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HomeMy WebLinkAboutPermit Building 2009-11-30 _~~~II)ICll~I!;I...9.' " , ' I , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]696 ISSUED: 11130/2009 APPLIED: 11/24/2009 EXPIRES: 05/30/20]0 VALUE: $4,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 ]-726-3769 Inspection Line SITE ADDRESS: 117 S 14TH ST ASSESSOR'S PARCEL NO,: 1703363204401 , -," Springfield TYPE OF WORK: Restaurant Owner: Address: TYPE OF USE: Repair: PROJECT DESCRIPTION:' Car drove into bnildin.&:.., See attached documents for police report. PI~ns are not required if wall is corl\.lif.fi!tbTtiWNh61re~dIlwPjjqolr/ielYllo,ltinat construction. {nll,":'A1 r~ll.ae- ~N""~+"""'~: ~"': ~ -':;.;;..~: 'eX::,:, CROMBIE DOUGLAS G Notification Center, Those rules are set forth 33328 HOWE LN In OAR 952-001-0010 through OAR 952-001- CRESWELL OR 97426 0090. You may obtain copies of the rules by c:::illinr:' th~,..ontar {to.ll"'ltoo tho tglgpt:ler.a nUmt>J'Li"J:!!'F.Q'1'-!Y.'!:' ~_f>lOtificalion I CONTRA""~---...). Commercial' Contractor Type Electrical Contractor C & SELECTRIC License 3849 Expiration Date 09/01/2010 Phone. 541-741.2236 BUILDING ~NF@.MATlON I .~~':l",1r"", VB # of Stories: Lot Size: NOTI~ight of Structure Sq Ft 1st Floor: fm~ of Heat: Sq Ft 2nd Floor: THIS PWlll'e~T19W\Ll EXPIRE IF THE WORlSq Ft Basement: ' I.\UTHOR'~~Iij;ht:WHR THIS PERMIT IS NOllq Ft Garage/Carport r;OMMiElifJrg5J {l\lihIS ABANDONED FOR Sq Ft Other: ANY i E~p"1\'fI'f~OV?g: n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type;' Secondary Construction Type: # of Bedrooms: ' " A-2 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: . Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation DescriDtion I Description' Tvpe of Construction $ Per SqFt or muttiplier Square Footage or Bid Amount Value Date Calculated Paee I of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01696 ISSUED: 11/30/2009 APPLIED: 11/24/2009 EXPIRES: 05/30/2010 VALUE: $ 4,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 4,500,00 $4,500,00 $4,500.00 11/30/2009 Total Value of Project r Fft~' ~nu ,.' . $20.52 $8:55 $90,00 $81.00 $10.47 $4.36 $87.25 11/24/09 11124/09 11/24/09 11/24/09 11/30/09 11/30/09 11/30/09 Receipt Number 2200900000000001324 2200900000000001324 2200900000000001324 2200900000000001324 1200900000000001286 1200900000000001286 1200900000000001286 Fee Descriotion + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ EaAdd Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid Total Amount Paid $302.15 I Plan Reviews I To Request an inspecti6n 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. wiIrbe made the following work day. I~fr~ Rough Etectric:' Prior to Cover , Final Etectric: When all electricat work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved, Firewall: Located and constructed according to plans. Finat Building: After all required inspections have been requested and approved and the building is complete, Rough Plumbing: Prior to cover and including required testing. Finat Ptumbing: When all plumbing work is comptete. 1 ~'..../ ~,Pae:e 2 of 3 Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 54] -726-3769 Inspection Line I..' '..f; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01696 ISSUED: 11/30/2009 APPLIED: 11/24/2009 EXPIRES: 05/30/20]0 VALUE: $4,500.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatiou 'hereon is true and correct, aud 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 tbat NO'(),CCUPANCY wilt be made o!'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 wilt 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 tocated at the front of the property, and the approved set of plans wilt remain on the site at all times during construction. ,-A~J:-~ ownerO;~Si~ Pa!!e 3 of 3 / /~ . 