HomeMy WebLinkAboutPermit Building 2005-1-13
. CITY OF ~nul'1lJ..IELD
Building/Combination Permit
PERMIT NO: COM2004-01566
ISSUED: 01/13/2005
APPLIED: 12/21/2004
EXPIRES: 10/01/2005
VALUE: $ 9,500.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1836 S A ST
ASSESSOR'S PARCEL NO,: 1703363107300
Springfield TYPE OF WORK: Bathroom
TYPE OF USE: Alteration
PROJECT DESCRIPTION: ADA restrooms for new Adult Drinkiug Place
Owuer: V AJGERT WAYNE M
Address: 4355 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date
BRAD POND 40064 "".. 02/21/2005
LYNNS ELECTRIC ATTENT 102316 10/14/2007
OWNER ~ I ION: Oregon law ~I
DOUGLAS LEE Jorwf.;~~7:~:~~:doPted b'lIHa'J'l,~~~2/17/2005
"IIlYWPF~~~esaresetfortb
L~lI. You ma ':---.Jir[tlI~I' OAR 952-001_
ca/li~Iy., obtam COpies of the ru'e~Size:
nulMs; ~1\1I(tJote: the terephonllfFt 1st Floor:
Typt& e~; regon Utility NotificatlO ~ Ft 2nd Floor:
Water e';" 1-800-332-2344'. q Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secoudary Construction Type:
# of Bedrooms:
B
VN
I DEVELOPMENT INFORMATION ,
Commercial
Phone
541-345-3451
541-726-7895
541-747-1254
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTICE:
I PUBLIG~M{iQV,EMENii tXPIRE IF THE WORK
, --- -- ..J THIS PERMIT IS NOT
COMMENCED OR IS ABAI~/jI~~~1b nW:
ANY 180 DAY PERIOD. DownspoutsIDrains:
Total:
Handicapped:
Compact:
Notes:
Paee 1 00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescriDtion
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Mechanical
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amonnt Paid
Initial Review
Plan nine Review
12/29/2004
12/29/2004
Public Works Review
12/29/2004
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01566
ISSUED: 01/13/2005
APPLIED: 12/21/2004
EXPIRES: 10/01/2005
VALUE: $ 9,500.00
I Valuation Deserintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
9,500.00
Value
Date Calculated
Total Value of Project
$9,500.00
$9,500.00
12/21/2004
Fppli', tiIiIiLI
Amount Paid
Date Paid
Receipt Number
2200400000000001536
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000179
2200500000000000179
2200500000000000179
2200500000000000179
1200500000000000404
1200500000000000404
1200500000000000404
$69.81
$10.00
$32,04
$22.43
$107.40
$168.00
$33.00
$201.05
$264.48
$23.28
$12.00
$7,00
$4.90
$43.00
$27.00
$6.30
$4.41
$63.00
12/21/04
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
1/13/05
2/16/05
2/16/05
2/16/05
2/16/05
4/1/05
4/1/05
4/1/05
$1,099.10
Plan Reviews ,
12/29/2004
12/29/2004
SKG
EMM
APP
APP
No planning review required.
Building says owner stated no
change in use just interior
remodeling.
Talked to Jack Dugger at new bar,
they were doing demolition work.
Called bim back on his cell phone:
We need a Plan that shows all
fixtures in the building: new
bathrooms, new bar fixtures, new
kitchen fixtures before we can
complete review.
WE
Paee 2 of3
-n;",~~
III1it ~~~ .-
.
. CITY OF ~t'Kll~t.J<mLJJ
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2004-01566
ISSUED: 01/13/2005
APPLIED: 12/21/2004
EXPIRES: 10/01/2005
VALUE: $ 9,500.00
Issued
Public Works Review 01/ll/2005 01/11/2005 APP SB
Revised Piau Review - Fir 01/06/2005
Revised Plan Review - Pu 01/06/2005
Revised Plan Review - Str 01/06/2005 01/06/2005 10 JMP
Structural Review 12/27/2004 12/27/2004 10 JMP
Structural Review
WE JMP
12/29/2004
12/30/2004
Structural Review
01/12/2005
01/12/2005
APP JMP
New plumbing plan received and
approved, SDC's for Sanitary
fixtures added.
WI.
Wayne Vajgert called to give
general contractor data and said
that his partner, Jack Dugger, at
501-0325 would be handling the
balance of the application.
Jack Dugger will submit revised
plans as the submitted set is
inaccurate and incomplete,
Received final internal reviews.
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a,m. will be made the following work
day.
I R..nllir..d Tn.n..di"n. ,
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Drywall: Prior to taping,
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service,
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 T 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 of 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.
Owner or Contractors Signature
Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01566
COM2004-01566
COM2004-0 1566
Payments:
Type of Payment
Check
II"
'..
~
4/1/2005
" .
.
RECEIPT #:
1It.,',l"'~'~II,':'~'!l-" "..."...,.."",1
,;-:E'"y .. 1
I . .1
. .
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'" q, """ ..",.,t J
Jiiity of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000404
Date: 04/0112005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Perm Serv/Fdr 200 amps or less
Paid By
GROUNDED ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1013 In Person
Payment Total:
Page 1 of 1
S:14:03AM
Amount Due
4.41
6.30
63.00
$73.71
Amount Paid
$73.71
$73,71