HomeMy WebLinkAboutPermit Building 2005-1-13 (2)
.
. CITY OF ~t"luNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01566
ISSUED: 01113/2005
APPLIED: 12/2112004
EXPIRES: 08/16/2005
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 Drinking Place
Commercial
Owner: V AJGERT WAYNE M
Address: 4355 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor Licensl)\) \0 Expiration Date
BRAD POND ~Q,_ 'I U\l\i\'I 02/21/2005
L YNNSELECTRIC o",~ ~'il" sa\ 'O~ 10/14/2007
OWNER ~ o~eg 6 '0'1 ~a ~eS e1a f:>'l.~O\*
DOUGLAS LEE JO~t~~~ ~609~ "(nose ~~~; <\\\as '0'102/17/2005
r. ..~\. -.. '_.~n .,,- 01'"
,- ~ .~.
1"''ffl'Ib , J ... ~ I T I \ a \a\a~ _a\\O"
~O\\l'~~- r.:Jl."'. O~ ~o\a'..~ ~r:JU.\W--
,,,0 @. ~a~. ~ ~\)\\'\\'l^"Il,). Lot Size:
()09fIe! t~'lf~<dO~'l:Z""" Sq Ft 1st Floor:
~ {Wl.m \& \.&\) Sq Ft 2nd Floor:
~ e~ Sq Ft Basement:
Range Type: . Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-345-345 I
541-726-7895
541-747-1254
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
REQ,U,I,RED PARKING
t \NIJ "
Overlay Dist: \\\t. \r ,\\ 1;'?J~IJ'J'
# Street Tr~~~'~9~: \\~\..\._ flSJ S 1?t.\\WI\'I!t'll~icapped:
Paved D'1ye,Rqg~\\WI\' S ~\)t.\\ ,\\\ ~\)G~t.\)compact:
% of Lot lOoyerage: \1't. \) \.\ \" ~ I:> 1\
"\\IJ\"\ G\\ '"
~\.\\. ,&~\Jt.\). n(:\l.\G\).
, . ,,~.. , "" .
I PUBLIC IMPROVEl\fENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Page 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
Estimate
,
Fee Description
Plan Review CommlInd/Public
-Mechanicallssuance 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
Total Amount Paid
Initial Review
Plan nine Review
Public Works Review
Public Works Review
12/29/2004
,12/29/2004
12/29/2004
01/11/2005
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01566
ISSUED: 01/1312005
APPLIED: 12/21/2004
EXPIRES: 08/16/2005
VALUE: $ 9,500.00
I Valuation Descrintion 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
Fpp<. PiilIJ
Amount Paid
Date Paid
Receipt Number
$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
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
2200400000000001536
2200500000000000050
2200500000000000050
'2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000050
2200500000000000179
2200500000000000179
2200500000000000179
2200500000000000179
$1,025.39
I Plan Reviews I
12/29/2004
12/29/2004
APP SKG
APP EMM
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 him 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.
New plumbing plan received and
approved. SDC's for Sanitary
fixtures added.
WE
01/11/2005
APP SB
Paee 2 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Issued
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: 08/16/2005
VALUE: $ 9,500.00
Revised Plan Review - Fir
Revised Plan Review - Pu
Revised Plan Review - Str
Structural Review
01106/2005
01106/2005
0110612005
12/27/2004
01106/2005
12/27/2004
10 JMP
10 JMP
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.
Structural Review
12/29/2004
12/30/2004
WE JMP
Structural Review
01112/2005
01112/2005
APP JMP
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 Renuired In,nection, I
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.
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 of Oregon pertaining to the work described herein, and
thafNO 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
Pae;e30f3
225 Fifth.Street
~, .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1566
COM2004.0 1566
COM2004-0 1566
COM2004-0 1566
Payments:
Type of Payment
Check
2/16/2005
.
RECEIPT #:
a"~"'!I"~"''''''''''"""""..
Wil.
...... :;
, ~, )'
'-'''"",,-''''~ '
.JiIi.ty of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
2200500000000000179
Date: 02/16/2005
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DARRELL ROSIN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 7191 In Person
Payment Total:
Page 1 of 1
9:34:47AM
Amount Due
43.00
27.00
4.90
7.00
$81.90
Amount Paid
$81.90
$81.90