The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-02-15Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line SPRIN Building/Combination Permit PERMIT NO: COM2007-00059ISSUED: 0211512007 APPLIEDz 0111212007 EXPIRES: 09/0812007VALUE: $ 100,000.00 ARKING Total: 6 Handicapped: Compact: SITE ADDRESS: 1509 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253403900 PROJECT DESCRIPTION: Stepina's Bar & Grill Tenant Improvement. TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration PhoneNumber: 541-484-2214 Springfield Owner: Address: Contractor Type General Electrical Mechanical Plum # 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: CUDDEBACK INVESTMENTS PO BOX 10066 EUGENE OR 97440 Contractor BEAR MOUNTAIN ELECTRIC BEAR MOUNTAIN ELECTRIC LLC COMFORT FLOW WILLAMETTE VALLEY PLUMBING #of A-2 Paved '/o of License t36298 136298 460 170401 Expiration Date 08t06t2007 Commercial Phone 54r.741-8844 541-741-8844 541-726-0100 541.344-0411 rport VB z @o Sidewalk Type: Downspouts/Drains: Sqo nla # Notes: Page I of4 LUI\ I I(AL I UK II\ T ryJ Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line SPRIN Buitding/Combination Permit PERMIT NO: COM2007-00059ISSUED: 0211512007APPLIEDz 0111212007 EXPIRES: 09/0812007VALUE: $ 100,000.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 100,000.00 Total Value of Project Amount Paid Date Paid Value $100,000.00 $100,000.00 Date Calculated 0,/12t2007 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Backflow Device Fixture -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Exhaust Hoods Gas Outlets l-4 Minimum/Adj ustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursemeut Temp Occupancy Temp Occy (R/A/A) C & I Temp Occy (R/A/A) C & I $367.67 $226.26 $35.00 $17.50 $28.00 $14.00 $336.00 $10.00 $61.07 $30.s3 $48.85 $505.O5 $9.00 $4.00 $32.00 $178.1I s234.27 $10.00 $17,970.73 s2,162.52 $82.85 $1,258.04 $5,104.92 $1,157.21 $100.00 $100.00 $r00.00 Ut2t07 Ut2t07 ut8t07 yt8,t07 Ut8t07 ut8t07 Ut8t07 2n5t07 2n5t07 2n5t07 2n5t07 2n5t07 2n5107 2n5/07 2n5t07 2n5t07 2tr5/07 2n5107 2n5t07 2/15t07 2n5t07 2n5t07 2n5/07 2n5107 3/2t07 3t30t07 5n107 Receipt Number 2200700000000000048 2200700000000000048 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000r61 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 r200700000000000r61 1200700000000000161 r20070000000000016r 1200700000000000161 I 2007000000000001 6l 2200700000000000285 2200700000000000430 2200700000000000629 Fees Paid Total Amount Paid $30,244.18 Pase 2 of 4 Plan Reviews .5 rul 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 SPRIN Building/Combination Permit PERMIT NO: COM2007-00059ISSUED: 0211512007 APPLIEDz 0111212007 EXPIRES: 09/0812007VALUE: $ 100,000.00 Fire Department Review 0211512007 02nst2007 0K GRG Fire Department Review 0112312007 02n4t2007 OK GRG Plans Review: Commercial Kitchen Hood and Duct Fire Suppression System. Job #COM2007-00174. Designer: Dan Liebersbach. Contractor: National Fire Fighter Corporation. This system is for the relocation of Stepinas Bar and Grill to 1509 Mohawk Boulevard. See Job #COM2007-00059 for plans review comments. System to be installed is an Ansul R-102 3.0 gallon wet chemical system meeting UL 300 standards. The system will use 10 out of a maximum ll flow points for the protection ofthe hood and duct, range, char-broiler, griddle, and fryers (all gas appliances). The submittal appears to meet code requirements. See attached document for Fire Department Plans Review comments. PROPERTY OWNER NEEDS TO SUBMIT MDS APPLICATION AND INSTALL PERCENTAGE OF IMPROVEMENTS BEFORE FINAL OCCUPANCY Attached SDC Worksheet. (JHJ) Received 112312007 with more projects. See attached documents for I I structural comments 215107 jmp. Received response to comments, including 2 dwgs for hood installation from Pacific Stainless 219107 See documents for add'l plan review comments. 