HomeMy WebLinkAboutPermit Building 2002-9-19
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I Job# 02-01123-01 I
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Page 1 of 2
TRANS#:01-0010662
DATE:SEP 19 2002
AMT RECD:2 $ 78.66
CHANGE:
CASHIER: 001
SPRINGFIBLD
~
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
4006 Franklin Blvd
Phone Number: 541-741-9828
City/State/Zip:
Eugene, OR
Value:
$5.000
Address:
Scope Of Work: Restaurant
1-\\ fEi" II' ',":,.lIl;n'Jl ,ilV\ '!,QU,Ire5 YO') Ie
Roaring Rapids Pizza Ut''''y
follow rule'" aooP'!lu OJ)' .I.E: VI 8gon ',,1
"^""^~Hnnf.l.e&,tl?mtlq(1l0~e rules are set fort:
;... ClAP- Q'i?-00i-001 0 through OAR 952-001. Nn.,.Ir.I:.
Contractor Type- Contractor ',es of the rule" b 'K6!Jfstration # EX~iratitlDateE WORP.hone
0090. )OU may omalfl (;Op ~'TH MIT SHA F I H 1\
General Sgr.!flg the d~I,lXm,?~,d..9.LlSq~~itele.~ho~e _ . Utt~ZEO UNO~ 11~~ ERMIT IS 1Mi67-0514
numberfort:~~4.?P..l\?e!< 8dllqOtl~ge Grove, OR 9742'4 EO OR IS ABANDONED FOR
C t . - ..,nn '>'1') ^'>".\ COMMENC
Electrical Contr en 'Bear'Mountain.Electric L1c AN~3~t9JlDAY PERI~9(2003 541-953-6747
Po Box 912, Creswell, OR 97426
Repair
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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
working day.
Required Inspections
Building
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.
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Grand Total
I Job# 02-01123-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Bulldin!!
09/19/2002 10662
09/19/2002 10662
09/19/2002 10662
Electrical
09/18/2002 10649
09/18/2002 10649
09/18/2002 10649
09/18/2002 10649
.
Height (feet):
Proposed Units:
Page 2 of2
Value/Quantity
Fee Amount
5,000
$68.40
$4.79
$5.47
$78.66
1
$2.00
$43.00
$3.15
$3.60
$51,75
$130,41
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
dUring.~ction. 0
.~~-'?.....Jl.t"-<.oo' .h.
Signre
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7//7//7/_
Date /
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,;~..:.t-, r-m,FfFTH SPlEP n !, r';~ ~ ,,:,,71:::l rJ.",\ E~E....,.,.<;:AL.. .,RERMI.. .:r,~. Ic.~TION-. ','.:
{;'"\;,\ #'rSPRINGFIEUD,OREGON9747ryt.,;Lj j :"!"-"I 'j ~;--..'\ \6-.:' ~..:',' . ......:.. 'co" .,., .
\};:r-..; r ,INS,p'ECTION REQU:ES-1\.72~=3/6b '.', i'.~.'<.".': :,' t.)C, i\Y.~Ob NiI...~b~rCD. > .~'O..,:'!/.. .~.. .' .f1,' .N~.;.<, ~. -0, O~Q649
~: \ . OFFICE' 726-3759 \! !! : r '~'I \j':(1 '\ I, L; ,/. ': .'. " . '!i1Tt.:."I..P 18.,,002
~J) i IC<-lll. q;\j\. \....): '.r 1 ;"..... .".~:3..,co~. l;"kiE~~'S..CHE.DULEilEL6\v;.A~TRECD:2.$ 51.7~
\t"."' ,'.jL LOCt\T,q.Nt9' ~T_ .~11 r/.'W;':iH<:il:,c)' I',. / ! ...., dCHA~GE.
"'~" ' . '-'-". > - , ( I 'V' 1\":"N ew'Residentiid'Singleor''-'--'-''- ._._CAy'~IEl'! . 001
Multi-Family per dwelling unit. !'
Service Included: ~: . "(
0/1.1'\1\. . t b"
~wmg prolee, as su miNEd has the following
~(~?,:-/~~ ~o . g, and does not require specific land use
".^. A9.B DESCRIPTION ('" A . a p oval. . Cj!;1000 sq.ft..or less
i('~~;~i LIlLllilYlCM< /u g (t ~ "orh oAA'hnnol '10jL
lh' '; !I Date '1- /'(./~_~r portion
rl:;"i Permits are non-transferable and expire ~
Lz:: if work is not 'started within 180 days Authorized Signatur. L...f AIL... M Ii...
~'~':~>: of issuance ~&rJf work is suspended for [Vlodular Dwelling /., l' }~ . :~'\ ll: ;: ',~
r" C." 180 days. ;"; Service or Feeder " ',. $ 50.00
L.<,..~t ; '".,' , ,.... '.' .
