HomeMy WebLinkAboutPermit Building 2004-4-9 (3)
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,
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Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01178
ISSUED: 04/09/2004
APPLIED: 11/25/2003
EXPIRES: 10/0912004
VALUE: $ 45,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
PREFERRED CON~~UCTION
ACCESS ENGI]';)!l1!lR)NG
'\.x-.~'\. "-t'BUlLDING INFORMA nON,
~~ ~ <<.\,). ()
# of Units: 9.~ <:(<:f 1;> # of Stories: 0'" -<'~'I:-"'- Lot Size:
Primary Occupancy Group: <<y ~C:A.~~~ Height of Structure Po -l\ -\)~ ,0(;- Sq Ft 1st Floor:
Secondary Occupancy Gr,'t'fPY ~'" ~~ Type of Heat: ,10 (:>;0<<- ",0'!l:<:)C'Sq Ft 2nd Floor:
Primary Construction !!pe-$><c::. f.> ~'"VN .' Water Type: ,0<s:'O,0 ~0 '1>~ ~1SqJ.'t Basement:
Secondary Con~R\!n ~~'(-" ~<;;). Range Type: ,~~ ",,0 ~0'" {?' 0 ,v ~'fSGarage/Carport
# of Bedroo~~ <:(X-<<:: ~ <$> <:(X-<<:: Energy Path: 0<<- 'Q"'- ~ 0 ,v ",,0 ':.. OS' :,.0~~,8ll?t Other:
~,~~..~<<::,~<;J ~ O~0<$0~ oC:; 0"'~0"'O 0,0 o~mpervlousSurfaceArea:
.c...'''' .A."" "'"'("I ('\ .. ",\:.('('\..,..f\, _~ _"""'- ~ .......
~"'~~~~ ,CO" I DEVELOP~N~iN~ORMA.TI6N~'~'<;;\ 'J~'X
" .., r.. '" ) n"
SETBA ,.. 0- ~'Q 0V,,' OS>'v ~ ~ ","'"
.t<: ,<: ~ Cj<:) 0 0" ~o ~r
Frontyard Setback: '?O-KU1,\~~~ ~~"'- 0~ 0',0 cF'
SIde I Setback: 1iS~~~i?~Rc!P ",,0 "(~'
Side 2 Setback: p.age\!)'Dri\'~~~:..0'~ ,,-
~ p,<:)' ~<::"~" ,
Rearyard Setback: % ~f@il ~~~er'
Solar Setbacks: <<-",.
Contractor Type
General
Engineer
License
Expiration Date
Phone
726-8990
485-3215
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
..-
Notes:
Pal!e 1 of4
)
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01178
ISSUED: 04/09/2004
APPLIED: 11125/2003
EXPIRES: 10/09/2004
VALUE: $ 45,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Valuation Descriotion I
Estimate
Estimate
Pavine:
Estimate
Estimate
Use Bid Amount
$ 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
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$3,000.00
$27,000.00
$15,500.00
$45,500.00
03129/2004
03/29/2004
12/2912003
Fpp< PiWLI
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $120.51 1lI25/03 1200200000000002511
Plan Review Fire & Life Safety $74.16 11/25/03 1200200000000002511
Deposit $20.00 12/29/03 2200200000000001919
Planning Final Occy Inspection $118.00 12/29/03 2200200000000001919
SDC MWMC Administration $10.00 12/29/03 2200200000000001919
SDC MWMC Improvement $976.27 12/29/03 2200200000000001919
SDC MWMC Reimbursement $1,433.82 12/29/03 2200200000000001919
SDC Transpo Admin $571.57 12/29/03 2200200000000001919
SDC Transpo Improvement $7,346.15 12/29/03 2200200000000001919
SDC Transpo Reimbursement $1,665.23 12/29/03 2200200000000001919
Return - Deposit $-20.00 1/7/04 VOUCHER #71290
-Mechanical Issuance Fe..... $10.00 4/9/04 2200400000000000346
+ 10% Administrative Fee $87.75 4/9/04 2200400000000000346
+ 7% State Surcharge $32.88 4/9/04 2200400000000000346
Building Permit $253.65 4/9/04 2200400000000000346
Fixtu re $126.00 4/9/04 2200400000000000346
Inspections - Investig. Bldg $45.00 4/9/04 2200400000000000346
Inspections - Investig. Electr $45.00 4/9/04 2200400000000000346
Inspections - Investig. Plumb $45.00 4/9/04 2200400000000000346
MlnlmumlAdjustment Mechanical $33.00 4/9/04 2200400000000000346
Paving $154.20 4/9/04 2200400000000000346
Penalty Fee - BWOP Building $253.65 4/9/04 2200400000000000346
Plan Review CommlIndlPublic $44.36 4/9/04 2200400000000000346
Plan Review Fire & Life Safety $27.30 4/9/04 2200400000000000346
Storm Sewer - 1st 50 Feet $45.00 . 4/9/04 2200400000000000346
Vent Fan $12.00 4/9/04 2200400000000000346
Total Amount Paid
$13,530.50
Fire Department Review
Initial Review
Plannlnl! Review
I Plan Reviews I
12/10/2003 12/24/2003 OK GRG
12/05/2003 12/0512003 APP LLH
12/10/2003 12/1212003 APP EMM
Pal!e 2 of4
See attached document.
