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Home My WebLink AboutPermit Building 2008-6-27 (2) II I, I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00663 ISSUED: 06/27/2008 APPLIED: 05/09/2008 EXPIRES' 02/13/2009 VALUE. $ 35,000,00 Status Issued 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-3769 Inspechon LIDe SITE ADDRESS 1805 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO 1703262302001 Spnngfield TYPE OF WORK Restanrant TYPE OF USE AlteratIOn Commerc..1 PROJECT DESCRIPTION Jack ID the Box Remodel Owner VR INC - VIN MEHTZ Address 4150 S PACIFIC HWY MEDFORD OR 97501 Phone Number 541-512-2900 I CONTRACTOR INFORMATION' Contractor Type Arch.tect Electncdl Contractor JOHN DAVID DUFFIE ARCHITECT ALERT ELECTRIC INC License 12772 ExpiratIOn Date Phone 541-734-2027 05/22/2009 541-747-2213 BUILDING IN~ORMATION I # of UUlt' Pnmary Occupancy Group Second,ll y Occupancy Group Pnmary ConstructIOn Type Secondary Construchon Type # ofBed.ooms A2 # of Stones He.ght of Structure Type 01 Heat W dter Type Range Type Energy Patb SprIDkled Buddmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupdnt Load 3,518 VB No 95 I DEVELOPMENT INFORMATION' REQUIRED PARKING Front yard Setbdck SIde I Setback S.de 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Total Hdnd'ldpped Compact Notes I PUBLIC IMPROVEMEN fS I ENTION Oregon law [('["jelll rs you to '~"vw rules adopted by l~e Oregon IJdlity Notlflcatlc~"d~!"al"'Type ,e rules are set forth In OAR 9c..:<-n(11-~010 thro'Joh OAR 952-001- .....vo'Wos outsmralDS 0090 You may Olarn COfJlUo of the rules by NOTICE: callrng the center (Note the telephone THIS PERMIT SHALL EXPIRE ..number for the Oregon Utility Notlflcalion AlJTHnRIZED UNDE IF THE WORK Center IS 1-800-332-2344). r' R THIS PERMIT IS NOT CJ~~[\'ENCEn OR 's A!:1A~IDONED FOR A~JY ".', ) ')/'\' ';--"'-', ....'" I. 1,- vL r$.Jb<,.db ~.\t ~ ~tU.. ~ Street Improvements &torm Sewer AvaIlable Spec..1 InstructIOn P d2e 1 of 3 CITY OF ~rKll~t.NJ!,LD' Building/Combination Permit PERMIT NO: COM2008-00663 ISSUED: 06/2712008 APPLIED 05/09/2008 EXPIRES: 02/1312009 VALVE: $ 35,00000 -~~ Status Issued 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn LlOe I ValuatIOn Descriotton I DeSCrIptIOn $ Per Sq Ft or multJpher $100 Square Footage or BId Amount 35,000 00 EstJmate Tvpe of ConstructIOn EstJmate Total Value of Project l..F""< PiWU Value Date Calculated $35,000 00 $35,000 00 05/12/2008 Fee DescnptlOn Amount PaId Date PaId ReceIpt Numher -Mech Iss 2+ Apphances- $40 00 6127/08 1200800000000000704 + 10% AdmlOlstratJve Fee $4117 6/27/08 1200800000000000704 + 12% State Surcharge $4941 6/2 7/08 1200800000000000704 + 5% Technology Fee $20 59 6/27/08 1200800000000000704 BulldlOg Permit $311 74 6/27/08 1200800000000000704 DemohtlOn $50 00 6/27/08 1200800000000000704 MIscellaneous Mecha",cal $50 00 6/27/08 1200800000000000704 Plan ReView Comm/lnd/Pubhc $202 63 6/27/08 1200800000000000704 Plan ReView Fife & L,fe Safety $12470 6/2 7/08 1200800000000000704 + 100/0 Admmlstrahve Fee $650 8/13/08 3200800000000000560 + 12% State Surcharge $780 8/13108 3200800000000000560 + 5% Tecbnology Fee $325 8/13/08 3200800000000000560 Add, Alter, Extend Orc $50 00 8/13/08 3200800000000000560 