HomeMy WebLinkAboutPermit Building 2003-10-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPKll'it.Jl'l~LD
Building/Combination Permit
PERMIT NO: COM2003-01003
ISSUED: 10/09/2003
APPLIED: 10/03/2003
EXPIRES: 04/09/2004
VALUE:
SITE ADDRESS: 1889 OLYMPIC ST
ASSESSOR'S PARCEL NO,: 1703253102700
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Interior work for restaurant
Owner: SCOTT STOVALL
Address: 1570 MOHAWK BLVD SPRINGFIELD OR 97477
Contractor Type
Electrical
Plumbing
! CONTRACTOR INFORMATION I
Contractor License
BUILDERS ELECTRIC INC 4296
NEW HORIZONS HEALTH CARE SYSTEMS 66681
BUILDING INFORMATION.
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Expiration Date
12110/2003
05/15/2004
Phone
541-485-0922
541-746-4224
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement~oU \0
Range Type: S\ll~ ~~ftCarl!ll-i\iW
Energy Path: Olago~~ FM~tblji'tgO\l set '0"
"'E.l'I\IOl'l""on\aCI~pe~'81'.J!Sill-fil~8 ~B:
6.\' ._...Q.U r ....."",,~e _^,.R~O \
! DEVELOPMENT INF0JlMi\iiONLI'\\~~"O \tlIOU~~ ~, ~~~;a
~b[t\.- 952-J'J'- b\ain COP ~R.IilK"!I!P&8f(ING
Op..p. '3~ 0 ~NO\e, l'Io\\\\ce:
Overlay Dist: \ 0 'IoU m can\el, n lJ'.!ital: ,
# Street Trees Rqd?9 ~llin9 \tle \tle Ote90 Q_~eGp~ed:
Paved Drive Rqd: C 1l'Oel \01 I is ,_eO Compact:
nU CP,l\\P.
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
NOTICE: RO)l'!1sPl\utslDralos\ E WORK
THIS PERMI . SHMLL tl\t'lnt: F TH
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Paee 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 100/0 Administrative Fee
+ 7% State Surcharge
Backnow Device
Fixture
Minimum/Adjustment Plumbing
Saoitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01003
ISSUED: 10/09/2003
APPLIED: 10/03/2003
EXPIRES: 04/09/2004
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp< P~iILI
Amount Paid
Date Paid
Receipt Number
$5.20
$3.64
$43.00
$9.00
$4,50
$3.15
$14.00
$28.00
$3.00
$51.63
$67.92
$5.98
10/3/03
10/3/03
10/3/03
10/3/03
10/9103
10/9/03
10/9/03
10/9/03
10/9/03
10/9/03
10/9/03
10/9/03
1200200000000002262
1200200000000002262
1200200000000002262
1200200000000002262
1200200000000002290
1200200000000002290
1200200000000002290
1200200000000002290
1200200000000002290
1200200000000002290
1200200000000002290
1200200000000002290
$239.02
I Plan Reviews I
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.
UeouiredJn~nection~ I
1 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
3 Rough Plumbing: Prior to cover and including required testing.
4 Final Plumbing: When all plumbing work is complete.
5 Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01003
ISSUED: 10/09/2003
APPLIED: 10/0312003
EXPIRES: 04/09/2004
VALUE:
"'
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
timeSdU?~ ~ /11 a- /'/ S
r;c) --;:aefor./ I-Y C/ ' ~ 4~
ownevontvs,Signature'-" Date ! 7 :.. J
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~
~'.'<!
Receipt #: 1200200000000002290
City of Springfield Official Receipt
Development Services Department-
Public Works Department
Date: 10/0912003
JJ:24:10AM -
Job/Journal Number
COM2003-0 I 003
COM2003-O 1003
COM2003-0 1003
COM2003-0 I 003
COM2003-01003
COM2003-01003
COM2003-0 1003
COM2003-0 1003
Description
Fixture
Bacldlow Oevice
Minimum! Adjustment Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SOC Sanitary/Storm Admin
Amount Paid
Item Total:
28,00
14,00
3,00
3,15
4.50
67,92
51.63
5,98
$178.18
.
Payments:
Type of Payment
Check
Paid By
THOMPSON SEPTIC
Received By
djb
Check Number
Batch Number
Authorization Number How Received
In Person
Payment Total:
Amount Paid
$178,18
$178,18
.