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Home My WebLink AboutPermit Building 2011-7-27 SP]~I.q..N. .G.~.F.IE~ -=,t~ .'~OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01832 IVR Number: 8111313.12767 www.cLspringfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 07/27/2011 07/27/2011 Issued 07/27/2011 EXPIRES: VALUE: 01/22/2012 $20,747.00 SITE ADDRESS: 5094 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333203500 SCOPE: Restaurant WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Existing Bar (A-2 Occupancy): Reroof and Partial Re-Siding Phone Number: OWNER: ADDRESS: DK & SS INC 5094 MAIN ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Contractor Name Sl CONSTRUCTION LLC # of Units: o Lie Type CCB BUILDING INFORMA TION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Occupancy Type Construction Type A-2 Type VB # of Bedrooms: Sprinkled Building: No 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 Co~e Edition: Lic No 186490 Lic Exp 04/27/2013 Phone 541-520-0250 Lot Size: Sq Fl1 st Floor: Sq Ft 2nd Floor: 5q Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining War\\TTENTION: Oregon law requires you to Soils Report*I'lhrlt!leS adopted by the Oregon Utility Noiafcation Center. Those rules are set forth in OAR 952-001-0010through OAR 952-001- 0090. YDU 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: "(Y:'i.~;;:",','-" THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 7/27/2011 2:41:31PM Page 1 of 3 .5P.RING FIE~~ .~" '~." t;t'! . 'i~OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01832 IVR Number: 811131312767 pe rmitce nter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/27/2011 ISSUED: APPLIED: 07/27/2011 07/27/2011 EXPIRES: VALUE: 01/22/2012 $20,747.00 SITE ADDRESS: .5094 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333203500 SCOPE: Restaurant WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Existing Bar (A-2 Occupancy): Reroof and Partial Re-Siding PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay nist: # 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: I Valuation Description ~ Description Bid Tvpe of Construction NA Unit Amount Unit TVDe 20,747.00 Bid Unit Cost 1.00 Value 20,747.00 20,747.00 FEES PAID ~ DescriDtion Building Permit Fee State o'.:C?regon Surch~..']l~J23!~':F'!,Ii."able_fees) Technology fee (5% of permit total) Total Amount Paid, Amount Paid $243.25 $29.19 --- . $12.16 $284.60 Date Paid 07/27/2011 07/27/2011 _0'___'.____0_ 07127/2011 ReciDt # 2011002125 2011002125 2011002125 Springfield Building Permit 7/27/2011 2:41:31PM Page 2 of 3 CITY OF SPRINGFIELD Building I Commercial Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us PERMIT NO: 811-SPR2011-01832 IVR Number: 811131312767 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/27/2011 ISSUED: APPLIED: 07/27/2011 07/27/2011 EXPIRES: VALUE: 01/22/2012 $20,747.00 SITE ADDRESS: 5094 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333203500 SCOPE: Restaurant WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial Exisling Bar (A-2 Occupancy): Reroof and Partial Re.Siding PROJECT DESCRIPTION: Plan Review ~ Deoartment Permit Issuance Received 0712712011 Due Date 0712712011 Comoleted 0712712011 Result Issued Reviewer David Bowlsby Initial Review 0712712011 0712712011 0712712011 Over the Counter Kip Kaufman Comments: Over the counter permit '~eVle"''''r;.;',. ~::':; ,,07l2?1~Q)\ :.97!2?ll~11- P!12712011"cc" N.~ .R~q~~egil' :;.: ~:;'!<p~Kau(",an ~' .:.' .'. ." "'. '- : 'co"'mntents~~,"0v~9h~cql{n~.~l~ ::-;~ _ ~~L ~~":~. ~"J"~'~p":'~;:; _"~ ':. _;: ~~<~-~':'~~~ Jl, '2';~ -",""',, :::.,' -.0; '"'':.<~~'': ~ .~~: ':.:.,:=~, ,_ ", Fire Review 07/27/2011 07/27/2011 07/27/2011 Not Re~uired Kip Kaufman Comments: Over the counter permit !f~u. ~lis~~~r~s:~~~I~~;;. .~ :; "L:,"~:~~;;'~~f?:,1;~,,~.', i~;i:~~~~~~~,' :.~~ ~J ?~?}:~'1;;~j:.:' "~.~. t~t~.f~~~':,= '+~ '"K1P'Ka~"~~~~, ~ ~ ~,:~"c. S~~!'l~')ts.~ 'Qye~ thecounterpe!ml~", ~'" ' 'o,'? );;';"4 >~.:' ~~,&}~ ~" "';.;~~""~'':!/f~"(,:: h ~*J 'if' "y vr: ~ . '; Energy Code Review 07/27/2011 07/27/2011 07/27/2011 Not Required Kip Kaufman Comments: Over the counter permit fRTaiming.