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Home My WebLink AboutPermit Building 2004-4-9 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * .l. CITY OF :srK11~tJ~1~LD' Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11/25/2003 EXPIRES: 02/28/2005 VALUE: $ 45,500.00 Status Issued SITE ADDRESS: 2251 MAIN ST ASSESSOR'S PARCEL NO.: 1703364203100 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: Interior renovation & site work - for additional parking see permlt# COM2003-01210. Applicant is N & S Enterprises. Proposed use: "Drinking place"-non-alcoholic Owner: ASA YED Y ASER Address: 12932 S W WINTERLAKE DR TIGARD OR 97223 I CONTRAC,unmrORMATION I Contractor License FRED GREENINGER 70284 CAMPBELL ELECTRIC 73995 ACCESS ENGINEERING BARNES HIGH TECH PLUMBING I~Cl~~33l\ I BUILlliNG ~F6RM..a{ON I f-f ,,.111 1\ . . ~\..'C-r" ~\;.\" 't\)\. # ofUnits: ~\Ct:;. ~ ~y,~ ~g~l!l\i~~~ Primary Occupancy Group: \\~ ~ '{~~ x.~ '\j~~ l\Iih't'ar Structure Secondary Occupancy Group:\y,'\ ~~"V x.~ (;;)~ .of Heat: Primary Construction Type i''\j'\~~\t.~C; ~ '{ll ter Type: Secondary Construction Type: ,,(;;)\t\ \'Of:J ~~ Range Type: # of Bedrooms: ~i Energy Path: Sprinkled Building: Contractor Type General Electrical Engineer Plumbing Expiration Date 12/20/2005 0512412008 02/1712008 Phone 503-283-1914 541-744-0705 485-3215 541-726-9854 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupani Load: nla ,.. I DEVELOPMENTINFORMATION . ~ REQUIRED PARKING Overlay Dist: ,,~;;: # Street Trees Rqd: ~ ......fIJ'. Icapped: Paved Drive Rqd: ,.-6' ~~_.At6~o.~~act: %OfLotC?~~~~c:r~~ t~f.et.~.t\ ,7- ~~~ I PUBLIC IMiutQY.pt~JrS]~!'ud~~ ~v.,.\lu- _1A1~~;mr- ~O~ ~,.~ ~.:.()\~~e: ~_\\\~~~ e~~utslDrains: ~~ . Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 4 1\ Description Tvpe of Construction $ Per Sq Ft Square Footage or multiplier or Bid Amount Estimate Estimate $1.00 3,000.00 Estimate Estimate '$1.00 27,000.00 Pavine. Use Bid Amount $1.00 15,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description Plan Review CommlIndlPubllc Plan Review Fire & Life Safety Deposit Planning Final Occy Inspection SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Return - Deposit -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Inspections - Investlg. Bldg Inspections - Investig. Electr Inspections - Investlg. Plumb Minimum/Adjustment Mechanical Paving Penalty Fee - BWOP Building Plan Review CommlIndlPubllc Plan Review Fire & Life Safety Storm Sewer - 1st 50 Feet Vent Fan Encroachment Permit + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Ea Add Penalty Fee - BWOP Electrical Service Reconnect -Mechanical Issuance Fee- + 10% Administrative Fee . . CITY VI' ~rKlNGFIELD . Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11/25/2003 EXPIRES: 02/28/2005 VALUE: $ 45,500.00 I Valuation Descrintion I Value Date Calculated Total Value of Project $3,000.00 $27,000.00 $15,500.00 $45,500.00 03/29/2004 03/2912004 12/29/2003 l{p~~, P1ilLl Amount Paid Date Paid ReceIpt Number $120.51 $74.16 520.00 $118.00 $10.00 $976.27 $1,433.82 $571.57 $7,346.15 $1,665.23 5-20.00 $10.00 $87.75 $32.88 $253.65 $126.00 $45.00 $45.00 $45.00 $33.00 $154.20 $253.65 $44.36 $27.30 $45.00 $12.00 $120.00 $5.90 $4.13 $9.00 $59.00 $50.00 $10.00 $4.50 1lI25/03 1lI25/03 12/29/03 12129/03 12/29/03 12/29/03 12129103 12129/03 12129/03 12129/03 1/7/04 419/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 8116/04 8/23/04 8123/04 8123/04 8123/04 8123/04 8/24/04 8/24/04 Pal!e 2 of4 1200200000000002511 1200200000000002511 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 VOUCHER #71290 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346. 