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Home My WebLink AboutPermit Building 2005-10-7 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01406 ISSUED: 10/07/2005 APPLIED: 10/07/2005 EXPIRES: 04/07/2006 VALUE: J.~-/ ~ SITE ADDRESS: 4205 Main St ASSESSOR'S PARCEL NO.: 1702323201900 Springfield TYPE OF Restaurant TYPE OF USE: Repair PROJECT DESCRIPTION: InstaU hand wash sink and replace fire suppression system in existing hood Owner: DONAW V PFEIFER TRUST Address: 1600 VALLEY RIVER DR STE 160 A TTN COMMERCIAL INV PROP EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor ATTENTION: Oregon law requirr:r~~~o GUARDIAN 110000/PR@l'OOlrIONjN'Cthe ?refOjJ'ug~~~h ~o~~~:liiJlLri~G lN~oRMATioN',2-00 1- 0090. You "lPcYf'S?J~i~::opies of the rules by calling thlf6ilr.Tr&f \I~ote: the teiephone number forYP~\~H~~P: Utility Notification CewatJ~ hliHU-332-2344). Range Type: Energy Path: Sprinkled Contractor Type General _ # of Units: " Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Sethacks: ". Street Storm Sewer Available: Special Instruction:. Notes: Description nla I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Commercial Expiration Date 06/23/2006 Phone 541-752-2258 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS... ~ :' ~Ol'tl~ ~~"'~_Type:' 1~\S p~~ \lNOS\ 1~.!!~poutslDrainS ~\.I1MQ~~iDOR" ~. - . ~Qt.\t.\::::M1 ... . At4'i \.. """ I Valuation Descrintion I SPerSqFt or multiplier Square Footage or Bid Amount Type of Construction I of 2 Value Date Calculated 7[~' "--,~ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Fire Department Review . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01406 ISSUED: 10/07/2005 APPLIED: 10/07/2005 EXPIRES: 04/07/2006 VALUE: Total Value of Project Fees Paid I Amount Paid Date Paid 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 Receipt Number 1200500000000001484 1200500000000001484 1200500000000001484 1200500000000001484 1200500000000001484 1200500000000001484 1200500000000001484 $4.50 $3.15 $14.00 $31.00 $57.21 $75.21 $6.62 $191.69 I Plan Reviews I 10/07/2005 To Request an inspection caD 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. wiD be made the following work day. L.RI~"\'~ Rough Plumbing: Prior to cover and including required testing. Final Plumbing: Wben aU plumbing work is complete. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 wiD 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 i'i located at the front ofthe property, and the approved set of plans wID remain on the site J=dt~:=I:_ IcPJ'I/<9S - " . . Owner or Contractors Signature Date 2 of 2 225 Fifth Street 8'l>ringfield, Oregon 97477 /, 541-726-3759 Phone . ~ ~i -"d City of Springfield Official Receipt eevelopment Services Department' Public Works Department Job/Journal Number COM2005-0 1406 COM2005-0 1406 COM2005-01406 COM2005-01406 COM2005-01406 COM2005-0 1406 COM2005-01406 Payments: Type of Payment Check , , t)l. ) ... " i I, ,fl. ) " ;).- .; 10/712005 RECEIPT #: 1200500000000001484 Date: 10/07/2005 Descrlptlou Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin + 7% State Surcharge + 10% Administrative Fee Fixture Minimum/Adjustment Plumbing Item Total: Paid By GUARDIAN FIRE PROTECTION LDecK Numoer AutnonzatIon Received By Batch Number Number How Received djb 4891 In Person Payment Total: I of I 3:37:32PM Amount Due 75.21 57.21 6.62 3.15 4.50 14.00 31.00 $191.69 Amount Paid $191.69. $191.69 . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET -..--" JOURNAL OR JOB NUMBER: COM2005-0 1406 NAME OR COMPANY: Muchas Gracias LOCATION: 4205 Main St TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: . :#-. o LOT SIZE (SF): o rn U.l o o u ~ U.l f- rn o ;;j I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I 0.00 I $0.323 = I $0.00 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I $0.323 I 50% I ~ I ITEM I TOTAL - STORM DRAINAGE SDC I $0.00 2 SANITARY SEWER - CITY DISCOUNT $0.00 SO.OO 11070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 3 $25.07 S75.2t 1 1091 B. IMPROVEMENT COST: I I NUMBER OF DFU's I x I 3 $19.07 S57.21 I 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 S132.42 I lTRANSPORTATlON II A. REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTOR! I 9.57 I I 0 I I $19.09 I 1.00 I SO.OO 11093 B. IMPROVEMENT COST: I I ADT TRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRlP FACTORI I I 9.57 I I 0 I $84.19 1 1.00 SO.OO 11094 ITEM 3 TOTAL - TRANSPORT A nON SDC =, SO.OO I 4 SANITARY SEWER - MWM!:; A. REIMBURSEMENT COST: INUMBER OF FEU's 1 x I 0 I B. IMPROVEMENT COST: INUMBER,OF FEU's I x I 0 I ICOST PER FEU I $82.03 = SO.OO , 1054 ICOST PER FEU I $865.31 = SO.OO SO.OO SO.OO I 1055 1054 11056 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5_ ADMINISTRATIVE FEE' iSUBTOTAL x I ADM. FEE RATE 1= I $132.42 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO J SI32.42 CHARGE $6.62 6.62 $0.00 11079 11078 Cheryl Slaymaker 10/7/2005 TOTAL SDC CHARGES $139.04 I ,. ..___..__.__ J PREPARED BY DATE