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HomeMy WebLinkAboutPermit Building 2005-06-15Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line CITY OF SPRIN Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-00709ISSUED: 06/15/2005APPLBD: 06/1012005E)GIRESz 1211512005VALUE: $ 2,000.00 SITE ADDRE$S: 1875 MOHAWK BLVI) ASSESSOR'S PARCEL NO.: 1703251300702 PROJECT DESCRIPTION: Springlield TYPE OF Restaurant TYPE OF USE: Repair Replace fire damaged kitchen hood and vent assembly Owner: Address: Contractor Type General Mechanical VILLAGE INN SPRINGFIELD, LLC 1111 MAIN ST STE 7OO VANCOLTVER WA 98660 Contractor License RESTAURANT EQUIPMENT OF LANE CO 1196120 RESTAURANT EQUTPMENT OF LANE CO 1196120 Expiration Date 06n5t2007 0611512007 Commercial Phone s41-688-3911 s41-688-3911 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyrrd Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: # ofStories: Height of Type of Heat: WaGr Type: Range Type: Enerry Path: ATTENTION:Oreg rr$HiEldcdri res you to nh e VN Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ow ru REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutVDrains trU TUfi PUBLIC IMPRO\TEMENTS Notes: 1of 3 rll l'UlLl-rll\U 11\rr (Jl1VtAl l(Jl\l Notification in OAR 952-001 -0010 through 0090. You maY oi:tairr@.g$lhf gt$tte rules bY calling the center. number for the Center is 1 Status: Issued 225 Ftfth Street, Springfield, OR 541:12G3753 Phone 541-72636768ax 541 :7 26-37 69 I ns pe ction Line GFIELD' Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-00709ISSUED: 0611512005APPLED: 06/1012005E)PIRES: 1211512005VALUE: $ 2,000.00 Descrhtion Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge Appliance Vent Building Permit Exhaust Hoods Minimum/Adj ustment Mechanical Vent Fan Total Amount Total Value of Project Date Paid 6n5t05 6/1s/05 6ltst05 6n5t05 6nstos 6/15/05 6n5t05 6n5t05 Value Date Calculated Receipt Number 1200s00000000000838 1200500000000000838 1200s00000000000838 1200500000000000838 1200500000000000838 1200s00000000000838 1200s00000000000838 1200500000000000838 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $9.00 $6.30 $6.00 $45.00 $9.00 $24.00 $6.00 $11s.30 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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. Special: See Plan Reviewer or Inspectors Notes for specific requirements. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired Insnections 2of3 ,lu Valuation Descrintion I IiEELTATL] D Buildin g/Combin ation Permit Status: Issued 225 Hfttr Street, Springfield, OR 541:7264753 Phone 541-7263676Fax 541:7 26-37 69 Inspe ction Line PERMITNO: COM2005-00709ISSUED: 0611512005APPLIED: 06/1012005E)?IRESz t2lrSl2005VALUE: $ 2,000.00 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 certi$ 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 OCCT PAITCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiS 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 remain on the site at all times during constructionC' l, , r. 3=1F (r-/5.-of Owner or C/ntractors Signature Date 3 of 3 $ 225 Fifth Street Springfield, Oregon 97 47 7 541:726-3759 Phone City of Springfield Official Receipt .:velopment Services Department Public Works Department RECEIPT#: r200500000000000838 Date: 0611512005 10:37:17AM Job/Jurnal Number coM2005-00709 coM2005-00709 coM200s-00709 coM2005-00709 coM2005-00709 coM2005-00709 coM2005-00709 coM2005-00709 Description Building Permit Vent Fan Appliance Vent Exhaust Hoods Minimum/Adjustment Mechanical -Mechanical Issuance Fee- +7o StateSurcharge + l0% Administrative Fee Amount Due 4s.00 6.00 6.00 9.00 24.00 10.00 6.30 9.00 Item Total:$115.30 Payments: Tipe of Payment Paid By Received By eEecknumEi Batch Number ffi Number How Received Amount Paid Cash Change RESTAURANT EQUIPMENT RESTAURANT EQUIPMENT djb djb In Person In Person Payment Total: $ 120.30 ($s.oo) $115.30 Job/Journal Number coM200s-00709 coM2005-00709 coM2005-00709 coM200s-00709 coM2005-00709 coM2005-00709 coM2005-00709 coM2005-00709 Description Building Permit Vent Fan Appliance Vent Exhaust Hoods Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Adminishative Fee Amount Due 45.00 6.00 6.00 9.00 24.00 10.00 6.30 9.00 Item Total:$115.30 Payments: Type of Payment Paid By Received By Check Number Batch Number Authrization Number How Received Amount Paid Cash C:hange RESTAURANT EQUIPMENT RESTAURANT EQUIPMENT djb djb In Person In Person Payment Total: $120.30 ($5.00) $115.30 .t ; 6lts/2005 lofl 5t