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Home My WebLink AboutPermit Building 2004-8-31 . ~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01092 ISSUED: 08/31/2004 APPLIED: 08/31/2004 EXPIRES: 02/28/2005 VALUE: $ 10,800.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5547 MAIN ST ASSESSOR'S PARCEL NO.: 1702334203300 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Reroofbuilding Owner: JEFFREY L GRAYSON TRUST Address: 975 OAK ST STE 625 EUGENE OR 97401 '. CONTRACTOR INFORMATION I Contractor Type General Contractor CL LARGE License 60147 BUILDING INFORMATION I Expiration Date 05/24/2008 Phone 344-1415 # of Units: Primary Occupancy Group:' Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport. Sq Ft Otber: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ATTENTI~~vrn!l~t!lw requires you to follow rulmi\1!s!llliidlDfaimPregon Utility Notification Center. Those rules are set forth In OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by ~InTlrt=. callina the center. (Note: the teleohone THIS PERMIT SHALL EXfJl:,':"!: : :.:. ..... .~.. . . "ul,ber for the Oregon Utility Notification AUTHORIZED UNDER THI~ ~Yaldatu)n!IDJscrlOtIon Center is 1-800-332-2344). CmMENCED OR I~ ~8ANqq,~~~q~~K Square Footage Description A "vp~of consU;w:, ttO!') It'll B'd A t Value Date Calculated 1 luU anI 1'- """. ormu Ip er or I moun Bid Amount Use Bid Amount $1.00 10,800.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: $10,800,00 08/31/2004 Total Value of Project Page I 012 $10,800.00 . . CITY OF SPRIr\jul'l~L1J Status Issued Building/Combination Permit PERMIT NO: COM2004-01092 ISSUED: 08/3112004 APPLIED: '08/3112004 EXPIRES: 02/28/2005 VALUE: $ 10,800.00 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F~~~ P.'lirl I Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid $11.52 $8.06 $115.20 8/31/04 8/31/04 8/31/04 Receipt Number 1200400000000001294 1200400000000001294 1200400000000001294 Total Amount Paid $134.78 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 ~~nuir~rl I n~Dections I Roofing: Prior to installing any roof covering. By signature, I state and agree, that I bave 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 sball be done in accordance witb the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agrep to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that permit card is located at the front of the property, and the approved set of plans will remain on the site at all times d Ilns uction. /' . 8, It: IIu y: rs Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1 092 COM2004-0 1092 COM2004-0 1092 Payments: Type of Payment Check 8/31/2004 . RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By WESTGATE INC ....~..."'!QFI.-.~...'-..... ... Mr' .. I ..... : .. ~. -.. .ty of Springfield Official Receipt evelopment Services Department Public Works Department 1200400000000001294 Date: 08/3112004 Item Total: Check Number Authorization Received By Batcb Number Number How Received dIm 14300 In Person Payment Total: Page 1 of I 3:19:44PM Amount Due 115.20 8,06 11.52 $134.78 Amouut Paid $134,78 $134.78