HomeMy WebLinkAboutPermit Building 2004-5-26
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CITY OF SPRINti.t<l~L1J
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00430
ISSUED: OS/26/2004
APPLIED: 04/15/2004
EXPIRES: 11/26/2004
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1010 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703220002306
Springfield TYPE OF WORK: Restaurant
TYPE OF USE:
PROJECT DESCRIPTION: Type 1 hood installation and gas line install.
Alteration
Commercial
Owner: PUDDING CREEK LAND CO
Address: PO BOX 640 PLEASANT HILL OR 97455
Phone Number: unknown
Contractor Type
General
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
VALLEY FIRE CONTROL INC 101067
TA YLORS EQUIPMENT SALES LLC 155889
BUILDING INFORMATION I
Expiration Date
09/2812007
06/16/2005
Phone
541-928-9523
541-895-5510
# of Stories: Lot Size:
Height of Structure Sq Ft 1 st Floor:
J'yj,e of Heat: Sq Ft 2nd Floor:
VN ~'W~~ Type: Sq Ft Basement:
"''V:-~ ~ge Type: Sq Ft Garage/Carport
~ # ~~ Path: Sq Ft Other:
o~ o~'f' ~~)rinkIed Building: n/a O~llft Load:
~'<.-,'<~~~ ~'?J~"J~.
~ ~"''''r-:DtVELOPMENT INFORMATION' ~0" 0<:- ~~ <;:;~".,..4.
C:>~ ~<<:: ",?-"V <.0~O<.0<8~0\~"'uIREDPARKING
~'_~ -\:)~ -%>~, ~ 0 f':>~~ ~ ~0
Frontyard Setback: ~ ~~. ~ ~<<:- ~~ Overlay Dist: ~,'I> -<s' .sf{, O~ 1.<:-0TfJJ{il:~o<:-
Side 1 Setback: ~~"''2> q,<<:: ~~"'~~ ~<{; # Street Trees Rqd: 0~ b"Q40 i'"Cf ~~ Jf~~apped:
Side 2 Setback: "'~ ~'V:-<::3 ~ <VJ~ Paved Drive Rqd: ,O~ R....f{, ,,~o ~o '{!Ie, 1.<:-0....~act:
Rearyard Setback: ~ ~~ '0~ % of Lot Coverag~o~' ,/>00 ~<t;-' ,~'" <:P~ ~0~.'&,~ rI"
Solar Setbacks:'. ",<::3 _~ " /~ ~0e, cl' 5)~ ...'if' ~o -v":$ n;'li .
-~ ...(v -tV '" ~";5j A ,....<::- n.~
, I PUBLIC IMPROViME~.i.s,t'V~~'1>\ v0~v O<.0~'O~-J
~v ~ AO~ ",0 :<::-0.,SO.
~ 0 Q,~iMwa!!<- '. ype:
',<:- Rl~' '&,<:' -<.~ ~
CSCS v~ ~'<,Oo~poutslDrains:
<:-v
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!elof3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Exhaust Hoods
Minimum/Adjustment Mechanical
Plan Review CommlIndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Miscellaneous Mechanical
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Total Amount Paid
Fire Department Review
Initial Review
Structural Review
04/16/2004
04/16/2004
04/16/2004
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00430
ISSUED: OS/26/2004
APPLIED: 04/15/2004
EXPIRES: 11/26/2004
VALUE: $ 2,000.00
$1.00
2,000.00
Total Value of Project
$2,000.00
$2,000.00
OS/24/2004
Fpp<. PiIiILI
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$9.00
$36.00
$29.25
$10.00
$4.50
$3.15
$45.00 .
$18.00
$5.20
$3.64
$43.00
$9.00
$4.50
$3.15
$45.00
4/15/04
4/15/04
4/15/04
4/15/04
4/15/04
5/18/04
5/24/04
5/24/04
5/24/04
5/24/04
5/24/04
5/25/04
5/25/04
5/25/04
5/25/04
5/26/04
5/26/04
5/26/04
2200400000000000370
2200400000000000370
2200400000000000370
2200400000000000370
2200400000000000370
2200400000000000585
2200400000000000634
2200400000000000634
2200400000000000634
2200400000000000634
2200400000000000634
2200400000000000655
2200400000000000655
2200400000000000655
2200400000000000655
2200400000000000660
2200400000000000660
2200400000000000660
$286.04
I Plan Reviews I
04/19/2004
04/16/2004
04/19/2004
OK GRG
APP RJB
APP JMP
Called Zach at Taylor's for pick up
and gave counter hours.
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.
7 Rough Mechanical: Prior to Cover
3 Final Mechanical: When all mechanical work is .complete.
6 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
2 Final Gas: When all gas work is complete.
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Final Fire Department. After all requirements of the Fire Department have been met.
I Final Building: After all required inspections have been requested and approved and the building is complete.
Paee 2 00
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CITY OF ~rK1NGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00430
ISSUED: OS/26/2004
APPLIED: 04/15/2004
EXPIRES: 11/26/2004
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
8 Rough Electric: Prior to Cover
9 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
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 constructio
Jt7Y1 .S-~~~q
Date
Paee 3 00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00430
COM2004-00430
COM2004-00430
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RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Check
5/2612004
T~A!~!!-F1~. '.' I
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.ty of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
2200400000000000660
Date: OS/26/2004
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
TAYLOR EQUIPMENT SALES jmp
5035
In Person
Payment Total:
Page I of 1
1I:28:27AM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65