HomeMy WebLinkAboutPermit Building 2009-5-4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00458
ISSUED: 05/04/2009
APPLIED: 04/0612009
EXPIRES: 11/04/2009
VALUE: $ 3,360.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 444 42ND ST
ASSESSOR'S PARCEL NO.: 1702320001000
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Smoking shelier for the Pour House
Owner: SHADOW SIX LLC
Address: 444 42ND ST
SPRINGFiELD OR 97478
Phone Number: 541-729-8519
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
KEVIN CENTERS
License
174633
BUILDING INFORMATION I
Expiration Date
03/05/2011
Phone
729-8519
/
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
" Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Seeondary Occupancy Group:
Primary Construction Type
Seeondary Construction Type:
# of Bedrooms:
A2
VB
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setbaek:
Solar Setbaeks:
Overlay Dist:
# Street Trees Rqd:
P,ived Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
ATI:ENTION: Oregon law requires you to
Street Improvements: CE fOIIS,de>y.alk. '[ype:t d b th 0 Ut"/'t
NQ1' : WORK ::''' T~,e-S "~~fJ eye regon II y
Storm Sewer AVlii\~~epERM\T SHAll EXPIRE IF THE S NOT NotnoWilspdu~f/D'fafli~iJse rules are set forth
SpeciallnstructiolP. IZED UNDER THIS PERMIT \ In OAR 95~-001-0010Ihrough OAR 952-001-
AUTHOR OR IS ABANDONED FOR 0090.. You may obtain copies of the rules by
Notes: COMMENCED callmg the center. (Note: the telephone
ANY 180 DAY PERIOD. number for the Oregon Utility Notification
=_..~.... :.. I ::: ::: :":'rr.~.
I Valuation Descriotion I
Description
Type of Construetion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Paee I of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2009-00458
ISSUED: 05/04/2009
APPLIED: 04/06/2009
EXPIRES: 11/04/2009
VALUE: $ 3,360.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
3,360.00
$3,360.00
$3,360.00
05/01/2009
Total Value of Project
r Fm PlW
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $50.38 4/6/09 2200900000000000340
+ 12% State Surcharge $9.30 5/4/09 1200900000000000331
+ 5% Technology Fee $3.88 5/4/09 1200900000000000331
Building Permit $77.50 5/4/09 1200900000000000331
Total Amount Paid $141.06
I Plan Reviews I
Initial Review 04/0712009 04/1512009 APP LLH
PJannin!! Review 04/1512009 04/16/2009 APP EMM
Structural Review 04/15/2009 04/20/2009 APP CJC As noted on plans
Fire Department Review 04/15/2009 04/30/2009 APP GRG (Plans review completed on 4/29/09).
Plans Review: Addition of feneed jn
192 sq. ft. smoking area. Job
#COM2009-00458.
Provide tire extinguishers with a
minimum rating of 2-A: 10-B:C
every 75 feet oft ravel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
Iloor (2007 Springfield Fire Code
906).
Public Works Review 04/15/2009 04/30/2009 DON CTM
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.
Rp?l\ir~11nlO;nections I
Footing: After trenches are excavated.
Framing Inspec'tion: Prior to eover and after all rough in inspeetions have been approved.
Roof Sheathing
Final Building: After all required inspections have been requested and approved and the building is eomplete.
Paee 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00458
ISSUED: 05/04/2009
APPLIED: 04/06/2009
EXPIRES: 11/04/2009
VALUE: $ 3,360.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correet, 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 eaeh address is readable from the
street, that the permit card is located at the front or the property, and the approved set of plans will remain on the site at all
~es during construetio'n.
'0/fJ~A~/;/k &~ s-L/-tJ9
" v
()wner or Contractors Signature
t
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00458
COM2009-00458
COM2009-00458
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
KC SERVICES LLC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000331
Date: 05/0412009
Item Total:
<;heck Number Authorization
Received By Batch Number Number- How Received
OJITI
3039
In Person
Payment Total:
Page I of I
8:46:54AM
Amount Due
77.50
3.88
9.30
$90.68
Amollnt Paid
$90.68
$90.68
5/4/2009