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HomeMy WebLinkAboutPermit Building 2011-3-1 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00322 IVR Number: 811146680752 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/01/2011 ISSUED: APPLIED: 03/01/2011 03/01/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 08/28/2011 $4,000.00 SITE ADDRESS: 4205 MAIN ST, Springfield, OR 97478-5954 ASSESOR'S PARCEL NO: 1702323201900 SCOPE: Restaurant WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Dryrot Repair, Replace Sink in Restuarant - swap Phone Number: OWNER: ADDRESS: DONALD V PFEIFER TRUST 1810 15TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type General Contractor Contractor Name MCKENZIE REPAIR & MAINTENANCE LLC Lic Type CCB # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o Occupancy Type Construction Type B Type VB # of Bedrooms: Sprinkled Building': Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No .181670 Lic Exp 04/22/2012 Phone 541.521.7759 lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: ATTENTION: Oregon law requires you to Soils Report Re#iU\l<eW. rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). .;,..-( NOTICE: \RE IF1HE 'NORK .' THIS PERMlT SHII.LL V~S PERMIT IS NOT ." II.UTHORIZED UNDER 1I.\3I1.NDONED fOR. '.' COMMENCED OR IS . AtW i 80 DAY PERIOD. Springfield Building Permit 3/1/2011 1:19:57PM Page 1 of4 .. CITY OF SPRINGFIELD 225 Fifth 51 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 'NWW. ci. sprin gfield. or. us Building I Commercial Permit PERMIT NO: 811-SPR2011-00322 IVR Number: 811146680752 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/01/2011 ISSUED: APPLIED: 03/01/2011 03/01/2011 EXPIRES: VALUE: 08/28/2011 $4,000.00 SITE ADDRESS: 4205 MAIN ST, Springfield, OR 97478-5954 ASSESOR'S PARCEL NO: 1702323201900 SCOPE: Restaurant WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Dryrot Repai.r, Replace Sink in Restuarant - swap DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Bid Tvee of Construction NA Unit Amount Unit Tyoe 4,000,00 Bid Unit Cost 1,00 Value 4,000,00 4,000,00 FEES PAID ~ Descriotion Fixture Building Without Structural Permit Penalty ~~mit Fee Adj~stment - Plumbi;;g--~ Permit Fee Adjustme:~t - State Surcharge Permit Fee Adjustment - Tech Fee ~~ilding Permit Fee -""~--"--".~----'- Permit Fee Adjustment,- Plumbing Amount Paid $19,00 $77.50 $39,00 $32.52 $13.55 $77.50 $58,00 $317.07 Date Paid 03/01/2011 03/01/2011 ----~._.,,,._..~- 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 Reciot# 2011000373 ----.......--.-- 2011000373 2011000373 2011000373 2011000373 2011000373 2011000373 Total Amount Paid Springfield Building Permit 3f1/2011 1:19:57PM Page 2 of4 ;1. !':. ~1 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00322 IVR Number: 811146680752 WWW.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/01/2011 ISSUED: APPLIED: 03/01/2011 03/01/2011 .~." 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnilcenter@ci.springfield.or.us EXPIRES: VALUE: 08/28/2011 $4,000.00 SITE ADDRESS: 4205 MAIN ST, Springfield, OR 97478-5954 ASSESOR'S PARCEL NO: 1702323201900 SCOPE: Restaurant WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercia' PROJECT DESCRIPTION: Oryrot Repair, Replace Sink in Restuarant - swap Plan Review Oeoartment Initial Review Received Due Date 03/01/2011 03/01/2011 ComDleted 03/01/2011 Result Over the Counter Comments: Over the counter permit Mechanical Review 03/01/2011 03/01/2011 03/01/2011 Comments; Over the counter permit Not Required ~ Reviewer David Bowlsby David Bowlsby Traffic Review 03/01/2011 03/01/2011 Comments: Over the counter permit Not Required David Bowlsby Application Acceptance 03/01/2011 INSPECTIONS REQUIRED ~ Inspections 1999 Final Building \'~ Final BUilding: After all required inspections have been requested and approved and the building is complete. 1220 Underlloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. Underfloor Plumbing: Prior to insulation or decking. 3170 Underfloor Plumbing 3999 Final Plumbing Final Plumbing: When all plumbing work is complete. Springfi~ld Building Permit 3/1/2011 1:19:57PM Page 3of4 . S;'i:~~.IEL~ ~~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00322 IVR Number: 811146680752 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/01/2011 03/01/2011 EXPIRES: VALUE: 08/28/2011 $4,000,00 03/01/2011 SITE ADDRESS: 4205 MAIN ST, Springfield, OR 97478-5954 ASSESOR'S PARCEL NO: 1702323201900 SCOPE: Restaurant WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Dryrot Repair, Replace Sink in Restuarant - swap 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 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. ~~{{h 701/ Date Springfield Building Permit 3/1/2011 1:19:57PM Page 4 of 4 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth $1 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00322 4205 MAIN ST permitcenter@ci,springfield.or.us RECEIPT NO: 2011000373 RECORD NO: 811-SPR2011-00322 DATE: 03/01/2011 Building Permit Fee 22":.00090-425602 Building Without Structural Permit Penalty ___________ 224-00000-425602 Fixture 224-00000-425603 ~_",'_,0.____. 224-00000-425603 821-00000-215004 1 00-00000-425605 TOTAL DUE: lff:pA~M];NTitYP~,*-,Z;'~~Ii'P.At()R1S~CASHiER:'I5BOWLSBYd~'ft!;~"'1::::(()1~1r.;-it{ts1l'tTI!//0f:/:?> :'--; :''''\~ Check MCKENZIE REPAIR & 2111 MAINTENANCE LLC . {bE"S'CRi~tfo'N'~~;;'ii;~Tt*!~~YS'~~~:~~.~~:'~;;S;1V:',('f';'!<'1.;1'it~'~/~~~~c~ce:UNlic.ODE~;;f\xrt~~~?}::27~1;A'jviC.fuN:t~D.liE: '.. 77.50 77.50 19.00 97.00 32.52 13.55 317.07 -'AMOUNT PAID -~ -c: :'- 317.07 Permit Fee Adjustment - Plumbing Permit Fee Adjustment - State Surcharge Permit Fee Adjustment - Tech Fee - ~ -~ ""'.""'C",'", .. "'" TOTAL PAID: 317.07