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Home My WebLink AboutPermit Miscellaneous 2003-4-11 * Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' SITE ADDRESS: 4095 MAIN ST ASSESSOR'S PARCEL NO.: 1702314104500 Springfield PROJECT DESCRIPTION: Alter gas line to pizza oven CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00261 ISSUED: 04/1112003 APPLIED: 04/1112003 EXPIRES: 10/1112003 VALUE: TYPE OF WORK: Restaurant TYPE OF USE: Alteration Commercial Owner: MILES TEXACO Address: % MILES INVESTMENT LLC 2175 HWY 101 FLORENCE OR 97439 Owner: PIZZA HUT INC #857 FG INC Address: % SAVAGE SA V AGE & BROWN PO BOX 22845 OKLAHOMA CITY 0: 73123 Owner: MILES INVESTMENTS LLC Address: 2175 HWY 101 N FLORENCE OR 97439 I CONTRACTOR INFORMATION ~ License 32241 Contractor Type General Owner Contractor LEROY BOEHM MILES TEXACO BUILDING INFORMATION ~ # of Buildings: 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 Path: Expiration Date Phone 541-747-0568 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS 1 DEVELOPMENT INFORMATION ~ Fronlyard 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: follow rules adopted by t~e qrogJ1IlIg~~PROVEMENTS ~ -'l.u,tJfl....tlnn Center. Those rule';;.... " ", . Street Impnwemen ~ h hOAR 952-001 SIdewalk Type: in OAR 952.001.0010 t roug Storm SeW~~~i1relfmay obtain copies ot the rules b) N01'CEI,>ownspoutslD{~E IF lHE WORK Special Ins rU~\l'ff1';'g the center. (Note: the telephone 1\-1\S PERMll SHl\ll 1\-11S PERMll IS NOl Notes' number for the Oregon Utility Nolification I\Ul\-1ORIIED UNDER I\BI\NDONED FOR . Center is 1-800-332-2344). COMMENCED OR IS I\N'1' 180 DI\'1' PERIOD. Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00261 ISSUED: 04/1112003 APPLIED: 0411112003 EXPIRES: 10/1112003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Constructiop $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project I Ff'f'~ Pail! I Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Pai Receipt Number $10.00 $4.50 $3.15 $4.00 $41.00 4/11/03 4/11103 4/11103 4/11103 4/11103 1200200000000001000 1200200000000001000 1200200000000001000 1200200000000001000 1200200000000001000 Total Amount Paid $62.65 I Plan Reviews , 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 Rf'Ouirf'l!In~nections I 1 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2 FlpaI Gas: When all gas work is complete. 3 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that 1 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 Cily 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 Communily Services .Division, Building Safely. 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. V~ p~/>L <7"- Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .e Items: Job/Journal Number COM2003-00261 COM2003-00261 COM2003-00261 COM2003-00261 COM2003-00261 Payments: . Type of Payment Check ., '\ Paid By Receipt #: 1200200000000001000 Date: 04/11/2003 Descriotion -Mechanical Issuance Fee- Minimum! Adjustment Mechanical Gas Outlets 1-4 + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No LEMAR AND SON CONSTRUCTION dim 9136 Page I of I 4/1112003 1:31:45PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 10.00 41.00 4.00 3.15 4.50 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 Pavment Total: $62.65 cRcceipt.rpt