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
\-/~
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Owner or Contractors Signature
Pa2e 3 of 3
C( 22 ~CX3
Date
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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~
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