HomeMy WebLinkAboutPermit Building 2009-1-27 (2)
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01821
ISSUED: 0l/27/2009
APPLlEO: 12/31/2008
EXPIRES: 07/27/2009
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line.
SITE ADDRESS: 980 KRUSE WAY
ASSESSOR'S PARCEL NO.: 1703222000912
Springfield TYPE OF,WORK: Restaurant
TYPE OF USE: Alteration
Commercial \
PROJECT DESCRIPTION: Remove wall/build lottery room walls
Owner: SKEENS SOPHIA
Address: 980 KRUSE WAY
SPRINGFIELD OR 97477
Phone Numher: 541-744-3330
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor License
MICHAEL GRAMZOWCONSTRUCTION LL157256
BUILDERS.ELECTRIC INC 4296
SPECIALTY PLUMBING CO 102974
BUILDING INFORMATION I
Expiration Oate
10/16/2009
12/10/2011
11/21/2009
Phone
541-579-2213
541-485-0922
541-686-4191
# 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 Si~e:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
.1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
.i. of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROV~tlN' 0 .
J' 'U/'l' regon law reqUires you to
.0/0 .. r es adm-fOri h t ~
Notificat' C "i(lewalk lJype:egon Utility
Ion enter. Those rules are set f
In OAR 952-001-(fJqlY!\sp,outs/Urains: orth
0090 1, . , vu,,;1 V"M >152-001
". ou may obtain copies of the rules b -
calling .the center. (Note: the telephone Y
numberCfor the. Oregon Utility Notification
enter IS 1-800-332-2344).
Notes:
Storm Sewer A Jj'jIrble:
Special InstrJ~tibmC E: .
THIS PERMIT SH
AUTHORIZED UN~~ EXPIRE IF THE WORK
COMMENCED OR IS A~HIS PERMIT IS NOT
ANY 180 DAY PERIOD. ANDONED FOR
Page I of3
Status
Issued
225 Fifth Street, Springfield, OR
541"726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
. .
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
***+ 10010 Administrative Fee***
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Building P.ermit
Fixture
Minimum/Adjustment Plumbing
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Sign - Outline Lighting Each
Total Amount Paid
Initial Review
Puhlic Works Review
12/30/2008
12131/2008
Plan nine: Review
12/31/2008
Structural Review
12/31/2008
Fire Department Review
12/31/2008
I Valuation Description I
$ PerSq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Total Vallie of Project
Fpp<, P.irl I
Amount Paid
Date Paid
S13.06
$7.56
$15.67
$3.15
$6.53
$78.58
$17.00
$35.00
$51.08
$31.43
$63.11
$83.00
$7.31
$63.00
1/27/09
1/27/09
1/27/09
1/27/09
1/27/09
1/27/09
1/27/09
1/27/09
1/27/09
1/27/09
'1/27/09
1/27/09
1/27/09
1/27/09
$475.48
I Plan Reviews "I
12131/2008
12/31/2008
APP
APP
01/08/2009
APP EMM
01/23/2009
APP CJC
01/26/2009
APP GRG
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01821
ISSUED: 01/27/2009
APPLIED: 12/31/2008
EXPIRES: 07/27/2009
VALUE: $ 5,000.00
Value
Date Calculated
$5,000.00
$5,000.00
12/31/2008
Receipt Number
1200900000000000052
3200900000000000042
1200900000000000052
3200900000000000042
1200900000000000052
1200900000000000052
1200900000000000052
1200900000000000052
1200900000000000052
1200900000000000052
1200900000000000052
1200900000000000052
1200900000000000052
3200900000000000042
LLH
RP
Interior improvements only.
Outside improvements are not
permitted. See attached letter and
comments on plan. Fence, tables
and awning shown in right-of-way
and vision clearance triangle and
within required building setback
and landscape area.
As noted ill review letter
See attached document for Fire
Department Plans Review
comments.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01821
ISSUED: 01/27/2009
APPLIED: 12/31/2008
EXPIRES: 07/27/2009
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone ;
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
12/31/2008
12/09/2009
APP JF
Pass energy code plan review. No
energy issues. No energy code
inspections required 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.
I, Reouired Insnecti()~s I
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumhing work is complete,
Final Building: After .all required inspections have been requesteil and approved and the.huilding is complete.
Sign Electrical: After connection is made but prior to energizing
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 he done in accordance with
the Ordinances ofthe City of Springfield and the Laws of the Statc of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY wi,lI be made of any strncture without permissioo of the Community Services Division, Building Safety.
I further certify that only'contractorsand 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 t permit car!. located at the front of the property, and the approved set of plans will remain on the site at all
times du . g nstructi >D, .
\ I ~\) (0,
~;c- I I'
ow./; Co.,''''''' Dww
Page 3 of3
'~.', .
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 974'77
541-726-3759 Phone
Job/Journal Number
COM2008-0 1821
COM2008-0l821
COM2008-01821
COM2008-01821
COM2008-0 1821
COM2008-01821
COM2008-0 1821
COM2008-0!82!
c;OM2008-0 1821
COM2008-0 1821
COM2008-0l82l
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 0l/27/2009
8:46:37AM
1200900000000000052
Description
Plan Review Commllnd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - Reimbursement
Sariitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Minimum! Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
***+ 10% Administrative Fee*** '
Amount Due
51.08
31.43
83,00
63,11
7.31
78,58
17,00
35,00
6.53
15.67
13,06
$4U1.77
Paid By
JONAS KUNGYS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
06628c In Person
paymeni Total:
$401.77
$4UI.77
Page 1 of 1
1/27/2009