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Home My WebLink AboutPermit Miscellaneous 2009-3-11 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00l88 ISSUED: 03/11/2009 APPLIED: 02109/2009 EXPIRES: 09/11/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4211 MAtN ST ASSESSOR'S PARCEL NO.: 1702323201900 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Move Commercial PROJECT DESCRIPTION: Temporary relocate of coffee kiosk Owner: PFEIFER DONALD V TE Address: 1810 15TH ST SPRtNGFIELD OR 97477 Owner: DONALD V PFEIFER TRUST Address: 1810 15TH ST SPRINGFIELD OR 97477 Owner: VIRGINIA E PFEIFER TRUST Address: 1810 15TH ST SPRINGFIELD OR 97477 Owner: PFEIFER VIRGINIA E TE Address: 1810 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Contractor, License Expiration Date Phone BUILDING tNFORMA nON I # of Units: # of Stories: 'Lot Size: Primary Occupancy Group: ' Heigbt of Structure Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # ofB'~mvr:E:' Ene.rgy Path:, , " Sq Ft Otber: THIS PERMIT SHALL EXPIRE IF THE wORl.t'rmkled Buddmg: n/a Occupant Load: AUTHORIZED UNDER I HIl:> I-'tlilVli :~i~ELbpMENT tNFOR~TI(])NI!.N: Oregon law reqUires yuu, ',U COMMENCED OR IS ABANDONEe, 7, I"J"~,,, ,u,~s adopted by tI"R~~,ii"~til:RKING ^ ~I)I 1 Qn n ^':{ PERIOD ' , Notification Center. Those ru ~ ~ " '1 Frontyli'/'dISetlt.lClt~ . , Overlay Dist: ' ,in OAR 952-001.001 0 throu1jlJt\i!i\R 952.00 - Side I Setback: # Street Trees Rqd: 0090, You may obtain copiH\'ui\li'e'1fp[Je\f.s by Side 2 Setback: Paved Drive Rqd: calling the center. (Not€Cb'hIP!l~~phone Rearyard Setback: % of Lot Coverage: number for the Oregon Utility NotllicatlOn Solar Setbacks: Center is 1-800.332-2344). , i~':~ .-::-- Paee I of 3 I. _~IIING,I!'II&-O: . I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00188 ISSUED: 03/11/2009 APPLIED: 02/09/2009' EXPIRES: 09/11/2009 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I PUB LtC tMP~OVEM.ENTS' Street Improvements: Stor~l Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Y~,luMio,~, Descrip,tion I Description Tvpe of Construction $ Per SqFt or multiplier Square Footage or Bid Amount Value Date Calculated TOtal Value of Project L."\T. P,W Fee'Description' + 12% State Surcharge + 5% Technology Fee Miscellaneous Plumbing Other Electrical Permit Amount Paid Date Paid Receipt Number $13,92 ....-' $5.80 $58.00 $58.00 3/II109" , 3/11 /09 3/11/09 3/11/09 2200900000000000250 2200900000000000250 2200900000000000250 2200900000000000250 Total Amount Paid $135.72 I Plan Reviews ~ Structural Review 02/12/2009 02/12/2009 APP CJC Anchorage to be verified by field inspector To Request an inspection call the 24 hour recording at 726c3769. 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. ~Pf,\LiwLJ,II~,II'Snonj' ~ Hold Downs Installed: Special Inspection performed prior to placement'of concrete. Provide report to City Building Inspector, Final Modular Set Up: After all required inspections bave been requested and approved and project is complete. Underground Plumbing: Prior to filling tb~ trencb and including required testing. Undergronnd Electric: Prior to cover Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 54]-726-3676 Fax 541.726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00l88 ISSUED: 03/11/2009 APPLIED: 02/09/2009 EXPIRES: 09/11/2009 VALUE: By signature, I state and agree,tbat I have carefully examined the completed application and do bereby certify tbat all information hereon is true and correct, and I fnrtber,certify that any and all work performed shall be done in accordance witb tbe Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and , that NO occur ANCY will be made of any structure without permission of tbe Community Services Division, Bnilding Safety. I furtber certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project, I furtber agree to ensure tbat all required inspections are reqnested at tbe proper time, tbat each address is readable from tbe street, tbat the permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on tbe site at all times during c~nstruction. fM'Jr;+wwA- Owner or Contractors Signature Pa~e 3 of 3 ?,- /I-c:f1 ' Date 225 Fifth Street Springfield, Oregon 97477 541-726c3759 Phone Job/Journal-Number COM2009-00 188 COM2009,00 188 COM2009-00 188 COM2009-00 188 Payments: Type of Payment CreditCard cRcccint I . RECEIPT #: Description Miscellaneous Plumbing Other Electrical Penn it + 5% Technology Fee + 12% State Surcharge Paid By DUTCH BROS COFFEE/CHRIS STEWART > I, City of Springfield Official Receipt Development Services Department , Public Works Department 2200900000000000250 8:45:IIAM Date: 03/11/2009 Item Total: Check Number Authorization Received By Blitch Number Number How Received Amount Due 58,00 58,00 5,80 13,92 $135.72 Amount raid KR 011033 In Person $135,72 Payment Total: $135.72 Page I of I 3/11/2009