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Home My WebLink AboutPermit Building 2004-5-14 \ 'I . . CITY OF ~rKll~ut<lJi,LD Building/Combination Permit PERMIT NO: cOM2004-00430 ISSUED: 05/14/2004 . APPLIED: 04/15/2004 EXPIRES: 11/14/2004 VALUE: Status Issued 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 / . '., ~ I CONTRACTOR INFORMATION I I . "'egon law requires VOulD Contractor Type tJP!~~:6Ht~a(;}regon Uti11tr License . . ..n er tlMF>,m""" ""'" Me~hanical _' ;;;, ",;, ..J~YLV~~~QmllMwl[hSALES LLC 155889 C' .,,, YOU may obtai~ '~~~i:~'Of;;'~ :riijJILDlNG INFORMATION I ci:!Irng the center. (Note: the tel ~-I # of Ui1.its:ber for Ihe Oregon Utili~ep # of Stories: Lot Size: Primary Occ1!ltl\'h~\$rY!\RiG-332. tiflC8tion Height of Structure Sq Ft 1st Floor: Secondary Occupancy Group: Type ~'CE' Sq Ft ~nd Floor: Primary Construction Type VN Water1Wp.,epER'M/T Sq Ft Basement: Secondary Construction Type: RangeA~'p.o;bR SHAll EXPIREi~r}\{:..e/carport # of Bedrooms: Ener~ ath. IZED UNDER THIS PE ~ ,: hw:K Sprinkl ~-iM6&l\1ED OR IS A'tfANDO I NOilid: ANV 1 o') '::1': , ._ n no I DEVELOPMENT INFORMAill)\lt.. REQUIRED PARKING Expiration Date 06/16/2005 Phone 541-895-5510 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total:. Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee I of2 I . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00430 ISSUED: 05/14/2004 APPLIED: 04/15/2004 EXPIRES: 11/14/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'S tlWU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Exhaust Hoods Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $9.00 $36.00 4/15/04 4/1 5/04 4/15/04 4/15/04 4/15/04 2200400000000000370 2200400000000000370 2200400000000000370 2200400000000000370 2200400000000000370 Total Amount Paid $62.65 I Plan Reviews I Fire Department Review Initial Review Structural Review 04/16/2004 04/1612004 04/16/2004 04/19/2004 04/16/2004 04/19/2004 OK APP APP GRG RJB 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 Rf'nllirf'rllnsne~tions I 2 Rough Mechanical: Prior to Cover I Final Mechanical: When all mechanical work is complete. 3 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 4 Final Gas: When all gas 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 ofany 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 construction. ~ I ~ .--&t,~Lr=-~~ (/ J~P S- -Ie-( ~ 0 y: ownr~ontracto~nature ~ Date Paee 2 orz 2~ Fifth Street \ Springfield, Oregon 97477 , .541-726-3759 Phone . 8P-~'R~~~~..~.'" ..___.___ .' WiL' l ' , '~. : ~ .. ---- '. ~ of Springfield Official Receipt Welopment Services Department Public Works Department . . Job/Journal Number COM2004-00430 COM2004-00430 COM2004-00430 COM2004-00430 COM2004-00430 Payments: Type of Payment CreditCard 5/17/2004 RECEIPT #: 2200400000000000370 Date: 04/15/2004 Description Exhaust Hoods Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By DONALD TAYLOR Item Total: Check Number Authorization Received By Batcb Number Number How Received Jmp 000356 783168 In Person Payment Total: Page I of 1 7:54:42AM Amount Due 9.00 36.00 10.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65