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HomeMy WebLinkAboutPermit Building 2009-9-21 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01393 ISSUED: 09/21/2009 ' APPLIED: 09/21/2009 EXPIRES: 03/21/2010 VALUE: $ ]5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Insp'ectiori:Line SITE ADDRESS: 1100 SHELLEY'ST Springfield ASSESSOR'S PARCEL N0::TEi'70~-2i7'00009.o2n law requires you to follow rules adopted by the Oregon Utility PROJECT DESCRIPTlON:tifiRtinolleI'QW1Llb'1ose rules are set forth i_n_?!,R, ~52-QQ1-Q01 .0 through ~A,R 952-Q~1- TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Remodel Commercial ................ ............"...} ............."'.........r-".............."........'............J Owner: TURTLE MOUl'iitAINIIi,,C<<:J1ler. (Note: the telephone Address:' PO:BOX 21938umber tor the Oregon Utility Notification EUGENE OR 97402Center is 1-8.0.0-332-2344). Owner: TOBY'S FAMILY FOODS LLC Address: 1160 SHELLEY ST , SPRINGFIELD OR 97477 - Owner: Address: MCKAY COMMERCIAL PROPERTIES LLC 76 CENTENNIAL LOOP STE D EUGENE OR 97401 UMPQUJla'N1kEEASING I ' 6400 SW cOR!lE-T:1iWm;SHALL EXPIRE IF THE WORK PORTLAl'j'RrPRlI~732~ UNDER THIS PERMIT IS NOT vUIVIIVltl~vtU Uti I~ I\tjl\l~UUI~tU run ANY 180 DAY PERIOil1CONTRACTOR INFOR~ATlON I j Owner: Address: Contractor Type Contractor License Expiration Date Phone ,BUILDING INFORMATION' # of Units: Primary, Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ' 1'2 # of Stories: Height of,Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft qther: Occupant Load: 155 IIIB No I DEVELOPMENT INFORMATION I Frontyard 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: Page 1 01'3 _~G~IN~JilI~ ~'" 1l'-r. ,'1, ',""'," "lZ" ,_ " ',j' J_e...,:,' "'-," ~'{.~.. .,,~ Of!., . '~, ..u~.._<____. _. ~~. Status Issued, 225 Fifth Street; Springfield, OR ': , 541-726-3753 Phone' ,541-726-3676 Fax' , 541-726-3769 Inspection Line , I ~UBL1C IMPROVEMENTS I Street Improvements: Storm Sewer A vliilable:f.' Special Instruction':;: . '" ?i" Notes: I, V,~I~ation Descri'P~ion I Description I, Tvpe of Construction ~. ji.. :' . , , $ Per Sq Ft or multiplier Square Footage or Bid Amount " Total Value of Project I.; L.];'p~< PoiWU Fee Description + 12% State Surcharge, + 5% Technology Fee Building Permit Fixture h '.' . Minimum/Adjustment Plumhing Plan Review Comm/IndlPublic Amount Paid Date Paid $29.13 $12.14 $184.75 $19.00 $39.00 $120:09 9/21109 9/21/09 9/21/09 9/21/09 9121/09 9121/09 Total Amount Paid $404.11 < I Plan Reviews I Structural RevIew 09/21/2009 09/21/2009 APP CJC CITY OF M'KIl~GFIELD -Building/Combination Permit PERMIT NO: COM2009-01393 ISSUED: 09/21/2009 APPLIED: 09/21/2009 EXPIRES: 03/21/2010 VALUE: $ 15,000.00 Sidewalk Type: Downspouts/Drains: Value, Date Calculated Receipt Number 2200900000000001071 2200900000000001071 2200900000000001071 2200900000000001071 2200900000000001071 2200900000000001071 Approved as D"oted on plans 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. UeouireCUnsnections' Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumhing work is complete. Rough Electric: Prior to Cover Paee 2 of3 " n. ,: -~"~,IM!il!~t!~l ,",' ]l~w -- "~,,- . ;:j" t",;lI.L~~'~-"--'Z"-';": CITY OF ~n~lJ'II.JFIELD 'Building/Combination Permit .'. ~ ~. Status 'IsS.UlOd, PERMIT NO: COM2009-01393 ISSUED: 09/21/2009 APPLIED: 09/21/2009 EXPIRES: 03/21/2010 VALUE: $ 15,000.00 '225 Fifth Street, Springfield, OR " 541-726-3753 Phonej':' 541-726-3676 Fax 541-726-37691nspeCtion Line Final Electric: -When all eleC!ri~aIwork is complete. Final Building: After all required inspections have been requested and approved and the building is complete. , , By signature, 1 state ~nd 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 ofthe 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. 