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HomeMy WebLinkAboutPermit Building 2007-01-12Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line FS Building/Combination Permit PERMIT NO: COM2007-00059 ISSUED: APPLIEDT 0111212007 EXPIRESz 0711812007VALUE: $ 100,000.00 SITE ADDRESS: 1509 MOHAWK BLVD Springfield TYPE OF WORK: Tenant Infill ASSESSOR'S PARCELNO.: 1703253403900 TYPE OF USE: Alteration PROJECT DESCRIPTION: Stepina's Bar & Grill Tenant Improvement. Owner: Address: Contractor Type Plumbing MCKAY INVESTMENT CO LLC 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor WILLAMETTE VALLEY PLUMBING License 170401 Expiration Date 06/05/2008 Commercial Phone 541.344-0411 CONTRACTOR INFORMATI( # 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: A-2 f'l$I$S&stories: Lot Size: f//l$ fffiglf p{g}gcture Sq Ft lst Floor: '; :,' ; 11,ffffffiA ilil il [, rH E '' o B il Xl 3',:.]::l; ;# ;;5|;,ffi#.f ,q s A A/i 0 ^iE ;, I J; N 0 H X: ffi:::.a rpo rr Sprinkleil Bffiing: ala Occupant Load: VB Street Improvements: Storm Sewer Available: Special Instruction: Notes: regon Utililty fvotif Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: OAII Cenlor tes lctrltwO p $ Per Sq Ft or multiplier ,s I-900_332 .23adt Square Footage or Bid Amount Description Type of Construction Pase I of3 Value I'UILI-,II\U I1\f I-'I(IYIA I I(JI\ ] # ATTENI tollow ru ,es i es you tiA,otificati Utilitv e52-001 -0010 tt are set f .., orff ut v Lt nr]Yt|,l\ I ll\r (rI(lYlA I I(Jl\ | Yaluation Description I Date Calculated LD Status Pending 225 Fitth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2007-00059 ISSUED: APPLIED: 0111212007 EXPIRES: 07/1812007VALUE: $ 100,000.00 Estimate Estimate Fee Description PIan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Backflow Device Fixture Total Amount Paid $1.00 100,000.00 Total Value of Project Date Paid $100,000.00 $100,000.00 0u12t2007 Amount Paid $1,024.43 $367.67 s226.26 $35.00 $r7.s0 $28.00 $14.00 $336.00 ut2t07 ut2t07 ut8t07 ut8t07 ut8t07 Ut8t07 Ut8t07 Receipt Number 2200700000000000048 2200700000000000048 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 2200700000000000073 Fees Pa PIan Reviews 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. 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. Reorrired fnsnect Paee 2 of3 Status Pending 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: COM2007-00059 ISSUED:APPLIED: 0111212007 EXPIRES: 07/1812007VALUE: $ 100,000.00 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 times during /-to o'7 or Contractors Signature Date Pase 3 of3 l* 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit*of Springfield Official Receipt Dl .opment Services I)epartment Public Works Department RECEIPT #: 2200700000000000073 Date: 0111812007 8:13:55AM Job/Journal Number coM2007-00059 coM2007-00059 coM2007-000s9 coM2007-00059 coM2007-00059 Description Fixture Backflow Device + 5olo Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 336.00 14.00 r 7.50 28.00 3 5.00 Item Total:s430.50 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard CHAD PERKIN djb 015238 In Person Payment Total: $430.50 -ffid- cReceint I Page I of I Ut8/2007 225 FIFIH STREET . SPRINGFIELD, OR 97477 o PH:(541)726'3753 . FAX: (541)726-3689 City Job N Zoo -a GL-()oo\ t I lo1 yaol^*zV rl" J Job Location Assessors a o3253 Tax Lot 032oo fic J 7\vOwnerzsro o*t, Address q7L{o/b&G zipCity (.'1 F{crp{ {-) C3 () o pr( F{ E). 4.1 +Jrfid(.1FT $-..(() Rr () () rp{ ()a -f-icrF{-Prli-t() C) aH er Bcl-t\.+-..{Vt-t ()c m BACKFLOW PREVENTION DE\,,ICE PER}IIT FEE: $55.35 Con tra ctor I nformation ,l k z1 0*3V O (( sL E woR?7L(OL 'klu D Contractor SCity Construction Contractors Registration #oqo (Expiresl1 By signing this pennit/application, I agree to call for an inspection once the backflow prevention device has been installed and is visible for inspecti on (726-3769). I also state that all infonnation on this permit/application is /'l0-a'7 For Office Use Date of Application Checked for Historical StatusChecked for D l- lE-oa Sharcd Drive (T:)iBuilding Form/Backflow Prevention8-06 doc lt !Tl!natt,lt ,RE, /s i/0rt BA n (JAll9l l0$0. yn, utiti Ft fr !f) rF Conter. I Note: theanl 2344)