HomeMy WebLinkAboutPermit Demolition 2007-6-14
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00873
ISSUED: 06/14/2007
APPLIED: 06/14/2007
EXPIRES: 12/14/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3000 GATEWAY ST SPACE 540
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield
TYPE OF WORK: Restaurant
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Demo of Tilt in prep for Chuck E. Cheese's.
Owner:
Address:
GA TEW A Y MALL PARTNERS
110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,,~~
I CONT&A-<swe~l~FORMA TION I
\\ \ ' \S \~
con. tractor, , "JE\'i',\,~,~~ ~\J~ License
I.!.\~HAR:q~~E_a~",\~f~~IJC 30422
~~,\\~~",~,\, ,)~~'0\-\' \>wUlLDING INFORMATION I
~\<o ~ ,~t~'0 \J~ \S .
# of Units: '\ ~\~\J~ ~\;,,<-'0 ,,<-~\\J'0 # of Stories:
Primary Occupancy Grttu~i~~~ '0~ ~ Height of Structure:
Secondary Occupancy Gf.o'!l?~ \ ~~ Type of Heat:
Primary Construction Typ"~ Water Type: ~ \.0
Secondary Construction Type: Range Type: eC:> ~o '\)0-<:::-~ r:-.'00
# of Bedrooms: Energy Path:.oo..~'\ 0>0<0 '0\.\0 KJV
Sprinkled B~ulIai!.!J~'? 1f:.e <::; b~~/!l'O~
~ \1> .,^e _c, ^ q) ,(:>?
I DEVELQ.~ME'NJ;fNE6iM=K~le~I')~~0"
,0""" OoY' '\" .:\.:,ov.- eC? v \.'0'- :~,0'()
~'\.' ,,'" 1Y ....\.'0'. .\ C'J ~ 0'Q~. ~......e ~o~
..{'\~ <~@v.eday, ~lsf::\\ C; :\.'0' .,~~ ~~.
l'.. '\ *' \i V -".' ,0." ,"'9 . ,\;>' '?:l'
r- ~o ~ttSt~~et To~es Rqd.:\\ v :t C(.;
\0 ,;~\v'(} P-li~ed\~phve~Rijd:~O (v'b~
0'" 0- '" ,.. .,0' ('\\'0 SJv
~ O"r' %~f LoJ, 't;ov.erage1>
.:(\ 10" '\), "S'v's'
\ I"\\')QS :-.\\\,q, < \0' .e\ '\
\.l r"'>.... ry\ A,.'\;
Contractor Type
General
Expiration Date
11113/2008
Phone
541-345-3836
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
v
I PUBLI~~:;IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00873
ISSUED: 06/14/2007
APPLIED: 06/14/2007
EXPIRES: 12/14/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Demolition
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$3.60
$45.00
6/14/07
6/14/07
6/14/07
6/14/07
2200700000000000956
2200700000000000956
2200700000000000956
2200700000000000956
Total Amount Paid
$55.35
I Plan Reviews I
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 Insoections I
Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is
requested and approved, and all debris is removed from the site.
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 nd employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all requir d inspections are requested at the proper time, that each address is readable from the
::;::r1~~::::~ijtl;' ,?'i ~th' p,op'rty, and lh, app'~'d s,t of plans will "m~in on th, sit, at an
\)Id~1ltI{{'J!L!/t ~. ,,/Iv? J h -ICf -O~
Owner or Contractors Signatur Date
Pal!e 2 of 2
City Job Number C20 ~ 'Z..-Q::r1 ,....cc:>B "-'"1 '~
o 1 & 2 Family Dwelling or Accessory 0 New Construction
o Multi-Family 0 Addition/Alteration/Replacement
o Commercial/Industrial ,0 Tenant Improvement
.Job Address ,3:J[;CO (9G\GAkJi~ym~ 9-sD sLfO
Lot Block , Subdivisio~ - b
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
~... 147<5'~
IZf Demolition
o OtheJ:'
Date
Bldg No.
Tax Map/Tax Lot
Suite No.
Project Name
Description of Work/location on premises/special conditions
QA L.-- SQ Ft X $/SQ Ft Value
Mailing Address <<:2,~ (b~1\-zW lJ.\y New Dwelling Area
City S \' r-D . State '(9 e _ Zip CJ740 ) 7 Garage/Carport Area
'Phone ??O {'~ c;{AI:)=-<f;2~~ax/ Other Structure Area
Owner Rep;esentative r-~Of',,\ Co L..oJ~' Total Value
phone:5t!-iLf.7- Ca'J-q <f- FaxStf/ -1]tp7-s<69
.' SQ Ft X $/SQ Ft Value
. <:;:j?;~;t{}fli Existing Building Area 1~,500
Name( ""c,\A~ 'RD <:::. . fJA/VlOOR11 f\J(", !/{,.U I New Building Area /
Mailing AddressA q J. \J1!d,f-,I,.@~Y P, \/M LIIG '
City !iu..hruvPL." State.() 1<-. Zip qr; l/O 1- '
Phone5!t/ ~ ~'fS- 3 '&~~ FaxS1/~ 2J Y-s -3b3S"Total V'alue fO/(J!JD
o . ",.;.if~~~Z:tl~~~~~~~X~~~in<;.~,
Name 'P~R uJow '~. i PU ~f)1Z.-
Address I S'?S~ I \Jp;J'J~i4 BL l/ D
City 13Nc-/ NO . State ~ Zip q / '-13 (p
Existing
New
Occupartcy Group( s) ,
Const. Type(s)
Contact Person
Phone
N umber of Stories
Fax
o
CCB#
Q~D r1vL(.~( q 1".1/. U ,
.3<.:) 'f,~a.
Expiration Date Phone #
~'-f 1-:3 LI/S""1J 1s'~{o
\
Heat Source: Primary
Water Heater Range
Do you require any of the following for this project?
Over-width or Second Driveway . 0 Yes 0 No
Temporary Power ' 0 Yes 0 No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under provisions of ORS 701 and be required to be licensed in the jurisdiction where work is being performed.
L:Eor.,Qffice Use.Only' ii.',
I PLAN CHECK FEE I
General
Plumbing
Mechanical
E I ectri cal
o ~~9Q!~lh~r~~glX!}i4~t!:~,d!{g;.oJ~~t~;:1; 0
Has site review application been submitted?
o Yes 0 No 0 N/A
Ifso, Name of Planner
Journal Number
.Rcontractor's Name
" I ~ ~
\.t>>\~.lGf) S.
, -
Secondary
Energy Path
BUILDING
I
,
PERMIT
I DATE
I BY I
.1
1
J
I RCPT#
I
AP PLICA TION
Shared DriveJT:)/Building l'onns/Building Pennit Application I 0,02 ,doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00873
COM2007-00873
COM2007-00873
COM2007-00873
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Demolition
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RICHARD VEJNOSKA
(':Iv of Springfield Official Receipt
elopment Services Department
Public Works Department
2200700000000000956
Date: 06/14/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp
072033 In Person
Payment Total:
Page 1 of 1
lO:10:22AM
Amount Due
45.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
6/14/2007