HomeMy WebLinkAboutPermit Building 2006-04-21Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00337ISSUED: 0412112006
APPLIEDT 0312212006EXPIRES: 1012112006VALUE: $ 3,500.00
SITE ADDRESS: 1501 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253404401
PROJECT DESCRIPTION: Storage area in back room.
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration Commercial
PhoneNumber: 541-736-1391Owner:
Address:
MOHAWK TAVERN
PO BOX 214
SPRINGFIELD OR 97477
\)
2a
^eoO
Contractor Type
General
Electrical
Contractor
KEPHART CONSTR
EUGENE
Expiration Date
04/03/2008
0311712007
Phone
541-746-2129
541-344-3561
OT
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor;
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
A-2
VB
nla 180
Overlay Dist:,"r11gflllY
# Street rtlbt*.[g{jI st
Paved,,BriSWfi',1 :Ut
% or(qq€qvqM}e?t -
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
no)l\0\l dopea\p
I\\'
PARKING
LF
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00337ISSUED: 0412112006
APPLIEDz 0312212006
EXPIRESz 1012112006VALUE: S 3,500.00
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 3,500.00
Total Value of Project
Amount Paid Date Paid
Value
$3,500.00
$3,500.00
Date Calculated
03t22t2006
Fee Description
Plan Review Comm/Ind/Public
+ l0oh Administrative Fee
+ 8%o State Surcharge
Building Permit
Plan Review Fire & Life Safety
Total Amount Paid
$3e.39
$6.06
$4.85
$60.60
s24.24
3t22t06
4tzu06
4t2u06
4t2t/06
4t2U06
Receipt Number
2200600000000000368
2200600000000000491
2200600000000000491
2200600000000000491
2200600000000000491
$135.14
F ees
Plan Reviews
Fire Department Review
Initial Review
Plan Review Comments
Planning Review
Public Works Review
Structural Review
Structural Review
SUB Review
SUB Review
03t23t2006 03t2412006 WE JMP
WI. Received faxed structural
response from O'Jay Omlid.
Interior Only.
Interior partition only, no new space
of fixtures. No SDCs
See attached documents for 4
structural comments faxed to O-Jay
Omlid.
Received final internal review.
Need energy code forms &
worksheets for Bldg. envelope &
HVAC 41112006jf Requested from
contr.4/5/06dlm
Received energy code forms for
envelope and HVAC, forwarded to
Jack Foster 4l7l06dlm. No energy
code issues or inspections.
03t2312006
03t2312006
03t23t2006
03t23/2006
04n9t2006
03t23t2006
03t23t2006
04n0t2006
03t27t2006
04t0612006
04n9t2006
04t0u2006
LLH
JMP
EMM
SB
JMP
JF
IO
APP
APP
APP
APP
WE
04t07t2006 04n0t2006 APP JF
To Request an inspection call the 24 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.
Page 2 of3
3
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00337ISSUED: 0412112006
APPLIEDz 0312212006
EXPIRESz 1012112006VALUE: $ 3,500.00
Framing lnspection: 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.
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 alt 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 Communify 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
times during construction.
4r.r-.,rk /L
Owner or Contractors Signature Date
Paee 3 of3
Reouired lnspecuons I
II
E
&{E x 9i
Add Oclctc Hclp
ffi
$24.24
$50.60
$4.85
$6.06
coM2006-00337
coM2006-00337
coM2006-00337
coM2006-00337
1077
1 002
1 099
1 0s8
$24.24
$60.60
$4.85
$6.06
Plan Review Fire I Life Salety
Euilding Permit
+ 8% State Surcharge
+ 10% Administrative Fee
$9s.7sln Person3S86CheckFLUKE ENTERPRISES CORP djb
EelpCloseFirstPriorllextLnstReprim
I S @@ to:tEAI,1
\
Carc llo Reu Acct llo
224-00000-425E02
224-00000-425602
821 -00000-21 5004
2?4-00000-42660s
hletlrod f,onfirm 1lo
EI$#&,ffi r i'$E&i*{*.]i{ffi
CITY OF RINGFIELD, OREGON
lov
{x,225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)72G3753 o FAX: (541)726-35S9
E LE CT RI CAL PE RM IT AP PLI CATI ON
City Job Number C-orrrrt 6-o3j Date 5 5 0
1. LOCATION OF INSTALIATION 3. COMPLETE FEE SCIIEDLILE BELOW
/501 tlloh*vrl- Rb J
LEGAL DESCRIPTION A. New Residential - Single or lllulti-Family per dwelling unit.
t103 Zs 3rl b.tL{o (Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
JOB DESCRIPTION
AU Z ct rcsl,; lS
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. O0IJIIX.ACTORINSTALTA'IrON ONLY
Electrical Contractor aE<[F.- E^., 2oo
Address 1 F+h
UND ER 1\{8
City Sxt"r IS
$s0.00
B. Scrvices or Feeders - Installation, Alterations or Relocation:
$ 63.00
$ 75.00
$ 125.00
$ 163.00
$375.00
$ s0.00
Phone
Address Fo Boy Z lt(
City <Pr'\Phone 731 - 13?
