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Home My WebLink AboutPermit Building 2004-10-5 ,. . . CITY OF SPRINGFIELD. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * Building/Combination Permit PERMIT NO: COM2004-0Il08 ISSUED: 10/05/2004 APPLIED: 09/07/2004 EXPIRES: 04/05/2005 VALUE: $ 10,000.00 Status Issued SITE ADDRESS: 346 MAIN ST ASSESSOR'S PARCEL NO.: 1703353107200 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: Ruthie B's Antique Shop and Tea Room. includes adding or extend 10 circuits Owner: SPFD LODGE #70 100F Address: 342 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Applicant General Electrical Mechanical Plumbing Contractor RUTH BALLENGER JWH CONSTRUCTION INC 157103 ANTONE ELECTRIC INC 145436 MARSHAL4!.~O~1aw ,..,l.;;~,tlmJ1D VOS PLUM~~J!lllftItlh.ttdbyCh80re00il<WI!1ty =I,""BUlLV~a#~~.oo~: tQ9O. ~f'Sio.!t~ll!18s of the rules by ="~htlofl5~i,tIlI tel~phone ~;utllftY Notif1catlon VN Gemila-~ Range Type: Energy Path: Sprinkled Building: License Expiration Date 09/2312005 04/23/2005 12/23/2005 04/04/2006 Phone 747-3677 541-221-6015 541-689-4560 541-747-7445 541-485-055 I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: . Nlf'''''$J,IC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE IF ~1Jromt< Type: AUTHORIZED UNDER THIS PERMIT1IIb~1QpoutslDralns: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Paee I 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Estimate Tvpe of Construction Estimate Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review CommlInd/Public -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Building Permit Exhaust Hoods Fixture Minimum/Adjustment Mechanical SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Fire Department Review 09/10/2004 Initial Review Plannlne Review Public Works Review 09/10/2004 09/10/2004 09/10/2004 Structural Review 09/13/2004 Structural Review 09/29/2004 . . CITY OF SPRINvl'l.I'..i..D Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/05/2004 APPLIED: 09/07/2004 EXPIRES: 04/05/2005 VALUE: $ 10,000.00 I Valualiion DescrilJtion I " $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Total Value of Project Fpp< PIilIJ Amount Paid Date Paid $7.00 $4.90 $43.00 . $27.00 $69.81 $10.00 $23.64 $16.55 $107.40 $9,00 $84,00 $36.00 $10.00 $5,664,94 $653.44 $316.42 9/7/04 9/7/04 9/7/04 9/7/04 9/13/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 $7,083.10 I Plan Reviews I 09/29/2004 OK GRG 09/13/2004 09/23/2004 09/23/2004 APP SKG APP EMM APP SB 09/21/2004 WI JMP 09/29/2004 APP JMP Paee 2 of3 Value Date Calculated $10,000.00 $10,000.00 09/10/2004 Receipt Number 1200400000000001315 1200400000000001315 1200400000000001315 1200400000000001315 2200400000000001153 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 See attached documents for fire department plan review comments, SDC's for MWMC only, due to Downtown Redevelopment District. Received 5 sheets of taped together sketch of Ooor plan. Waiting for other Internal reviews. Received final internal review. Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/05/2004 APPLIED: 09/07/2004 EXPIRES: 04/05/2005 VALUE: $ 10,000.00 . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 09/10/2004 09/10/2004 WE DLM SUB Review 09/10/2004 09/1712004 APP JF CITY V!' ~rK11'1tJNELD Applicant was requlested to submit. teh following additional dwgs: I. Kitchen equipment legend Identifying the location of each item of equipment. 2. Accurate drawings of existing restrooms to an appropriate scale such as 1/4" per foot. 3. Floor plan drawing of the overall tenant space showing locations of the kitchen, restrooms and espresso bar and Identifying the proposed use of the remaining spaces. No energy code Issues. 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. I Reouired ueetion.... Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building Is complete. Rough Plumbing: Prior to cover and Including required testing. Final Plumbing: When all plumbing work Is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 1 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 Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ohny structure without permission of the Co'mmunlty 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 thai 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. d, Ib A. Owner or contra4:ure .-MA !/ - Date Pal!e30f3 /0 -s- -0 L/ / . ATfACHMENTA _ CITY RINGFIELD SYSTEMS DEVELOPMENT CHARG~HEET JOURNAL OR JOB NUMBER C0M2004~1I 08 NAME OR COMPANY: RlffiIIE B'S ANTIQUES AND TEA ROOM LOCA TIQN: 346 MAIN ST MAP & TAX LOT NUMBER: 1703353107200 PEVELOPMENT TYPE: SPECIALTY RETAIL AND RESTAURANT NEW DEVELOPED AREA (S,F,): 6.215.80 ANTIQUES NEW DEVELOPED AREA (S,F,): 784.20 RESTAURANT EXlSTING DEVELOPED AREA (S,F,): 7000 TOTAL IMPERVIOUS SURFACE (S.F.): ITE: ITE: lTE: LOT SIZE (S.F.): 814 931 814 I STORM DRAINAGE IMPERVIOUS SQ. IT. $ 0.310 PER SF x TOTAL STORM DRAINAGE SDC:I .' , , w ~ tl . 8.~~ : .S A a o O.tiJ I~ .' W - .~ h $0.00 1070 2 SANITARY S"WFR~\IY A. REIMBURSEMENT COST: NUMBER OF DNs B, IMPROVEMENT COST: NUMBER OF DNs (SEE REVERSE SIDE) 20 x $ 24,04 PER DFU 20 X $ 18.28 PER DFU CREDIT FOR DOWNTOWN REDEVEWPMENT DISTRICT TOTAL WCAL WASTEWATER SDC:I $ $480.87 . )091 $365,54 : 1092 , $ 846,41 3 TRANSPORTATION BLOG AREA TGSF X TRIP RATE X COST PER ADT X NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 6.216 X 44,32 B. IMPROVEMENT COST: 6,216 X 44.32 NEW A. REIMBURSEMENT COST: 0,784 X 89,95 B. IMPROVEMENT COST: 0,784 X 89,95 EXlSTING A. REIMBURSEMENT COST: ,7,000 X 44.32 B. IMPROVEMENT COST: ,7.000 X 44.32 0,75 NTF 1$ 3.780,66 I 0,75 NTF 1$ 16.678,36 I 0,8 NTF 1$ 1.032,59 I 0,8 NIT 1$ 4.555,26 1 0,75 NTF 1$ (4.257,64)1 X $ 18.30 PER TRIP X X $ 80,72 PER TRIP X X $ 18.30 PER TRIP X X $ 80,72 PER TRIP X X $ 18.30 PER TRIP X $ 80,72 PER TRIP X 0,75 NTF 1 $ (18.782,54)1 TOTAL TRANSPORTATION REIMBURSEMENT SDC:' $ TOTAL TRANSPORTATION IMPROVEMENT SDC:' $ CREDIT FOR DOWNTOWN REDEVEWPMEJIoT DISTRICT TRANSPORTATION SDC:J $ I $ X 555.61 1093 2,451.08 1094 3.006.69 - 4 SANrrARYSEWER,MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 6,216 X $23.44 PER FEU 1$ 145,681 B, IMPROVEMENT COST: NUMBER OF FEU's 6,216 X $247.23 PER FEU 1$ 1.536.74 1 NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,784 X $856,69 PER FEU 1$ 671.81 1 B, IMPROVEMENT COST: NUMBER OF FEU's 0,784 X $7,471.08 PER FEU 1$ 5.858,82 1 EXlSTING: A. REIMBURSEMENT COST: NUMBER OF FEU's ,7,000 B. IMPROVEMENT COST: NUMBER OF FEU's ,7.000 MWMC CREDrr IF APPLICABLE (SEE REVERSE) 1$ (164,06)1 X $23.44 PER FEU 1$ (1.730,62)1 $ $ $ $ X $247,23 PER FEU TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADM1N1STRA TIVE FEE: 1SteveCOMBuiIdSDCJUL2004.xls 1l1S4, 653.44 10$1' 5,664.94 : I~S5" 10.00 "056' 1 JU~Y'2004 . TOTALMWMCSDC:' $ SUBTOTAL (ADD ITEMS 1,2,3, & 4) , $ 5 ADMINlSTRA TIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) steve",- w. ~eQ",oIrij ~Qri'\.l$ SDC COORDINATOR 1 SteveCOMBuildSDCJUL2004.x1s $ . 6.328.38 I S 6.328,38 I 6,328.38 x 5% $ 316.42 TOTAL TRANSPORT AnON ADMINlSTRA nON FEE:l $ TOTAL SEWER ADMINlSTRA nON FEE: $ .. 6,328.38 h;;,:... 316.42 4:~~, .<:Jit,,; ~:~? iJ078 ~~':l...~, :IQ~9. .f;.,:,~, 9/23/2004 DATE TOTAL SDC CHARGES rr- 6,644.80 1 JULY 2004 225 Fifth Street ..~. ,J .,. Spri"gfield,' Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01108 COM2004,O 1108 COM2004-0 1108 COM2004-0 1108 COM2004-0l108 COM2004-01108 COM2004-01108 COM2004-0II08 COM2004-01108 COM2004-01108 COM2004-01108 Payments: Type of Payment Check Check Job/Journal Nnmber COM2004-01108 COM2004-01108 COM2004-01108 COM2004-01108 COM2004-01108 COM2004-01108 COM2004-01108 COM2004-01108 COM2004-01108 COM2004-0 II 08 COM2004-01108 . RECEIPT #: 8_R~~NQ~~ ""_.,"'_ .!. ~,~ . , "'- -"-' - ' ~' , a:ity of Springfield Official Receipt Wbevelopment Services Department Public Works Department 2200400000000001239 Date: 10/05/2004 Description Fixture Minimum/Adjustment Mechanical Exhaust Hoods -Mechanical Issuance Fee- SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By THE BALLENGER CO RUTHIE BS ANTIQUES Description Fixture Minimum/Adjustment Mechanical Exhaust Ho.oqs , -Mechanical Issuance Fee- SDC MWMC Reimbursemenf' SDC MWMC Improvement SDC MWMC Administration' SDC Sanitary/Storm Admin Building Permit .. . + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Check Check 10/5/2004 THE BALLENGER CO RUTHIE BS ANTIQUES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5306 In Person djb 1094 In Person Payment Total: , , Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 5306 1094 In Person In Person Payment Total: Page I of I 8:09:55AM Amount Due 84.00 36.00 9.00 10.00 653.44 5,664.94 10.00 316.42 107.40 16,55 23.64 $6,931.39 Amount PaId $6,644.80 $286.59 $6,931.39 Amount Due 84.00 36.00 9.00 10.00 653.44 5,664.94 10.00 316.42 107.40 16.55 23.64 $6,931.39 Amount Paid $6,644.80 $286.59 $6,931.39 I. . -~ - \' . I \ Status Issued . . CITY OF SPRINGFIELD' Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-01I08 ISSUED: 10/08/2004 APPLIED: 09/07/2004 EXPIRES: 04/08/2005 VALUE: $ 10,000.00 SITE ADDRESS: 346 MAIN ST ASSESSOR'S PARCEL NO.: 1703353107200 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Remodel PROJECT DESCRIPTION: Ruthie B's Antique Shop and Tea Room. 10/512004 added HV AC. includes adding or extend 10 circuits Commercial Owner: SPFD LODGE #70 IOOF Address: 342 MAIN ST SPRINGFIELD OR 97477 Contractor RUTH BALLENGER JWH CONSTRUCTION IN~~,\ 157103 ANTONE ELECTRIC I~ ~r:::, 145436 MARSHALLS INC '\~ ~ f? R- 25790 VOS PLUMBING.W~o..