2ll4l07dlm Initial Review Planning Review Public Works Review Structural Review SUB Review 0U16t2007 0u23t2007 0U23t2007 0y19t2007 0U20t2007 0U29t2007 02t05t2007 02/14t2007 LLH EMM JHJ DLM APP APP APP APP 0t/19t2007 0u19t2007 APP JF To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Paee 3 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line CITY F SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00059ISSUED: 0211512007APPLIEDz 0111212007EXPIRES: 09/08/2007VALUE: $ 100,000.00 nsnections Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Underground Plumbing: Prior to filling the trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following Cify Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting 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 Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work 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 tne 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 Paee 4 of 4 Date f-/-0 7 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cilr of Springfield Official Receipt t ;lopment Services Department Public Works Department RECEIPT #: 2200700000000000629 Date: 0510112007 l:51:36PM Job/Journal Number coM2007-00059 Description Temp Occy (R/A/A) C & I Amount Due 100.00 Item Total:$r00.00 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard JACKIE HEIDEMAN djb 055039 In Person $100.00 Payment Total: TT0dl0id- cReceint I Page I of I 5lt/2007 {dnrl,..firilLs CheckNumber Authorization 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: COM2007-00059ISSUED: 0211512007APPLIEDz 0111212007EXPIRES: 09/0812007VALUE: $ 100,000.00 SITE ADDRESS: 1509 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253403900 PROJECT DESCRIPTION: Stepina's Bar & Grill Tenant Improvement. Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PhoneNumber: 541-484-2214 Au\ieu t Oregon Owner: Address: CUDDEBACK INVESTMENTS PO BOX 10066 EUGENE OR 97440 l6t'rl Contractor Type General Electrical Mechanical Plumbing Phone 541.741-8844 541-741-8844 s4t-726-0100 541.344-0411 # 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 # of Stories: Height of Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS Notes: Page I of4 F'ril 08106t2007 08t06t2007 06t27t2007 06/05/2008 ru\es v Date 170401 I,ulLl-rll\(, 11\r\rlslvrAr r(r1'l I Garage/Carport Other: nla Occupant Load: Floor: Floor: 1H\S 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: COM2007-00059ISSUED: 0211512007APPLIEDz 0111212007EXPIRES: 09i0812007VALUE: $ 100,000.00 Description Estimate Fee Description Plan Review Commfl nd/Public Plan Review Fire & Life Safety + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Backflow Device Fixture -Mechanical Issuance Fee- + lD'h Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Exhaust Hoods Gas Outlets l-4 Minimum/Adj ustment Mechanical Sanitary Sewer - [mprovement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Temp Occupancy Temp Occy (R/A/A) C & I Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 100,000.00 Total Value of Project Amount Paid Date Paid Value $100,000.00 $100,000.00 Date Calculated 0111212007 $367.67 s226.26 $3s.00 $17.50 $28.00 $14.00 $336.00 $10.00 $61.07 $30.53 $48.85 u505.o5 $9.00 $4.00 $32.00 $178.1 I s234.27 $10.00 $17,970.73 $2,162.52 $82.85 $1,258.04 $5,104.92 $1,157.21 $100.00 $100.00 utzt01 Utzt07 ut8t07 yt8l07 ut8l07 Ut8t07 vt8,t07 2n5t07 2n5t07 2n5t07 2n5107 2n5107 2n5107 2n5/07 2nst07 2/15t07 2n5t07 2n5t07 2n5t07 2/15t07 2fi5t07 2n5107 2/t5t07 2n5t07 3t2t07 3t30t07 Receipt Number 2200700000000000048 2200700000000000048 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 r200700000000000161 1 200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000r61 1200700000000000161 1200700000000000161 1200700000000000161 12007000000000001 61 220070000000000028s 2200700000000000430 Total Amount Paid $30,144.18 Paee2 oI4 Plan Reviews Valuation Descriotion I Bees Pard 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: COM2007-00059ISSUED: 0211512007 APPLIEDz 0111212007EXPIRES: 09/0812007VALUE: $ 100,000.00 Fire Department Review 0211512007 0211512007 OK GRG Fire Department