HomeMy WebLinkAboutPermit Building 2013-10-30 SPRINGFIELD_'... •
- 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01825
www.spnngfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 10/30/2013 EXPIRES: 04/28/2014
STATUS DATE: 10/30/2013 APPLIED: 08/15/2013
SITE ADDRESS: 980 KRUSE WAY,Springfield,OR 97477 SCOPE: Restaurant
ASSESOR'S PARCEL NO: 1703222000912 TYPE OF STRUCTURE: Commercial
. PROJECT DESCRIPTION: New cooler and pad
OWNER: TREVORS BREWERY LLC Phone Number:
ADDRESS: 3895 MEADOW VIEW DR
EUGENE OR 97408
CONTRACTOR INFORMATION r
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor JEFF BELNAP CONSTRUCTION LLC COB 173239 12/12/2014 541-228-5535
INSPECTIONS REQUIRED
Inspections
8675 Overhead Sprinkler Systems
8999 Final Fire
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1110 Footing Footing: After trenches are excavated.
1120 Foundation Foundation: After forms are erected but prior to concrete placement.
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved. •
1999 Final Building 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.
4 7 an, /o/s 0%4.
Owner opCgntragtor)slgn`atureon law requires you to Date •
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth NOTICE: •
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification
Center is 1-800-332-2344). ANY 180 DAY PERIOD.
Springfield Building Permit 10/30/201 10:47:58AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
i1. 225 Fifth St
• TRANSACTION RECEIPT Spnngfield,OR97477
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OREGON 541-726-3753
811-SPR2013-01825
www.springfield-or.gov 980 KRUSE WAY permitcenter@springfield-or.gov
RECEIPT NO: 2013002385 RECORD NO: 811 SPR2013-01825 DATE: 10/30/2013
DESCRIPTION - ' F `- `-' R=.9.i a.i :-'ACCOUNT CODEITRANSiCODE #2f ,:'AMOUNT DUE 4t
Building Permit Fee 224-00000-425602 1002 276.19
Planning-Minor Review-City - 100-00000-425002 1231 119.00
SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 . 1189 10.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 33.14
Structural Plan Review Fee Commercial 224-00000-425602 1060 179.52
Technology fee(5%of permit total) 100-00000-425605 2099 13.81
6�, TOTAL DUE: 631.66
PAYMENTr,TEP.E_. PAYOR _cnSN1ER;JEARS , COMMENTS "- AMOUNTFttAID }.,tr.:.18i9;
Check Hop Valleyh Brewing 631.66
2461
TOTAL PAID: 631.66
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SPRINGFIELD — CITY OF SPRINGFIELD
V T' +. _' _ 225 Fifth St
; tat ' TRANSACTION RECEIPT Spnngfeld,OR 97477
OREGON 541-726-3753
811-SPR2013-01825
www.springfield-or.gov 980 KRUSE WAY permitcenter @spnngfield-or.gov
RECEIPT NO: 2013002386 RECORD NO:811 SPR2013-01825 DATE: 10/30/2013
e o 13n'� -741 42, '4,x' ""1?;s4 ,e`..+'�',,WEVI 'ACCOUNTJCODE/TRAN$.cODE ni " "; AMOUNT.DUE•�:^i
SOC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 84.52
SDC:Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.81
SDC: Improvement-Transportation SDC 447-00000-448027 1174 2,065.65
SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,501.15
SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 566.76
SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 156.38
SDC:Total Transportation Administration Fee 719-00000-426604 1190 131.62
TOTAL DUE: 4,528.89
P.AYMEN1WPME .P,AYOR'- ,cam:'uesmi COMMENTS AM OUN7PAID
Check hop valley brewing company 4,528.89
2461
TOTAL PAID: 4,528.89
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Structural Permit Application � oEe vrnnEr osE o SPRINGFIELD
fat .,�
CITY OF SPRINGFIELD,OREGON ' t ta. Permit no.:5/3 -Of g2..
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 aaESOH
Date: fI/S'/ 3
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days issuer ce or if work is
suspended for 180 days.
