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
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o B il Xl 3',:.]::l;
;# ;;5|;,ffi#.f ,q s A A/i 0
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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\ ]
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ATTENI
tollow ru ,es i es you tiA,otificati Utilitv
e52-001 -0010 tt
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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
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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
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Job Location
Assessors a o3253 Tax Lot 032oo
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BACKFLOW PREVENTION DE\,,ICE PER}IIT FEE: $55.35
Con tra ctor I nformation
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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
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Sharcd Drive (T:)iBuilding Form/Backflow Prevention8-06 doc
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