HomeMy WebLinkAboutPermit Building 2007-7-19
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01039
ISSUED: 07/19/2007
APPLIED: 07/13/2007
EXPIRES: 01/19/2008
VALUE: $ 1,958.00
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3405 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222000904
Springfield
TYPE OF WORK: Retail
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Install DVD Rental Kiosk
Owner: MCDONALD'S-GA TEW A Y
Address: PO BOX 51060
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
BAUMGART CONSTRUCTION
BUILDING INFORMATION I
License
Expiration Date Phone
5208-384-8530
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
PUBLIC IMPRO Oreg I
on aw requires you to
o ow rules adoP8ld~thlf~ .
!'Iotification Cente~ Those lUf,~~~'ityrth
In OAR 952-001-00Rftm~~'HUAliifi_oC:)1
0090.. You may obtain copies of the rules "y
calling the center. (Note: the telephone
number for the. Oregon Utility Notification
Center IS 1-RnQ:3-~"."1A ~)..
tion
"
Storm Sewer Available:
Special Instruction:
,~,ot~s: .;."
/K.JJu DeE: ,"'. '-,
. i II;,) PERMIT SH
I~JTHORIZED UN~LL EXPIRE IF THE WOR' Valuation Descri
. UMMENC ER rH/S PERM/r I .
I-\LiYc "qjlY.!~ OR ~~P~NEiW~ NOT$ Per Sq Ft Square Footage
e~ VIiY PERIOD. u'vn or multiplier or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01039
ISSUED: 07/19/2007
APPLIED: 07/13/2007
EXPIRES: 01/19/2008
VALUE: $ 1,958.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
1,958.00
$1,958.00
$1,958.00
07/13/2007
Total Value of Project
Fees Paid.
Fee Description
Plan Review Comm/lnd/Public
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Non-Residential
Amount Paid
Date Paid
Receipt Number
$32.50
$5.24
$2.50
$4.00
$50.00
$2.40
7/13/07
7/19/07
7/19/07
7/19/07
7/19/07
7/19/07
2200700000000001126
2200700000000001169
2200700000000001169
2200700000000001169
2200700000000001169
2200700000000001169
Total Amount Paid
$96.64
I Plan Reviews I
Initial Review
Structural Review
07/13/2007
07/13/2007
07/13/2007
07/18/2007
APP
APP
LLH
DJP
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.
Reouired Insoections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
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
times during construction.
'-j;;..0L-- l/J1 .A.-A ~.-P ./u,~
O~ner or Contractors SignaturV
7-/c;-07
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001169
Date: 07/19/2007
11 :25:23AM
Paid By
BAUMGART
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
.2.40
50.00
2.50
4.00
5.24
$64.14
Job/Journal Number
COM2007-01039
COM2007-01039
COM2007-01039
COM2007-0 1 039
COM2007-01039
Description
Fire SF Fee - Non-Residential
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Check
Amount Paid
lkw
18256
In Person
Payment Total:
$64.14
$64.] 4
~~oS ~oAJ~
cReceintl
Page 1 of 1
7/19/2007