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
4fu s,
(@'mPs
1000 Amps
\S 1000 AmpsA/ols
Only
8% State Surcharge
l0% Administrative Fee
TOTAL
I
Supervisor License Number 4swY C. Temporar.v Services or Fceders
Installation,
200 Sgonto
1
$ 50.00
$ 69.00
$ 100.00
" above,
Per Panel V3q32$ 43.00
Circuit or with
or Feeder Permit / $ 3.oo ]
E. Miscellaneous (Service/feeder not included) -Each [nstallation
Pump or inigation $ 50.00
Limited EnergyiResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. suBrorALoFABovE (/L
36tw<u ze
Inspection Request: 726-37 69
Shared Drive(T:)/Building Forms/Electrical Permit Application l -06.doc
7
q
Expiration Date
Constr. Contr. Number
Expiration Date
Signature Electrician sbz
\n 10u
Owners Name
Se\
$106.00
$ 19.00
b.
D.
/
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00337ISSUED: 0412112006APPLIEDz 0312212006EXPIRES: 11/0512006VALUE: $ 3,500.00
SITE ADDRESS: 1501 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253404401
PROJECT DESCRIPTION: Storage area in back room.
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration Commercial
Owner:
Address:
Contractor Type
General
Electrical
MOHAWK TAVERN
PO BOX 214
SPRINGFIELD OR 97477 AUlHORI
OR IS ABAND
THIS PE RTHZED UNDE
ONED FOR
RMII SHAL'1-736-1391
Phone
54t-746-2129
541-726-8601
Contractor
KEPHART CONSTRUCTION LLC
MNB ELECTRIC INC
License
57213
r62t9t
Expiration Date
04/03/2008
tut9t2006
# 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
A-2
VB
regon
are
one
t Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
r80
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
\atN
11\I Ut(lVlA I IUI\
Status Issued
225 Fifth Street, Springfield, OR
541-126-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PRIN
Building/Combination Permit
PERMIT NO: COM2006-00337ISSUED: 0412112006APPLIED: 0312212006EXPIRES: l110512006VALUE: $ 3,500.00
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 3,500.00
Total Value of Project
Amount Paid Date Paid
Value
$3,500.00
$3,500.00
Date Calculated
03t22t2006
Fee Description
Plan Review Comm/Ind/Public
+ lOoh Administrative Fee
+ 87o State Surcharge
Building Permit
Plan Review Fire & Life Safety
+ l0oh Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$39.39
$6.06
$4.8s
$60.60
$24.24
$4.60
$3.68
$43.00
$3.00
$189.42
3t22t06
4t2u06
4t2U06
4t2u06
4tzu06
st8t06
5t8t06
5/8/06
5t8t06
Receipt Number
2200600000000000368
2200600000000000491
2200600000000000491
2200600000000000491
2200600000000000491
I 2006000000000006 I 7
1 200600000000000617
120060000000000061 7
1 20060000000000061 7
F pps Pqid
Plan Reviews
Fire Department Review
Initial Review
Plan Review Comments
Planning Review
Public Works Review
Structural Review
Structural Review
SUB Review
03t23t2006 03t24t2006 WE JMP
WI. Received faxed structural
response from O'Jay Omlid.
Interior Only.
Interior partition only, no new space
of fixtures. No SDCs
See attached documents for 4
structural comments faxed to O-Jay
Omlid.
Received final internal review.
Need energy code forms &
worksheets for Bldg. envelope &
HVAC 41112006 jf Requested from
contr.4/5/06dlm
Received energy code forms for
envelope and HVAC, forwarded to
Jack Foster 4l7l06dlm. No energy
code issues or inspections.
03t23t2006
03t23t2006
03t23t2006
03t23t2006
04t1912006
03t23t2006
03t23t2006
04n0t2006
03t27t2006
04t06t2006
04n9t2006
04t0U2006
LLH
JMP
EMM
SB
APP
IO
APP
APP
APP
WE
JMP
JF
JFAPPSUB Review 04t07t2006 04n0t2006
Page 2 of3
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00337ISSUED: 0412112006APPLIEDz 0312212006EXPIRES: lll0512006VALUE: $ 3,500.00
To Request an lnspection call the 24 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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
times during construction.
Owner or Contractors Signature Date
Pase 3 of3
l(eourreo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C'. of Springfield Official Receipt
D,, elopment Services Department
Public Works Department
RECEIPT #: 1200600000000000617 Date:05/08/2006 2:35:00PM
Job/Journal Number
coM2006-00337
coM2006-00337
coM2006-00337
coM2006-00337
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l0o Administrative Fee
Amount Due
43.00
3.00
3.68
4.60
Item Total:$s4.28
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
CreditCard MICHAEL GOWINS djb 607508 In Person $54.28
Payment Total :
-5Ei-28-
cReceint I Page I of I 5t812006
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