Add, Alter, Extend Orc Ea Add $1500 8/13/08 3200800000000000560 Totdl Amount Paid $972 79 I Plan RevIews I ImtJdl ReView 05/12/2008 05/12/2008 APP LLH Pubhc WOI ks ReView 05/12/2008 05/14/2008 APP JHJ PlannlO2 ReVIew Structural ReVIew 05/12/2008 05/12/2008 OS/21/2008 05/21/2008 APP EMM APP LLH SUB ReVIew 05/12/2008 05/29/2008 APP JF Fife DePdrtment ReView 05/12/2008 06/07/2008 APP GRG P d2e 2 of 3 Fife Fee does not apply - eXlStlOg square footdge No plumblOg per Steve Graham SDC Worksheet No New SDCs (JHJ) Plans revIewed by Mlck Nolte at tbe BulldlOg Department under contracl wltb the Oty of SprIngfield Energy Code Plan ReVIew approved See attached documents See attached document for Fife Department Plans ReView comments _GPRINGi'l!itI-D I ~ CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO' COM2008-00663 ISSUED: 06/27/2008 APPLIED: 05/09/2008 EXPIRES 02/13/2009 VALUE' $ 35,00000 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme To Request an inspectIOn call the 24 hour recordmg at 726-3769 All Inspections requested before 7:00 a,m. wIll be made the same working day, mspectlOns requested after 7'00 a m will be made the following work day I ReoUlrecl Jqslllechons I 11111 Iff 1 " Frammg InspectIOn Pnor to cover and after all rough 10 mspechons have been approved LathlPld,ter To be made after alllathmg and gypsum board, mtenor and extenor are 10 place, but pnor to plastenng Fmdl BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete Rough Mechamcal Pnor to Cover Fmdl Mechamcal When all mechamcdl work IS complete SUB Celhng Gnd Intenor Llghtmg SUB Fmal After all reqUIred energy Illspechons hdve been requested and approved Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete By signature, I state and agree, that I have carefully exammed the completed apphcdtlOn and do hereby cerhfy that all mformatlOn hereon IS true and correct, dnd Ilurther cerhly that any and all work performed shall be done 10 dccordance With the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertaHung to the work descnbed herem, and that NO OCCUPANCY will be made of any structure Without permiSSIOn 01 the Commumty Services DIVISIOn, BUlldmg Safety I further cerlIfy that only contractors and employees who dre 10 comphance With ORS 701 005 WIll be used on th,s project I lurthe, ,Igree to ensure that dll reqUired mspectlOns are requested at the proper hme, that each address IS reddable flom the 5ft eet, that the permit cdrd IS located at the front of the propel ty, dud the approved set of plans will remam on the site at all times durmg constructIOn Owner or Contractors Signature Date Pa~e 3 of 3 CIty of Sprmgfield Electrical AuthorizatIon To Begm Work E-malled To alertelect@Juno com Receipt # .RC535956 8/12/200834841 PM ~ By Phone Check on status of permit (541)726-3753 or Emall permltcenter@clsprmgfieldorns TYPE OF WORK I 0 New constructIon [K] AddItIOn/alteratIOn/replacement CATEGORY OF CONSTRUCTION 10 I or 2 family dwellmg 0 Multi famIly [K] Commercml/lnduslnal I JOB SITE INFORMATION AND LOCATION ! Job no 28821 f Job .u.ldre~s 1805 PIONECR PARI\. WAY LAST I Clty/Stale/7IP ~PRINGIIFI D OR 97477-3910 I SUltc/bldg lapt no IIJroJect name Cro~s !ltreet/dlrechom. to