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000001051 2200400000000001084 2200400000000001084 2200400000000001084 2200400000000001084 2200400000000001084 2200400000000001085 2200400000000001085 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Evaporative Coolers Minimum/Adjustment Mechanical Vent Fan + 10% Administrative Fee + 7% State Surcharge Fixture Penalty Fee. BWOP Plumbing Total Amount Paid . . 'U1 l' OF ~rK1NGFIELD' Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11/25/2003 EXPIRES: 02128/2005 VALUE: $ 45,500.00 $3.15 $9.00 $30.00 $6.00 $2.80 $1.96 $28.00 $28.00 8/24/04 8/24/04 8/24/04 8/24/04 9/1/04 9/1104 9/1/04 9/1104 $13,901.94 , Plan Reviews I Fire Department Review 12/10/2003 12/24/2003 OK GRG Initial Review 12/05/2003 12/05/2003 APP LLH Plannlnl! Review 12/10/2003 12/12/2003 APP EMM Public Works Review 12/10/2003 08/24/2004 APP SB Structural Review 12/05/2003 12/1112003 WE JMP Structural Review 03/29/2004 Structural Review 08/24/2004 SUB Review 12/10/2003 03/29/2004 WE TCM 2200400000000001085 2200400000000001085 2200400000000001085 2200400000000001085 2200400000000001116 2200400000000001116 2200400000000001116 2200400000000001116 See attached document. Kay Bork Planner DRC2003-00044 APPROVED TO WORK INDOORS by Public Works. Received from Dave Puent on 12/10/2003. 12/1112003 JMP called Wade Holaday at Access Engineering to ask for sheet C3, correction In accessible parking dimensioning, and contractor information. 12/1712003 JMP left message for Michael Welshar at Access Engineering noting differences In Cl submitted with final site plan set and the requirement for a dimensioned drawing of the Interior. 12/23/2003 received a scaled floor plan. 12/29/2003 JMP left a message with Loretta for Michael at Access asking for the change of use/occupancy report. Mechanical not provided. Revised plans submitted. Added mechanical permit for Evaporative (Swamp) Cooler and 2,000 cfm exhaust fan. 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. 08124/2004 OK JMP 12/16/2003 APP JF Pal!e 3 of 4 . . CITY OF SPRI1~ut<l~L1J Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11/25/2003 EXPIRES: 02/28/2005 VALUE: $ 45,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line !..Rp.ouirp.d \lurp.r.tions I 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. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench 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. Underslab Plumbing: Prior to fillIng the trench and including required testing. Final Paving: After paving is complete. Storm Sewer Line: Prior to filling trench. Final Building: After all Conditions have been completed as required on Development Agreement. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thaI 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 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 Is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. o Q l /, i Da~ ~ 1,11- if ~ Owner or Contractors Signature Pal!e 4 of 4 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone . .!'~R~'!.Fl~ ______..'. 1Iii:' , '.,' ,', '_ I, . .1, , , , ---.