~i"e~~~.-~~.<~ .;, ,:,:.~,,,,w07l:27j2ofl'~7i27l201:1;!1707727/20H,~ ,. ,Not'F~e~uired " ~Kipl$~uft!1a'D~",', ";~ ",~,.-, ~1~~"!~~~~t;~::::w~~;'ihJ-~~_uiis8~~~::~~$,;'~i',~:$:~'2I2;.;_,~~~,~~':",~ ~..:~', "/,"-~',ww~ ~~':1_::~.~,: / (':.~. ~,~,~ ;,$," '. , ",c", , J 0 ': \r,'L,:~,. ~ ," j J ... :- -.,- 'i';" '. 1 1 , "'J" .".,,,... INSPECTIONS REQUIRED ~ Inspections 1450 Insulation Duct 1620 Roofing. 1920 Miscellaneous Building 1999 Final Building Roofing: Prior to installing any roof covering~ 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 or Oregon pertaining to the work described herein, and that NO OCCUPANCY wilt 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 loca at the front of th roperty, and the approved set of plans will remain on the site at all times during construction. 7-;2.7- 20(/ ~/ ./ Owner or Contractor Signature Date Springfield Building PerrT)it 7/27f2011 2:41:31PM Page 3of3 J l. , Structural Permit Application _--WIll 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54!)726-3689 DEPARTMENT USE ONLY <;<11- '>fill 2-?1)..- '?enni! no.: i 8 :3 2- Dale: :;....- 2- ?- - .l-L This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final landMuse appro~~~ FEE SCHEDULE Signature: ytJ ~ ,r-. 0 ., rt..\'b.J Date: This project hus DEQ approval. 1. Valuation information Signature: Date: (a) Job d",crip'ion:, 'Ie- (oof,:'~ (-'W-vI' I 5',J,:'. ..L Zoning appro,":aJ verified: QYes DNo C-c. Occupancy /fL I Property is within flood plain: DYes, Q-No X 1.0kJ::<. Construction type: "S'I}' CATEGORY OF CONSTRUCTION , Square feet: D Residential I 0 Government ~ommercial Cost per square foot: JOB SITE INFORMATION AND LOCATION Other information: Job sjle address: SOClC( ""4;", \I- Type of lIeat: City: Sf'rMG-\.'~< l..l I State: (}.r I ZIP: C:nl./Yif Energy Path: ~ubdivision: ILOl"O< ^ ~ A o new o alteration Doddilion Reference: \' \VL.--r.J;J/JA'axlot: V.:...n 1/ ~ (b) FOlludation.only permit? DYes DNo PROPERTY OWNER 1$ '2CYl'l :"1.-.... voSS ~V'q..S~ IVlC. Total ",aluation: Nome: Adjll;ess~~ A.. lVVj ~~ ~ , 2. Building fees I ZIPct"R: t (a) Pemit fee (use vahmtion table): $ CilM'tll .01\, I ~ ,Or\L State' nQ Phone:\ . \\ (b) Investigative fee (equal to [28]): $ . Fax: - - (c) Reinspection ($ per hour): E.mail: (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by Cd) Enter 12% surcharge (.12 x [2a+2b+2cl): $ me or a member of my immediate family, and is exempt froill licensing requirements under ORS 701.010. (c) Subtotul urrces above (2a through 211): $ Sign here: 3. Plan review fees CONTRACTOR INST ALLA nON (a) Plan review (65% x permit fee [2a]): $ OVer ,"'e..""\-J'f" IO,l'l{.:.''1c, (b) Fire and' life safety (40% x pcmlif fee [2a]): $ !1usiness flume: ~7()() ""< LyY)-,( /.(., (( n<-' ( A- Ce) Subtotal offces above (3a and 3b): $ Address: ( re5,W,U Or I ZlP:Q7<flb 4. Misccllaneous fccs Cit)': Stnte: PhoneSV 1-5lV.o2..S0 (a) Seismic fee, 1%(.01), permit fee [2a]): $ Fax: . - E-mail: S Leo", 5'\LL.C. ~ l<rYJ'lq J I. L.'O"1 TOTAL fees nnd surchurges (2c+3c+4a): $ , CCB license no.: I g{, <.140 Print name: SaW! t...Ci..:>ko....;} ~ Signature: f f.,A-N )/;qJ C. A.~ S"\,..~ '" ,-,.,. If ~f.1 ~ 01( SUB-CONTRACTOR INFORMATION N:lmc cell License Number Phone Number Electrical Plumbing Medulniclll , fL{(7l-FC \;VOR.K,S---LLP\& or:-- . S:~~~N~E~ ~ ~..OREGON WWN.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01832 5094 MAIN ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 perm itcenter@ci.springfield.or.us RECEIPT NO.: 2011002125 RECQRD NO.: 811-SPR2011-01832 DATE: 07/27/2011 !DESCRI~TIOI'L\~,'__'''::Jl' "::~" :' .', 'f{ 2"i'~~,~.,;:", .....Act()iliNric()I5E..--',;._'-,.t.:'::.:::::AM()UN'T~O:\JE C.;!~ __......!?~ilding Permit Fe~~_._ 2.~~-O_OO"cJ.o-425602 243.25 State of o.regon Surcharge (12% of applicable feesJ_ _ __ ~21-0~OO"cJ:22 5004____ ___ ____ 29.19 __ Technology fee (5% of permit total) 100-00000-425605 12.16 TOTAL DUE: 284.60 ~YMENlTI1Yf>E':;l" PAYQR;;:.;C;SHIER:DBOWLSBY:~-J-"'~c\'" COMI'!1ENfsEc~::!,;_i',;, _z.'.:t. AMQUNr.FlAI() ":;:' ',,'.' -j Cash OK & SS Inc 284,60 TQTAL PAID: 284.60