~ " \~ 41805 0-~Ch lIuiiDING INFORMATION' .p~" ~~ # of Units: . S~ ~<<: s {S> # of Stories: ,:, "'~~t Size: Primary Occupancy Group:' -~" -0~..." ",<:::,' Height of Structure -A~O"~ ~t 1st Floor: ,,:,..'" o..~';v \;)' ~v "'_ v,~ ~. Secondary Occupa?5!,~~o~p: -$ 'X<:::, ~<<: Type of Heat: ~ p.,O~ <,e'SfJ!Pl ~d Floor: Primary ConstructIon TYpe~r:::,~ ~" VN Water Type: ...e(S.O...q; ~e C/l<9Q-Fj'<Basement: Secondary Constructi~Ty'pe:# <;::, <:::,'C' Range Type: ,'I>~ ~e ~e<' ~ '~"1-o<fJD[fge/Carport # of Bedrooms: ~~r:::,""~ ,,'() Energy Path: f:bO~ 'Q"" '" 0"'-S ~ 0 !o.~'l!.(f\~frler: ~ Sprinklcd Buildii,''',;'\.eO.<~o'!i ~0<'O 0"'wpant Load: \ ., ,~ ^~ .~~- kl~'lC. sLXJlLc.e. . ~b~'p...e~~ ~,y' O .J ,~- "o~ _",'I; REQUIRED PARKING ~o 1--.e...' ~ ~:r ~ e~ O...q; 'b<:S ~ ~v~e,.fi>'" '"o"'~l : oq; \ ~ Contractor Type Applicant General Electrical Mechanical Plumbing Frontyard Setba'ck: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: , CONTRACTOR INFORMATION I License Expiration Date Phone 747-3677 541-221-6015 541-689-4560 541-747-7445 541-485-0551 09/23/2005 0412312005 1212312005 04/04/2006 Total: Handicapped: Compact: ~ '... _._~"'l(;,IMPROVEMENTS' Sidewalk Type: DownspoutslDralns: Paeelof3 " I \ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review CommlIndlPublic -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Building Permit Exhaust Hoods Fixture Minimum/Adjustment Mechanical SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin + 10% Administrative Fee + 7% State Surcharge Boller/Comp Up To 100,000 btu Furnace - more than 100,000 Gas Outlets 1-4 Total Amount Paid . . CITY OF SPRIr\iljl'1J!,LlJ Building/Combination Permit PERMIT NO: COM2004-0II08 ISSUED: 10/08/2004 APPLIED: 09/07/2004 EXPIRES: 04/08/2005 VALUE: $ 10,000.00 I Valuation Descriotion I 5 Per Sq Ft or multiplier 51.00 Square Footage or Bid Amount 10,000.00 Total Value of Project )?pp< PlWLI Amount Paid Date Paid 57.00 54.90 543.00 527.00 569.81 510.00 523.64 516.55 5107.40 59.00 584.00 $36.00 510.00 55,664.94 5653.44 5316.42 511.20 57.84 548.00 560.00 54.00 9/7/04 9/7/04 9/7/04 9/7/04 9/13/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/8/04 10/8/04 10/8/04 10/8/04 10/8/04 57,214.14 I Plan Reviews , Fire Department Review 09/10/2004 09/29/2004 OK GRG Initial Review 09/10/2004 09/13/2004 APP SKG Plan nine Review 09/10/2004 09/23/2004 APP EMM Public Works Review 09/1 0/2004 09/23/2004 APP SB Structural Review 09/13/2004 09/21/2004 WI JMP Structural Review 09/29/2004 09/29/2004 APP JMP Paee 2 00 Value Date Calculated 510,000.00 510,000.00 09/10/2004 Receipt Number 1200400000000001315 1200400000000001315 1200400000000001315 1200400000000001315 2200400000000001153 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001261 2200400000000001261 2200400000000001261 2200400000000001261 2200400000000001261 See attached documents for fire department plan review comments, SDC's for MWMC only, due