- ." .y of Springfield Official Receipt Wvelopment Services Department Public Works Department Joh/Journal Number COM2003-0 1178 COM2003-0 1178 COM2003-0 1178 COM2003-0 1178 Payments: Type of Paymeat Check 9/1/2004 RECEIPT #: 2200400000000001116 Date: 09/01/2004 Description Fixture + 7% State Surcharge + 10% Administrative Fee Penalty Fee - BWOP Plumbing Paid By AL Y SAYED ABD ELHAFEZ Item Total: Check Number Authorization Received By Batch Number Number How Received djb 237 In Person Payment Total: Page I of 1 9:41:14AM Amount Due 28.00 1.96 2.80 28.00 $60.76 Amouul Paid $60.76 $60.76 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line *: . CITY <'11' ~rRINGFIELD ' Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11/25/2003 EXPIRES: 02/24/2005 VALUE: $ 45,500.00 ., Status Issued SITE ADDRESS: 2251 MAIN ST ASSESSOR'S PARCEL NO.: 1703364203100 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: Interior renovation & site work - for additional parking see permit# COM2003-01210. Applicant is N & S Enterprises -Added $20.00 credit to be applied to future fees, since applicant wrote check for $20.00 over required amount. SWB Owner: ASA YED Y ASER Address: 12932 S W WINTERLAKE DR TIGARD OR 97223 I CONTRACTOR INFORMATION , Contractor Type General Electrical Engineer Contractor FRED GREENINGER ~ CAMPBELL ELECTRIC *<::::,~ ~ ACCESS ENGINEERll.'lR .Co. ~ License 70284, 73995 Expiration Date 12/20/2005 OS/24/2008 Phone 503-283-1914 541-744-0705 485-3215 ~~uti~Jl'~b INFORMATION I ~~ ~'(,,' ~ # of Units: .<;J of:? ~\:II of Stories: Lot Size: Primary Occupancy Group: ~~'~"'~'Q{f- Height of Structure Sq Ft 1st Floor: Secondary Occupancy Group: r::f.~<<; 'Q "?' Type of Heat: Sq Ft 2nd Floor: Primary Construction Ty~. #' ~R-" ~'V. Water Type: Sq Ft Basement: Secondary Construction~€, p ~ ':::s fff Range Type: &>..s>.~ Sq Ft Garage/Carport # of Bedrooms: ~~ of:? ~ ~<i:> 'fi::."'<<:; ~ ~ Energy Path: p.> 4; VJ~ o$'1.Ft Other: "'~.0.~.g ,,<::> Sprinkled Building: ~0 nf1} if-"I. ~~cupant Load: _'-> ....~. 0.." ,..(S:, "f(Sf-~ CO .O~ '0'\ . "''V~ : I DEVELOPMENT INFORM-,{:"''tiN:''i'...~ "'\.s0-0~0 ~ "?'. ""1' ., !>'- ",,'l, ~ '0" ~\)' '<)"1 0'- "" ~'\: 'l,~ ~ REQUIRED PARKING ~0 b 0<> ,)<:$ 0 ,~ .&.v Overlay ~~p. o~,<ii ....."" ~o '~'l,c, ",,'l, ~o">. Total: # Stree,,~e"t>~Ad':' ~~ '\: cP~ ,,-0~.~~ # Handicapped: Pa~;f)~I~lI't~~~ "-~~ ~o -:)">!l:'li Compact: ./i"~,~~o~w'ge~ 00 ,,-'l,\' ~~<:::i":J"J ,,~.&,v'b' q,'S ~'1f v'l,~ O\<ii 9;>'V _~ .Q. ,_~ .0, .~'l, _" I PUBLIC ~~i:>:VWE~'fS ~'l,\ ' J VV '" v ,)<$' Sidewalk Type: ~ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Dralns: Notes: Pal!e 1 of 4 '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Use Bid Amount Estimate Estimate Pavlnl! Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety Deposit Planning Final Oecy Inspection SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo ReImbursement Return - Deposit -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Building Permit Fixtu re Inspections - Investig. Bldg Inspections - Investig. Electr Inspections - Investig. Plumb Minimum/Adjustment Mechanical Paving Penally Fee - BWOP Building Plan Review CommlIndlPublic Plan Review Fire & Life Safety Storm Sewer - 1st 50 Feet Vent Fan Encroachment Permit + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Service Reconnect -Mechanical Issuance Fe..... + 10% Administrative Fcc . I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 3,000.00 27,000.00 15,500.00 Total Value of Project Fpp< p.,W Amount Paid $120.51 $74.16 $20.00 $118.00 $10.00 $976.27 $1,433.82 $571.57 $7,346.15 $1,665.23 $-20.00 $10.00 $87.75 $32.88 $253.65 $126.00 $45.00 $45.00 $45.00 $33.00 $154.20 $253.65 $44.36 $27.30 $45.00 $12.00 $120.00 $5.90 $4.13 $9.00 $59.00 $50.00 $10.00 $4.50 Date Paid 1lI25/03 1lI25/03 12/29/03 12/29/03 12/29/03 12/29103 12/29/03 12/29/03 12/29/03 12/29/03 1/7/04 4/9104 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 4/9/04 8/16/04 8/23104 8/23/04 8/23/04 8/23/04 8/23/04 8/24/04 8/24/04 Pal!e 2 of 4 . \...11 i" OF ~rKll~ul'l~LJJ Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11/25/2003 EXPIRES: 02/24/2005 VALUE: $ 45,500.00 Value Date Calculated $3,000.00 $27,000.00 $15,500.00 $45,500.00 03/29/2004 03/29/2004 12/29/2003 Receipt Number 1200200000000002511 1200200000000002511 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 2200200000000001919 VOUCHER #71290 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000000346 2200400000000001051 2200400000000001084 2200400000000001084 2200400000000001084 2200400000000001084 2200400000000001084 2200400000000001085 2200400000000001085 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11/25/2003 EXPIRES: 02124/2005 VALUE: $ 45,500.