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HomeMy WebLinkAboutPermit Building 2005-4-27 04/12/04 HON,15:37 FAl 5417263689 ~: I, " CITY OF SPRINGFIELD 1i!I002 ';';~'\: .........Q~,::...".",~ ,'.. a . ''''1:\0 ~ . ,,~' ~; If, 'i f":'\.:..w......{!~;r::;..~l.~t:l , ,'IX;: ,225,~u<,"'STREET' SPRJNGIJELD,OR97477. PH:(541)n6-3753 of.AX.(541)726-3689 ~~il~~:(;'~;~~q l,iJ~liJ;;;:-:-" EIiE".CTRICALP.":F-"RMIT,, ", ' APPliCATION, ,< , ~i~IU.'~ "'\C ,..,<:, ' - I 5 ,.1,1,::/.,';' I~~~": ;,: :,i~;;;;;:;~:;;t~~tf;tc ~.- :;;4~%,::*~~" 'e~%~:'?P""'~~Y;~~€~~51111:ft~;i~& ,/' "'~ ..\.., ~.I ~.l.._"""::,t;l"'.Jt.!/ln...w-......(",.......,I~~.~,:l(;.......,,,,...= :.::I.....r.i1ti\l.r.,,~..\ ' ....._. \,. ,__~..".... "~~:~.-5.~';O: ~." ~'" I, ::f'.. ,.rGl't _'\..o",_"H.l!:l-..\l,?t...f-.".;1~~.,!!..... ',,: J.;~i", , M.4 uv: " ~~~\1,l~.,;::i'&.fZZ 1 'S.T A.;i.&JWR:~i~~i~si;~t~ '~~:;"i"~~;;~~W1ijJi'iilti~,~; -!i:, ,'..r.' LE04DESCRIPTION ":.~~,,t,.~\;T"',..""'. ."r..~.dY~~~,"'I-~'''~' .~~ i..,.':\.,. ,p.::J.r~~ th~il.l. f~'?'" !?, "",C'\, a. ~ d'I &0- .....1.1' ',!,'j!':,l'"",:'C'--,Z'",,c", '--"I' rOD' 5erviceInduded 'Co ,'O..',<So$! ~'~IP~C n'lB DESCRIPTION 1000 sq, fl or less ' ~ ~lO~M'~- ~; :~~,~~i"':, ""'1~,I'h ~ ,,to;"':' .\. LL' , , Each additional 500 sq, ft, or 'o.~' ': ;;>"<>-o~ 'l~"~"f,\'~" ' ~ ,..~ \.) I::" portion thereof ~ ,00 "~.?'" i h~.~~~qr ~ '.' . \V Ii' - >" ' P.rmlU ar.l1on.transferable and expire if work Is Eoch Manufact d Home or {;'~~f.. , " not started within 180 days of issuance or If work is ~~ar Dwe~ S. ervice or ',$5 , ' , *'" t. ,"'~' Susp"'!ied for 180 days. " .,'/ ',' " . "', l'II"I~:~"ic7'-l~"",.. ;;,:l;"Wl",u.~'i:r/oWl'lr'S"'~il"',',~;;e:;;~;.:j'~~:'.i~:i,1~:;;m,. 1,::;~~~~~::.':~~'F!f. ~~,;{.;l..r-'7,=::-~,',',. ~~-<=~ii''',~- ,:~~g~~~,;.;:;i~;~,'~i'.1 :NI:mh,. '~~~'~~~.:>>, r*-~n:. '" ..,f:h~\:' ' "'I'" "~' , 'l>j~aMONLY"p B, ~;~ffl' 'r.l"eto' ~""Jn$filU.tl .,..It '.'tliiiil t ~""""lflll")'s< I "... ':~~1" ,,' ,~1;~~, """." , ",,,,,"'" "< --eili '" "", ',.' ..... ,. ..,..;;!;)i.'.,lit,.",- ",S"",;."-'i!>" ,'~"', "":.a"',~",~_ '~""""'!?"\' tl"',' .. s.;'..' '.""'~~'I.''''''ii1 ';~;~~J;f I.' <;n~i!;',L,.t:;r'" 111". ..-:~,. ~i ~1 .,' M. ':~~,;~'.~ 'J~...... ..1'0..... ..."'," '" ,~"., \ ,t '~\'. '1.1'. ..." "', '. a' ":>' : ..;eo. i~!-7:' E1~1rl~,Contractot J!JF-ILAkJD F';~ICI/~Ampsor10ss 563.00 1.<:, ~", i' '. ';,' , . ,201 AIDpsto 400AIDps 575,00 i;,::'/' Addttss . 8?D-DIA/, '1 d A VEN(lt: 401 AIDpsto 600Anlps 5125;00 1'>( ','> "I' 601 AIDpslO IOOOAIDps ~,... S163,OO' I "."''',' CillY".E"UGEtJ E , ' Phone 3f(t;- !>cO'39 . -'A~i.~~~l,teQU\re:n Utility S375,OO ';,n;~'I,' /:;I'!;I,., ',:::,' ATtENIJM!~.RiWoYth80reg \te~ S50,OO '1::/'" ""j' '.-,CI.OL'> fo\l~~~~:~""",~~"-"",!'J'('!'''iii~';'''' !(:.:2;:~:'.~' Su~crvi8or~~~NUInber' ,i:..