HomeMy WebLinkAboutPermit Building 2009-1-27
Status
OK to Issue
225 Fifth Street, Springfield, OR
54]-726~3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 980 KRUSE WAY
ASSESSOR'S PARCEL NO.: 1703222000912
CITY OF SPRINGFIELD
Building/Combination Permit
,
PERMIT NO:, COM2008-01821
ISSUED: ,
APPLIED:
EXPIRES:
VALUE: .
12/31/2008
07/27/2009
$ 5,000.00
, Springfield TYPE OF WORK: Restaurant
PROJECT DESCRIPTION: Remove wall/build lottery room walls
Owner: SKEENS SOPHIA
Address: 980 KRUSE WAY
SPRINGFIELD OR 97477
TYPE OF USE: Alteration
Commercial
Phone Nnmber: 541-744-3330
'I CONTRACTOR INFORMATION 1
Contractor Type
General
Electrical
Plumbing
Contractor License
MICHAEL GRAMZOW CONSTRUCTION LLl57256
BUILDERS ELECTRIC INC 4296
SPECIALTY PLUMBING CO 102974
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Constl'llction'Type:
# of Bedrooms:
A2
,# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Expiration Date
10/16/2009
12/10/2011
1112112009
Phone
541-579-2213
541-485-0922
541-686-4191
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: .
I DEVELOPM"J'1 IJuORMATION ,I
Frontyard Setback:
Side 1 Setback:
Side;2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# StJ'eetTrees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
MnTII'(:. ,
Storm Sewer A"V1Iilab1~'
Special InstI'llHM~:PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMEN!S 1
AT"m,I(f~/l1: Uiwgon law requires you to
follci'DJ~I~s &Jlg)[)~d.l1Y the Oregon Utility
Notiticallonn ~enfer. fMse rules are set forth
in OAR 952.001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the Genter. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).,
~*$:r
~\J}-
Pa2e 1 of3
Status
OK to Issue
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Type of Construction
Bid Amount Use Bid Amount
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
Total Amonnt Paid
Initial Review
Public Works Review
Plannine Review
Structural Review
Fire Department Review
SUB Review
I ,valuation Description I
$ Per Sq Ft
or mnltiplier
$1.00
Sqnare Footage
or Bid Amonnt
5,000.00
Total Valne of Project
Fees Paid I
, Amount Paid
12130/2008
12/3112008
12/3112008
12131/2008
12/3112008
1213112008
$7.56
$3.15
$63.00
$73.71
Date Paid
I Plan Reviews I
12/3112008
12/3112008
01108/2009
0112312009
01126/2009
12/09/2009
APP
APP
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01821
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/31/2008
07/27/2009
$ 5,000.00
Value
Date Calculated
$5,000.00
$5,000.00
, 12/3112008
1127/09
1127/09
1127109
Receipt Number
3200900000000000042
3200900000000000042
3200900000000000042
LLH
RP
APP EMM
Pa2e 2 of3
Interior improveme~ts only.
Outside improvements are not
permitted. See attached letter and
comments on plan. Fence, tables
and awning shown in right-of-way
and vi~ion clearance triangle and
within required building setback
and landscape area.
As noted in review letter
APP CJC
APP GRG
See attached document for Fire
Department Plans Review
comments.
APP JF
Pass energy code plan review. No
energy issnes. No energy code
inspections reqnired for this project.
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.
CITY OF SPRINGFIELD,
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2008-01821
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/31/2008
07/27/2009
$ 5,000.00
225 Fifth Street, Springfield, OR '
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired In~nections'
Framing Inspection: Prio,r to cover and after all I'Ongh in inspections have heen approved.
Rough Plnmbing: Prior to cover and including required testing.
Final Plumbing: When all plnmbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Sign Electrical: After connection is made bnt prior to energizing
By signature, I state and agree, that I have carefnUy examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springlield and the Laws of the State of Oregon pertaining to tbe work descrihed berein, and
that NO OCCUPANCY will he made of any strncture withont permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005will 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
times during construction.
