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HomeMy WebLinkAboutPermit Building 2004-11-08Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01147ISSUED: 1110812004APPLIED: 09/1612004EXPIRES: 05/0812005VALUE: $ 26,213.83 SITE ADDRESS: 1537 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253404300 PROJECT DESCRIPTION: Repair vehicle damage. Springfield TYPE OF WORK: TYPE OF USE: Restaurant Repair Commercial Owner: Address: LOS CAMPEONES REST INC 1537 MOHAWKBLYD SPRINGFIELD OR 97477 Contractor Tvpe General Engineer Contractor BELFOR USA GROUP INC HILL & DALE Expiration Date 02n6t200s Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: 10 Ft Basement: Phone 541-726-9905 541-868-0667 License 146973 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Overlay # Street LLC Dist: s:g$s r\ & '\9 Sidewalk Type: Downspouts/Drains: Garage/Carport Load: REQUIRED PARIflNG Total: Handicapped: Compact: ${o Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improyements: Storm Sewer Available: Special Instruction: Notes: *$" Paved Yo of $ Per Sq Ft or multiplier Square Footage or Bid Amount CONTRACTOR INFORMATION PUBLIC IMPROV Description Type of Construction Paee I of2 Value Date Calculated f b! A-3 ,"$ of Structure of Heat: Type: Range Type: Energy Path: Sprinkled Building: iso Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-011,47ISSUED: t110812004 APPLIEDz 0911612004EXPIRES: 05/0812005VALUE: $ 26,213.83 Estimate Estimate Fee Description Plan Review Comm/Ind/Public + l0o Administrative Fee + 7o/o State Surcharge Building Permit PIan Review Comm/Ind/Public Total Amount Paid $1.00 26,214.00 Total Value of Project Date Paid 9n6t04 tu8104 tu8t04 tu8t04 tu8l04 Receipt Number 2200400000000001r70 220040000000000r388 2200400000000001388 2200400000000001388 2200400000000001388 $26,214.00 $26,214.00 1U04t2004 Amount Paid $90.09 $23.61 $16.53 $236.10 $63.38 s429.71 Fees Pal Plan Reviews Initial Review Structural Review Structural Review 09t20t2004 09t20t2004 09t20t2004 09t27t2004 APP WE SKG JMP Ly04t2004 1U04t2004 APP JMP Left voice mail for Brian Rosebrook noting that both queen beams need to be replaced and requesting verification of the cosUvalue. Received revised estimate. To Request an inspection call the 24 hour recording at 726-3769. AII 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. 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 card is located at the front of the property, and the approved set of plans will remain on the site at all times I\- Owner Signature Pase2 of2 Date E'oj Keourreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone 'y of Springfietd Oflicial Receipt r.revelopment Services Department Public Works Department RECEIPT #: 2200400000000001388 Date: 1110812004 1:43:13PM Job/Journal Number coM2004-01147 coM2004-01147 coM2004-01147 coM2004-01147 Description Plan Review Comm/Ind/Public Building Permit + loh State Surcharge + l0% Adminishative Fee Amount Due 63.38 236.10 16.53 23.61 Item Total:$339.62 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check BELFOR Jmp I 8636 In Person Payment Total: $339.62 -Ssrer-t tU812004 Page 1 of 1 EI I