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HomeMy WebLinkAboutPermit Building 2003-7-9 . . . Ll1 f OF ~n(Jj'\jlJt<u,LD 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00602 ISSUED: 07/09/2003 APPLIED: 07/09/2003 EXPIRES: 0110912004 VALUE: Status Issued SITE ADDRESS: 602 MAIN ST ASSESSOR'S PARCEL NO.: 1703353108700 Springfield TYPE OF WORK: Restaurant TYPE OF USE: PROJECT DESCRIPTION: Upgrade fire suppression system for kitchen exhaust hood. Repair Commercial Owner: V AN HOUTEN JAN S & GLORIA H Address: 2445 DONEGAL ST EUGENE OR 97404 Owner: CAFE 131 Address: % SALGADO ENTERPRISES 1NC 3375 KNAVE ST EUGENE OR 97404 I CONTRACTOR INFORMATION I Contractor Type General Owner Contractor A-I FIRE PROTECTION VAN HOUTEN JAN S & GLORIA H License 100355 Expiration Date 06/23/2006 Phone 501-9615 BUILDING INFORMATION' # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENTlNFORMATION I REQUIRED PARKING Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Over IllY Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverllge: Total: Handicapped: Compact: I,PUBLIC IMPROVEMENTS I Street Improvements: Storm S,ewer Available: , " I '''jUlles you t Special Instruction:' ,'" '" VA by the Or"9 U ..0 , "on lillly . . t rhos,," rules Notes: ','Uf, '-l"'lf1h . are set fori . ..;,1 . , .". ,,,",' t. rouch OAR 9'52-00 " I, " ':In cop::" of the rules t c Iler. (Nole: Ihe tel h fr. '.n~ ep one . . "~~n Utility Netificalion "'>?- "'1114). Sidewalk Type: DownspoutslDrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 OAY PERIOD. Paeelof2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00602 ISSUED: 07/09/2003 APPLIED: 07/09/2003 EXPIRES: 01/09/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction I Valuation Descriotion , $ Per Sq Ft Square Footage or multiplier or Bid Amo,!nt Value Date Calculated Total Value of Project l.Fp.es PaidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 7/9/03 7/9/03 7/9/03 2200200000000001200 2200200000000001200 2200200000000001200 Total Amount Paid $52.65 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. ~ired Tnsnedion\.l 1 Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. By signature, I state and agree, that 1 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 Cily 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 Communily Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projcct. 1 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. t~~(}J _ ~ 7-f?-C'~ Owner or Contractors Signature. Date Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-00602 COM2003-00602 C0M2003-00602 Payments: Type or Payment Check Description Building Pennit + 7% State Surcharge + 10% Administrative Fee Paid By A-I FIRE PROTECTION &l~l Receipt #: 2200200000000001200 Received By dIm Check Number Batch Number Authorization Number 2639 City of Springfield Official Receipt Development Services Department Public Works Department v Date: 07/09/2003 10:58:S3AM Item Total: .. Amount Paid 45.00 3.15 4.50 SSZ.6S Amount Paid $52.65 SSZ.65 . How Received In Person Payment Total: .