HomeMy WebLinkAboutPermit Building 2003-08-12----r-::
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00633ISSUED: 08/12/2003APPLIDDl. O7/76/2o03EXPIRES: 0217212004VALUE: $ 3,000.00
SITE ADDRESS: 1360 MOHAWKBLVD
ASSESSOR'S PARCEL NO.: 1703253310000
PROJECT DESCRIPTION: Install dividing wall
Owner: RICH HICKAM
Address: 2048 FIRTH SPRINGFIELD OR 97477
Springlield TYPE OF WORIft Interior
TYPE OF USE: Alteration Commercial
S
follow rules regon
Notification Center. Those rules are set fori
roug
obtain copies of the rules t
Contractor Type
General
Contractor
A & R ENTERPRISES
callino the center. (Note: the teleohone
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# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
NOTICE:
COMMENCED
Overlay Dist: ANY 180 pAY
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 3,000.00
Total Value of Project
Pase I of3
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
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ffi r#flpr"-.-"
PER|0D. rotal:
Handicapped:
Compact:
A-3
VN
Description
Bid Amount
Type of Construction
Use Bid Amount
Sidewalk Type:
Downspouts/Drains:
Value
$3,000.00
$3,ooo.oo
Date Calculated
071t612003
PUBLIC IMPROVEMENTS
Valuation Descrintion
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Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-7263753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00633ISSUED: 0811212003APPLIEDz 0711612003EXPIRESz 0211212004VALUE: $ 3,000.00
Fee Description
Plan Review Comm/Ind/PubHc
+ l0%o Administrative Fee
+ 7oh State Surcharge
Building Permit
Plan Review Fire & Life Safety
Total Amount Paid
Amount Paid
$34.32
$s.28
$3.70
$s2.80
$21.12
$117.22
Date Paid
7n6t03
8lt2t03
8n2t03
8fizt03
8fizt03
Receipt Number
1200200000000001774
1200200000000001939
1200200000000001939
1200200000000001939
1200200000000001939
Plan Reviews
Fire Department Review 0711712003 0713012003 OK GRG Plan Review: addition of partition
wall in bar for supporting two
televisions.
Maintain fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet oftravel distance
(Springfield Uniform Fire Code
1002.1).
Reminder: Electrical extension
cords SHALL NOT BE USED as
permanent wiring for power to the
televisions (SUFC 8506.1).
Told Aaron Hanson that an
electrical permit would also be
required with the appropriate fees
(no extension cords).
Initial Review
Planning Review
Public Works Review
Structural Review
SUB Review
07n7t2003
0711712003
07t22t2003
0711712003
0711712003
07t22t2003
07t25t2003
07t3U2003
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EMM
PJO
JMP
APP
APP
APP
APP
07n7t2003 07t2st2003 APP JF
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same \ryorking day, inspections requested after 7:00 a.m. will be made the following work
day.
I Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Final Building: After all required inspections have been requested and approved and the building is complete.
3 Final Fire Department. After all requirements of the Fire Department have been met.
Reorrired fnsneefions
Pase 2 of3
I'ees Paid l
FIELD
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00633ISSUED: 0811212003APPLIED: 0711612003EXPIRES: 0211212004VALUE: $ 3,000.00
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 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 remain on the site at all
g tz-oi
Owner or Contractors Signature Date
Pase 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
#: 120020000000000 1 93 9 Date: 0811212003 8:29:41AM
coM2003-00633
coM2003-00633
coM2003-00633
coM2003-00633
PIan Review Fire & Life Safety
Building Permit
+ lYo State Surcharge
+ l0o/o Administrative Fee
21.12
52.80
3.70
s.28
Item Total:$82.90
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check A & RENTERPRISES ddk In Person
Payment Total:
$82.90
$82.90
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