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
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