HomeMy WebLinkAboutPermit Miscellaneous 2008-11-14
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01546
ISSUED: 11/14/2008
APPLIED: 10117/2008
EXPIRES: 05/14/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1701 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703253404502
Springfield TYPE OF WORK: Miscellaneous
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Patio fence for smoking area
Owner:
Address:
ORDER OF ELKS LODGE #2145
1701 CENTENNIAL BLVD
SPRINGFIELD OR 97477
I, CONTRACTOR INFORMATION 1
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION'
# of Units:
Primary Occnpancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A2
# of Stories:' Lot"Size:
'Height of Structure Sq Ft 1st Floor:
Type of-Heat:O' I Sq Ft 2nd Floor:
~". ~. ".. , !egon aw requires yel~ltm
. Water Type:','or'ed b th 0 "'~rt Basement:
., <,~, ,!l eye regen UliUt
r ,Range.T):pe:~ll"er Thos I :llf'ft Garage/Carport
" .... ..,~, ,,,c I. e ru es are set~t.h'
m,E;n~.I;gyXa!~:!-O.o10through 0 R 952- 'I'_~ Other:
OGSllfll\I9$4r!!.'t'WH/Sin copies ~ I !upant Load:
__". .. me ru es v
I I?Ev~~f6MF~~f~~~h:~:n
vemer IS 1-800-332-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
400
VB
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS 1
Notes:
Sidewalk Type:
NOTICE: U,\\yllmlUlW.u.:i!ins'
THIS PERMIT SHAll EXPIRE It I Nt WUHI\ .
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
HIV 1 pn nw Dt:Qlnn
I Valuation Descrintion I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Tvpe of Construction'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 013
I
,
Status Issued
225 Fifth Street, SJringfield, OR
541-726-3753 Phonk > , .
541-726-3676 Fax I
541-726-3769 Inspection Line
I
Bid Amount
Use Bid Amount
Fee Description
Plan Review CommlInd/Public
+ 10% AdministdtiveFee
, I
+ 12% State Surcharge
+ 5% Technology Fee .
Building Permit I
Fire SF Fee - NoncResidential
Plan Review Fire & Life Safety
> T' I I > P'd
. ota Amount 31
I
> Initial Review
Public Works Review
, Structural Revie)
10/20/2008
10/20/2008
10/20/2008
Planning Review
10/20/2008
Fire Department Review
10/20/2008
$1.00
CITY OF SPRIN\Jl'u.LD .
Building/Combination Permit
PERMIT NO: cOM2008-01546
ISSUED: 11/1412008 '
APPLIED: 10/17/2008
EXPIRES: 05/14/2009
VALUE: $ 2,000.00
Total Value of Project
2,000.00
Fpp" Pqi<l 1
Amomit Paid
$33.80
$9.20
$6.24
$2.60
$52.00
$40.00
$20.80
$164.64
Plan Reviews 1
10/20/2008
10/20/2008
10/27/2008
10/29/2008
11114/2008
Date Paid
10/17/08
111~ 4/08
11/14/08
11114/08
11/14/08
11/14/08 "
11/14/08
APP LLH
APP RP
APP CJC
APP EMM
APP GRG
Page 2 of 3
$2,000.00
$2,000.00
10/17/2008
Receipt Number
3200800000000000708
1200800000000001137
1200800000000001137
1200800000000001137
1200800000000001137
1200800000000001137
1200800000000001137
Approved as noted in plan review
letter
Plans Review: Outdoor open canopy
attached to the existing building 'for
an accessory smoking area. Job
#COM2008-01546. Approximately
400 additional sq. ft.
Provide fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2007 Springlield Fire Code
906).
Extend sprinkler coverage
protection to new canopy area
meeting NFPA 13,2007
requirements.
Status
Issued ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01546
ISSUED: 11/14/2008
APPLIED: 10/17/2008
,EXPIRES: 05/1412009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, 0 R
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
I, Renllirerl Insnectinns I
Framing Inspection: Prior to covel' and after all rough in inspections have been approved.
Final Building: After all reqnired inspections have been requested and approved and the building is complete.
By signature, I state and agree, that I hav~ 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 incompliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arerequested 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 construction.
~ /y/';2?,?/~
////2/z7~
/
Owner or Coutractors Signature
Date
Page 3 01'3
225 F.ifth Street
~j . . .. . .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1546
COM200S-0 1546
COM2008-0 1546
COM200S-0 1546
COM200S-0 1546
COM200S-0 1546
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Fire SF Fee - Non-Residential
Plan ,Review Fire & Life Safety
Building Pennit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
CARL MATHEWS NEON INC
1200800000000001137
City of Springfield Official Receipt
Development Services Department
Public ,Works Department
Date: 11/14/2008
1I:06:41AM'
Amount Due
40,00
20.S0
52.00
2.60
6.24
9.20 .
$130.84
Item Total:
Check Nu_mber Authorization
Received By Batch Number Number How Rec'eived
DJB
Page I of I
6654
Amount Paid
In Person
Payment Total:
$130,84
$130.84
11/14/200S