HomeMy WebLinkAboutPermit Building 2010-8-16
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: COM2010-00972
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
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permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/16/10
APPLIED: 7/22/10
EXPIRES: 2/11/2011
VALUE: $18,000.00
SITE ADDRESS: 11714TH ST S Springfield'
ASSESOR'S PARCEL NO: 1703363204401
SCOPE: RES
WORK INVOLVED: AL T
TYPE OF STRUCTURE: COM
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
Remodel of bar service area
Phone Number:
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
. ~'.I~__. .._'.~'~,..1
Lie Type
Lie No
Lie Exp
Phone
BUILDING INFORMATION ~
# of Units:
I
# of Stories:
I Height of Structure:
Type of Heat: ,
Water Type:
Range,Type: ..
Hazmat: '
", ~
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Electrical Specially Code Edition:
Springfield Fire Code Edition:
Mechanical Specially Code Edition:
Municipal I Development Code:
Plumbing Specially Code Edition:
Residential Specialty Code Edition:
Struct~~~.~ Speci~fty Co~e ~dition:
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,~
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area: " S you to
, ,^T-""'TION' Oregon law reqlllln
Retamlllg'Wall' . " Utll'ty
, ,.,~" _'., ;"'r.o ".dopted bv Ow Oregon II ,
So,'s ""'port Re,qUlred. Th' 'u'es arr-; oet fortl1
Notification Center. ose I " 'Q
in OAR 952-001-001 0 through OAR 952-001-
0090, You may obtain copies of the rules by
oalling the center. (Note: the tel~~ho~e
number for the Oregon Utility Notification,
Center is 1-800-332-2344).
;ifP:":;..<':
f!OTlCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
'iUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
, '8/16/2010 10:42:33AM
Page 1 of 3
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
,.
Building 1.~R~merc::ial, Permit
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PERMIT NO: CONl2"O'fO::00972
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permitcenler@ci.springfield,or,us
:.IVR Number:
PROJECT STATUS: Issued
ISSUED: 8/16/10
APPLIED: 7/22/10
EXP'IRES: 2/11/2011
VALUE: $18,000.00
SITE ADDRESS: 11714TH ST S Springfield
ASSESOR'S PARCEL NO: 171)3363204401
SCOPE: RES
WORK INVOLVED: AL T
TYPE OF STRUCTURE: COM
PROJECT DESCRIPTION:
Remodel of bar service area
DEVELOPMENT iNFORMATION I
Fronlyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBUC IIVIPRPNE.MENTS:' . ~ .
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstrueton:
Subdivision Accepted:
Notes:
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Sidewalk Type:
Downspout/Drains:
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:. ,: Valuation:Description ~
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1""_""''''''''''';"'' .,. c.;; [~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
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DescriDtion
Plan Review Comm/lnd/Public
Building Permit
Fixture
:: 5% Technology Fee
+ 12% State Surcharge
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,~
Amount Paid
$139.10
,.,:., $214.00.
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,,'I:,Y.>tl>'O;,o\:' ""~$14'SO'1.'l;i,r.~
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.. <, , $34.80
Date Paid
07/22/2010
08/16/2010
08/16/2010
08/16/2010
08/16/2010
ReceiDt #
186728
224442
224442
224442
224442
Total Amount Paid :tJrli
$478.40
Springfield Building Permit
811612010 10:42:33AM ,
Page 2 of 3
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CITY ,Q.E:SPRif.J"(3FI ELD
Building f Commercial Permit
www.ci.springfield.or.us
PERMIT NO: COM2010-00972
IVR Number:
PROJECT STATUS: Issued
ISSUED: 8/16/10
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EXPIRES: 2/11/2011
" . VALUE: $18,000.00
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726.3769
Fax: 541-726-3676
permitcenter@ci,springfieJd.or.us
SITE ADDRESS: 117 14TH ST S Springfield
ASSESOR'S PARCEL NO: 1703363204401
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. ", C' SCOPE: RES
. -.---.. WORK INVOLVED: ALT
TYPE OF STRUCTURE: COM
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PROJECT DESCRIPTION:
Remodel of bar service area
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Comments
Plans Review: wet bar remoo
Interior approval only.
