HomeMy WebLinkAboutPermit Building 2002-9-24
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I Job# 02-01123-01 I
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TRANsn:01-0010698
DATE: SEP 24 2002
AMT RECD:1 $ 100,00
CHANGE: $ 48.25
CASHIER: 061
SPRINQFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01123-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4006 Franklin Blvd Spr
Assessors Map#: 17033042
Lot: Block: Addition:
Tax Lot #: 01600
Subdivision:
Owner: Roth & Roth LLC Phone Number: 541-7~1-9828
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Address: 4006 Franklin Blvd City/StatelZip: ~tEu~eri~~i)R,
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Scope Of Work: Restaurant Repair >I'I~e O~aQJ ~e Va!ue':i ~5,OOO
~\'lf. ~e 'O'lf. ~'O" '0'0
Roaring Rapids Pizza .O,e~O 0 'O'l ~ e ~.J.e O~~ e ~.J.e ~0
Restoration A,)~' ,,,<;1\0 -<y\0'O _,\0,"" "\~.~o",,O..,o~
.A~~' 0""'()^ -".e" ,r;:,W"- :o\e~ 0.\'0' 'i..~,'r
Contractor Type Contractor I'" ' >1'1 ~~ c,eRegistratioi1$.~ExPiration Date Phone
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General Contr Raymond G Kopki \O.\(\c?. 0.<;,'1: 4l~87l1.e~.\Ii o~ v 8L1,1l2004 541-767-0514
36450 Oak Rd, Cottage GroV!l~O~;9743~~ ve~ O~e($ dy'O'O
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Electrical Contr Bear Mountain Electric L1c ~ ""q) . ,~~~~ 136298 \"" 8/6/2003 541-953-6747
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Po Box 912, Creswell, OR 97426 v ~'Oe c,e'0
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Plumbing Contr Don Lewis Plumbing 33076 6/10/2003 541-688-1931
500 Greenfield Street, Eugene, OR 97404
Office Use
Quad Area: Land Use: ~ ~ci~f Buildings:
# Of Units: Zoning Code: ~ \~ ,VI i\ \~ ~cupancy Group:
Constr, Type: Bedrooms: ~'f..~\'\lI t.~~'\ 'f()'PIeat Source:
Water Heater: Rang~l-~. . <( C;~t>-~\.9- '\~~ ~()\\t.'\) Sq, Footage:
~:\(-~{\. \\'t\\Jw ~'()~.
To request an inspection call the 24 hour re r. ~ ~7~ '$i{ljspections requested before 7:00
a.m. will be made the same working day, ins ~ ea,~'1:00 a.m. will be made the following
working day. ~ (\Oc"'~ "'~ Y
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Rr-\Pii>ed Inspections
Building I
Framing
Wall Insulation
Drywall
Final Building
- Prior to cover.
-Prior to Cover
- Prior to taping.
-When all required Inspections have been approved and the building is complete.
Electrical
Rough Electrical
Final Electrical
-Prior to cover.
-When all electrical work is complete.
Plumbing
Rough Plumbing
- Prior to cover.
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I Job# 02-01123-01 I
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Page 2 of 2
Final Plumbing
Required Inspections
I Plumbinll I
-When all plumbing work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
I Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Buildin!!
09/19/2002 10662
09/19/2002 10662
09/19/2002 10662
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
5,000
$68.40
$4.79
$5.47
$78,66
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Electrical
09/18/2002 10649
09/18/2002 10649
09/18/2002 10649
09/18/2002 10649
1
$2.00
$43.00
$3.15
$3.60
$51,75
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is loca at the front of the property, and the approved set of plans will remain on the site at all times
duri nstructio ~ f)/J I .u ~ 9 At! /o?-
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Plumbin!!
09/24/2002 10698
09/24/2002 10698
09/24/2002 10698
1
$45.00
$3.15
$3.60
$51.75
$182.16