HomeMy WebLinkAboutPermit Building 2008-6-27
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED'
APPLIED'
EXPIRES,
VALUE:
COM2008-00663
0612712008
05/09/2008
12'2712008
$ 35,000 00
SITE ADDRESS 1805 PIONEER PARKWAY EAST Spllngfield TYPE OF WORK Restaurant
ASSESSOR'S PARCEL NO 1703262302001
PROJECl DESCRIPTION Jack m the Box Remodel
Owner VR INC - VIN MEHTZ
Address 4150 S PACIFIC HWY
MEDFORD OR 97501
TYPE OF USE
AlteratIOn
Commercial
Phone Numher 541-512-2900
I CONTRACTOR INFORMA nON I
Contractor Type
Arcllltect
Electncdl
Contractor
JOHN DAVID DUFFIE ARCHITECT
ALERT ELECTRIC INC
License
ExpiratIOn Date Phone
541-734-2027
0512212009 541.747-2213
12772
BUILDING INFORMA nON I
# of UOIts
Pnmdry Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
A2
VB
I
Lot SIze
Sq Ft 1 st FloOJ
Sq Ft 2nd Floor'
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
95
3,518
No
I DEVELOPMENT INFORMATION'
I PUBLIC IMPROVEMENTS' Ity
. Ol forth
I' (' , SldewalkT);pe 'r 052.001-
mUh IS-.!2vOI-VU,~LI''-'l.... ), ,....,
0090 y{Jgw,l,lJlpQ)ltsIDrallIs:eO G! [,le rules by
callmg the center (Note the telephone
number 10r the Oregon Utility NotificatIOn
Center IS 1-800-332-2344),
Frontyard Setback
SIde I Setback
Sule 2 Setbdck
Rearyard Setbdck
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Street Improvements
Storm Sewer.'Ayadable
SpeCial Instriic,t\9'i 'ERfVlIT SHALL EXPIRE IF T: IE WORK
AUTHORIZED UNDER THIS PI::RIVIII IS I~OT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Notes
Paee 1 on
REQUIRED PARKING
Total
HandIcapped
Compact
, t~
Status
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DescriptIOn
Tvpe of ConstructIOn
EstImate
Estimate
Fee DescrIptIOn
-Meeh Iss 2+ Appllances-
+ 10% AdmmIStrdtlve Fee
+ 12% State Surchdrge
+ 5% Techuology Fee
Buddmg PermIt
DemolitIOn
MIScellaneous MechdUlcal
Plan Review Commllnd/Publle
Plan Review Fire & Life Safety
Total Amount P dId
ImtIal Review
0511212008
Public Works RevIew
05/1212008
Planum!!: Review
Structurdl Review
05/12/2008
05/12/2008
SUB RevIew
05112/2008
Fire Department Review
05/1212008
I ValuatIOn DescrlOtlon I
$ Per Sq Ft
Or multIplier
$100
Square Footage
or Bid Amount
35,000 00
Total Value of Project
Fp~, ~
Amount Paid
Date Paid
$40 00
$4117
$49 41
$20 59
$311 74
$50 00
$50 00
$202 63
$12470
6/27/08
6/27/08
6/27/08
6127/08
6127/08
6127108
6127/08
6/27108
6/2 7/08
$890 24
I Plan Reviews I
05/1212008
APP LLH
05/14/2008
APP JHJ
OS/21/2008
OS/21/2008
APP EMM
APP LLH
OS/29/2008
APP JF
06/07/2008
APP GRG
Page 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00663
ISSUED- 06/27/2008
APPLIED' 05/0912008
EXPIRES: 1212712008
VALUE $ 35,00000
Value
Date Calculated
$35,000 00
$35,000 00
05/12/2008
Receipt Numbel
1200800000000000704
1200800000000000704
1200800000000000704
1200800000000000704
1200800000000000704
1200800000000000704
1200800000000000704
1200800000000000704
1200800000000000704
Fife Fee does not apply - eXlstmg
square footage No plumbmg per
Steve Graham
SDC Worksheet No New SDC's
(JHJ)
Plans reviewed by Mlck Nolte at the
BUIld 109 Department nnder contrael
With the City of Spnngfield
Energy Code Plan Review approved
See attached documents
See attached docnment for Fire
Department Plans RevIew
comments
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO, COM2008-00663
ISSUED: 0612712008
APPLIED: 05/09/2008
EXPIRES 12127'2008
VALUE $ 35,000 00
225 F,lth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
To Request an mspectIon call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7.00
a.m will be made the same workmg day, mspectlOns requested after 7.00 a,m will be made the followmg
work day
I ~ef)UJrecl Tns,}ectJo~s I
Frammg Inspection PrIor to cover and after all rough IU IOspectIons have been approved
LathIPlaster To be made after alllathmg and gypsum board, mtenor and extenor are 10 place, but pnor to
plastenng
Fmal BUlldmg After all requIred mspectlOns have been requested and approved and the bUIld 109 IS complete
Rough Mechallllal Pnor to Cover
Fmal Mechamcal Wben all mecbamcal work IS complete
SUB Cellmg Gnd Intenor Llghtmg
SUB Fmal After all reqUIred energy mspectlOns have been requested and approved
By signature, T state and agree, that T have carefully exammed the completed apphcatlOn and do hereby certify that all
mformatlOn hereon IS tI ue and correct, and T further certify that any and all work performed shall be done 10 accordance with
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUP ANCY wIll be made of any structure wIthout permISSIon of the Commumty Services DIvIsIOn, BuIldmg Safety
1 further certify that only contractors and employees who are 10 comphance with ORS 701 005 wIll be used on this project
I furthel agree to ensure that all required mspectlOns 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 remam on the SIte at all
tI~,~~~ h~7~%
Owner or Contractors Signature Dat/ A /
Paee 3 of 3
225 FIfth Street
Sprmgfield,Oregon,97477
541-726-3759 Phone
~." RI~Q.Iau>~
l.J.~ .
iii: .
CIty of Sprmgfield Official ReceIpt
Development ServIces Department
Public Works Department
Job/Journal Number
COM2008-00663
COM2008-00663
COM2008-00663
COM2008-00663
COM2008-00663
COM2008-00663
COM2008-00663
COM2008-00663
COM2008-00663
Payments
Type of Payment
Check
cRecemt]
RECEIPT #,
1200800000000000704
Date: 06/27/2008
DescriptIOn
Plan Review CommlInd/Pubhc
Plan RevIew F,re & Life Safety
BUlldmg Penmt
Demohtlon
MIscellaneous Mechamcal
-Mech Iss 2+ Apphances-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve fee
Paid By
VRINC
Item Total
<":heck Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
25004
In Person
Payment Total
nJm
Page 1 of I
81832AM
Amount Due
202 63
12470
31174
5000
5000
4000
2059
4941
4117
$890 24
Amount Paid
$89024
$890 24
6/27/2008