Review 0112312007 0211412007 OK GRG Plans Review: Commercial Kitchen Hood and Duct Fire Suppression System. Job #COM2 007 -0017 4. Designer: Dan Liebersbach. Contractor: National Fire Fighter Corporation, This system is for the relocation of Stepinas Bar and Grill to 1509 Mohawk Boulevard. See Job #COM2007-00059 for plans review comments. System to be installed is an Ansul R-l02 3.0 gallon wet chemical system meeting UL 300 standards. The system will use 10 out of a maximum 1l flow points for the protection ofthe hood and duct, range, char-broiler, griddle, and fryers (all gas appliances). The submittal appears to meet code requirements. See attached document for Fire Department Plans Review comments. PROPERTY OWNER NEEDS TO SUBMIT MDS APPLICATION AND INSTALL PERCENTAGE OF IMPROVEMENTS BEFORE FINAL OCCUPANCY Attached SDC Worksheet. (JHJ) Received 112312007 with more projects. See attached documents for I I structural comments 215/07 jmp. Received response to comments, including 2 dwgs for hood installation from Pacific Stainless 219/07 See documents for add'l plan review comments. 2ll4107dlm Initial Review Planning Review Public Works Review Structural Reyiew SUB Review 0ut6t2007 0u23t2007 0y23t2007 0u19t2007 0t/20t2007 0u29t2007 02t0st2007 02114t2007 LLH EMM JHJ DLM APP APP APP APP 0ut9/2007 0ut9/2007 APP JF To Request an inspection call the24 hour recording at 726-3769, All inspections 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. Paee 3 of4 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: COM2007-00059ISSUED: 0211512007 APPLIEDz 0111212007EXPIRES: 09/0812007VALUE: S 100,000.00 Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Underground Plumbing: Prior to filling the trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any coyer. SUB Ceiling Grid: Interior Lighting 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 Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work 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 properfy, and the approved set of plans will remain on the site at all times during construction. or Contractors Signature Page 4 of4 Date 3 -30 -01 Elrth Keourreo tnsDecuons 225 Fifth Street Spriuglield, Oregon 97 477 541-726-3759 Phone Cit*' of Springfield Official Receipt D ,lopment Services Department Public Works Department RECEIPT #: 2200700000000000430 Date: 0313012007 8:54:59AM Job/Journal Number Description COM2007-00059 Temp Occy (R/A/A) C & I Amount Due 100.00 Item Total: $100.00 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard JACKIE HEIDEMAN djb 055328 In Person Payment Total: $ 100.00 -m'itT-o' cReceintl Page 1 of I 3t3012007 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ctt of Springfield Official Receipt ^ elopment Services Department Public Works Department RECEIPT #: 22007000000000002E5 Date: 0310212007 9:27:30AM Job/Journal Number coM2007-00059 Description Temp Occupancy Amount Due 100.00 Item Total:$100.00 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard )s- ddkJACKIE HEIDEMAN 025697 Phone $100.00 Payment Total: -5'iT6l6-o- cReceintl *iVs Page I of 1 31212007 ilmilm*lt*m Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CITY Building/Combination Permit PERMIT NO: COM2007-00059ISSUED: 0211512007 APPLIEDz 0111212007 EXPIRES: 08/1512007VALUE: $ 100,000.00 srl i5 SITE ADDRESS: 1509 MOHAWK BLVD ASSESSOR'SPARCELNO.: r703253403900 Springfield tollow PROJECT DESCRIPTION: Stepina's Bar & Grill Tenant Improvement{6 OAB .You Owner: Address: Contractor Type General Electrical Mechanical Plumbing CUDDEBACK INVESTMENTS PO BOX 10066 EUGENE OR 97440 Contractor BEAR MOUNTAIN ELECTRIC BEAR MOUNTAIN ELECTRIC LLC COMFORT FLOW WILLAMETTE VALLEY PLUMBING License 136298 136298 460 170401 is1'80 Expiration Date 08t06t2007 08106/2007 0612712007 06/0s/2008 Phone 541.74t-8844 541-741-8844 541-726-0100 541.344-0411 CONTRACTOR INFORMATION # 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: lffi:iff:l' iloncE' Range rype: THIS PERMIT SHA Energy Path:RIZED UND Sprinkled Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: '.L*$lmiU##&FK;.ffi$1ffifittMlT ls NoI A-2 VB Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: THO MENC i, rs R8fiilBUitenfon REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Pase I of4 a Those may obtain afe Sel foi olthe t u lt-f[r\ u rN i (,r(rYr.4!9..] 