3'--0' ~ O? Date Structural Permit Application - 225 Fifth St,eet. Springfield, OR 97477. PH(541)726,3753 . FAX(541)726,3689 I" o.~PARrMENf,uSE9Ni..Y Pe~it no:{~ q - / (.; c; (0 I D,ate: /I / '50 )() ) This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of is~uance or if work is suspended for 180 days. 1~~:>,:;:',;~,';',~"~~/*,:'49\~A~::~:QS("~BNM.~Nft;~t.~~JfRGyC~Uj~~i~~~~~ I This project has final land-use approval. Signature: Date: I This project has DEQ approval. Signature: Date: I Zoning approval verified: 0 Yes 0 No I Property is within flood plain: 0 Yes 0 No I 1.~!ii~\Wi~~,,#~~,'!;:cAtE("0RY;~0F,R(CONS;fRUCfrir0'N~i::~:{zW:'i,~'!"ill:..j ~,~~".,..,..~",.".=,...,."...,..._.___ _____.".""<4;.........._ ,l~_..._" n..C.'....... .".""^..~__~",.."~'''"L"''^,....;;I>i1.,,''' l 0 Residential j D Government. I D Commercial r~;~t?iJ~g1:.;,;~i!i9~~~~~,~I!t_~rff{~9RMA,{IQ~lfANJ!~'g9J;:~tR:r~1g~~j)jl~ I Job site address: I 1"'"'1 <;;'9 I Lfr;vf C-f'f)M~ I City (;:JflL/I1(c.hr,.-,/O I St~te oa... T ZIP'7 7'~~ 7 I Subdivision: I Locoo.: I I Rere.rence:" . . . ".,1 Tax. lo~.. .' .1 I';~', '. ',' ..... :, P'R9PE~T'(9WNE~ j I Name '_ 'D~ Ib-A-LA--'f' V I 1 Address: 1 I City: (\ (l1f'Z--..",-..t7 , I State: dL.. I ZIP: I Phone: Fax: - , I E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. . Ij~:l"t~Y:; W~~.~:;.tr~~):,;.'~%;IK~H~.~.g.,';,'~~ H~pirl~~:':;~f,C,'~J ~~~'~~.'f:Y'~>:~;",;< .-i<~'~i 1 I~I~lM~.t_~~tI9~R{i~JQr!if~!'9:~~11~~~~1~~~t~}~~\11~.~~;;?~{~t{~1fi;~~!i~:t;~~~:}n,il (a) Job description: Occupancy Construction type: Square feet: Cost per square foot Other information: Type of Heat: Energy Path: o new 0 alleration (b) Foundation-only permit? Total valuation: f2.rl? fJ7 IZ E)v(r7^t..1 I I I I I I I I I I $ Yft'lO-t l/lIm--<. o addition DYes ONo lil7'5;~i.:{~it4Jpgff~~~s11~~fi:~\i?~ff~~1i:~~~ig~~:lhx:i:J;~[f~k:;r\~:i~';~1,i0~~~~~~;:.:i~~:.,;:1 I (a) Permit ree (use valuation table): $'5rl , 25f I (b) Inv~stigative fee (equal to [2a]): $ I I (c) Reinspection ($ . per hour): I (number of hours x fee per hour) $ 1 (d)EnterI2%surcharge(.12x[2a+2b+2c]): $ 10 'i.2-1 I (el Subtotal of fees above (2a through 2d): $ I Sign here: '.. .(;OI'iTRAC[9~,if:ol$T:At.LAT!ON~,;";;:'..,/..,.:>;,,,::.,,: 1 (a) Plan review (65% x permit fee [2a]) I : I ~~::::s name~~(G~~ {7~ ~~"1~ ~ ~~~ 111~~:.:..flu.I;;~~:~.~~~i;~~~~;:0:;::j~;::i';';'it\#~.~iT'~. ,0;,:11 [I ~~:ne.:f::~':;;'~D r ~:e~ I ZIP'77 Y?~" II (a) ~ei;:ic;~;,;;:(:;;'I:~;:I:~~';;~)' ..." "$$j;1{)",u~='11 ~ .-l-- TOTAL fees and surcharges (2e+3c+4a): I ,~" E~maJL K. ~ ~\ \L-....~~ L~~r.l~r "'un I ,. - I CCB license no: /1{'7 ',?,< 0 ' I I Print name: ..J<Jslf I~I 4tL.., ILl--'? I I Signature'~~,-- I -c- ~_?'____ 1':.~~.,.!'."J1Jiil,'4'."r,"~:'S'UEi,t0NT, J~'At:'r..OR,1 N FO: 'R'M" A""'I'O"Nrffi,,'iifr;ar;;"'''''''"''''i''ii'fC!'1 ".5';"1'!~'""",,,''.c.,,'y,'''_ .__._,_.<>.... ,.,..,,__..;1:.............,._.,___.,... ...._ ..' .,I,:..___~__._1_?^;fl.~'j~!J-'i,J"L~"'fl_. I Name CCB License Number Phone Number I Electrical I I Plumbing I I Mechanical I ".,' .." 225 Fifth Street SpFingfiel.d, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2Q09-Q 1696 COM2QQ9-Q 1696 COM2QQ9-Q 1696 Payments: Type of Payment Check ,cReceioll RECEIPT #: Description Building Permit + 12% State Surcharge + 5% Technotogy Fee Paid By PRICE RITE ROOTER & PLUMBING City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001286 3:10:3QPM Date: 11/30/2009 " Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 87.25 10.,47 4.36 $10.2.0.8 Amount Paid cjc $10.2.0.8 30.0.8 In Person Payment Total: $1tI2.Q8 Page 1 of 1 11/30./20.0.9