to Downtown Redevelopment District. Received 5 sheets of taped together sketch of Ooor plan. Waiting for other Internal reviews. Received final Internal review, . . CITY OF SPRINGFIELD ,. , I Building/Combination Permit . Status Issued PERMIT NO: COM2004-01108 225 Fifth Street, Springfield, OR ISSUED: 10/08/2004 541-726-3753 Phone APPLIED: 09/07/2004 541-726-3676 Fax EXPIRES: 04/08/2005 541-726-3769 Inspection Line VALUE: $ 10,000.00 Structural Review 09/10/2004 09/1012004 WE DLM Applicant was requiested to submit teh following additional dwgs: 1. Kitchen equipment legend identifying the location of each item of equipment. 2. Accurate drawings of existing restrooms to an appropriate scale such as 1/4" per foot. 3. Floor plan drawing of the overall tenant space showing locations of the kitchen, restrooms and espresso bar and Identifying the proposed use of the remaining spaces. Structural Review 10/05/2004 10/05/2004 OK JMP HV AC only. SUB Review 09/1012004 09/17/2004 APP JF No energy code Issues. SUB Review 10/05/2004 10/0812004 APP JF Added HV AC. 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required Inspections have been requested and approved and the building Is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: Wben all plumbing work Is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover. SUB Final: After all required energy inspections have been requested and approved. 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 tbe 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, tbat tbe 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. ~~ V. Owner or Contractors Signature /t:JIf!/~.y Date Paee30f3 225' Fifth Street Springfield, Oregon 97477 ci 541-726-3759 Phone " . J:Q~:~ Wit, aity of Springfield Official Receipt ~evelopment Services Department Public Works Department Job/Journal Number COM2004-01108 COM2004-01l08 COM2004-01108 COM2004-0l108 COM2004-01108 Payments: Type of Payment Check 10/812004 RECEIPT #: 2200400000000001261 Date: 10/08/2004 Description Furnace - more than 100,000 Gas Outlets 1-4 Boiler/Comp Up To 100,000 btu + 7% State Surcharge + 10% Administrative Fee Paid By MARSHALL'S INC. Item Totai: Check Number Authorization Received By Batch Number Number How Received jmp 18242 In Person Payment Total: Page 1 of I 2:12:23PM Amount Due 60.00 4.00 48,00 7.84 11.20 $131.04 Amount Paid $131.04 $131.04 " . . * ~ . Lu f OF SnUr'H,,1<lJ!,LD Building/Combination Permit PERMIT NO: COM2004-01181 ISSUED: 09/23/2004 APPLIED: 09/23/2004 EXPIRES: 03/23/2005 VALUE: $ 1,000.00 Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line - SITE ADDRESS: 346 MAIN ST ASSESSOR'S PARCEL NO.: 1703353107200 Springfield TYPE OF WORK: Commercial Miscelllineous TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Replace dryrotted facia. Owner: SPFD LODGE #70 IOOF Address: 342 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor JWH CONSTRUCTION INC License 157103 Expiration Date 09/23/2005 Phone 541-221-6015 I BUILDING INFOR,MATION I ~v' ~ # or Units: # o[sti\l1e~ \\10 Lot Size: Primary Occupancy Group: B \\~~igh~\l)1<St&cture Sq Ft 1st Floor: Secondary Occupancy Group: \.