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Home My WebLink AboutPermit Building 2006-10-25 - \ Status Issued _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01378 ISSUED: 10/25/2006 APPLIED: 10/25/2006 EXPIRES: 04/25/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2575 Olympic St ASSESSOR'S PARCEL NO.: 1703254101001 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Alteration PROJECT DESCRIPTION: Relocate 2 sinks and install gas to new fryers Commercial Owner: KFC/LJS Address: 2575 OLYMPIC STREET SPRINGFIELD OR 97477 Phone Number: 541-726-7725 I CONTRACTOR INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor License Expiration Date JACKO PLUMBING Al'lt::lv 169047 03/14/2010 JACKO PLUMBING ^':~~OW rll,~II'..)IV.lHL,J69047 03/14/2010 B~CDm~~~iM~r~~rW~q . u090 . .;;to<~Oo . l(tJr. 7"f1 .Y the 0 Ultes Yo. df..?h. ~fo:riJ1~~!l1~0010 t oSe tUle regOf~t1J'S!fe: nu.~e{gQt~f~gu6tbt&in hroLJ{Jh OS are ~~ 1jI{t~t Floor: !P~ltbJ:Ina~ntt8r. COPies ~A 9~, F:1Q,bd Floor: WatYehi~~ 01"8' (Nota: If) Of fha rufq!k1]Basement: Range Typ'ei.S 1~8~on Utilitye 1t8left>ho~~IbJGarage/Carport Energy Path: O~33<--<. NOlific. ~ Ft Other: Sprinkled Building: '34t~\i qf'0lcupant Load: 7. \ Phone 541-683-7535 541-683-7535 Contractor Type Mechanical Plumbing Street Improvements: Storm Sewer Available: Special Instruction: I DEVELOPMENT INFORMATION I NOr/I' r.~erfllfpist: AU 'StP~~~tes Rqd: C ~lIjJiVe~Jtj OMhfef.l~I.tPJ'lVbag~ EXP/D ANy 7 CED CR r. '1'[ IF 8n 1'A~ HI.~.,\.? rHJ:Il" I PUBLIC IMP r - MN'fO/V, It/vjlr IS MURK . cqi5~lk ~pe: REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Downspouts/Drains: Notes: Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01378 ISSUED: 10/25/2006 APPLIED: 10/25/2006 EXPIRES: 04/25/2007 VALUE: I v aluation Descri~tion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $10.00 $9.00 $4.50 $7.20 $28.00 $4.00 $41.00 $17.00 10/25/06 10/25/06 10/25/06 10/25/06 10/25/06 10/25/06 10/25/06 10/25/06 2200600000000001498 2200600000000001498 2200600000000001498 2200600000000001498 2200600000000001498 2200600000000001498 2200600000000001498 2200600000000001498 $120.70 I Plan Reviews I 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. ~eouiredJnsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01378 ISSUED: 10/25/2006 APPLIED: 10/25/2006 EXPIRES: 04/25/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 aH work performed shaH 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 win 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 win be used on this project. I further agree to ensure that an required inspections are requested at the proper time, that each address is readable from the street, that the permit card is locat d at the front of the property, and the approved set of plans win remain on the site at an timesduringe . n. .~) /fj. ~S--C7~ Date Pal!e 3 of 3 225 Fifth -Street . Springfield, Oregon 97477 541-726-3759 Phone C"'v of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2006-01378 COM2006-01378 COM2006-0 13 78 COM2006-0 13 78 COM2006-0 1378 COM2006-0 13 78 COM2006-0 13 78 COM2006-0 13 78 Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000001498 Date: 10/25/2006 Description Fixture Minimum/Adjustment Plumbing Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JACKO PLUMBING INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3385 In Person Payment Total: Page 1 of 1 2:11:00PM Amount Due 28.00 17.00 4.00 41.00 10.00 4.50 7.20 9.00 $120.70 Amount Paid $120.70 $120.70 10/25/2006 /// // / ..f'~9~ l~ c.~'H,~\cn: (J t,lf/~:l /) I C, I< /~c... \1 + . . ~.~.\- : 1MK1wb L:,J \ ~'- ~,J '. Sf,.v.- J'l. rtftP)M ~pll >1 If- ffir' $1iYffJPV\ ,l.' \' . Hf,.. 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