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: COM2007-00059ISSUED: 0211512007APPLIED: 0111212007 EXPIRES: 08/1512007VALUE: $ 100,000.00 Description Estimate Tvne of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount$1.00 10o,ooo.o0 Total Value of Project Amount Paid Date Paid Value $1o0,ooo.oo $100,000.00 Date Calculated 0y12t2007 Fee Description Plan Review Commfl nd/Public Plan Review Fire & Life Safety + l0o/o Administrative Fee + 5olo Technology Fee + 87o State Surcharge Backflow Device Fixture -Mechanical Issuance Fee- + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Exhaust Hoods Gas Outlets l-4 Minimum/Adjustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Total Amount Paid $367.67 $226.26 $3s.00 $17.50 $28.00 $14.00 $336.00 $10.00 $61.07 $30.s3 $48.8s $505.O5 $9.00 $4.00 $32.00 $178.1 I s234.27 $10.00 $17,970.73 $2,162.52 $82.85 $1,258.04 $5,104.92 $1,157.21 ytzt07 ut2/07 ut8/07 Ut8t07 Ut8t07 ut8t07 ut8t07 2lr5t07 2lr5t07 2nst07 2n5t07 2n5t07 2n5t07 2lt5l07 2n5t07 2n5t07 2nst07 2n5t07 2/15t07 2n5t07 2fi5t07 2/15t07 2lt5/07 2n5t07 Receipt Number 2200700000000000048 2200700000000000048 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000r61 120070000000000016r 1200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 r200700000000000161 1200700000000000161 1200700000000000161 1200700000000000161 I 200700000000000161 120070000000000016r 1200700000000000r61 120070000000000016r $29,944.18 Fees Paid Plan Reviews Fire Department Review 0112312007 02n4t2007 0K GRG APP LLH See attached document for Fire Department Plans Review comments. Initial Review 0u16t2007 0U20t2007 Paee 2 of 4 r}e Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line Building/Combination Permit PERMIT NO: COM2007-00059ISSUED: 0211512007 APPLIEDz 0111212007EXPIRES: 08/1512007VALUE: $ 100,000.00 Planning Review Public Works Review Structural Review SUB Review 0u2312007 0u19t2007 02t05t2007 02n4t2007 JHJ DLM 0U23t2007 0u29t2007 APP EMM PROPERTY OWNER NEEDS TO SUBMIT MDS APPLICATION AND INSTALL PERCENTAGE OF IMPROVEMENTS BEFORE FINAL OCCUPANCY Attached SDC Worksheet. (JHJ) Received 112312007 with more projects. See attached documents for 11 structural comments 215107 jmp. Received response to comments, including 2 dwgs for hood installation from Pacific Stainless 219107 See documents for add'l plan review comments. 2ll4107dlm APP APP 0U1912007 0U19t2007 APP JF To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Underground Plumbing: Prior to filling the trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting 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 Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover red Insneetinns Page 3 of4 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: COM2007-00059ISSUED: 0211512007 APPLIEDz 0111212007 EXPIRES: 08/1512007VALUE: $ 100,000.00 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 employees who are in compliance with ORS 701.005 will be used on this project. I further ensure inspections are requested at the proper time, that each address is readable from the the front of the property, and the approved set of plans will remain on the site at allstreet, times <-r-Fa7 Contractors Date Pase 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET coM2007-00059 Cuddeback Lnvestmsnts JOURNAL OR JOB NUMBER NAMEORCOMPANY: LOCATION: MAP & TAX LOT NUMBER. DEVELOPMENT TYPE: 1509 Mohawk 't7 0325 34 03900 NEW DEVELOPED AREA (S.F.): E)ilSTTNG DEVELOPED AREA (S.F.): TOTAI IMPERVTOUS SLTRFACE (S.F.): in use from salon to restaurant 2,490.00 restaurant 2,490.00 salon No New Impervious Area x $ 0.336 PER SF ITE ITE LOr SIZE (S.F.) 936 814 TOTAL STORM DRAINAGE SDC $0.00 B. IMPROVEMENTCOST: NI-IMBER OF DFU's 9 3. TRANSPORTANON BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEWTRIP FACTOR NEW: A. REIMBURSEMENTCOST: 2.49 x 113.4 x $ 19.81 PER TRIP x Ellffiver"mNr cosr: 2.49 x 113.4 x $ 87.39 PER TRIP x E)(ISTII.IG A. REIMBURSEMENTCOST: -2.49 x 44.32 x $ 19.81 PERTRIP xg fl'PnOVernmNr COST: -2.49 x 44.32 x $ 87.39 PERTRIP x 2. SANITARY SEWER-CITY (see reverse side) A. REIMBURSEMENTCOST: NUMBEROF DFU's 9 4. SANITARY SEWER - MWMC NEW: A. REIMBI.JRSEMENT COST: NUMBEROF FEU's 2.49 B. IMPRO\EMENT COST: NUMBER OF FEU's 2.49 EXISTING: A. REIMBI.JRSEMENT COST: NUMBER OF FEU's -2.49 B. IMPROVEMENTCOST: NUMBER OF FEU's -2.49 MWMC CREDIT IFAPPLICABLE (SEE REVERSE) 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 5. ADMINISTRATIVE FEES: BASE CHARGE (ST.JBTOTAL ABOVE) nes x $ 26.03 PER DFU x $ 19.79 PER DFU TOTAL LOCAL WASTEWATER 0.5 NTF 0.5 NTF 0.75 NTF 0.75 NTF $2,796.84 $12.337.98 ($ I.639.63) $ l 8,6s4.78 TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC: $894.65 $2,227.68xPERFEU PERFEUx $7,491.88 $26.17 $274.72 SUBToTAL (ADD ITEMS 1,2,3, & 4) 26,817.75 PER FEU PERFEU ($65.1 6) TOTAL MWMC REIMBLIRSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATI\E TOTAL MWMC SDC 5% x x x 215/2007 TOTAL SEWER ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE $0.00 s234.27 I 412.38 $412.38 1.157.21 $5 104.92 162.52 $17,970.73 $ 10.00 143.24 17.75 l,340.89 04$l $28,1s8.64 Civil Engineer, EIT $ DATE TOTAL SDC CHARGES r 183 I 184 1173 1094 I 175 r 190 lt78 DRAINAGE FD(TURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS (NOTE: FOR REMODELS, CALCULA'TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURES NEW OLD T]NIT FXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOORDRAIN, FLOOR SINK INTERCEPTORS FOR GREASUOIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AI.]"TO WASH/ETC. I.A.UNDRY TUB CLOT}IES WASHER/MOP SINK cl-oTlrEs WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DSTMASHER/ETC. SHOWE& SINGLE STALL SHOWE& GANG (NTJMBER OF HEADS) SINK: COMMERCTAL, RESIDENTIAL KITCHEN SINK: COMMERCIALBAR SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTLAL BAR URINAL, STAII-/WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S* J I 3 3 6 2 3 6 t2 I 3 2 2 3 2 ) I 5 6 3 0 21 0 0 0 0 0 0 0 J 4 0 0 0 -22 0 5 6 0 0 TOTAL DRAINAGE FD(TI"]RE UMTS: *EDU (Equivalent Dwe[ine Uilt) is a discharge equivalent to a single family dwelline (20 DFU) set at 167 eallons oer dav DRAINAGE FIXTI,]RE UNITS 9 CREDIT CALCUI-ATION TABLE: BASED ON ASSESSED VALUE tr IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CA]-CULATE CREDITS SEPARATELY YEAR ANNE)GD CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $1,OOO ASSESSED VALUE $1.4s $1.2s $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.0s $0.00 $0.00 $0.00 x x $0.00 YEAR ANND(ED RATE PER $I,OOO ASSESSED VALUE 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 $5.29 $5.19 $s.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 s2.73 $2.25 $l.80 1979 1980 l98l 1982 r983 1984 1985 1986 1987 1988 I 989 1990 1991 or before $0.00 $0.00 CREDIT TOTAL Change in use from salon to restaurant 2 l3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C'\ of Springfield Official Receipt ! relopment Services Department Public Works Department RECEIPT #: 1200700000000000161 Date: 0211512007 10:55:23AM Job/Journal Number coM2007-00059 coM2007-00059 coM2007-000s9 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 coM2007-00059 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit Exhaust Hoods Gas Outlets I -4 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 234.27 1 78.1 I 1,157 .21 5,104.92 2,162.52 17,970.73 10.00 82.85 1,258.04 565.65 9.00 4.00 32.00 10.00 30.53 48.85 61.07 Item Total:$28,919.75 Payments: Type of Payment Paid By -- C Ck Number Received By Batch Number Authorization Number How Received Amount Paid Check BEAR MOUNTAIN ELECTRIC, LLC ddk I 0607 In Person Payment Total: $28,919.75 $28,919.75 cReceint I Page I of I 2115t2007 {fnmn