HomeMy WebLinkAboutPermit Building 2011-8-19
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~OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01975
IVR Number: 811188667311
www.cLspringfield.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
08/19/2011
ISSUED:
APPLIED:
08/19/2011
08/19/2011
EXPIRES:
VALUE:
02/14/2012
$2,000.00
SITE ADDRESS: 1747 MAIN ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703363106600
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Repair roof leak and dryrot
Phone Number:
OWNER:
ADDRESS:
YU EDWARD & SU
1747 MAIN ST
SPRINGFIELD OR 97477
Contractor Type
General Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lic Type
OWNER
Lie No
0000000
Lie Exp
06/1212025
Phone
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:
Electrical Specialty Code Edition: ATTENTION: Oregon law requires you to
Springfield Fire Code Edition: follow r~les adopted by the Oregon Utility
Mechanical Specialty Code Edition: No!lf;catlon Center. Those rules are set forth
Municipal f Development Code: in OAR 952-001-001 ~ through OAR 952-001-
. _ . . 0090. You may obtain caples of the rules by
Plumbing SpecIalty Code EdItion: calling the center. (Note: the telephone
Residential Specialty Code Edition: number for the Oregon Utility Notification
Structural Specialty Code Edition: 2~nter is 1-800-332-2344).
# of Units:
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Site Infonnation
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
NOTICE: ..."'"
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
8/19f2011 2:06:55PM
Page 1 of 3
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~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01975
IVR Number: 811188667311
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
08/19/2011
ISSUED:
APPLIED:
08/19/2011
08/19/2011
EXPIRES:
VALUE:
02/14/2012
$2,000.00
SITE ADDRESS: 1747 MAIN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703363106600
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Repair roof leak and dryrot
DEVELOPMENT INFORMATION ~
Overlay Oist:
# 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:
DownspoutJDrains:
Valuation Description
~
Descriotion
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
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
$6.96
$58.00
$2.90
$67.86
Date Paid
08/19/2011
08/19/2011
08/1 9/2011
ReciDt #
2011002283
2011002283
2011002283
Springfield Building Permit
8/19/2011 2:06:55PM
Page 2 of 3
SP~~N.~~l~
~~
~OREGOH
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01975
IVR Number: 811188667311
www.ci.springfield.or.U5
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
08/19/2011
ISSUED:
APPLIED:
08/19/2011
08/19/2011
EXPIRES:
VALUE:
02/14/2012
$2,000.00
SITE ADDRESS: 1747 MAIN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703363106600
SCOPE: Dryro!
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Repair roof leak and dryrot
Plan Review
~
DeDartment
Application Acceptance
Received Due Date
08/19/2011 08/19/2011
Result
Over the Counter
Comoleted
08/19/2011
Planning Review 08/19/2011 08/19/2011 08/19/2011
Comments: Over the counter permit
[permit Issua~c; ~"-s:^ ~ c=:- :~o~r97201 (::08(19/2911, ;;,0,8!19/2011;: l;.
j ",' ; ,>.,t c. p.'" . ".,,~",.';'~.~~, ;,:'0"';:'.""'>);'" .r f.-
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Public Works Review 08/19/2011 08/19/2011 08/19/2011
Not Required
Reviewer
Chris Carpenter
Chris Carpenter
'ls,sUep)',/~.' L'.",,;,~-' ,~~Cilris,C~ter
,<:.;~..,tLr-1;~ ~~"; .-: ~ ~,:~~~~~ i:,;';:"i ";./:,".: .~,~:
Not Required Chris Carpenter
Comments: Over the counter permit
l~n:rg~~g9,9,~_~~~i~~,f'~T-;~, ,',',' ,,'f,'q8f~ :9~2211,-,,;,1 0.8/~1,;9~g,V,'
t _.',C()1TIIl1~ht~: E8~er;!~e ~()unter'Pl?~f!1it . ., ';!:~'~,
Structural Review 08/19/2011 08/19/2011
Comments: Over the counter permit
rFij;R~""JIew:" ',,:,';'> ;",,>"'j ;':'-08/19/201'1':
comlTle~ts: . Ov~'rffie- count~r-pet'rhitf:" ,
J. ,_". " ,_.". ,..:.,' ~__- _" "~'_" __.-:'...' _~ _..4.-~ '.. ".-:....;,';t' .!<'
':7:----, :,j'
." t' 4;~ "--":',
Chris Carpenter
',":",~::'
,Not RequlrecF"'+':;.Jt";.'" ';...'gDJis,;qarpenter~;
-; :r,': .fy',P?:fo":' ,\--:,:;; 4;,y' . ',:"- .