~ ;~JPe<OQfe'j;f: Sq Ft 2nd Floor: Primary Construction Type . VN~",\..\.. '\~~-::t&"'(ype: Sq Ft Basement: Secondary Construction TYI!\\.~' ~'\ CO ~\)\.9;-. ",<<Range Type: Sq Fe!> GaragelCarport # of Bedrooms: ~~' 'X\.~ 1.X-\) '\) 109;-. \S ~~nergy Path: ~t~ther: ",~S. \'!0~ rx.\) o\.~\S Sprinkled Building: nla '~0"'-O:~'ai~~ad: \ .-(y\ ...."'\\J .1 Y ,....s ~('\~..\ .....'\ ~~\J~\l~'O\J \)'1 DEVELOPMENT INFORMATI~ v0 0\7~0 "'~':l'l:v~ 'Q'1 ",\\-.J.. 0'0u~ 'Q'\ ~~ \,s,0 0"'9;-. 0\V~U1RED PARKING 0\ 00 S0 ~ ~~ ~~o 'O~ Overlay Dist: O~' OO~~ ,\,<;--0 \O-S'e"'O ,-~0 ~: #StreetTr~'l!ll;~ ~,-0\' t\<::'~ O~~ .\5'0 ~O andicapped: Paved D,I:I.~'].q~0 ~ 00 v<::'<::' ~-if,~ ~~0'-00'-"~'\ ~~~mpact: % of LO\~'V~rl,Wj::W<::'<::' ~ o'Q 0\' I::! O~ ~'l:~ _'O~\~<?- 9J ,}~?> v0~~ O\eC$o..<::'<;Y'5 ~ rr ..In ie>. f> .. ~"U I PUBLIC IMPROV~N\Fs1~ ,0\ ~0<-::> _~~00 ~-S Sidewalk Type: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Descriotion I Description Estimate Type of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,000.00 Value Date Calculated Total Value or Project Pal1e I of2 $1,000,00 $1,000.00 09/23/2004 i . . '-..11 f OF ~nUl~ut<lJ!,LU Building/Combination Permit PERMIT NO: COM2004-01181 ISSUED: 09/23/2004 APPLIED: 09/23/2004 EXPIRES: 03/23/2005 VALUE: $ 1,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ F..... tiWU Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 9/23/04 9/23/04 9/23/04 1200400000000001384 1200400000000001384 1200400000000001384 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. RI~ll'l. ir"d TI' 'llections I (rilh ___Irll f Final Building: After aU required inspections have been requested and approved and the building is complete. 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 ofany 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 permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times(Z'2~~ 7-2d -O~ Owner~r Contra~tors Signature Date Pal!e 2 of2 ./ r.::<,tth Street ...fngfield, Oregon 97477 I y41-726-3759 Phone Job/Journal Number COM2004,Ol181 COM2004,Ol181 COM2004,O 1181 Payments: Type of Payment Check 9123/2004 . RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By JWH CONSTRUCTION "!!~."~~~._I;1ELD. ""_.._ "'. Mt' .. .~ ; ~ , n_..._. 1200400000000001384 ~ of Springfield Official Receipt Welopment Services Department ,j Public Works Department Date: 09/23/2004 Item Total: Cbeck Number Authorization Batch Number Number How Received Received By jmp Page I of I 8530 In Person Payment Total: 1:28:24PM Amount Due 45.00 3.15 4.50 $52.65 Amount Paid $52,65 $52,65 ".....". . .....'- "'-: '''I'' , -;... ~ ..... ....-""'-""'-... i .~.._.i ... . u_n.....'.... "-.",. . ,.....~._" i . , , _....... ''', u,_., . ._-j'-".;~-'-!" i .~.:-~...: ...... i ,,! : i., --.. .-~'- WI'" n .1...... I, 'fD'p, .:_._- , . g"f~':e..I}} , ,J~~",' /"!~'2 .'Sf -?;>~., J:i ~/q',- Of( IX r ":~ ~tlA)"Sf, . , '..'.."'/ !-X",.,.t, (Jni~...,f.o..f: """,,'le.~I...L,.' , . iI . H~-I D"'", ': It (lJ ..~.,."., : "I ,- ,..~ - .'..... :... .......r'... " ' . 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