-JW:::> N.Otil\~~~_~~Offfiilm8~ir,.;lj~~~;:,~~t~lttlhm ','i~,; , ~" \nOAR9"htaln~!l~~~&l"8 ' ;3';/.::~\'" , Expimtiol' Date , I () I, I Of ')090. '1oUJmnv~,:,~Q~' ' :j:':'i'J(':, ,,' :::1 ::'1, " c;aIIlng~UtI\i\yNO\itlca\lOR S50:oo ;,i:.1,::,,;, :ConsIr,Conll.NllIDber, 5B ("on ~t~ -2a44).S6P,OO ';':fll:':;~'I"H. '\ 'Hlfl",~l!tU.ij~',~~lj :,~:,\", ",Wlllllj(~~ItJiJ'~ ,: ,!, , 4<!l_ m Amp" " SIQO'm' I' 'l1'i.I~"~h'.' "'i~I' ;'DliilionDate' 1'{!!liQO ,,0, II'!' I i;", ii~!: :: ;1'1: i jl'f"~~:~,:r':' .,;;T"""'i!" '''','!' ',' ' Over 600 Amps or 1000 Volts see "B" above. ..' .', ~.C:'f 'il "I .~ 1"" ~. rlf ir , . . ~ . ;~t.::'.:'~.\'iij~::~,~r~V:!ii:l':'?i~~1;!o;:o1',~;::W~~;;.j~"""'~1\l!'~j~ir.J?-'~[\;~~i:;'3'~ '~',;,'!!'d', ,','...' '1'1."'51"," '0' fSIl._ "':'." e'Cln'C~ D, ""'<llJlcn';{;ii'<lijll ."'r"1:"d.,-"."~",,, """~,":".,, "'''': .'. "'1"','''''/'\ '.,";::<f, ~y... . _...... ~.:~~..O;.\K>;,j,.:iw~i;Ii~.lW<..:!uf,.cr,~il:!l-.':i..;i~~.iZ'"c...\"~.:-"':".-oMl,,,~~ li.ii~ 'it.~[)t'~. ~~,(?~i~"!!I'J":- .rt.'i\, dl'\;'j I[~,'I< :ll"i,i.inlk'.jlljiN,r;~",lt : ." c,' '('3 ,l~; I, ' l' II~'" .1, IT', ' " """"'-i'!iJ,I' I' Now Alteration or Jatenslon Per Pauel/ .If'''~l'.il' ".:' tit,'. " 'r';" 'l,.,,~!:.i . OnoCircuit ~ ' $4300 1f;t~!i~ "~"~:~ ~,;' :l'~f~iI, '.;'! ;;'i;;i:"~l'li.{:'1 '~ ~ Each Additional Circllilorwith 'Jt ,,: ':: 6 J ~~"~;ii'\.:','\~tl1U: ;~'~'~I:J, ,'7'. _ ~A ServiceotFeederPeltl\it S '3,,:.O,?,j,l~ , "!~J ,..', O'W!""'!:N~' ., '" ",., t-" t;-. n. ,"I, '.' I Ii )' jl' ",. . . , (::r-~:C:O.~Jt-:',:<'I~'-:~""'W""~,='II;~','l~;~...,rt""...~.,~,t'.r~~."~~:;-O\-rl'~r:-'''''~~il'iu.;:I;l't''1'JiF.-.-':;",,1:.:.o;a. .':'1;'.. ,;; , " 'A'I~-")2 !}:; ';;i>Zb :h,4-, IN E. \;~.taGellil~.",.~,j(,:'~r~;Wr:n6Il;;.lii"""~"'iJiCif~u~tiQ":l ,,-.:Xl "I ~S 'I" . YVlI ~ I J.;;'oiI.'II;;)::~~Ci..i.~'~i:ci~.iI'..;~",aI.:o'~!'~";<l.',;n"'r;,.:~..-.:,~::f:~M.:~,'~l'''1:'\.oOo":t!'''~ .:Ii.:....~:;:l::lo..,;!!l :l',~,::~;:.~~l -' .1 ,'~ i .'.' :..L.)';, (.' '.!,' "';"",' :~. ~':,:~1,lri, ":City lj;;rS,p~'1:F 1,'i8PbOhe Pump or irrigation S5000 "I' ':'" "I.p' ,. . ." L. -, .. ... -..- . "I ' . . .', ~';;~);:fJ..: ','" ;!'y ",' " .. NOTlC~ip'OIltlineLigbting - wM!,S50,00, :< 1,~jr' '...;. "'ST""'''nO' N"""", pl!":m:.,"",,"...',InE\;.;),ilrlIFTI-h.,,u,"'S25oo..'. ;:';'f",.oI ..YE.+'I.l'A,....', ~'" " , THIS ".,,.,f"<JCIlCQlY"''''' - I~ ""; " !", 1,)).'I\idi-lI ~ . { " ..lA.q.....~ .!,.,~!~. ....;,' .' . . _ -po '''lnr'"' "UI~ DF.RM1, '''''' I'''' I ~lt, ,'i}l"l1" , , '," The lm1allation b being mode on ......., I own whlch AUTHOF!!i!~<!!I ~erllYJCommerclDl ..., _ $ 4~,OO '" '.r!()", "" t' 'te ded"-sal 'u__ ,-,,~..~ "" '0:: ^"^!\lO[)I\IEO rl'n ' ~'r~'1J ,:r.'\ ;\. 'I~;~~~.<.l~\..,:. .,_..I.,~l ."..~~; ~,~~t. CtMi.~rn.IHI!IElech!c....~rmlt'IlIspemon Fee II $45.00 +:S~<.lC~~les '~, .'~"J!'f'l' , ..I,., rl'~" ' ,V: ", ANV 'f!S~~IJ"~:!'!~IOO",,,,,.'r."""""'""~"\ffi'!""""'1;, 0 ;' 'r,:,;I~lf:; Owners'S~_lllture:'. 