTV "081011~011. ~,08J01/2011 ,
t ,-~E9~rn~n~s: . 'overthe'cquri~r"p~2};!:!f;~'~;:~,;": ,:,,,,.;:',>";> ,;,,:c, "--~;:;\2;:i~'i"
Traffic Review 08/01/2011 08/01/2011 08/01/2011 Not Required
Comments: Over the counter permit
PH,irT1bing-Reyi~~'0t'+~;r:' , 98/01/20f~
(fomm'Emts~ \;qver.ihE/counler~err!li(.';:
i08/01l20j;125::08/01/20ft,"''' ~'" "NoFRequiredC'''<:<"
~ ;':~7~'~::f~>.;i:.':!" .i. '" '~."~_ ~~,-<"~: ,:i~i~;"l:~,;:
INSPECTIONS REQUIRED ~
Inspections
1620 Roofing
1999 Final Building
-'-'---1
:'. .',"
David Bowlsby
w;J?a.vid, BO~I~_~Y.~:'~,:~:r',:>";--; - ~!<i"~-~~-'
~..,. ,~. ",<~''';','';'' .".
1
J
David Bowlsby
'pavfd,:B,6~fs~6YJ<:\m:'~".~~:':/_:,,;,,)~ -,
J.'.
. ~
"~
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
8/1/2011 1:28:47PM
Page 3 of 4
. "'.~
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01862
IVR Number: 811111443559
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/01/2011
ISSUED:
APPLIED:
08/01/2011
08/01/2011
225 Fifth 5t
5pringfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@d,springfield,or,us
EXPIRES:
VALUE:
01/27/2012
$49,636.00
SITE ADDRESS: 2470 PHEASANT BLVD, APT# 1, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271200600
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
ReRoof
New
Commercial
PROJECT DESCRIPTION:
Replace roof covering
By signature, I state and agree, that I have carefuHy examined the completed application and do hereby certify that aU
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.
cf-
/~
f
Owner or Contractor Signature
Date
Springfield Building Permit
8/112011 1:28:47PM
LOI(
Page 4 of 4
>truct\1rai,'I-ermit Application
-
225 Fifth Street' Springfield, OR 97477' PH(541)726-J75J. FAX(S41)726-J689
SPRINGFIELD ;~~.
. ~~lf1li
DEPARTMENT USE ONLY
Pennitno: SfI-Q/'l6L
Date 'is-/-11
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,
LOCAl. (:;9VE~NMENiAPpRciYA4;,!
This project has final 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 D No
\!'t;,~411:f, i~;A~,'CArE g()g,i",QI"';cc()R~IRp Cif;lbNli';~;;,.Lj; .",;,,-.;,::
D Residential 0 Government ".EJCommerciaJ
" , iJO!3SFrE INEORMATION- ,6;ND LOCATioN,: ',:
Job site address: L'{7tJ J/'jitr,-f/;?/'-"/
City: I"'C:;,P/ t:/-' I State:
Subdivision:
Reference: I '70
- '"
.': ,'~'- '--
lie;
City:
Phone:
State: cJt(
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 .701.01 O.
Sign here:
Print name;
Signature:
"f:','O:- ir. O:';~ts tJEl~C@NtRP!t(it9R'I~F9R.M~:ntQI!lX~!)'ft;';-,\jii'ii;i~];i
Name CCB License' Number -T Phone Number
Electrical I
Plumbing I
Mechanical I
~f
FEESCHEOUl.E /
i.Val,jafibIiinform~'doi{ "y;if'ji:ii<, , .
(a) Job description: 726/{Jrc.t= fLoor
Occupancy
Construction type:
Square feet:
Cost per square foot: -
Other infoITnation;
Type of Heat:
Energy ~ath:
o ~ew alteration
(b) Foundation-only permit?
Total valuation:
:2'Bnij4i~gtee~i~;ii":.;'!';\;';ii;~:,:!.;;i:,i'i,, ""
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2.]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
o addition'
DYes DNa
(d) Enter 12% surcharge (.12 x [2a+2b+2e]):
(e) Subtotal of fees above (2a through 2d):
$
;1~rP'~~t:~y~~~ll~k~'?i;~~$1t$f~~'~~~*~ttt}~~~t~1~~1~~{~~:~/~
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(e) Subtotal of fees above (3a and 3b):
~:~1~'Mt{~,~_4~:n:t9Jl~}f~~~I;,"~~'";:'-'
(a) geismis f-ee, !'::t (.-0 f x permit fee [2a]):
TOTAL fees and surcharges (2e+3c+4a):
$
$
. . . ,.'
S:P~~N~~E~
~~
~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-01862
2470 PHEASANT BLVD. APT 1
permitcenter@ci.springfield.or.u5
RECEIPT NO: 2011002157 RECORD NO: 811-SPR2011-01862 DATE: 08/01/2011
tDESCRII!.TfON, -"'0i..{.. ..~":::""":.i.._:> ' ~"::~,.: '~+~':.:.:..:.._..:.)\CCO(}I'HtcODE ,."'. ~:"I':.. AM0(}N];D(}E~2..:J
Building Permit Fee 224-00000-425602 465,25
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 55,83
Technology fee (5% of permit total) 100-00000-425605 23.26
TOTAL DUE: 544,34
~:~.eoMMMs'Eti..:;YG'r" ";4'.'4':t'l'v1oY.NTpAIO)":')"-f,,'.t.:;'.t.:1
544.34
.. PAVOR t'CASHIER:'0I30WLSBy'iZ)
~ .' - ,~
evergreen roofing of oregon
L PAYMENTTYjfE.,
Check
16835
TOTAL PAID:
544.34