HomeMy WebLinkAboutPermit Building 2003-7-9
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. 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
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. 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:
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