HomeMy WebLinkAboutPermit Building 2002-8-23
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I Job# 02-00914-01 I
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TRANS#:01-0010396
DATE:AUG 23 2002
AMT RECD:2 $ 218.32
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00914-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 868 Main St Spr
Assessors Map#: 17033542
Lot: Block: Addition:
Tax Lot #: 05800
Subdivision:
Owner:
Mark & Susanne Worman
Phone Number: 541-726-7670
Address:
329 Wood lane Drive
City/StatelZip: Springfield, OR 97478
Value: $0\0
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Contractor Regist'ration:~""cExPlratlOn~Date~eS 0 Phone
~~' -a.ov, ",' u~'" \~",. f\V
Mark & Susanne Worman ",\"\ \u\aSce-r.\e\' ~o~\O \aSO\ a\a9~0 ~~!I,1-726-7670
329 Wood lane Drive, Springfield, OR \0\\0.'" 7J-\\0-r. Oov\j\j ~,(l\-r.c.()la..\~e"~o\\\\c.~
97478 ~0\\\\C.a9~'l: 7J-'10'\l a\'\..~O u\\i\\'1_^b.~.
O\lo.~' ,_" \\' e-r." _,,1\ ().?::/'<'
Burrell Brcs Enterprises Inc \-r. ~J~446\~eC e08/20~~0j)3~
40159 Booth Kelly Road, Springfield, OR)Cl c.-a.\\\-r.~ \ \0\ \\'1 \S ~-~
97478 -r.u~'Oe Ce-r.\e\
Barnes High Tech Plumbing Inc 83311 2/17/2004
2787 Olympic St Ste 27, Springfield, OR
97477
New
Scope Of Work: Tenant Infill
Colfee Time Collectibles
Contractor Type
General Contr
Electrical Contr
541-683-8373
Plumbing Contr
541-726-9854
Final Fire
Final Building
Office Use \J'r-'t.
Quad Area: Land use:'~'tl~~a9s:
# Of Units: Zoning Code: j-I?\'r-li:. ~~\IP~~~ Group:
Constr. Type: Bedrooms: ~\. <i:: ~S \l~~&~ce:
Water Heater: Range: . ~\fVfic;:....~'0. S~~\\li:.'r- '\~ \I..~~~"ootage:
,,'? \,'(." '\),j. \';) ~~
To request an inspection call the 24 hour recording at ~\~1ll9?-\1~~~k(j)requested before 7:00
a.m. will be made the same working day, inspections re~\~~~\\\-.~i~\n, will be made the following
working day. c,\J~\\ 'O\} 'V
Required 1~~1ctions'
I Buildinq I
-When all Fire Department requirements have been met.
-When all required inspections have been approved and the building is complele,
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
-When all electrical work is complete,
Plumbina
Rough Plumbing
- Prior to cover.
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I Job# 02-00914-01 I
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Required Inspections
I Plumbing
-When all plumbing work is complete,
Final Plumbing
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
I Area (Sq. Feet)
Main: Accessory:
Fee
Commercial Plan Check
Total Plan Check
State Surcharge For Building Permit
Partial Inspection - Building
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Branch Circuits WID Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Backflow Prevention Device
Patriallnspectin - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Grand Total
Plan Check Type
Checked By
Structural-Res
Structural-C/IIP
Fire Marshal-CII/P
Tom Marx
Tom Marx
AI Gerard
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plan Check
08/23/2002 10396
Page 2 of 3
Value/Quantity
Building
08/23/2002 10396
08/23/2002 10396
08/23/2002 10396
Electrical
07/30/2002 0010088
07/30/2002 0010088
07/30/2002 0010088
07/30/2002 0010088
Plumbing
08/23/2002 10396
08/23/2002 10396
08/23/2002 10396
08/23/2002 10396
08/23/2002 10396
08/23/2002 10396
Date Completed
Comment
08/12/2002
08/12/2002
08/07/2002
Fee Amount
3,000
$34,32
$34.32
1
$3,15
$45,00
$3.60
$51.75
10
$,00
$70,00
$4,90
$5,60
$80.50
4
$,00
$56,00
$8,05
$14,00
$45,00
$9,20
$132.25
$298.82
1
1
Plan Review - Tenanllnfill, coffee shop no
grease laden vapors or cooking, 0-1 Mount
fire extinguisher with handle with handle 3' - 5'
above floor.
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. I Job# 02-00914-01 I . Page 3 of 3
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
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 701.055 will be used on
this project.
I further agree to ensure that all requi ed inspections are requested at the proper time, that each
address is reada~~~i~~et, at the permit card is located at the front of the property, and the / /
apPro~~i ~ 0 ,'the site at all times during construction. ~~Oz..
Signature i ' .. Date