HomeMy WebLinkAboutPermit Building 2004-4-12
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY 01< I)rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2004-00336
ISSUED: 04/1212004
APPLIED: 03/26/2004
EXPIRES: 10/12/2004
VALUE: $ 5,000.00
Status
Issued
SITE ADDRESS: 4027 MAIN ST
ASSESSOR'S PARCEL NO.: 1702314106900
Springfield TYPE OF WORK: Restaurant
TYPE OF USE:
Remodel
Commercial
PROJECT DESCRIPTION: Convert to accessible restrooms
Owner: TACO TIME INTERNATIONAL
Address: 3880 WEST 11 TH AVENUE EUGENE OR 97402
Phone Number: 541-687-8222
Contractor Type
General
Electrical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
DANIEL LANSING 112061
NEW WAY ELECTRIC INC 51088
READY ROOTER DRAIN CLEANING & R SW2524
BUILDING INFORMA nON I
Expiration Date
03/07/2006
06/27/2005
02/18/2005
Phone
541-933-1779
541-686-2365
541-744-7991
# of Units:
Primary Occupancy Group:
Secondary Occupimcy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ftlst Floor:
T-)ipe of Heat: Sq Ft 2nd Floor:
~~'&~ Type: Sq;Ft Basement:
'\V:-~ ~ge Type: '\~\:ft:~~rage/Carport
~ ~ ~'\ ~gy Path: ~0'" ~!N ~i'fither:
..8.~ o~((!. <.\) 0~~ 0~0~G'e~':.s.surface Area:
G-,...; ,c-" -;;;."V . '<.: ^~ ;(. n.~ },o.'='
",\'0' ...~ -- 'I '" X' ,v "
':(..~\; ~~ ~~}"DEVELOPM"'j" ",..uRMA'LI0~1 ,.s0 O'?' '$'0 ':f:-O<:'"O'"
SETBACK~. .....{;:..S..~'V S~ 0~ 0.... p,,0,::,~ c} ~0~~UIREDPARKING
:(,'V ~",. \)" R-" 5::J\)' .0" ~0-<..'00 ~o '0'" 0~ ~
Front yard Setbat!i: <X((; ~<.(; \) 'V ~ Overlay Dist: ~. oo~~. f;j~' o~~ .~. ~ .';ill,tal:
Side I Setback~,\~'::> V:-\)((!. ~\.;((; :A <X((; # Street Tre~IJf.fb' ~0 ~p". .~'" C;_,0,0~~~ !l-"lHandicapped:
Side 2 Setback: ,,\:>" .....~<(; 5:::, \)~ Paved Dtif~lI: 00 C....' '$),'b' ~- ~ n.,I'J/ Compact: .
r \)"" ,\'0 .;:. ~ '0'" s::J ",0 ~0" p>0 ~.
Rearyard Setback: \J ~ % ofLot~y~jl-' ~'b' 0'" 0,0 9-<:::-'0
Solar Setbacks: ~ 'I O~~".,~ .'0':' ,^0 C; ~0 . < >"
~ ^,..-~ "'" j~-"~ ,,'
- - . ,. -.....-. ,.... ..
I PUBLIC IMPROV~EJ~:I~t' r/
.".
"," Sidewalk Type:
B
VN
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDralns:
Notes:
Paee I of3
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. CITY OF ~rKll'\lGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00336
ISSUED: 04/1212004
APPLIED: 03/26/2004
EXPIRES: 10/12/2004
VALUE: $ 5,000.00
"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$5,000.00
$5,000.00
03/26/2004
Fpp< P'WU
Fee Description
Plan Review Comm/Ind/Public
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Amount Paid
Date Paid
Receipt Number
$44.46
$12.44
$8.71
$68.40
$56.00
3/26/04
4/12/04
4/12/04
4/12/04
4/12104
1200400000000000396
1200400000000000467
1200400000000000467
1200400000000000467
t200400000000000467
Total Amount Paid
$190.01
I Plan Reviews ,
Initial Review
Structural Review
03/29/2004
03/29/2004
03/29/2004
04/01/2004
APP LLH
APP JMP
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 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Drywall: Prior to taping.
3 Final Building: After all required inspections have been requested and approved and the building is complete.
4 Rough Plumbing: Prior to cover and including required testing.
5 Final Plumbing: When all plumbing work is complete.
Paee 2 of3
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. Llll' OF SrKll~t."'J!,LD
i'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00336
ISSUED: 04/1212004
APPLIED: 03/26/2004
EXPIRES: 10/12/2004
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 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 Signatur
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12 ~<9fC
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Date
Page 3 00
225 Fifth Street
Springfield, Oregon 97477
'i 541-726-3759 Phone
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,
,
Job/Journal Number
COM2004-00336
COM2004-00336
COM2004-00336
COM2004-00336
RECEIPT #:
Description
Fixture
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard DANIEL LANSING
4/12/2004
."","~...q~~ ....... '.:
WiL - i
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JiiiilY of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200400000000000467
Date: 04/12/2004
Item Total:
Check Number Authorization
Received By Batch Numher Number How Received
jmp 000352 012326 In Person
Payment Total:
Page I of I
11:58:2IAM
Amount Due
56.00
68.40
8.71
12.44
$145.55
Amount Paid
$145.55
$145.55