HomeMy WebLinkAboutPermit Building 2009-10-16
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01524
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 04/16/2010
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 555 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353111000
SPRINGFIETYPE OF WORK: Restaurant
TYPE OF USE: Alteration
PROJECT DESCRIPTION: T,I.: Interior Remodel to Existing Bathroom and Kitchen.
Commercial
Owner: BT OFFICE LLC
Address: 2941 EDGEWATER DR
EUGENE OR 97401
I CONTRACTOR INFORMATION'
Contractor Type
Contractor
License
Expiration Date Phone
BUI~DING IN~O~M~ !ION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A2
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
340
VB
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:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I ' s you to
, I ~e"on laW reqUire 'l't
ATTENTIC~id r!l.l~dffle'he Oregon Uti I y
iollow rules a Of'l h _ ules are set iorth
Notiiication~sf>ollsm~Jlm'bAR 952-001-
, In OAR 952-001-0g;~t~~~i~S oithe rules by
0090, You may 0 aln Note: the tele~ho~e
calling the center. l Utility Notillcatlon
"limber lor the Ore9~~ "",,_"~44'.
~~~I~;RM1TsHAl-vlil\\'a\l~~~Qf~:n~~ lienUII.D ...-
AUTHORIZED UNDf:r. If "v', (!, I, r,
Tvpe oWWstE.wiililil OR 1~/f$~,ij~NED F~ua,re Footage
~,NY 1 BO D/W PERl()IY~ll1pher or B,d Amount
Value
Date Calculated
Storm Sewer Available:
Special Instruction:
Notes:
Description
-
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01524
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 04/1612010
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Estimate
Estimate
$1.00
6,000,00
$6,000.00
$6,000,00
10/1612009
Total Value of Project
Fees P"id I
Fee Description
+ 12 % State Surcharge
+ 5% Technology Fee
Building Permit
Fixtu re
Minimum/Adjustment Plnmbing
Plan Review CommllndlPublic
Amount Paid
Date Paid
Receipt Number
$18,60
$7.75
$97,00
$19,00
$39,00
$63.05
10/16/09
10/16/09
10/16/09
10/16109
10/16/09
10/16/09
1200900000000001158
1200900000000001158
1200900000000001158
1200900000000001158
1200900000000001158
1200900000000001158
Total Amount Paid
$244.40
Plan Reviews I
Structural Review
10/16/2009
10/16/2009
APP KLK
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,
I Renuired Tn.~\'~~tions I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping,
Final Building: After all required inspections have been requested and approved and the building is complete,
Rough Plumbing: Prior to cover and including req uired testing,
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that aoy and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of theSt"te of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of a~y 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
times7o~strUil-,L &JJ
ottor-C~~tr;ctors Signature I ' .!J
Pa2e 2 01'2
Date
10/1 u I
flq
(
~Jr~ur~ Permit Application -h--
-'II
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726,3689
1,":'li,~i>ARTNI~NT~US'E\QNP("'1
Permit no. ccr .:.--t52- l'
I Date: .w -1--6- &C( I
This permit is issued under OAR 918,460-0030. Permits expire if work is not started within 180 days of issuance or if\"ork is
suspended for 180 days,
1~\~~~~::\,~~.;~,t~~(~~~A~l~9:yj;B'NJ~~~Ni,i~8.eB~y~mRi~}~Wt~~~;~~~:~1
I This project has final land-use approval.
Signature: Date:
I This project has DEQ approvaL
Signature:.... Date:
I Zoning approval verified: [] Yes 0 No
I Property is within flood plain: 0 Yes 0 No" I I
It~1t~J~f~j;qAt$g:9B~1iQ.:~&GQN[fRQ,GItL~t~r~~~{f~~2~t$~kl
I 0 Residential l 0 Government .I 0 Commercial I
1)#1~;ig,-rJ'i;~t'~E.)'I:l1isJj'~f,IN[0RM~trQi-!YANP~m5j?;A]IQNI~~~1~J;1
'(-I Job site address: t;" co)' j, ~:.-. yr 5/" :"<",/': l,j I
I City: r:;P"':A-fP.:jl I State: 6t..,lzIPof7/.f771
I Subdivision: I Lot no.: I
I Reference i?-e3353!~ot: L.L,~ I
!:, R~QPERtY:QW~ER-7';;,,:,,!,.it';',.;".. ::1
'1'-1 Name M'~-r ~)j7fr i/' (:LcdLI')
I Address: Zq <.i I 'r;::./c_ ~ .0~T-L" Of., /
I City: b~":""",, " I I State: LP/?.. I ZIP&j7tj", I
I PhoneS'Jil.S't (f)CJ7'''L- I Fax: I
I E,mail -1,;!, I q';-I t./ ,//,.r Ate. N ,c.o....v} I
This installation is being made o'iri-esidential or farm property owned by
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
me or a member afm immediate Jamily, an'd)s exempt from licensing
requirements under S 701./, / / ':/ '\ 11,:(~.~~~<~~"~~:,e~.~,~~:;~~~~~~;:,~~~.,,....,..-1':.\~~li!~_;,.;,1
j Sign here:; _v&_LLL-'-{~'. 'r~W.r""..A~1),:; 1\'i~;;I~~t~:~::~~:;::i~:;~~;~~::';~~~;~i"I.~~~"~~:-~,,,~~il
I:.:... 'c,d C()NTRAC1;OR. JN~TALLATI.oN. .,' l.'i-','..""... ....",..., I (b) Fire and life safety (40% x permit fee [2a]): $ I
I Busines a,;;e:-t") Ww BA-. I I (e) Subtotal of fees above (3a and 3b): $ I
I Address: I
I City: I State: I ZIP: I
I Phone: I Fax: I
I E.mail: I
I CCB license no.: I
I Print name:
I Signature:
1~%f?2;~~:~~@:~J~*~~$JjEP-'~,0,i(T;BAG:r~Q~3{~fTbJ{N1_AmfQN~~~~~~~
1- I Name CCB License Number Phone Number .
