HomeMy WebLinkAboutPermit Mechanical 2003-6-6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2003-00469
ISSUED: 06/0612003
APPLIED: 06/06/2003
EXPIRES: 12/06/2003
VALUE:
SITE ADDRESS: 900 BEL TLINE RD
ASSESSOR'S PARCEL NO.: 1703153001000
Springfield TYPE OF WORK: Restaurant
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Add exhaust fan to vent smoking section.
Owner: SHARI'S OF N SPRINGFIELD
Address: % SHARIS MNGT CORP 8205 SW CREEKSIDE PL STE D BEA VERTm
97008
1 CONTRACTOR INFORMATION'
Contractor License
ATLAS ELECTRICAL CONTRACTORS INC 1532
ACCURAT~EATING INC. 88423
SHARI'S ~~RINGFIELD
~ ~~ ~ I BUILDING INFORMATION I
~ ~ ~~
# of Buildings: ~ ~ ~
Primary Occupancy GrouJ)$;'~~ #B
Secondary Occupancy Gr~ ~
Primary Construction ~~ ~ VN
Secondary Construct~~^"~ ~.
# of Bedrooms: ~.;:s ~ ~
~.,ff ~ 'i:J ~
.~ ~.~ ~'i ~
~. ..~ ~'d! ~~
Sp.~~~~ ~
/ l~~'"
Frontyard 'setbac~ ~
Side 1 Setback:
Side 2 Setback:
Contractor Type
Electrical
Mechanical
Owner
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Expiration Date
09/03/2003
01/21/2004
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if:.' >-.0 ~. ~ Sg"Ft~Otftir:'];
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~ !? t$ s::s ~TnuterX1o~.surface Area:
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I DEVELOPMENT INFOro\1:~TIQ.N:~I~~~ CJtfJ....0O'....!?~'O
'( ~ .~CJ'" n....V) 0"::' ;S0 F ~... REQUIRED PARKING
~~~.~ ~"p~
Overlay Dist: ~ 0 ~. ~~ q;. (Ji Total:
# Street Trees Rqd: .~ 8> CJ~ if Handicapped:
Paved Drive Rqd: <:5 l::-.::s Compact:
Phone
503-659-2212
503-650-1229
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
Downspouts/Drains:
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00469
ISSUED: '06/06/2003
APPLIED: 06/06/2003
EXPIRES: 12/06/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footage
Value
Date Calculated
Total Value of Project
LFees Paid'
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Minimum/Adjustment Mechanical
Vent Fan
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$39.00
$6.00
6/6/03
6/6/03
6/6/03
6/6/03
6/6/03
Receipt Number
1200200000000001465
1200200000000001465
1200200000000001465
1200200000000001465
1200200000000001465
Total Amount Paid
$62.65
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 follo'Ying work
day.
, Reouired I nsoections I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work 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 of 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.
---~----'
-"'_.~'
-/
Owner or Contractors Signature
t- b-O~~
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Cit)'"
Development Services Departll~",-__
Public Works Department
Official Receipt
Receipt #: 1200200000000001465
Date: 06/06/2003
Job/Journal Number
COM2003-00469
COM2003-00469
COM2003-00469
COM2003-00469
COM2003-00469
Description
Vent Fan
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Amount Paid
Item Total:
6.00
39.00
10.00
3.15
4.50
$62.65
Payments:
Type of Payment
Check
Paid By
ACCURATE HEATING INC
Received By
Jmp
Check Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
5612
62.65
$62.65
6/6/2003
12:33:29PM
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