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HomeMy WebLinkAboutPermit Building 2008-4-22 CITY OF SPRINGFIELD, OREGON ~~- 225 Fu ill STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job Number D 1 & 2 Family Dwelling or Accessory D Multi-Family D Commercial/Industrial /9.30 C~ - 5't?/ D New Construction D Addition/ Alteration/Replacement o Tenant Improvement /Ylowfr,w~ BJ/Jd BldgNo SubdIVIsIOn Tax Map/Tax Lot Date Y:'-22 'O'ff D Demolition D Other --- Job Address Lot Block Project Nall1e T:u,v'~ P'2.2A DescrIptIon of Work/locatIOn on premIses/specIal condItIons D I Prol!.-t;:,-lq Owner ___..J Name fA4et~ PS IV\c, Mailing Address 3JLIl ,~Oi" I\Vl" S€ New Dwelling Area CIty 1\\<::"f><v\'1 State tJre... Zip CY/S2~ Garage/Carport Area Phone 5lff-<r'70-Qo50 Fax Other Structure Area Owner RepresentatIve Fi-ec~ JI'MSe.JJ or -..1N ~i,\~tal Value I Phone 5l!1-990~9t5S0 Fax $3-&>,-b75.<[ Commercial/Industrialf.Mult!-Falllily_____ SQ Ft X $/SQ Ft SUIte No i :1 &,2 -Ea1!!ily Dwelling_ SQFt ,______ __J X $/SQ Ft = Value I _ _____.J Value D [4;lJlicant - ----l EXlstmg B ulldmg Area New Buildmg Area .3.2 f J COO ()(-> Name MaIlmg Address City Phone State Fax Zip Total Value D I Architect/Designerf.Engineer Name Address ____J I ~ EXlstmg New CIty Contact Person State ZIp Occupancy Group(s) Const Type(s) Number of StorIes Phone D lConh-actor(s) I Contractor's Name - I Ov'~~~ t)DlrJG Fax --- - - - --- ---------1 I CCB# Expiration Date Phone # , General \ Plumbmg , "Mechamcal ElectrIcal D Cr,!'mmercialjIndustrial Projects] D ~)~esidential PrEiects _ Has SIte revIew applIcation been submItted? Heat Source" PrImary DYes D No D N/A Water Heater Range If so, Name of Planner Do you require any ofthe followmg for thIS project? Journal Number Over-WIdth or Second DrIveway DYes D No Temporary Power D Yes D No Air Condltlonmg DYes D No Notice. All contractors & subcontractors are reqUIred to be licensed with the Construction Contractors Board of the State of Oregon under prOVISIOns of ORS 70 I and may be required to be lIcensed m the JUrIsdIctIOn where work IS bemg performed I For Office Use Only I PLAN CHECK FEE I ..? 2..J to COi"oSretACTlDJV J Secondary Energy Path BUILDING PERMIT I DATE ILli 1 A / () 5/ I BY 11)~ AP P iJ;'CA TION I RCPT# I Shared Dnve(T )/Bmldmg Fonns/Bmldmg Penrut ApplIcatIOn 3-08 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00561 COM2008-00561 COM2008-0056l COM2008-00561 COM2008-0056 I COM2008-00561 COM2008-00561 Payments: Type of Payment Cash cRecemtl RECEIPT #: 2200800000000000499 Date: 04/22/2008 DescriptIOn Plan Review Comm/lnd/Pubhc Plan Review FIre & LIfe Safety BUlldmg Permit Penalty Fee - BWOP BuIldmg + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstrative Fee Paid By EATERIES LNC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dIm In Person Payment Total: Page 1 of I 2:09:08PM Amount Due 3250 2000 5000 5000 500 600 10 00 $173.50 Amount Paid $173 50 $173.50 4/22/2008 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00561 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1930 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703252405500 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Constrict canopy over delivery entrance Owner: Address: 48 Owner: 1950 MOHAWK LLC Address: 668 GREENWOOD JUNCTION CITY OR 97448 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I IB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 32 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: A2 No I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00561 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $2,000.00 $2,000.00 04/22/2008 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $10.00 4/22/08 2200800000000000499 + 12% State Surcharge $6.00 4/22/08 2200800000000000499 + 5% Technology Fee $5.00 4/22/08 2200800000000000499 Building Permit $50.00 4/22/08 2200800000000000499 Penalty Fee - BWOP Building $50.00 4/22/08 2200800000000000499 Plan Review Comm/Ind/Public $32.50 4/22/08 2200800000000000499 Plan Review Fire & Life Safety $20.00 4/22/08 2200800000000000499 Total Amount Paid $173.50 I Plan Reviews , Structural Review 04/22/2008 04/22/2008 APP DLM Approved as noted on teh drawings Fire Department Review 04/22/2008 10/22/2008 APP DLM 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. UeouiredJnsoections I Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Pal!e 2 of 3 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: COM2008-00561 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: $ 2,000.00 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 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 durind constructtn'ri \-/~ '\ lilt '-.J Owner or Contractors Signature Pa2e 3 of 3 C( 22 ~CX3 Date , -- " 10 ~~/ oJ! 't-)" r::J ~ ~, 1.. ~~i "c(" ~ N ~ "^ ' ~V ~ ~ ~ DATE RECEIVED ~~JOB >19, c...f,~:~6>1 LONE OCCUPAN~Y ~.~'-.F' J'f-2- ,___,_ _________ ,UWU:(Sl OCCUPAlllrv l.OAD STORU::~ . I ,.- TYPE 'C~~ll<:TIQN'~ LEGAL DESCBIPT -,~ lZP'(7-" f:..L2<:;'~di2. ADORES:, OWNE~_. J.iro ~/Hr.t9)' t' f". ;J1 v!II/WIt THE c...,~"~ ""lAVE SEEi'... riEV <.oNEX,;, WITH ALTEF,;\TI('- c ,~mV_f\rEC .)N COLORED PENCIL CHANGES OR ALTn. ' ',l~ 1\~f.\DE TO THE. APPROVED ORAW1NGS OR PROJE'( 1 " ":r' ~.-,F Dr''''-'' BELOW SHALL SF \PPROVED 8'W' THE BUlL. l~' ~,r I ell) V~-. SP NGFIELD, OREGON !.!fROVED BY ~""A_ DATE 1bA~ "/; r;..o I?(, I / .- /" .' / .' } ~~ ' - ~ ,1,.( e,q" '- I "u I / ,/ /' .....' ,.""...",..... / l\ . ~~., ? ' I :1 t-:f:'~ ,e_- ~ "..... /, I I I I '" ~. -~ ~---"'" ,1 " ' \ A .' / .,,,,/ ;&z/~ l1~i i 9 30 {l\vl.)~fi{wk \t\'..l ':;Pf'\'f...\'-t.\.} ,et '1~'11 Q, 1Yf 1/' I \ \ .! I I : I ' , , , I \ ) \ ( , I I' dj' ~1 ~l ! ~ I ,j, lJ'';H,II, :~( -1-. (~=~' ~e ,~, - I~- I ~ ~ ~, ~ ~ ~ '~ ~' I ~~ 1 ! l 1 . \ -....A.I ,f~ \ ~I .' , ~ , -::... I ......., . \ ~~ ~ ~ , ~ . , - '.:, ~ ; '\ ~' -, ',-t ,"', ~ . lo; ~ , , , ~,-~. ~I , , "- --' 0_,- ../ <D"