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
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6lts/2005 lofl
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