HomeMy WebLinkAboutPermit Building 2004-10-21
.
. CITY OF SPRINu,HI!.LU
Building/Combination Permit
PERMIT NO: COM2004-01300
ISSUED: 10/21/2004
APPLIED: 10/21/2004
EXPIRES: 04/2112005
VALUE: $ 1,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3521 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703153301300
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Soda fountain change out after demo of 14' of drywall soffit and repair.
Commercial
Owner: BP WEST COAST PRODUCTS, LLC
Address: 4 CENTERPOlNTE DRIVE LA PALMA CA 90623
Phone, Number: 714-670-5228
I CONTRACTOR INFORMATION I
Contractor ~
0.: '
MENG HANNAN QON~RUCTION CO 47283
~ -tdJqILDING INFORMATION.
~#'<.'-J
# of Units: " ~ ~:f5> # of Stories: Lot Size:
Primary Occupancy Gr'oup: 1$'" ~}, & Heigbt of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: "''-<;......~ ~ Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type ~ {5'~'?:' Water Type: >>.!;J,~ ~ Sq Ft Basement:
Secondary Construction T\~~.;;? ~ $:)' Range Type:' f?-R ~ ....o~ S)--S'l Ft Garage/Carport
# of Bedrooms: ~. ~ <;::) '5 ~ #' Energy Path: ,~ro 0<:- 'oW 9? SjjIFt Other:
~ ~ ~ <$> ~<<) Sprinkled Building: ro~ f,.roC53 1& ~ ~0~~Ull.ant Load:
" Q 0.: <:, A.. " ("j _ 0- < "'.~
~:::fi!"~-<;:::,">' I DEVELOPMENT INF~41~~1-'~~"; ::-..$~i:,:,#
:'V ~ ~ ~.....J ~~, 0 0 .s; 'S$ REQUIRED P RKlNG
'?:' r<;:S :-\, 0C53 1:> 0"" ~~'0" _",0 ~O ~ A
" ~ ..I:Y ,8i ~'<::' ~ ~ ..., ~ '-oJ'
Frontyard Setback: '?:' Overlay D:.s: 0'1 f,.' (;)'" vO ,iI'!t !Ii'
Side I Setback: # Street ~~~q~ (;)(;)" if <ito I;::.::s:"'rff
Side 2 Setback: Paved tf.i~Rqjf.~" #,f;' r!? s?'
Rearyard Setback: % o,f,,456~<f.'!:,.vsr~: ~ 0~ r::l' ~
Solar Setbacks: '<' '.s,o, v'1i ~ >>~ 0 () :<::-0 '-eo
,0 ~~ Q-.. .(") ...'<:'- 1.-":: .......
I PUBLIC IMPRQ'V~~i'~rrp<:-'
, I ..{ v
'>J J- 1;::'
~.:$ Sidewalk Type:
Contractor Type
General
License
Expiration Date
05/13/2006
Phone
503-761-5290
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
1,500.00
Value
Date Calculated
Total Value of Project
Paee I of2
$1,500.00
$1,500.00
10/21/2004
.
. CITY OF SPRIr"lljt<IELD
Building/Combination Permit
PERMIT NO: COM2004-01300
ISSUED: 10/21/2004
APPLIED: 10/21/2004
EXPIRES: 04/21/2005
VALUE: $ 1,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fp.p.~ P3id I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review CommllndlPublic
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$45.00
$29.25
10/21/04
10/21/04
10/21/04
10/21/04
2200400000000001319
2200400000000001319
2200400000000001319
2200400000000001319
Total Amount Paid
$81.90
I Plan Reviews I
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 Ren"ired I~np.~t~nw
Drywall: Prior to taping.
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 during :nstRt: " {() /"l , 10 t/
....,"ft,,,;;,.. s;..~ D...
Palle 20f2
225 Fifth Street
.
/': S}li"ingfield, Oregon 97477
" 541-726-3759 Phone
.
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lit,' \
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" ,
~ity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
RECEIPT #:
2200400000000001319
Date: 10/21/2004
9:49:38AM
Job/Journal Number
COM2004-01300
COM2004-0 1300
COM2004-0 1300
'.. COM2004.01300
Description
Plan Review Comm/Ind/Public
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
29,25
45,00
3,15
4,50
$81.90
Amount Paid
Check
MENG.HANNAN
CONSTRUCTION CO"lNC.
jmp
25109
In Person
$81.90
Payment Total:
$81.90
.'"
10/21/2004
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