HomeMy WebLinkAboutPermit Building 2008-9-11
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01203
ISSUED: 09/11/2008
APPLIED: 08/12/2008
EXPIRES: 03/1112009
VALUE: $ 65,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspeetion Line
SITE ADDRESS: 1565 MOHA WK BLVD
ASSESSOR'S PARCEL NO.: 1703253106800
Springfield TYPE OF WORK: Interior
I,
PROJECT DESCRIPTION: Interior remodel- MeCafe Center
TYPE OF USE: Remodel
Commercial
Owner: MCDONALDS CORP 036-0023
Address: 1565 MOHAWK BLVD
SPRINGF'ELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
l)\O
11..0; '10, \~~\~ /-
\....tl1i'UMlDiN~'~F;);\...MATlON I
~"''' "I!! ~'''m1t
~0Q,0 '0'1"'- \}\0o;~ 9P~ 00; <;)1
# of Units: O~.O Q9\06'(\0O;0~~&l~~~0f'.0
Primary Oeeupancy GrO~~~0~ ~6.f'.~~' ,\\'(\~q~, 19'bt~ll~)',ql.{lt:tn-e
Secondary Oeeupaney ct,\R/tIl:~ of'. C0 ~f:f:J' ~f'. cP'V .YP!'p{:l.ffi"il'f:
Primal')' Construetion '~~~\C~~'1l'/;~~ O'O\~ ~O~~~\!:
Secondary Construetion~~ -{O\) ~-a: c0f'.\~~0Q,0~iet.fype:
# of Bedrooms: ~1$)9()' '~Q, ~0 \'(\0. \~If~ergy Path:
, ~\~~~ 'O~~\e\ '(0 Sprinkled Building:
..\~ eVI "
Contractor
License
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oeeupant Load:
n/a
I DEVELOPMENT INFORMATION I
- .
REQUIRED PARKING
Notes:
Total:
Handieapped:
Com~ct:
~~ ~~\)'\
. ~~ A6
..-l..\' \\ (' o.\\I\{' ,,~
I PUBLIC IMPROVEMENTS I \ \. "r \S '?~\' <oS) tV
. S~t>-\.. '\~\ ~()'f;.\.
~\)'\\~~~~~ \)'f;.~'f.-~~\'l,(re:
\~\S '? Cl~\1.~\) \l ~~~~.outS/Drains:
\>.\)\~ ~~~C\::. ~ '?~~~
C\J~ \ro~ \)~
\>.~'\
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
'\
Front yard Setback:
Side 1 Setback:
'Side 2 Setback:
Rearyard Setbaek:
Solar Setbacks:
Street 'mprovements:
Storm Sewer Available:
Speciallnstruetion:
I Valllation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
. Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspeetion Line
Bid Amount
Use Bid Amount
Fee Description
Plan Review CommlInd/Public
.+ IO(}'o Administrative,Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixtu re
Minimum/Adjustment Plumbing
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Amount Paid
$307.25
$54.05
$64.86
$27.02
$488.48
$34.00
$18.00
$195.39
$438.32
$21.92
Total Amount Paid
$1,649.29
$1.00
65,000.00
CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2008-01203
ISSUED: 09/1112008
APPLIED: 08112/2008
EXPIRES: 03/1112009
VALUE: $ 65,000.00
$65,000.00
$65,000.00
08/12/2008
Total Value of Project
"p~~ P~;<l .
11 I ......
Date Paid'
8/12/08
.9/11/08
9/11/08
9/] 1/08
9/11/08
9/11/08
9/11 /08
9/11/08
9/1 1/08
9/11/08
Receipt Number
2200800000000001232
2200800000000001377
2200800000000001377
2200800000000001377
2200800000000001377
2200800000000001377 .
2200800000000001377
2200800000000001377
2200800000000001377
2200800000000001377
I Plan Reviews I
Initial Review 08/13/2008 08/1312008 APP LLH
Publie Works Review 08/13/2008 08/15/2008 APP RP
Plan nine Review 08/13/2008 08/18/2008 APP EMM
SUB Review 08/13/2008 08/2912008 APP JF Energy Forms sent to SUB with
plans (II h)
Struetural Review 08/13/2008 09/02/2008 APP CJC
Fire Department Reyiew 08/1312008 09/0312008 OK GRG Plans Review: Interior remodel of
beverage serving area. Job
#COM2008-0I203. Occupancy
Classifieation: A-2. Construction
Type: V-B. Plans appear to meet
code requirements.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
IRpo~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Page 2 of 3
'.
Status
Issued
225 Fifth Street, Springlield,. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01203
ISSUED: 09/1112008
APPLIED: 08/1212008
EXPIRES: 03/11/2009
VALUE: $ 65,000.00
Final Building: After all required inspeetions have been requested and approved and the building is eomplete.
Underfloor Plumbing: Prior to insnlation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
By signatnre, I state and agree, that I have earefnlly ex'amined the eompleted application and do hereby certify that all
information he-reon is true and correct, and I further' eel"tify that any and all work performed shall be done in accordance with
the Ordinanees 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 eon tractors and employees who are in eomplianee 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 eaeh address is readable from the
street, that the permit eard is located at tbe front of the property, and the approved set of plans will.remain on the site at all
"~.. .""., "''''''"''2' ~ -
Owner or ContractoKSignature /'
/
Page 3 of 3
q~/7
ot/
Date
225 Fifth Street
Springfwld,.oregon 9747.7
541-726-3759 Phone
Job/Journal' Number
COM2008-0 1203
COM2008-0 1203
COM200il-0 1203
COM2008-0 1203
COM2008-0 1203
COM2008-0 1203
COM2008-0 1203
COM2008-0 1203
COM2008-0 1203
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department.
Public Works Department
RECEIPT #:
2200800000000001377
2:48:15PM
Description
Sanitary Sewer - Improvement:
SDC Sanitary/Storm Admin
Plan Review Fire & Life Safety
BuildingPermit
Fixture
)
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
FRANS T VERHEIJEN
;
IReceived By
db
. J
. j"
Page I of I
Date: 09/11/2008
Item Total: .
t.:heck Number Authorization
Batch Number Number How Received
Amount Due
438.32
21.92
195.39
488:48
34.00
18.00
27.02
64.86
54.05
$1,342.04
Amount Paid
015020 In Person
Payment Total:
$1,342.04
$1,342.04
9/1112008