4. f :. Tot~t{~~..rRO.j'~~~~~';iir:;:{~~~~!:!I~!;1:1i.t. I (::) .tt.~ .'~ .' ~, ...~~.:l.;,'l ;~w'_._"-tf"I.~"':tt:5f:J..;'~~J'".=::t-;g,~r:-v.'~'''l.,r'''.''(;l~.,. j;. .:.,{.:! " ". r '1.,., ,I .' 'W.z:t' i!r~....~.,,:~.::.. -....'!r.t.t;iilllo;!!._\~::~~>j~'\i:,7.~ j.A::.:r~.."'.:IJll.!-~," .1 'd,f.t!! r " .." "'--',",' , t' ":', 70/0 Stele Sun:h"'lle . 7~1. ..,' (~"\I',\ .. ,..- --~-';.' '1. ,~..: - : '/0 ,"0 'r . ~t~ 'h:';.:iL\lh;ii.i "'j,',\l,I-'.Jcl'."~',\,;SI:~'l'l:; , 10 YO AdnumsttativeFee I.' L' ~',;,;,il\~:(,. " .', 1 · ... .- .. I.. ' . I j,. :"~"I' 'I.'~" i ,', ',~lI. 1~1' 'ro, . " . ' i;;-~';'~"!il!;'I" , .. "h' ,~.. " .,. ,., .. I ' U cZ 18,::1:,I!' 'InsPection Request: 726-3769 TOTAL " ,,', c.-, - i'~.-:'4~t.I;':", .. '\;~ i;~~!!lir-'~":' ~~-.~b!{'lIl'l':~'/~': :\'llJH:1 i'~;';' .~;:'.\::; '. ': ["!, .~\t;,'~:;':'1:,,'" J;;:~ r ::: ::~l:_l !, ::~;..:~ '. I,~) . Shand Drivc(T:)lBuiJdinx FORnIIE1ewicnl Pcnnit APPUc4tlo~"loQJ.doc I'..', '., , 1,' . ',C ,r ::~ :'/~.':; ;. l:!.:.,;\:l1SP ~';'''''l~ir.{,trr ..,',.'.\~;~... . I _. ,,' " , .:: JlI ;l't\!J:" '~. ' . .~ ~ ~~'~~f;-"'" ~<.tl;.r~~}. :"',1. ,). ,l':~'",.,., :;':' ..." ",'-'" !"..,'~,~.I; !1..~~~.J: ." . t' .~.t. ." n-...u~~I, . .' '~, ,.!.: "I " , , \ ,'I I ...~. ..;.1... l'h(lll , it ';'.;\ .~.. Status Pending 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: COM2005-0041I ISSUED: APPLIED: EXPIRES: VALUE: 04/12/2005 10/20/2005 $ 45,000.00 SITE ADDRESS: 4221 Main ST ASSESSOR'S PARCEL NO,: 1702323201900 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant lnfill and remodel Owner: PFEIFER DONALD V TE Address: 326 MAIN ST SPRINGFIELD OR 97477 Contractor License Expiration Date Phone MICHAEL S BIELER ATTENt 541-345-0808 ORDELL CONSTRUCTION COMP Al'iJ)/ow ru?f!!io Oregon law 0110212006 541-747-8734 WEILAND ELECTRIC INC, NotificatIo 5860010Pted by lh cW.QIJ/2llj)Jtou to 541-485-3639 J CO ENTERPRISES INC In OAR 95 'i56801ar. Those 8~OOPUtl/lty 541-689-1667 BARON PLUMBING INC 009n II~:: ~~010 th...~.).!g~41Zll~tf^",;541-935-1081 I BUILDING IN~iRo~taIn COPIes 0";: 952-001. .IJl/I8er for the ar. (Note: the 9 e rules by # of Stories: Cente lsoregO~Uti' rl~~hone Height of Structure r 1-60 q~~Wivn Type of Heat: - q ~!nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garoge/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load:" '. Contractor Type Architect General Electrical Mechanical Plumbing # ofUnlts: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I A2 VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Qyerlay. !list: Total: h~IU~fT~ees Rqd: Handicapped: ~a~~D!!~~IRqd:/ALL EXPIRE IF TH Compact: t%'bfILiitle~yel:!\~vER THIS PE E WORt< ~?,~~~NCEO OR IS ARANnm~~~~S~ NO; " .... .~".. ", '" ".. . .......- - . VI I I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Paee 1 00 . Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Esllmate Fee Descripllon Plan Review CommllndlPublic Plan Review Fire & Life Safely + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Cire Add, Alter, Extend Circ Ea Add Total Amount Paid Fire Department Review Initial Review Plan nine Review 04/1312005 04/13/2005 04/13/2005 Public Works Review Structural Review 04/13/2005 04/13/2005 SUB Review 04/13/2005 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Amount Paid $221.91 $136.56 $10.60 $7.42 $43.00 $63,00 $482.49 Square Footage or Bid Amount 45,000.00 Total Value of Project Fppc, P\WLI Date Paid 4/12105 4/12105 4/26/05 4/26/05 4/26/05 4/26/05 I Plan Reviews I 04/13/2005 04/19/2005 APP SKG APP EMM . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00411 ISSUED: APPLIED: EXPIRES: VALUE: 04/1212005 10/20/2005 $ 45,000.00 Value Date Calculated 04/2012005 WE JMP $45,000,00 $45,000.00 04/1212005 Receipt Number 2200500000000000419 2200500000000000419 1200500000000000503 1200500000000000503 1200500000000000503 1200500000000000503 Conditions of LUCS need to be met before final occupancy. Add 2 street trees, 2 catch basin filters, 19 bicycle parking spaces, screening for dumpsters. Metco has signed statement. Tara Jones is planner. See enclosed LUCS. See attached 11 structural comment, faxed to Michael Bleier. 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. IRp~ Framing Inspection: Prior to cover and after all rough In Inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping, Paee 2 of3 . . CITY OF .srK.ll'1ld'I~LU Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00411 ISSUED: APPLIED: EXPIRES: VALUE: 04/12/2005 10/20/2005 $ 45,000.00 Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required Inspections have been requested and approved and the building Is complete. Underslab Plumbing: Prior to filllng the trench and Including required testing. Rough Plumbing: Prior to cover and Including required testing. Final Plumbing: When all plumbing work Is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. By signature, I state and agree, that I have carefully examined the completed appllcation 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 compllance 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 Signature Date Paee 3 00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00411 COM2005-00411 COM2005-00411 COM2005-00411 Payments: Type of Payment CreditCard :( 4/26/2005 . RECEIPT #: "'~'I!I8Cl!;1I!1oQ , Wi'""..-.",...~.,'.'...._",""...",".'.:'. . ''. ? ,....~..,.. I , - ., _ .~ _~} .1 aJty of Springfield Official Receipt _evelopment Services Department Public Works Department. 1200500000000000503 Date: 04/26/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By WEILAND ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 026036 In Person Payment Total: Page I of I 9:17:02AM Amount Due 43,00 63,00 7.42 10,60 $124.02 Amount Paid $124,02 $124.02