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::'::'::-;:ATrt::2! 180NTRACTOR INSTALLATION ONL B. Services or Feeders ....... ..\ .'
t;.\' ~follow rule~ ~d -OrO'~e"d"'b;;t'G , ,~~'g"'~nYuv~ '. . l!c Installation, Altera!io~s or '.' . ~ I
,~~.. .' i "r. ,'" ~ . I. " I
. ,'NbtificaEleClnCali81;' co. . ...... RelocatIOn:..;, .'..',..., , ,'"
}~~'1(\.bAR952-0o;ii'~tir;,,:;rf ;I./..z~~ ~~.. /~ I '..~" ,'" ~ "'.' '.,>,..:;', " :-:
I,: 'OD9~Y,1;<!4f, ss ."'(,7,' ~ . I ~ .r~ - 1,/" ....."" 200 amps or less.' ,. .; ~ $ 63.00~,
I..;' "'I/c~ ....,'u.., '~f.' g, t" '"'" IUY'Y/Ifl._ ,'. .,,, NlIi\tIlPs to 400 amps ' '.... ~ $'75.00 ' .
f':J,:Ja~1 ',i)! ~ ' , l6'ri~Ph~<D')~2'(J,~. ~~~~Zniri5<"XPI'RE"IF.'';',"''''i~'~'OO~ 1
,~~;:,.numbe I', "". "l/OI\lJTluly'NotIN:anan', " .7"i".,,;.jH ~,ttlIVI I' 1..1.. t: "~ .00--:;
" .>,1 r"c ,f"rh~ QIl}. """""'''1(o:PJ/O/\-<' ", A 1l1Prl: tI~HIS PERMtHS- -,
t'. : .1 Sti rvisor u'icensc'Numocr lr:'(? /{;'p,y." ,''6::" '",c\ ~8 (. : bill:}" ~ 5.00.'" (
!i':~~~0 J' " .V/' .',. ,". .,-: ,~~r~.,:~\C,CMM!iMG~ ,!~AB~~DO.NE~$ 50:00 , j
t,';;.~~;1 E~piration Date:4/')":'dL 15.t:! '. " " \~,~~ :. ;"ic;' I\N:-( 1 ~O OI\~,'PE'RI!i)J]b ". : '. ~ '. ~," . 1
l"""'" ,t ~ . . ~ ,~; ,- ",/,7 ,+i,li1;.\'hno~ :';~ "', C. 'Temporary SerYlces or Feeders ' " ! . .
;:'j ~~,; L....eo~st(~OI).tr. Number' t .J"A:"'ZY~,- .,. '.: :l, "', Installat~~m, Alteration .or Relocatio.n... . : . \. '1
L,L ~..c..S"".'.' "'..., .,' t..' . ...z.. ..'1
e~'f.::,;~~~;~)~E~iration Dnte 4~;....',o~)' -_,. " -,,;- ,_,~~:,.~.,:~~,:~_~OQ'aJJ1~s"or,less'~-?:'-'" -'. .--,$50,OO,~
k',:'~, <~,: ,,:>~,,- .~ :..:~ 2QI,arnPst0400amps. ~ $69.09 -.!..;..'
t~.t(,":::';",s~.gi~at ....O~f...,~..e.n.., JEectrician ~QyES401 to 600 amps . .' .._$100.00~1:
ld,;,'.;.,'" ,", . .~... Over600'amps.orI000voltssee
--' ~ ,.', ' ' "~ .... ~ .'
:'''':~, .:,.;.,< ;," , ........... "B" above ~ 'j
i:;F'",' ':~~ePr~:'~ ~~~Bra~~\~f~~~onOlExtenSionp)PaI~el " , . '.i
~:~:'<, A~dre~~' ~ ~ I~L\ t..J on~lLcuit \. ,I : . . '; '$HOO' LfJ j 61'
!. . .' Ill:.. \ I '. -, ~
: .~. . , : City atj~y[fU.' . p.h.onC7Cj/'- CjK) 'iI iic;; Additiona(Cir~uit or with Service .
" .,', '. ~; Feeder P~nnit ....~:: -\ $ 3.00 '_
t':: ::. .; ~I:~~tallati~~ t;~tn;~~,~~ on .:' E. Misg~la~j~~:~i'en'iid;~;~C~ not incl~ed) .
'p~operty Io~\'ll wlli~h is not in'tended LEach ;~siailati~h . ;'. \, .
for sale, lease or,re,nL ~-. . " :,.\ ~: PllnlP;~I.":{~rigaiib~ ....;.: I;', \$50.00 ~
., '. .' ?' Sign/()lltline Lightin'g,': _'$50.00.--.:..
~ '
. ".-i.", ;. Limite~Energy/Res ':;. $25.00_.
: .Liiliited'Energv/Comnl'! $45.00'
. , -;-';'1 f' ".' ".,: L.:.....- . ,.
l\linimumEldctric p'crmit.l~spcction Fcc i~ S45.00 + SlI..c11:ll~~cs
4. sUB~~4A~'~/ABOtE>: 43' ..';;-0
7% S'tat'{S~l'chi,;'gi ,,~(' 1 d . <TV
8% AdministrativcFee" 4 o. (,;; v
.~ "'iFr! . 3 0 <:)
." <.;., s .' / :r
1lp{ )..75
LEGAL D,ESCRIPTION
I 7 0.5 ,''5 "-I '-f d--.
Items Cost
S~m ;:
$106.00
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$ 19.00
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TOTAL
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