-"-,.-1.1;.,'
, ','~~'
.,08/1W2011','1
08/19/2011
Not Required
08/19/2011;' 681.19/2011
,'- .., l '-', '<,";,..',\
,~, ':'-:''', ~~;:_.':-
;-,tJ9tReqJired"~~~;'_~" ~'; ",~Chris',C~ir'p~~tef'
'," ..::,~:~::~}~,., ':..:"'" '~ ~:"+~:~:::,,y,
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INSPECTIONS REQUIRED ~
Inspections
1630 Roof Sheathing
1620 Roofing
1999 Final Building
Roof Sheathing
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.
~~
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Owner or Contractor Signature
Date
Springfield Building Permit
8/19/2011 2:06:55PM
Page 3 of3
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.-
Structural Permit Application
DEPARTMENT USE ONLY
225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3753 . FAX{54 1)726-3689
~j c:~;~f?J~~ffi;~~~I~~~.~.9:~gR~~'0N:~~~ ':~~~: )~ .: Ji ;
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.
LOCAL GOVERNMENT APPROVAL
This project has linallullJ-usc approval.
SignDlllre: Date:
This pn>j~ct has DEQ approval.
Signature: Dale:
Zoning approval verified: 0 Yes 0 No
Property is within Oood plain: DYes 0 No
CATEGORV OF CONSTRUCTION
o Residential
o Government
Ej'Commercial
ZIP:
City:
Phone:
E.mail:
This installation is being made on residential or farm property owned by
me or a memher ormy immediate family, find is exempt Ii.om licensing
requirements under ORS 701.010.
Sign here:
CONTRACTOR INST ALLA TION
13usiness name: :vl-.....
Address:
City:
Phone:
E-mail:
CCB license no.:
Slate:
Fax:
ZIP:
Print name:
Signature:
Name
[lcrtl'lcfll
Plumbing
Mcchnnicrll
ceo License Number
Pholle Number
6
FEE SCHEDULE
1. Valuation information
(n) Job description: {{wFI.-e.'A ~ ~ \:)(1.'-\ ~ 'r (l..c
Occupancy 'ifr iA
Construction typc: \J 0
Square feet:
Cost per square foot:
Other information:
Type of lIeat:
Energy Puth:
Dncw [:J1rficration Duudition
(b) Found(ltjon~only permit'! o Ves ONo
Total valuation: .t,.$.~OO
2. Building fees
(II) Permit lee (use valuation table): $ 58
(b) Investigative fee (equnl to [28]): $
ee) Rcinspcction ($ pcr hour): $
(number of hours x fee per hour)
Cd) Enter 12% surcharge (.12 x fZa+2b+2cl): $ (n".!t..
(e) Subtotal offces ubo,,'c (Zit tbrough 2d): $
3. Plan review fees
(a) Plan review (65%x permil fee (2nD: I
(b) Fire Hnd life safely (40%:< pemlil fee (2n)): $
(c) Subtotalllffce!lC llho\'c (3a and 3h): $
4. Miscellaneous fees '2 "0:.
(a) Seismic fee, 1% (.01 x pennit fee (2::l]): I
TOTAL fees and surcharges (2c+3c+4a): s~7 l'(,
1"Y'\.,{l-
..
SP, RIN,GFIE;:;II 0
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..J,; OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01975
1747 MAIN ST
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permilcenter@ci.springfield.or.us
RECEIPT NO: 2011002283
lDESCRI~TION' -
Building Permit Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
-n"
^"'
RECORD NO: 811-SPR2011-01975
, ,'<04' '"ACCOUN:(c.ODe
224-00000-425602
821-00000-215004
100-00000-425605
TOTAL DUE:
'"/"2
DATE: 08/19/2011
'."Y"AMOUNTJiuE ,,"<,"" ..
58.00
6.96
2.90
67.86
AMOUNT PAID.- _I
67.86
LPAYMEI'lT lYRE
Credit Card
023940
P_~r.OR tASH!ER,-CCARPENTE.~_,"
YU EDWARD & SU
CP.MM,EI'lJ:S_-':"':.
TOTAL PAID:
67.86