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
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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
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]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, -',-,...,...... .
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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