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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 t xaIafr