HomeMy WebLinkAboutPermit Building 2008-3-28 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00405
ISSUED: 03/28/2008
APPLIED: 03/26/2008
EXPIRES: 09/28/2008
VALUE:
Springfield TYPE OF WORK: Restaurant
SITE ADDRESS: 215 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353205700
Commercial
TYPE OF USE:
PROJECT DESCRIPTION: Owner replacing existing supply line interior, new mechanical, new layout,
Owner: ZHU QI CHANG & WAN YI
Address: 215 MAIN ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
VN
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
I BUILDINa::INr''1~M~WI~res you to
, , .,",..~ ClUUfJl~a oy me regon unity
;n'~~Cj~l~lJfm~~r. Those rules are set;o~ot Size:
0090 ~e~pgf SlQJ~tlrg>~gh OAR 952-001$q Ft 1st Floor:
cali, ~flfllrl'd?~ln copies ofthe rules b)Sq Ft 2nd Floor:
I 'Nd~ ~r. (Note: the telephone Sq Ft Basement:
num ~tij]~t:regon Utility Notification Sq Ft Garage/Carport
Energy~!fh1-800-332-2344). Sq Ft Other:
Sprinkled Building No Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
IPUBLICI~ENTSI
THIS PERMIT SHALL ~~ewalk Type:
AUTHORIZED UNDER 11fl~~~~WQRK
COMMENCED OR IS ABANDOcn,v"r IS NOT
AN: 180 DAY PERIOD. NED FOR
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0040S
ISSUED: 03/28/2008
APPLIED: 03/2612008
EXPIRES: 09/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$6.00
$2.50
$5.00
$45.00
3/28/08
3/28/08
3/28/08
3/28/08
3/28/08
3/28/08
1200800000000000280
1200800000000000280
1200800000000000280
1200800000000000280
1200800000000000280
1200800000000000280
Total Amount Paid
$83.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reouired Insoections ,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
By signature, I sta.te 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 pertaming 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.
~
/VA'ff
'"
, /
~.-~~ oY
v-
Owner or Contractors Signature
1
Date
Pae:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-926-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00405
COM2008-00405
COM2008-00405
COM2008-00405
COM2008-00405
COM2008-00405
Payments:
Type of Payment
CredltCard
cRecelOtl
RECEIPT #:
1200800000000000280
Date: 03/2812008
DescriptIOn
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
+ 5% Technology Fee
Gas Outlets 1-4
MInimum/AdJustment Mechanical
~Mechanlcal Issuance Fee~
Paid By
KENNETH YI
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 02510C In Person
Payment Total:
Page 1 of 1
8:21:00AM
Amount Due
600
500
250
500
4500
2000
$83.50
Amount Paid
$83 50
$83.50
3/28/2008