1 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 a require 'nspections are requested at the proper time, that each address is readable from the street, that the permi ard' ocated- e front ofthe property, and the approved set of plans will remain on the site at all times during cons ,c. // ' Cf. .2/ 6 c; Owner or Contractors Signature Date ~! ., ." , , " Page 3 of 3 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753. FAX(541)726,3689 1:;::P~I'ARTMENiu~~;;9~~Y' ., Permit no{!9- I 39.3 Struc~u.raIPermit Application This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 118~:t:~S t~i~r~work is suspended for 180 days. '~LtU];;i*;),j~;~;\-r\!,~.~~:Ag:.;'9QY:~BNMgNi:::~~pJKR9}?~fr:~!~t~\1~~[!.t~1' This project has final land-use approval. S i gnat u re : Date: I ~~~f~~:.;~j.~:'~Yi;;:~~~;1~,~~~:;.~~~;;~3fTI'~\;,~~:EF.~'~ 7'~'9H.~Q~J~,~,trf'i~!!:::':<~t~'tV~~'''~{;';:.~~?{~''~:~~:~ I I This project has DEQ approval. l(r~:{;;y,~j4~~Jffi~YfIt(<f~~ii.!i(t~!~~~~;r.~l~}~h:f.~u~l~~~'f~~~~~j;,?:~:~~r~1~~F,:1 Signature: Date: I (a) Job description: I Zoning approval verified: 0 Yes 0 No I I Occupancy l!@,_ ':'~'~;'~:"~'~i,~i,:~~_~,:~~~~~~.l.~~~_";_~,~~~_~,.,,,..,~~,~,~,~ "~"~~)"'~Ye~ """ "';r~~"C" """11 I Construction type: r~V#j~i~~:K[~~~"ATf;~_G8)'~,~J~@~.Q~~mBlJ.Cmt9.~E3~cf~{~Jtt?~~:,vAfirl~ I Square feet: II" .,D,',_"'~,:',:,.i~,;; ~~,'~~~~'%"_;~','." ",', Ig, ~<~o,"'~~,'~,',~,:,',e, ~:_',~'~' "-''''''':;'~:'i,Lg,,~~~~~,'~,~',':~:'~'~f~'!;f:Wf'(-,,1 I Cost per square foot: l\ii;':;Ji't'Ki;dlU9i:l~~IJTE!;II'l~PRIVIA,.10~JAI'lR!i1f9,!':ATI9~i~l~~~,!'~f21 I Other information I Job site address: ill5'o '"5khl11 ':i'/-{~-i 'I I Type of Heat: I City: S{)'C ,,,", J ~'i€..l....Q. State' ()[L, I ZIP: Q'1 C1 I I Energy Path: I Subdivision: I Lot no.: I I 0 new 0 alteration I Reference \ f) 0'':> ' J _\C')(1lTaxlol nef- \Q' J.,. I I (b) Foundation-only permit? I\::,ti: ',; "i" P'RO")ER:TcY:QWNER~~,,:,i"::'+:1h; :';',',: I Total valuation: I $ I Name D6v.j III C t~ LhJ.t1'f'U\,\)<<' ~ ,r ,^,,\itlVr.~, 1~~!f~@iIiilgN"if;,iii~'ti!4:rt.~~'fIii1iif.ijj~iii~!~;}fi;,'~;;{i&~y,;,~jif@i~,i:;~':Eil I Addres~ '7(~ ~{~N">"J ~ ,)G..,de.h I (a) Permilree (use valuation table): ..- v.s:~ I I CIty: 't h~ ' State: I ZIP:'1l<1O 7 I I (b) Investigative fee (equal (0 [2a]): $ I ' I Phone: - .. Fax: I I (c) Reinspection ($ " per hour): I I E-mail: I (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ I me or a member of my immediate family, and 'is e;.:;empt from licensing requirements under ORS 701.010, (e) Subtotal of fees above (2a through 2d): $ D addition DYes DNo Sign here: I.;, ",', 'c;ONTRACflj0.~.,INS"'AI:.,LAfl9N",,,,,,',t ,":',; ,';;,,:1 .1 Business name rnC.rn +1~ Cems-tA.-ud.4;;"" , 'Address: fc,'1Ji) v-U1'S"1e.~ ~ I ICity:l=,-^-"h.L IState:6'e IZIP:t1j/..{{)lj' " " 1 (j fl. 1 <F/, -" '2. '7 <"' (a) Se>smlC fee, 1 % (.01 x perm,t fee [2a]): Phone, #11 -,.fA, ;).. Q"" I Fax:Cl>'1J - "'I j- to "',.:L l I ~ L.--.-t:: ~ I {. I, TOTAL fees and surcIiarges (2e+3c+4a): $ E-maIl: ~_~,"""'I"I'~I'---- CV1I,r .'4 /Y"0mc ,-GfYlJl.v.<tI, L<<.....- I CCB license no' 0"" C; '>b I Print name ('Jrl(, '(' } ~ hn (! ('./ r, ;-v--. I I Signature ~ ~ I I (a) Plan review (65% x permit fee [2.]): I (b) Fire and life safety (40% x permit fee [2a]): I (c) Subtotal of fees above (3a and 3b): I $J,JD~1 $ I I $ I $ I - I ~!1. /p./~ f'U(ft'6'~ i~~::::E~~~SL[ElrcN%~~:~~~~~~~~;TM~~:~:~:~~~12! ~1 b, ~M ~ .. I Plumbing 1 ~I I S::v<+JrYIt...~~'1 1 Meehanieal 1 'I I ' \J 225 Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone G. r ~~_NO,,',_ ""FI~_IILO',_~J.',':"":':': :,.'.' lit, -',-,...,...... . . lA' . ; T'.~. . '," ,~".;"':~f-",,;f, City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Nu~ber';<": . COM2009-0 1393 COM2009-01393 COM2009-0 1393 COM2009-0l393 COM2009-0 1393 COM2009-0 t 393 Payments: Type of Payment CreditCard , cReceintl ,RECEIPT #: 2200900000000001071 Date: 09/21/2009 Desc~ipti<<!l!. . t . Plan Review,Comm!lndlPublic Building Permit' Fixture . . ,Minimum! Adju~tnient Plumbing ':l:,5,,?? TechnoJogy Fee , : + 12% State Surcharge "':.''0,...,. 'hidBy" MCINTIRE CONST Item Total: <":heck N umber Authorization Received By Batch Number Number How Received cjc 097607 In Person Payment Total: .1 " " Page I of 1 1:47:32PM Amount Due 120,09 184,75 19,00 39,00 12,14 29,13 $404.11 Amount Paid $404,11 $404.11 9/21/2009