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Home My WebLink AboutPermit Building 2005-11-16rF Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01619ISSUED: 1111612005 APPLIEDz 1111612005EXPIRES: 05/1612006VALUE: $ 4,000.00 SITE ADDRESS: 1135 MOHAWK BLVD Springfield TYPE OF WORK: Restaurant ASSESSOR'SPARCELNO.: 1703253316900 TYPE OF USE: Alteration PROJECT DESCRIPTION: ADD EXT. DOOR AND SOFFIT AT COUNTER ' Owner: Address: DOMINO'S PIZZA PO BOX 4321 SALEM OR 97302 Contractor Type General Contractor RICH DTJNCAN Expiration Date 0u1612008 Commercial Phone 503 390-4999 License 158330 CONTRACTOR INFORMATION BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Center il fr ilT#tffi ffitrmr ^r ri 3,n3fCOMMENOED ON IS ANY I80 DAY PERIO$"BANDONED FOR A2 VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARIflNG Total: Handicapped: Compact: nla $ Per Sq Ft or multiplier E Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEM Description Type of Construction Pase I of2 Value Date Calculated isl Street Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01619ISSUED: 1111612005APPLIEDz 1111612005EXPIRES: 05/1612006VALUE: $ 4,000.00 Bid Amount Use Bid Amount Fee Description + l0Yo Administrative Fee + 7oh State Surcharge Building Permit Plan Review Comm/Ind/Public Total Amount Paid $1.00 4,000.00 Total Value of Project Date Paid 11/16/0s tut6l05 rut6t05 tut6t05 Receipt Number 220050000000000r588 2200500000000001588 2200s00000000001s88 2200500000000001588 $4,000.00 $4,ooo.oo 11n612005 Amount Paid $6.06 $4.24 $60.60 $39.39 $110.29 Fees Paid Plan Reviews To Request an inspection call the24 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. leouired Insnections 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 701.005 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 of the property, and the approved set of plans will remaln on the site at all times during construction. Owner or Pase 2 of 2 Date 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone oity of Springfield Oflicial Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000001588 Date: 1,111612005 t0:422261N1 Job/Journal Number coM200s-01619 coM2005-01619 coM2005-01619 coM2005-01619 Description Plan Review Comm/Ind/Public Building Permit + 7Yo State Surcharge + l0% Administrative Fee Amount Due 39.39 60.60 4.24 6.06 Item Total:$110.29 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check RICH DUNCAN CONST INC DLM 3705 In Person Payment Total:$r10.29 $110.29 ,\. ll :t :( tUt612005 Page I of 1 ;