HomeMy WebLinkAboutPermit Building 2009-8-10
CITY OF Snur~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-0II58
ISSUED: 08/10/2009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE: $ 10,000.00
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 987 KRUSE WAY
ASSESSOR'S PARCEL NO.: ]7032220009]0
Springfield TYPE OF WORK: Restauraut
TYPE OF USE:
PROJECT DESCRIPTION: Adding Walls to create Gaming Room- 208 s.f.
Owuer: DFZEE'S INC
Address: 3930 ARABIAN WAY
SHINGLE SPRINGS CA 95682
I CONTRACTOR INFORMATION.
Contract\lr Type
General
Contractor
COZY HOMES
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMA nON)
NOTICE:
THIS PERMIT SH?\~tmRE IFTHE WORK ]
AUTAeJRIZED UN~~i\h[~~~\'lMFr IS NOT
CO~~~ENCED Of\,fftNWiQPNED FOR
ANY 180 DAY PE\UQ,g. Type:
Energy Path:
Sprinkled Building: No
Frontyard Setback:
Side] Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
ATTEN .~:,:.E~.~=~E~T 1~_~?RI\1ATI()N I
follow rules adopted by the Oregon Utility
Notification Cen@v.eij[~YJ:Dist:les are set forth
In OAR 952-001-#JStfr~tff)t.e]k! R'q'dl952-001-.
0090. You may ~alai<Jl Dtj>ieRljolhe ruies by
calling the ceIV.~of (l\\{l'@ov~F\t\!l!:3phone
number for the Oregon Utility tifotification
('ontoI'" ic: 1_A(H)_~~I)_?144\
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Commercial
Expiration Date Phone
541-747-8704
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
208
19
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Page I 01'2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01158
ISSUED: 08/10/2009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description'
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
Structural Review
08/10/2009
08/) 0/2009
APP KLK
Over the Counter
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.
I ~~llU.ired I.n~oectioo~ I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested aud approved and the building is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 Ordinauces of the City of Springlield 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 re<)uested 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
.." '"ri"'~ T) (; ~/l'f
Owner or Contractors Siguature Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01158
COM2009-01158
COM2009-0 1158
COM2009-0 1158
COM2009-0 1158
Payments:
Type of Payment
Check
cRcceint I
RECEIPT #:
3200900000000000573
Date: 08/10/2009
Description
Plan Review Commllnd/Public
Fire SF Fee - Non-Residential
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
TOM G WIRFS ENTERPRISES, 16529 In Person
INC
Payment Total:
Page I of 1
9:03:IIAM
Amount Due
88.40
20.80
136.00
6.80
16.32
$268.32
Amount Paid
$268.32
$268.32
8/10/2009