Owner or Contractors Signature
Date
Pa2e 3 of 3
City of Springfield
, Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC545749
1126/20093:16:42 PM
Check on status of permit
By Phooe: (541)726-3753 or Email: permitcenter@ci.spriogfield.or.ns
Subtotal I
State Surcharge (12% of permit fee) I
City Of Springfield fees'" I
I TOTALPERMITf'EE
... City Of Springfield fees: 5% Technology Fee
ID~b'\lZllt):r
~&O\~'L\
'6'LCO'1 -42-
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
I 0 New construction
[K] Addition/alteration/replacement
o 1 or 2 family dwelling
[Xl Commerciai J Industrial
o Multi-ramily
Job no.:
IJob address: 980 KRUSE WAY
I City/State/ZIP: SPRINGFIELD, OR 97477-1073
I Suitelbldg./apt.no.:
I Project name:
Cross street/directions to job sit~:
I SUbdivision:
I Tax map/parcel no.: 1703222000912
Ii.ot no.:
low voltage.... .. any questions call Jeremy Burrell at 913~1756
I Name: Hopps Valley
IPhone:
I Email:
I Fax:
1 EI. lie. no.: 20-442C I ~CB lie. no.: 136446
I Business Name: BURRELL BROSENTERPRISES INC
IConta't: Joshua BU~!~TIGr: '
jAdd"": POBOX"p,II" ~r. ,,,,' ,
Ic;ty/S,aterLIP: W1l~v,Gfu1}'ft't:Mf!<M~ I:XPIRE IF THE WORK
IPhone: (541)74727t45'_i:'_f~~t:~ UI~UlI=HxJ tiiS)71i'416lMIT IS NOT
lEma;': bUITellbmS@ir.rfg";'~~\in~iinu Uti I:; ABANDONED FOR
I Metro lie. no.: '''~. ruG UMT t'tti I \lWY lie. no.:
Supervising electrician's lie. no.: 4721 S
I Supervising electrician's name: JOSHUA J BURRELL
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
~escription" " '"m J,Qty:" J Ea. ,J. Totlll
',,-R~~~tii!1~, INGI!E:O" n:,~, U,,'lti,ZJfniIIY~i.liYeJlin;~~iinit.Jlncludlts'
1\to~~lf~t'!~~ ,'-~~~~' .
jl.000sq,ft,orless[4]
1 Ea. add] 500 sq. ft, or portion
I-Limited energy, residential
(with above Sq. ft.)
- Limited eriergy, multifamily
residential (with above sq. ft.)
- Limited energy, commercial not offered online at this jurisdiction
(with above sq. ft.)
I . Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
- Stand-alcinelimited energy,
commercial
ri~~!W~1f~~[Ji$~].~~tliU&~1~~~'\~1:i5!~!():C~~!!^~]_~~~
)200 amps or less [2] I I I I
1201 ampSlo 400 amps [2] L ,I
1401 ampSlo 599 amps [21 I 1 1
1200 amps or less [2]
1201 amps to 400 amps [2]
140] amps to 599 amps [2]
If~!.jill{~~~~~iYlill~tt~li~j~>:[1X~Ef~~l~efll
I A. Fee for br,anch circuits with I
service or feeder fee, each
branch cirCUIt '
I B. Fee for branch circuits I
;;:~~utA~~r:11~~!q!eGrep :>.nla~ rE ~uires y~~, to
I 'l'!!j'v," il"L-" ~~ [:,y ,l,c'lv'v::Ju" t',jny I
It~~~;I~'JY~~i.;;~'74;;;;:~~fi~1\{"~%i;~fl~4~~~,ll~;:!(:H:i:~I
1'==~;~~~~~~~~::!~~~~~~~:{\~~r'T".1
I Eoch m'll'!l\4F1ly1~er. (Note: tIe teleph :>ne' I
1;;elh'ifu'i'i'ili'Si''liipr{l\~ebrE gon Utili y Nati/ie: Itian
I Pump or irrig",io/t.t\lt\~lti] 15 l' ~UU-;;;;G- ~;;44J. I
I Sign or'outline lighting [2] I I
Signal circuit(s) or limited- $63.00 $63.00
alteration, or
$63.001
$7561
$3,151
$73,71 I
225 Fifth Street
Springfield, Oregon 97477
541-7.26-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Depar~ment
RECEIPT #:
3200900000000000042
Date: 01/27/2009
8:26:20AM
. Job/Journal Number
COM2008-0 182]
COM2008-0 182]
COM2008-01821
Description . .
Sign' - Outline Lighting Each'
+ 5% Technology Fee
+ ] 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Re~eived By Batch Number Number How Received
Amount Du.c
63,00
3,15
7,56
$73.71
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
, kr
ONLINE burrell bros Online
ent
Payment Total:
$73,71
, $73.71
')
cReceintl
Page 1 of I
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