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
.
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cReceipt.rpt