Job site I ~ubdlvlslon ITa\': mdp/pdrlel IW 1703262302001 DESCRIPTION OF WORK ILot no Jack m the Box rernodel Reference penllll CQM2008 00663 SITE CONTACT I N'lml TravIs Sllke jl'hone (54l) 5]72772 Il.mall I IF., - CONTRACTOR IFI he no 2055C ICCBhcno 12772 I Busmess N'lme ALERf I::LCCTRIC INC I Conldet Greg HatlLbcrg IAddress 1970 N 281H SI IClt)/Stllte/ZIP SPRINGFIELD OR 97477 !Phon, (54])74722]3 Ih' (54])7260229 I FOl.nl all.rteleLt@)unocom J Metro IIc no 1 City he no I Supervlslllg e1t.Ctncldn's hc no 5062S I SUpCrvlMlIg electnulJn's name GREG C HATLEBERG Upon review and approval by your local JUrisdiction, your permit will be e mailed or faxed with III one business day, with instructions on how to schedule your IIIspectlOn NOTE This AuthOrization To Beglll Work expires with III 180 days If a permit IS not obtallled The local bUlldlllg department may determllle that an Authorization To Begm Work IS null and vOid If It does not meet applicable land use laws and local ordlllances COM II II DescnptlOn I Qty I ta I Total I Residential SINGII!.~ OR mltlh~fdmJlJ d1fcUmg uRlt't1ni.Judf.,:' 1 uttdchcd~garJge -; r~ I ]OOOsqftodcss I I I bd addl 500 sq ft or portIOn I Limited Energy I I ~ LImited energy, resldentml 1 (wlIh above sa ft) I Llmlled energy multIfamily I resldentml (with above sa It) I I ~ Limited energy commereld'l (\\lth above Sq ft) I-Stand alone hmJled eneTg}, reSIdential I ~ Stand alone limIted energy multi famllv I Stand-alone limIted energy commerCial I &ervlces OH. fcedeno In'italllltIOD, lllterllhon, AND/OR reloc Ibon 1200 amps or less I 20 I amps [0 400 amps I 401 amps to 599 amps I TEl\1PORARY ~ervlces OR feeders mstallJ.holl, llltU"ullon, AND/OR relocatIOn 1200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps j B~ancii CircUIt!, NEW. .dtela~on. OR cxtcm.loD, per"p.incl I A Fee [or branch CIrCUIts With servIce or feeder fee each branch Clrlull I B Fcc ror branch CIrCUIts \\Ithoutservlcc or leederfee first branch CIrCUIt r edch dddl branch ClrCUlt ll\-hSCellaneous ~ervlce reconnect only I Each manufactured or modul<.\r d\\cllmg servIce and/or feeder ! Pump or IfTlgatlon urcle I Sign or outline lIghtmg I Slgn::!1 clrcult(s) or lllmted energy panel alteratIOn or extensIon FEE SCHEDULE $5000 $5000 3 $500 $]500 I ELECTRICAL PERMIT FEES I I Subtotal $6500 I I State Surcharge (12% of perm II lee) $780 I I ClIy OfSpnngfield rees. $975 I I lOIALPEHMlfFEE $82551 ,-2) tT1J ~ ~ ;:'Plmr.;,(~o_,:snmlst-atlOn ~ee 5% lechnology Fee ~d()DX' --5&0 RCPTt!. DAThPt=<'tJ:t/ r~- PROCESSED BY. /' This AuthOrization To Begin Work mu;t be posted at the ]0 f"ntil r""I"""r! "ya Permit / v 225 FIfth Street Sprmgfleld, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00663 COM2008-00663 COM2008-00663 COM2008-00663 COM2008-00663 Payments Type of Payment ONLINL GIGS cRecemtl RECEIPT # 3200800000000000560 Date' 08/1312008 DescnptlOn Add, Alter, Extend Ore Add, Alter, Extend ClfC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By ONLINE PERMIT CHGS Item Total t:heck N umber Authorization ReceIved By Batc.h Number Number How Received ONLINE ALERT Online Payment Total NJM Page I of I 8 18 51AM Amount Due 5000 1500 325 780 650 $82 55 Amount PaId $82 55 $82 55 8/13/2008