HomeMy WebLinkAboutPermit Building 2004-5-26 (2)
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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 I hood installation and gas line install.
Alteration
Commercial
Owner: PUDDING CREEK LAND CO
Address: PO BOX 640 PLEASANT HILL OR 97455
Phone Number: unknown
I CONTRACTOR INFORMATION I
Contractor License
VALLEY FIRE CONTROL INC 101067
TA YLORS EQUIPMENT SALES LLC 155889
I BUILDING INFORMATION I
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# of Units: x-.":- 'lfo($tbries: Lot Size:
Primary Occupancy Group: B ~ ~ ~~\!!1t of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: o~":- ~~ ~ -of Heat: Sq Ft 2nd Floor:
Primary Construction Type ~N ~c}((; ~":-"Water Type: Sq Ft Basement:
Secondary Construction Type: ~"" '\~ ~\)\S Range Type: ~<f~Garage/Carport
# of Bedrooms: ~. ~S~~\)":-~ "r'O~ . Energy Path: '~0"'~~\~her:
t'\.,\\1\J <.~~ <.\) \) <'\~ f::> <,\\). Sprinkled Building: %~,s; ~o~~"lia!!'toLoad:
..'u _ 0",", ."'\'(, ...... '-> ro\.'V .~ r{~ .0.";:) .n-\) ._"-
.'\~~~\)~~~~~~~~' I DEVELOPMENTINFORM~!>~I\~0"'~~~~~~~:~
~ <'\~~ 'O~ \) .0'. lI.0o 0"'\ f.f ~~0 R,~QlJIRED PARKING
~" "" '\ O~. t,o~ '\~ ~o>S, f:> 0 ....~0 .~OSJ>
FrontyardSetback: "r~ OverlayDi~~ fiJ'lJ' lI.0\' "'OS- 0~,0,~0 ~O""lotal:
Side I Setback: ' # Stree~eS(8.~dc..0~ J;:P~<:O ~~0""0' .~~ ~andicapped:
Side 2 Setback: Paved ~rJ;re~~~~"" 0'<;) ~. ~ 0<:0 -V~'/,:<j,~ Compact:
Rearyard Setback: % of Lo'P@lW:!(:~:., ~'b-~ 0~00\0<:$ ';:)",5
Solar Setbacks: ~ O~ -I.O~ ~0 (; ~0 ,fij
,(\ r~' .f\.. _4 .\.~
I PUBLIC IMPRO~ME~Ic,e<:O"'"
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Sidewalk Type:
Contractor Type
General
Mechanical
Expiration Date
09/28/2007
06/16/2005
Phone
541-928-9523
541-895-5510
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of3
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CITY OF SPRINGFIELD'
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
Estimate
Estimate
$1.00
2,000.00
$2,000.00
$2,000.00
OS/24/2004
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
-Mechanical Issuance Fee- $10.00 4/15/04 2200400000000000370
+ 10% Administrative Fee $4.50 4/15/04 2200400000000000370
+ 7% State Surcharge $3.15 4/15/04 2200400000000000370
Exhaust Hoods $9.00 4/15/04 2200400000000000370
Minimum/Adjustment Mechanical $36.00 4/15/04 2200400000000000370
Plan Review Comm/IndlPublic $29.25 5/18/04 2200400000000000585
-Mechanical Issuance Fee- $10.00 5/24/04 2200400000000000634
+ 10% Administrative Fee $4.50 5/24/04 2200400000000000634
+ 7% State Surcharge $3.15 5/24/04 2200400000000000634
Miscellaneous Mechanical $45.00 5/24/04 2200400000000000634
Plan Review Fire & Life Safety $18.00 5/24/04 2200400000000000634
+ 10% Administrative Fee $5.20 5/25/04 2200400000000000655
+ 7% State Surcharge $3.64 5/25/04 2200400000000000655
Add, Alter, Extend Circ $43.00 5/25/04 2200400000000000655
Add, Alter, Extend Circ Ea Add $9.00 5/25/04 2200400000000000655
+ 10% Administrative Fee $4.50 5/26/04 2200400000000000660
+ 10% Administrative Fee $4.50 5/26/04 1200400000000000813
+ 7% State Surcharge $3.15 5/26/04 2200400000000000660
+ 7% State Surcharge $3.15 5/26/04 1200400000000000813
Building Permit $45.00 5126/04 2200400000000000660
Building Permit $45.00 5/26/04 1200400000000000813-
Total Amount Paid $338.69
I Plan Reviews I
Fire Department Review 04/16/2004 04/19/2004 OK GRG
Initial Review 04/16/2004 04/16/2004 APP RJB
Structural Review 04/16/2004 04/19/2004 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.
I I?poJlirl"~ In<.nPI'Hnno .
I 11 III WMW
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.
Paee 2 of3
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2004-00430
ISSUED: OS/26/2004
APPLIED: 04/15/2004
EXPIRES: 11/2612004
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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 ~AC1 / ,~l'Z6 J p if
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Owner or Contractors Signature Date
Paee30f3
225 Fifth Street
Springfield, Oregon 97477
. 541-726-3759 Phone
Job/Journal Number
COM2004.00430
COM2004.00430
COM2004-00430
Payments:
Type of Payment
CreditCard
5126/2004
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RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DANIEL LANSING
61
~ of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
1200400000000000813
Date: OS/26/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 000394 026735 In Person
Payment Total:
Page I of I
1:56:I3PM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65