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HomeMy WebLinkAboutPermit Building 2003-5-16 . . CITY OF ~rK11~ul'1~LD I 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * Building/Combination Permit PERMIT NO: COM200~-00300 ISSUED: 05(16(20-03 APPLIED: 04(24(2003 EXPIRES: 1lf16(2003 VALUE: $ 4,000.00 Status Issued SITE ADDRESS: 868 MAIN ST ASSESSOR'S PARCEL 'NO.: 1703354205800 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add type I hood and 3 appliances Owner: CORKUM B JUNE Address: 507 N TOMAHAWK ISLAND DR PORTLAND OR 97217 Contractor Type Mechanical Owner ,0 ,,\). _u\ _0$' ,,~,... ~ I CONTRACTOR INFORMATl0N 'I~'O R)' ,'b-~ ,<,u" 7J." b~':$ 'Q) Contractor 0,,0'0 "",\~ ,1.iC'ense<1l ,JExlliration Date '!..'u"'tJO~1 "v .11 0' :\\" DENNIS MARICLE ~9 ",0 ~0",0 6{,O35 ~ ~ R~O ~12119/2003 CORKUM B JUNE _<,\,0 _ 9>OO~o~:' ~ \~~0'V~,0'" 00 ,0\0",\\c,'lJ'. KBllIlJDI'NG-INF0RMA iioN:I~~'\ ~~,. '0"-. 'b-"- n_V' ,\ u- ~s :(\ v n.'/:. , ."r:, -~" ~1 :1.0 ,,0 ~'O" ~o'\#~!,S!~~ies: 0 c,0'0 O~0'" R\\)" Lot Size: . ^ (Height-of Structure "..<8 Sq Ft 1st Floor: \'" :",\\,' _n.~ ~\.,. .~ roI'f,ype'of,Heat:' ,p~' Sq Ft 2nd Floor: \or ,..'0.'- 0:' ~,v Water('fYpe::J0 Sq Ft Basement: R -"T ange ype: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: Phone 541-935-3625 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B VN SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I REQUIRED PARKING Street Improvements: Storm Sewer A v.ailable: Special Instruction: Overlay Dist: # Street Trees Rqd: ~\)~~\ Paved Drive Rqd: \~f,;. c. ~\) s.:.\<( ~\';> % of Lot Coverage: ~\~ ~~~ <(\)~ ,,,\,.\. ~~~{:> ~C\~~\) I PUBLle;t,MP~OYE)1~T~ ,,'O~'~- ';~\S ";~1-~~\) \)\~\)\). Sidewalk Type: ~\:)\'0 ~f,;.~\J\)~ ~ DownspoutslDrains: ,,\)~ \'O\) ~~'l. Total: Handicappcd: Compact: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft Square Foota!!e Value Date Calculated Pa!!e I of3 . . Ul t OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00300 ISSUED: 05/16(2003 APPLIED: 04(24(2003 EXPIRES: 11(1612003 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 4,000.00 $4,000.00 $4,000.00 05116/2003 Total Value of Project FpP~ tIiI.I Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 5/16/03 1200200000000001229 + 10% Administrative Fee $10.56 5/16/03 1200200000000001229 + 7% State Surcharge $7.39 5116/03 1200200000000001229 Building Permit $60.60 5/16/03 1200200000000001229 Exhaust Hoods $9.00 5116/03 1200200000000001229 Gas Outlets 1-4 $4.00 5/16/03 1200200000000001229 Minimum/Adjustment Mecbanical $26.00 5116/03 1200200000000001229 Plan Review CommlIndlPubllc $39.39 5/16/03 1200200000000001229 Vent Fan $6.00 5/16/03 1200200000000001229 Total Amount Paid $172.94 I Plan Reviews I Fire Department Review 04/25/2003 05116/2003 APP AG Plan review - hood system (suppression) -Provide 1 K-type fire extinguisher in accordance with fire code requirements (3' to 5' above the Ooor, along the path of egress from the fryer. -contact Springfield Dcputy Fire Marshal Gilbert Gordon at 726-2295 for witness of acceptance test of system. Structural Review 04/25/2003 04/28/2003 APP TCM 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. 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Final Fire Department. After all requirements of the Fire Department have been met. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 6 Rough Mechanical: Prior to Cover 7 Final Gas: When all gas work is complete. 8 Final Mechanical: When all mechanical work Is complete. Palle 2 of3 . . CITY OF ~rK11'1ld<11!,LD' Status Issued Building/Combination Permit PERMIT NO: COM2003-00300 ISSUED: 05(1612003 APPLIED: 0412412003 EXPIRES: 11(16/2003 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line By signature, 1 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 furlher certify that any and all work performed sball be done in accordance with tbe 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 ermit ca d is cated at the front of the property, and the approved set of plans will remain on the site at all time,s durin VfJJcli , Sifc7;D.:s Date Palle 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00300 COM2003-00300 COM2003-00300 COM2003-00300 COM2003-00300 COM2003-00300 C0M2003-00300 COM2003-00300 COM2003-00300 Payments: Type of Payment Check 5/1 6/2003 City of Springfield . " Development Services Department : Public Works Department Official Receipt . Receipt #: 1200200000000001229 Description Plan Review CommlIndlPublic Building Permit Exhaust Hoods Gas Outlets 1-4 -Mechanical Issuance Fee- Vent Fan Minimwn/ Adjustment Mechanical + 7% State Surcharge + 10% Administrativc Fee Paid By WELBYS CAR CARE 2:28:26PM Received By djb Date: 05/16/2003 Amount Paid Item Total: 39.39 60.60 9.00 4,00 10,00 6,00 26.00 7.39 \0,56 $172.94 . Check Number Confirm No Amouot Paid How Received In Person Payment Total: 172.94 $172.94 . Page I of I cReceipt.rpt