HomeMy WebLinkAboutPermit Building 2010-4-5
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225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00342
ISSUED: 04/05/2010
APPLIED: 03/1912010
EXPIRES: , 10/05/2010
VALUE: $ 1,000.00
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Status
Issued
SITE ADDRESS: 1889 OL YMPIC ST t' ,---, "r' ":~.!: O"9(Sj:irlil~Ii\'TtqtYi>#6t it ORK: Commercial Miscellaneous
ASSESSOR'S PARCEL NO.: 170325310.2700 . . &Ji,'pled by he I rego e~forth
:. ...' ' iC ,', Ct, ,ter. TllOse ru es,<Wil.llE .I':A'SE: Repair Commercial
., r., "01othrougho'Afl'!?-;\J\l1
PROJECT DESCRIPTION: Hood suppression upgrade-", 'of the rules by
ooeo. You may obtain caples t I hone
'-' .l_.. Ild.....ta. thp. .F~ eo
Owner: STOVALL M SCOTT & JON'~M;~'b'~r ';~~ Ih~O;egon U3tI2'lit2Y3~~)tilicatlon
Address: 1651 CENTENNIAL BLVD Center is 1-800-3 - . .
SPRINGFIELD OR 97477
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I CON1iRAGTORINFORMATION I'
Contractor Type
Fire Contractor
Contractor
A-I FIRE PROTECTION
License
100335
Expiration Date
06/23/20 I 0
Phone
726-7287
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
NAlUl'IIXING INFORMATION ~ HE WORK
lIT SHf\.LL t^\,lht'f l'
THISJ'& ~''i'1'NDER THIS PERMIT IS N~-xt Size:
AUT~I&~S')t.9~~I~BANDONED fOR Sq Ft 1st Floor:
COMWi>1IGf: e'iP. .' Sq Ft 2nd Floor:
ANY W<ltThf.)t,yp~~RIOD. .' Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path:.' Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
VB
I DEVELOPMENT INFORMATION 1
Frontyard Sethack:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I PUBLICIMPROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Fl
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00342
ISSUED: 04/05/2010
APPLIED: 03/19/2010
EXPIRES: 10/05/2010
VALUE: $ 1,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Bid Amonnt
Use Bid Amonnt
$1.00
1,000.00
$1,000.00
$1,000.00
03/19/2010
Total Valne of Project
Fees Paid-l
Fee Description
***+ t OO/u Administrative Fee***
FLS Safety Systems Review
Amonnt Paid
. . Date Paid
Receipt Nnmber
$12.00
$120.00
4/5/10
4/5/10
2201000000000000322
2201000000000000322
Total Amount Paid
$\32.00
I Plan Reviews I
Fire Department Review
03/19/2010
03/31/2010
APP GRG
See attached document for .Fire
Department Plans Review comment,
for the kitchen hood suppression
system.
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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 Reauired Insnections I
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 fu'rtlier 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.
1 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 lit all
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Owner or con~ttors Signature "" ,-", .., Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000322
Date: 04/05/2010
II :58:56AM
Paid By
UMPQUA V ALLEY FIRE
SERVICES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
120.00
12.00
$132.00
Job/Journal Number
COM20 10-00342
COM20 I 0-00342
Description
FLS Safety Systems Review
***+ 10% Administrative Fee***
Payments:
Type of Payment
Check
Amount Paid
cjc
15945
In Person
$132.00
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Payment Total:
$132.00
....1.-.
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cReceintl
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4/5/20 I 0