No new SDC's
As noted on plans
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DeDartment Received Due Date ComDlete Result
Fire Department Review 07/29/2010 APP
Planning ReView 07/27/2010 APP
Public Works Review 07/28/2010 APP
Structural Review 07/30/2010 APP
Permit Issuance 08/16/2010 08/09/2010 08/09/2010 l~sue~t: .1, ,
Application Acceptance 08/09/2010 08/09/2010 ..Jf~::; ~: \ Over~tHe!(~c1unter
"',; I ~ .
Initial Review 08/09/2010 08/09/2010 08/09/2010' Over the Counter
Electrical Review 08/09/2010 08/09/2010 08/09/201~ Over the Counter
MeChanical Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Plumbing Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Planning Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Fire Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Public Works Review 08/09/2010 08/09/2010 08/0912010 Over (he Counter
Energy Code Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Traffic Review 08/09/2010 08/09/2010 08/09/2010, ., Over. the Counter
Structural Review 08/09/2010 08/09/2010 08/09i269M.; t6'v~l.ttik'Counter
,.-........ .;.~....~"..;.h_ ,;. ....~-,,-
INSPECtiONS RI:QUIRED ~
Inspections '"' "
'.'
Reviewer
Nancy Machado
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
c;hris Carpenter
Chris Carpenter
'Chris Carpenter
See workflow history
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
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 J 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 or 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 times during
construction. . ..-. .
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Springfield Building Permit
"
.. ..~.:t8/16/2010 10:42:33AM
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Page 3 of 3
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S~RIN. G. FIEL~
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TRANSACTION "RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
.
permitcenter@ci.springfield.or.us
www.ci.sprlngfield.or.us
RECEIPT NO: 2010000061
RECORD NO: COM20 1 0-00972
DATE: 08/16/2010
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$139.10
224-00000-425602 $214.00
224-00000-425603 $76.00
100-00000-425605 $14.50
821-00000-215004 $34.80
TOTAL DUE: $478.40
:';.0f'A YMENTTYPE"";'~f'A,(OR;'"" CASHIEt\'jiMACHADO' ':0 COMMENTS ". ; ,',.' y,,' '. ''''. -';AMOUNT.f'AID . .. '. '1
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Cheek jmd enterprises, lie DBA $339,30
2766 Goodfella lounge
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Plan Review Comm/lnd/Public
Building Permit
Fixture
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+ 5% Technology Fee
+ 12% State Surcharge
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000859
Date: 07/22/2010
2:18:00PM
Job/Journal Number
. COM2010-00972
Description
Plan Review Commllnd/Public
Item Total:
Amount Due
139.10
$139.10
"
Payments:
Type of Payment
CreditCard
Paid By
JANET M BLISS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
081717 In Person
Payment Total:
$139.10
$139.10
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Page 1 0[,.1
7/22/2010
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St:;uctural Permit Application
DEPARTMENT,USE ONLY
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days
suspended for 180 days.
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This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL,
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
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o Residential 0 Government mmercial
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Job site address: 1
225 Fifth Street. Springfield, OR 97477. PH(541)726,3753. FAX(541)726-3689
City:
Subdivision:
Reference: 70 ~ ~ I. 12 OC(~o f
:, PROPERTY OWNER'
Name:
Address:
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State: Or<: IF.:n4,)l
Fax.
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010. .
Sign here:
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Address:
City. 'SP -0
Phone5<.1I- '1
E-mail:
CCB license no.:
Print name:
ZIPQ(tt(7
Fax:
Signature:
n\
Name
Electrical
Plumbing
Mechanical
VB-c:PNj1)R'AC:1)bR'I,~F()RMA1'1Q~~~F5'iE1~~~l!
CCB License Number Phone Number
Permit no 0/0-71 :?-
",,"}7."FEE' SCHEDULE'"": , ' ';',":'
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(a) Job description:
Occupancy -
Construction type: 1tB
Square feet:
Cost per square foot:
Other infonnation:
Type of Heat:
Energy Path:
D new .J3"alteration
(b) Foundation-only penn it?
Total valuation:
D addition
DYes
81'JO
(a) Permit fee (use valuation table).
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (,12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(e) Subtotal of fees above (3a and 3b), $
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(a) Seismic fee. 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): S