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Evaporative Coolers Minimum/Adjustment Mechanical Vent Fan $3.15 $9.00 $30.00 $6.00 8/24/04 8/24/04 8/24/04 8/24/04 Total Amount Paid $13,841.18 I Plan Reviews I Fire Department Review 12/10/2003 12/2412003 OK GRG Initial Review 12/05/2003 12/05/2003 APP LLH Plannine: Review 12/1 0/2003 12/12/2003 APP EMM Public Works Review 12/10/2003 08/24/2004 APP SB Structural Review 08/24/2004 08/24/2004 OK JMP Structural Review 12/05/2003 12/1112003 WE JMP Structural Review 03/29/2004 0312912004 WE TCM SUB Review 12/10/2003 12/16/2003 APP JF 2200400000000001085 2200400000000001085 2200400000000001085 2200400000000001085 See attached document. Kay Bork Planner DRC2003-00044 APPROVED TO WORK INDOORS by Public Works Added mechanical permit for Evaporative (Swamp) Cooler and 2,000 cfm exhaust fan. Received from Dave Puent on 12/10/2003. 12/1112003 JMP called Wade Holaday at Access Engineering to ask for sheet C3, correction in accessible parking dimensioning, and contractor information. 12/17/2003 JMP left message for Michael Weishar at Access Engineering noting differences in CI submitted with final site plan set and the requirement for a dimensioned drawing of the Interior. 12/23/2003 received a scaled Door plan. 12/29/2003 JMP left a message with Loretta for Michael at Access asking for the change of use/occupancy report. Mechanical not provided. Revised plans submItted. 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. UeoniredJn!Fiinections I 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. Rough Plumbing: Prior to cover and Including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Pal!e 3 of 4 . . Lu i' OF ~rKll~u1<l~LD' Status Issued Building/Combination Permit PERMIT NO: COM2003-01178 ISSUED: 04/09/2004 APPLIED: 11125/2003 EXPIRES: 02/24/2005 VALUE: $ 45,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Underslab Plumbing: Prior to filling the trench and including required testing. Final Paving: After paving is complete. Storm Sewer Line: Prior to filling trench. Final Building: After all Conditions have been completed as required on Development Agreement. By signature, I state and 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 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 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during construe ), Cl- -v'.:> ~ ~ ;J3-0Y Date Owner or Contractors Signaturp Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . 8~ Wi: " Job/Journal Number COM2003-01178 COM2003-0 1178 COM2003-0 1178 COM2003-0 1178 COM2003-0 1178 COM2003-0 1178 Payments: Type of Paymeut Check 8/2412004 RECEIPT #: iIilY of Springfield Official Receipt "elopment Services Department Public Works Department 2200400000000001085 Date: 08/2412004 Description Evaporative Coolers Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By AL Y SAYED ABD ELHAFEZ ReceIved By Jmp Page 1 of 1 Item Total: Check Number AuthoriZation Batch Number Number How Received 230 In Person Payment Total: 9:56:31AM Amount Due 9.00 6.00 30.00 10.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65