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Home My WebLink AboutPermit Miscellaneous 2011-8-12 SP~~~G..=--.IE~ ~~.- .~ :Y OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01930 IVR Number: 811106652199 www.cLspringfield.or.us 225 Fifth SI 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 08/12/2011 ISSUED: APPLIED: 08/12/2011 08/12/2011 EXPIRES: VALUE: 02/07/2012 $6,000.00 SITE ADDRESS: 942 28TH ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703361109600 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace roof covering Phone Number: OWNER: ADDRESS: CROSSFIRE WORLD OUTREACH MINISTIRES INC 942 28TH ST SPRINGFIELD OR 97477 Contractor Type General Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER 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' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 8/12/2011 11:00:36AM Lic No 0000000 Lic Exp 08/12f2025 Phone lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: ATTENTION' Ore follow rules ~do ?~n law requires you to Notification Centtr eTh by the Oregon Utility in OAR 952-001-00'10 those rules are set forth 0090. '1;"" . rough OAR 952-001_ cal/i~o'Ph~~~~t~~a'?~~!:ie,s of the rules bv '''Imber for the 0 "...~., ~"" ,elepnone regon Utility N t'f' . Center is 1 800 332 0 I ICatlon - - -2344). NOTICE: THIS PERMIT SHAlt EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT [S N[)I! COMMENCED OR IS. ABANDONE'i' '"Q. 0. ANY 180. .. , . IW" >Ii> DAY PERIOD" Page 1 013 SPRIN. G. FIE.. .~ ~I- . .;. ~~ :1,. \. OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ww.N. ci. springfield. or. us Building I Commercial Permit PERMIT NO: 811-SPR2011-01930 IVR Number: 811106652199 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 08/12/2011 08/12/2011 EXPIRES: VALUE: 02/07/2012 $6,000.00 08/12/2011 SITE ADDRESS: 942 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361109600 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace roof covering 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: Downspout/Drains: Valuation Description ~ Descriction Bid Tvee of Construction NA Unit Amount Unit Tvee 6,000.00 Bid Unit Cost 1.00 Value 6,000.00 6,000.00 FEES PAID ~ DescriDtion State of Oregon Surcharge (12% of applicable fees) Building Permit Fee Technology fee (5% of permit total) Total Amount Paid Amount Paid $11.64 $97.00 $4.85 $113.49 Date Pa id 08/12/2011 08/12/2011 08/12/2011 ReciDt # 2011002232 2011002232 2011002232 Springfield Building Permit 8/12/2011 11:00:36AM Page 2 of 3 SPR.ING.FIE.L.~ .- 'i!:/J ,,~ 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-SPR2011-01930 IVR Number: 811106652199 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/12/2011 ISSUED: APPLIED: 08/12/2011 08/12/2011 EXPIRES: VALUE: 02/07/2012 $6,000.00 SITE ADDRESS: 942 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361109600 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace roof covering Plan Review ~ DeDartment Application Acceptance Received 08/12/2011 Due Date 08/12/2011 Comoleted 08/12/2011 Result Over the Counter Reviewer Chris Carpenter 'ini,ial Re-;,;e.;;;-;--~-' 08/12/.2?i 1 08/"1212011.08/12/2011 OvertheC.<lunter, :"'Chris Carpenter _ _,:?,:,ments: ,overtt~ecourite~~:r~ ,___~2~_...:.~::"::_ _.:.......-____---..:..~..._:...~____.:.__2__ 'I. i , ., , Planning Review 08/12/2011 08/12/2011 08/12/2011 Not Required Chris Carpenter Comments: Over the counter permit Permit lssuan.ce. 08/12/2.011 08/12/201.1 08/,12/2011 Issued Chris C~rpen'er . ~"'" ^"" ;r.. Public Works Review 08/12/2011 08/12/2011 08/12/2011 Not Required Chris Carpenter Comments: Over the counter permit Energy Code-Review 08/12/2911 08/12/2.011 08/12/2011. Not Required ~. .Chris G~rpe~ter. Over the counter permit' ; ,~ JT' Comments: ;..., "'-.:" Structural Review 08/12/2011 08/12/2011 08/12/2011 Not Required Chris Carpenter Comments: Over the counter permit fj;;?FM:;i;;-~ -" --.