HomeMy WebLinkAboutPermit Mechanical 2003-6-6
.
. Lll t' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00468
ISSUED: 06/06/2003
APPLIED: 06/06/2003
EXPIRES: 12/06/2003
VALUE:
\-.....--.
f
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1807 PIONEER PARKWAY EAS Springfield TYPE OF WORK: Restaurant
ASSESSOR'S PARCEL NO.: 1703262302402
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Add exhaust fan to vent smoking section.
Ow~er:
Address:
SHARI'S OF SPRINGFIELD
% SHARlS MNGT CORP 8205 SW CREEKSIDE PL STE D BEA VERTOI
97008
I CONTRACTOR INFORMATION'
Contractor License
ATLAS ELECTRICAL CONTRACTORS INC 1532
ACCURATE HEATING INC. 88423
SHARI'S O!ll,llPRINGFIELD
"*'<;:,~~ I BUILDING INFORMA nON,
, A,,~~ '
# of Buildings: ~ # ~~ # of Stories:
Primary Occupancy Gro~ ~ ff)> B Height of Structure
Sccondary Occupancy~o~~ ~~ Type of Heat:
Primary Construct~i'~ 'iP' VN Water Type:
Secondary cons~~~: Range Type:
# of Bed~.m~ ~~ ~~ 'i;:,~' Energy Path:
~~~.,,~~~ ~
~~~~~'
Frontyard~k:
Side 1 Setb;~n ~
Side 2 Setback:
Contractor Type
Electrical
Mechanical
Owner
Expiration Date
09/03/2003
01/2112004
Phone
503-659-2212
503-650-1229
Rearyard Setback:
Solar Setbacks:
,-..0 \
" ""':.\
~];o(Size:.
J:" Sq';Ft'n!'li'loor:
~'U ,. r",~ \.,-":"'\
,$' ....cSn H.2nil Floor:
~ e'1),,~ on' (1....
~ ,tli O~ 0 S,:..F:fB~Se'~€n~z,
,J>' '$'0 ~0 ~!i'F"t,G~.';ag5{,Carport
,~ 'Q~ ,_0<; (SSq:Ft Oth'e~:'
',j"-'J 0. oJ ~ r '-......~,
J' ",,0.<,<:, ,0' .JrnperviOus.surface Area:
-~. "Q ., ~.. -<:; .,," ~\' ..~,
I DEVELOPMENT INFORMATI()N~fq.o$' ~~o-~~'$"(//
" ...v'~" CP' O''OJ''I 0"'~ ~O~<:l''?>'?>~REQUlRED PARKING
>0' ~,o' '/J ,,~ ~ ~0 n<;C
Overlay Dist:~O', ,~$'....~ <$'"' (,0 O...;<oJ Total:
'U ',,"v "'~' " (") (1,
# Street Tree~~qd,p ~.!.,O' ~ ~,r;:; ~{: Handicapped:
Paved Drive'Rqdil R)' 'S-c-, ...'0' f!:-'<- Compact:
'I-'~c:,Oj ~ IV cf
% of Lot Coverage: (, ~'Q
~-S
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Pa2e I ofl
.
. CITY OF ~rKll~\jt<mLD
Building/Combination Permit
PERMIT NO: COM2003-00468
ISSUED: 06/0612003
APPLIED: 06/06/2003
EXPIRES: 12/0612003
VALUE:
"
.
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
Square Footal!e
Value
Date Calculatcd
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
MinimumlAdjustmeut Mechanical
Vent Fan
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$39.00
$6.00
6/6/03
6/6/03
6/6/03
6/6/03
6/6/03
1200200000000001464
1200200000000001464
1200200000000001464
1200200000000001464
1200200000000001464
Total Amount Paid
$62.65
I Plan Reviews ,
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.
I Rf'onirf'd ~~
1 Rough Mechanical: Prior to Cover
2 Final Mecbauical: Wben all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
By signature, I state and agree, that I bave carefully examined tbe 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 hercin, and
that NO OCCUPANCY will be made ofany structure without permission oftbe 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 projcct.
I further agree to ensure that all required inspections are requested at tbe 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 tbe site at all
times during construction.
----=-
Ow~r Contractors Signature
(- 6- 0 ?
Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00468
COM2003-00468
COM2003-00468
COM2003-00468
COM2003-00468
Payments:
Type of Payment
Check
6/6/2003
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000001464
Description
-Mechanical Issuance Fee-
Vent Fan
Minimum! Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ACCURATE HEATING INC
12:15:25PM
Received By
jmp
Date: 06/06/2003
Amount Paid
Item Total:
10.00
6.00
39.00
3.15
4.50
$6Z.65
Check Number
t.:onfirm No
How Received
In Person
Payment Total:
Amount Paid
5611
62,65
$6Z.65
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