HomeMy WebLinkAboutPermit Miscellaneous 2008-12-18
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01690
ISSUED: 12/1812008
APPLIED: 1112012008
EXPIRES: 06/1812009
VALUE: $ 12,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1360 MOHAWK BLVD
ASSESSOR'S PARCEL NO,: 1703253310000
Springfield TYPE OF WORK: Awning
TYPE OF USE: New
PROJECT DESCRIPTION: Awnings and replace glazing with door assembly
Commercial
Owner: HICKAM RICHARD A & E DIANE
Address:. 972 MCKENZIE CREST DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
,BUILDING INFORMAT,ION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A2
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback: '
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
~_..... ./"'11 tf'
I PUBLIC IMPROWMEN~g~~~~e{eO~I~~';hJ'o;~gon Utility
, run 0" : . P . :rhM 1jI.(1!l~are set forth
NotificatIOn CentE$.id\l'Wll'l~ IgtfO:AR 952-001-
in OAR 952-001-001~~tlJ1IH\\i1;rUleS by
0090.. You may o~ Note: the tele~ho~e
callmg the center, ( Utility NotificatIOn
number for the. or1e8gg~:332-2344).
Center IS -
Notes: NOTICE:
I n'-:> t'tKIVIIT SHAll EXPIRE IF T '
AUTHORIZED UNDER THIS PERM~~~Jjon Descriotion I
COMMENCED 0 . JllUi1uJ
D ,I\hIV 180 1"TItI."'~fff{{JR IS ABt ANtOONED /fiORr Sq Ft Square Footage
escnrmlln lJf'fIVr no rue IOn "1 ' I' B'd A'
u. or mu tip lef or I mount
Valne
Date Calculated
Page 1 of 2
Status
Iss u ed
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01690
ISSUED: 12/18/2008
APPLIED: 1112012008
EXPIRES: 06/18/2009
VALUE: $ 12,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
12,000,00
$12,000.00
$12,000.00
11/20/2008
Total Value of Project
Fees Paid'
Fee Description
Plan Review CommlIn'd/Public
+ 10% Administrative Fee
+ 12% State Surcharge
+ SOlo Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$91.39
$14.06
$16,87
$7.03
$140.60
11/20/08
12/18/08
12/18/08
12/18/08
12/18/08
2200800000000001667
1200800000000001234
1200800000000001234
1200800000000001234
1200800000000001234
Total Amount Paid
$269.95
Plan Reviews I.
Plannin!! Review
Structural Review
11/24/2008
11/24/2008
11/24/2008
11/24/2008
APP
APP
EMM
DJB
No issues
Engineered awning attachment /
replace existing glazing with exteriOl
door assembly.
Fire Department Review
Public Works Review
11/25/2008
11/25/2008
11/25/2008
11/25/2008
APP
APP
GRG
CTM
No issues
No Issues
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.
Rlwlrired Insnection.,,
11111111111111 I" .
Framing Iilspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspectious have been requested and approved and the building is complete.
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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all
/i~:con~~ /~(Ja V
, ,
Owner or Contractors Signature Date
Pa!!e 2 of 2.
225 Fifth S tleet
Springfieldl,Oregon 97477
541~726-375'Phone .
Job/Journal. N lJ}lber
COM2008-0 1 610
COM2008-0 1 6W
COM2008-0l6W
COM2008-0 1 MO
Payments:
. Type of Pay men I
Check
cReceinLl .
REc:EIPT #:
'Description
Building Permit.
+ 5% TechnologyFee
+ 12%State Surcharge.
+ 10% Administrative Fee.
Paid By
PRlME TIME SPORTS BAR &
GRlLL
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001236
Date: 12/18/2008 ..
1:58:57PM
Amount Due
140.60
7.03
16.87
14,06
$178.56
Item Total:
Check Number Authori~ation
Received By Batch Number Number, How Rec'eived
njm.' 9124 'In Person
Pagel of 1
Amount Paid
$178.56
Payment Total:
$17H.56
'12/1812008