~,-".,.. oai1"21zo1"1- 08/12t2'()11 . 0871-212'01 r--~Not~Requir~d'-?"~'~'-Ch;js-Caf-^penterr:;~- - :'Comments: Over the counter permit" -'~'~.~-l ..,.. , . ...,. " i INSPECTIONS REQUIRED ~ . Inspections 162.0 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, 1 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 t of the property, and the approved set of plans will remain on the site at all times during construction. &-I2f/ Date Springfield Building Permit 8/12/2011 11 :OO:36AM Page 3 of 3 ~ Str.uctural Permit Application ) DEPARTMENT USE ONLY ~!j~7 :..~:.:-C:' .}t<:l..,~tS'- '-;';1:" ",' f}.~i' '-"l--<'li,:jf"'. ;>''',;:1.:~;/' , 1::"'" ,.- ,,.."_- .",_ IT.Y, OF PRINGFIEED,.OREGON -,,,",'~"-'''. . . _ . __~.,." -4,. A "-''''V. . _,.. '.",-" - >~ ~ ~PRINGFll!tLO /..~ b.~ Permit no.: ~I/-IC(SO 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. . . COCAl '~9YE~Nrvi~Nil'AeP'R99~L!,;:i'i;":::~,:!Nf':i 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 0 No frl~~~~f~t~~~i{G.~tI;G,9~~X~g_F~~G,qN~J~'VCm'I.<;?~i~~~!~4;;;~G~~'~E...i~'~~ o Residential D Government Commercial "...:ii" .,..;~qB'SljE:iN,fq~,MATIQN~iANQiL9.cA'1'19Nh],ti}f::y,:t: ';1771 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54l)726-3689 Name: Address: Ci . Phon: State: 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. Sign here: E-mail: CCB license no.: Print name: t,' Signature' A ~~~;;D ; '~-~:f?:::'~~-Sp~':G0r{t;,;'~J~:1jqR-d:~Fc>R:M~mtQ.N.~~~~!~~~;;r4f,~! Name CCB License Number Phone Number Electrical Plumbing Mechanical " " ....."'<'..-., 'FEE SCH'EOULE'c" . ,'''\': ~";;'., ". , , ;;; - .'i:j'.~:.v~tfi~-#oh\~Joj~Iii~-H~:#{1'~nj.h;'i~}:):.~'.b~!~.~ i!}i':.l.(;i,:U}~,:'.~:.;)}, ;~:,:? !.:;.~.~),~::.' (a) Job description: &.~ Occupancy f} I Construction type: I/l1 ? Square feet: Cost per square foot: Other information: Type oCHeat: Energy Path: 0 new B!literation 0 addition (b) Foundation-only permit? 0 Yes g No Total valuation: $'- \:8"" ".. .t' , .,..,;".' '"::",':p.",,,;;'';'':, '., :",'i:'" ':/,] :/:,: "';:'::""";\":"" ;-..2:: uIldmg.. ees}:;;."""\".;,!t:~':'::i(,,,j!fl~':<\~";i."lOl~l;.I'if:' ;",";.: ,: c._ _' ...._ ._,_, ...', ....... ,'C,_" -,-,c." -'. ."" .d'-., .._....,,1.......',' (a) Permit fee (use valuation table): $ "97 '" 0 (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]): $ II fI':!.. (e) Subtotal of fees above (2a through 2d): $ i~~~:~~~~~~~eyf~Wt[~~~;r~;~f~~f?ti~~.tr~~l~~lft~~~~:\~~1~;~~~\J~~~K1J (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): $ ;{4~;;M~.s~eH~.Ji?Q)1~lf~~~i~ff~5~'~~f{~~F~:i~~l;~.(~~.~:~:;- :,.~..\\!;:V':J'S:.. (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3e+4a): $ 111'd SPRI\.N.G.~L~ ~'''.. .. ,,' i!Jti . .,,~. OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-01930 942 28TH ST perm itcenter@ci.springfield.or.us RECEIPT NO: 2011002232 RECORD NO: 811-5PR2011-01930 DATE: 08/12/2011 lDESCRI~TIO"C_:_,~_;',' -':;, ~..:::c.J:' '~~':- ACCOUNT-CODE AIVI0.UNT~D,UE;: Building Permit Fee 224-00000-425602 97,00 ___State of Oreg_':.n S~rch-"-rge (12% of applicable fee;;l 821-00000-215004 11,64 __!echnology fee_~~'C of permit total) _ ___---.-!.og-00~~~25605 4,65 __ TOTAL DUE: 113,49 .. 'AMOUNT PAID 113,49 PAYMENT TYPE - Check 8248 PAYOR CASHIER: CCARPENTER CROSSFIRE WORLD OUTREA CQMt'ilEJ>lTS TOTAL PAID: 113,49