-'d `.....r, ir,LOCALI'GOVERNMENTrAPROVAti n KE rv'.` :-,xa„„r k4_,_g __ � _ '7i...�y,.�``='.�'•' ,.
FEE SCHEDULE (
This project has final land-use approval. is '�'' r--�r 'Viva w;�-v.,,rt. ri '„
P J 1-,�,Valuahou;informatio'u'_���/ y,�;,�, -e �..,�,�,.,
Signature: Date: (a)Job description: /
coder,„ A
This project has DEQ approval." -
�
Signature:
Dale: Occupancy L.A.-
Zoning approval verified: ❑Yes ❑No Construction type: •J
Property is within flood plain: ❑Yes ❑No• Square feet:
;t 441•* "gCATEGORYTOFrTONSTRUCTION€m' r,AN.t- ra Cost per square foot:
❑Residential ❑Government Commercial Other information:
';s,.,z i „JOB SITE±.INFORMATION[ NA DMLOCATIONi 7ti` ."-' ,;(r„ Type of Heat:
Job site address: 98, �ev<f= t,� Energy Path:
City: c�t.,,✓,•Ci4 C,Q State:ae„ l ZIP:F 7x(77 <1±k—new ❑alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes No it
Reference: 1703 ZZZO Taxlot: Oo 9/Z - Total valuation: $
tw,c Ft' x yrgr, 117-»x[.. `.^"CIA tr -drr= �,xsrntj'r� - .cur ,.,: su,..:"• gym-„». .. •
?`tfw^aa._u��3 afi,iK.._.*.PROPERTIY,,,;O_WNER.tSSt."'`.a.v_.,�.L'ss�..�aw.� ;,_2.Budding!feea.,,�.aa.�ca....,.._;.*+ n6i a. �tt...� �s1i,...;�:'...�
. Name: 1 � !IA Hey c/ (a)Permit fee(use valuation table): $ Z1( ✓-
Address: 9 fp jrind 4e_ y - (b)Investigative fee(equal to[2a]): - $
Cityledef... ,�ieic Statepc. ZIP: (c)Reinspection($ per hour):
o (number of hours x fee per hour) $
Phone: Fax: - -
E-mail: • (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 73 i
(e)Subtotal of fees above(2a through 2d): s
Building Owner or Owner's agent authorizing this application: 3 rPlantreview fees 0:4fi , ,!'"7 - at`i.' vF'14:y ';SZ.
4. (a)Plan review(65%x permit fee[2a]): $ '7�/ `�
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Sign ■ e: /lr edi--- (b)Fire and life safety(40%x permit fee[2a]): $
❑ ••s installati. .-mg made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or. . emb. of my immediate family,and is exempt from licensing 4F'Mtscellalieoustfee a+Ir52 w,„.;A,�''''"' ittf a ;* jl
requirements under ORS 701.010.
,,._ •, _ _e (a)Seismic fee, 1%(.01 x permit fee[2a]): $
>„,jw y,f, ": CONTRACTOR,INSTALLATION„' 's^ s.v 7 p,”
.(b)Technology fee,5%(.05 x pem•t fee[2a]): $ /3 li
Business name: /e c ,eL.I ��e7 fit- f+z2,G
AE-4,,,,e TOTAL fees and surcharges(2e+3c+da+46): s VU G
Address:Y/30 o 0,4v4xo,.., /4' --//
Citye,t�,KL State:04. ZIP:5.7Y21. B
Phone:SW z2 .SS3S' Fax:$t// 9 4Z g26 g c2 4 ,
r''�ti -C� IVt6
E-mail: der-F. e3ca/ uy. e giJ7iJ tl e_es-
CCB license no.:
Print name: jE QpLN n.e •� (�
St nature: �`i I / ��1 '
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traitt.5.74 ceoNNTRACTORIINFLORMAil ION __ ri
Name CCB License# Phone Number
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EI rival • 64114
Plumbing 'i\--M
4— CO nn2ar
Mechanical W .,/I / yyyggq �