I Electrical
'I Plumbing OlJl'.J!F;tL
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l(j'7:tY.~,~'~~X9)lXi~r.~rm~#9~t1!~i~j~,~:f;~T;~~];'1tib~~~~l~~!i1$.f~~?t~tKt~1:ii:f::il
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Itr~}jiu.ti~!pgi:f~'e:~r~i~t$1~"t~t~K~~~2~{~~~'iN~-~~*~j~4~;~~~'~~~:;~X::~~0~~:.1
(a) Job description:
Occupancy A '2--
Construction type:
Square feet: .z:.
Cost per square foot:
111'7
3~
Other information:
Type of Heat:
Energy Path:
o new ~lteration
(b) Foundation-only permit?
o addition
DYes
Total valuation:
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(e) Reinspection ($ per hour):
(number of hours x fee per hour)
$
$
$
(a) Seismic fee, 1% (.01 x permit fee [2a]):
$
TOTAL fees and surcharges (2e+3c+4a):
$
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:City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
Planning Division Information Sheet for Building Permits
Commercial! Ind ustrial! M u Iti-Fam ily Residential
The Planning Division requires the following information for .9.!l building permit submittals on
properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial,
including new construction, expansions, and changes of use.
New construction, expansions, and changes of use to any building, parking, or development area in
these zoning districts requires either Minimum Development Standards-MDS review (!:iDC 5.15-100)
or Site Plan Review (SDC 5.17-100) by the Planning Division, Overlay District Development review
(SDC 3,3-100) may also be required, dependir;1g on the site,
NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building
Permit, Police or other permit approvals or inspections are not Planning approval.
. - 11 ... t -
" ,
Applicant Name: _~:. I{ !!: -r /1 / fl J
Icompany: S LV 'G -r: T v Ii:
dl <? ~~W:iToJ:.v' 0/1... r~
R~",,,,,.1(~...Ji-y
I TAX LOT NO{~}:
Phone: S"i..fJ- &5<{ - & CJ'12-
Address:
Fax:
d!-,
1../0/
ASSESSOR'S MAP NO:
I Property Address: S- ;t}:ns;i;~~p;':rp <)1. 5'e~Ld 04.., '77 l( '7 ")
Description of the proposed work .to be completed under this building permit:
LV "",fils;
Has this developm'ent proposal been reviewed by the Planning Division
through an application process (i.e. MDS or Site Plan Review)? DYes J2l'1IIo
If yes, Case #:
If no, is this a change in use? DYes )diio
Prior Approved Use: Proposed Use:
Does the use necessitate the use of any chemicals or substances that are hazardous or
reauire Material Safe and Data Sheets fMSDS} to be ke t on site? 0 Yes 0 No
.. .
. . .... ....
Zonmg: TOTZ: Overlay{s}:..: .: ~ . :. :
Th.e propo~e~ project ~equires submittal and approval of the:~~II~~iJi.!l Pla~~iJ application
prior to bUlldmg permit approval: .
D DWP Overlay District Development D Statement Letter RegardingJ)WP.Examption
... ... ...
o MDS 0 MDS Land UseX;orCI~atiDillity:Sta~""eClt
D . . . . .......
Site Plan Review 0 Other: .....,..
I Reviewed Date: ....... . .
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REVIEWED FOR
conF COMPLIANCE
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THI9 PEftMIT stIAtI. EXPIRE 1;,m: RIC
AUT~t{ED UAl18fTHIS ~.eR,,"" I NOT
COMMENCED OIUSJlBANDONED fO
ANv:taGoOAv PEfuoO:
.. ..
DATE RECEIVED 18'-J./;-Bi
Jo'e NO.c'f- 1-52-1-
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ATTENTION! Oregon law requIres you to
follow rules adopted by the Oregon Utility
.--=tt.~:::~,,::_..;~ ...:'eF."\': _.. .:..',; _, .:':...11
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Ia 1-600-332-2344).
~I
~
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UNIT(S{
OCCUPANCY LOAD ",':A"
STORIE:S 1.- "TYPE CONSTRUCTION
LEGAL DESCRIPTION L~3 3S3111.Bee
ADDRESS G"S.'!: MM-W 57^,~F:T
OWNER 13T bt:=F~ '..J.-S:-
..
_.. ,~..*u.n.~..~. ... .....,___..
.... .
Ttl!{~~:pIUrlJDjOG plans "are NOT
reviewed pnbr to permit issuance.
Plumbing work shall comply with
current codes and will be field
inspected for compliance.
.
.
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ALTERATIONS INDICATED ON COLORED PENCil. CHANGES
OR ALTERAflONS MADE TO THE APPROVED DRAWINGS OR
PROJECT AFTER THE DATE BELOW SHALL BE APPRDVED BY
THE BUILDING OFFICIAL.
CITY OF SPRINGFIELD. OREGON
"'PP~DVED By ~~J.!-'.. DAT.1k)-1-b -~
- h '\, 5/f'-e-et ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1524
COM2009,O 1524
COM2009-0 1524
COM2009-0 1524
COM2009-0 1524
COM2009-0 1524
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 10/16/2009
1:06:19PM
1200900000000001158
Description
Plan Review Comm/lnd/Public
Building Permit
Fixture (,
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
63.05
97,00
19.00
39.00
18.60
7.75
$244.40
Paid By
HELP - U - RENT I JACK'
KOEHLER
. Item Total;
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
,njm
In Person
$244.40
1372
Payment Total:
$244.40
Page 1 of 1
10116/2009