Kay Bork Planner DRC2003-00044
. . CITY OF SPRINGFIELD -
Building/Combination Permit
Status Issued PERMIT NO: COM2003-01178
225 Fifth Street, Springfield, OR ISSUED: 04/09/2004
541-726-3753 Phone APPLIED: 11125/2003
541-726-3676 Fax EXPIRES: 10/09/2004
541-726-3769 Inspection Line VALUE: $ 45,500.00
Public Works Review 12/10/2003 12/19/2003 APP SB
Structural Review 12/05/2003 12/ll/2003 WE JMP Received from Dave Puent on
12/10/2003. 12/11/2003 JMP called
Wade Holaday at Access
Engineering to ask for sheet C3,
correction in accessible parking
dimensioning, and contractor
Information. 12117/2003 JMP left
message for Michael WeIshar 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.
Structural Review 03/29/2004 03/29/2004 WE TCM Mechanical not provided. Revised
plans submitted.
SUB RevIew 1211012003 12/16/2003 APP JF
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. .
1 Final Fire Department. After all requirements of the Fire Department have been met.
2 Final Building: After all required Inspections have been requested and approved and the building Is complete.
3 Rough Plumbing: Prior to cover and including required testing.
4 Sanitary Sewer Line: Prior to filling trench and including required testing.
5 Final Plumbing: When all plumbing work is complete.
6 Rough Mechanical: Prior to Cover
7 Final Mechanical: When all mechanical work Is complete.
8 Rough Electric: Prior to Cover
9 Final Electric: When all electrical work Is complete.
10 Underslab Plumbing: Prior to filling the trench and including required testing.
11 Final Paving: After paving is complete.
12 Storm Sewer Line: Prior to filling trench.
13 Final Building: After all Conditions have been completed as required on Development Agreement.
Pal!e30f4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF :srKlj~tJN~L1J .
Building/Combination Permit
PERMIT NO: COM2003-01178
ISSUED: 04/09/2004
APPLIED: 11/25/2003
EXPIRES: 10/09/2004
VALUE: $ 45,500.00
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 cons on.
7.....- __
QWlfer ~tractors Signature
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Pal!e 4 of 4
(fr- t:J-C7Y
I
Date
225 Fifth Street
Springfield, Oregon 97477
: 541-726-3759 Phone
.
G~
~
Job/Journal Number
COM2003-01178
COM2003-01178
COM2003-0 1178
COM2003-01178
COM2003-01178
COM2003-0 1178
COM2003-0 1178
COM2003-0 1178
COM2003-0 1178
COM2003-0 1178
COM2003-0 1178
COM2003-0 1178
COM2003-01178
COM2003-0 1178
COM2003-0 1178
Payments:
Type of Paymeat
Check
4/9/2004
RECEIPT #:
JiiilY of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200400000000000346
Date: 04/09/2004
DescrIption
Paving
Building Permit
Fixture
Storm Sewer - 1st 50 Feet
Vent Fan
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
Inspections - Investig. Eleclr
Inspections - Investig. Plumb
Inspections - Investig. Bldg
Penalty Fee - BWOP Building
Plan Review Comm!lndlPublic
Plan Review Fire & Life Safety
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By Received By
COOLER PRODUCTS CO L TD Jrnp
Page I of 1
Item Total:
Check Number AuthoriZation
Batch Number Number How Received
22735
In Person
Payment Total:
2:42:15PM
Amount Due
154.20
253.65
126.00
45.00
12.00
10.00
33.00
45.00
45.00
45.00
253.65
44.36
27.30
32.88
87.75
$1,214.79
Amount Paid
$1,214.79
$1,214.79