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Home My WebLink AboutPermit Building 2014-5-15 SPRINGFIELD 225 Fifth St 6CITY OF SPRINGFIELD Springfield,OR 97477 i Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • - Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00879 www.springfield-or.gov permitcentera@springfield-or.gov • PROJECT STATUS: Issued ISSUED: 05/15/2014 EXPIRES: 11/10/2014 STATUS DATE: 05/15/2014 APPLIED: 04/22/2014 SITE ADDRESS: 1460 G ST,Springfield,OR 97477 SCOPE: Hospital ASSESOR'S PARCEL NO: 1703362204601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Fourth floor renovations OWNER: MCKENZIE WILLAMETTE REGIONAL MEDICAL CTR Phone Number: . ADDRESS: 14400 METCALF AVE OVERLAND PARK KS 66223 CONTRACTOR INFORMATION Contractor Type Contractor Name - Lic Type Lic No Lic Exp Phone Plumbing Contractor OREGON CASCADE PLUMBING 8 HEATING INC CCB 127 11/25/2014 503-588-0355 General Contractor M J HARRIS CONSTRUCTION SERVICES LLC CCB 202977 05/13/2016 205-380-6800 Electrical Contractor JK GUCKENBERGER ELECTRIC INC CCB 45129 04/24/2016 541-746-4656 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 General Contractor JOHN HYLAND CONSTRUCTION INC CCB 46071 07/11/2014 541-726-8081 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are iAplflgOOND po04af'l t requires you to 1560 Firesto Assemblies, . - - `.--. ;r.�. ;-- . follow rules adopted by the Oregon Utility • .:C IC N"hi..ut;ui1Ce ital. Those Jules are set form . 160 d llgg- rid IT SHAt I. EXpIRF IF THE ' iWridi Aker drywall ap�rRAITbwots fb/�ri.0 through OAR 952-Qnf. 171,9ittiMittly UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by 16Dg�Em4 ORli�fp$ANDONED FOR calling the cal'tar. (flute. the telephone q p number for the Oregon Utility Notifinatinn 1999 jF na1 S&11dY PERIOD. Final Building: After all required inspectGegael71a3e80&3a$e2a$4)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 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. - - = Jr -As-A A Owner or Contractor Signature Date • Springfield Building Permit 5/15/2014 10:59:27AM Page 1 of 1 SPRINGFIELD -- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 ^'v 541-726-3753 OREGON 811-SPR2014-00879 w.nv.springfield-ar.gov 1460 G ST permitcenter @spnngfield-ar.gov RECEIPT NO: 2014001062 RECORD NO:811SPR2014-00879 DATE:05/15/2014 ' * .0 '" t,,. .'_'c-AMOUNT DUE r.�AC60UNT60DE(fRANSODE ��:-' - Building Permit Fee - 224-00000-425602 1002 3,827.80 Fire, Life, Safety Plan Review 224-00000-425602 1077 1,531.12 • Special Occupancy Fee 224-00000-425602 1097 38.28 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 • 459.34 Technology fee(5%of permit total) 100-00000-425605 2099 191.39 4�- TOTAL DUE: 6,047.93 g!PAYMENT®TA E! P,AYOR, cASNIER:arri,ENTER COMMENTS .. AMOU.NTARA,IPMESIMMI1 Check JOHN HYLAND CONSTRUCTION INC 6,047.93 1022984 TOTAL PAID: 6,047.93 SPRINGFIELD CfiY OF SPRINGFIELD ;1 r .A., 225 Fifth St , TRANSACTION RECEIPT Springfield,OR97477 I.f_ `.':' ``OREGON 541-726-3753 811-SPR2014-00879 www.springfield-or.gav 1460 G ST permitcenter @springfield-or.gov RECEIPT NO: 2014000890 RECORD NO:811-SPR2014-00879 DATE:04/22/2014 ;DESCRIPTION -- -------- — - - ---------- --- -- - ---- -A C C O U N T CODE/TRANS CODE__:__, __.AMOUNT DUE_.. Structural Plan Review Fee Commercial 224-00000-425602 1060 2,488.07 TOTAL DUE: 2,488.07 - L:PAYMENT-TYPE PAYOR;CASHIER:CCARPENTER . . - -_COMMENTS_' - r AMOUNT PAID , Check JOHN HYLAND CONSTRUCTION INC 2,488.07 . 61331 TOTAL PAID: 2,488.07 • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY • CITY OF SPRINGFIELD, OREGON iiOR Permit no.: 9;C f-y? of 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: Y/zz// £ 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 FEE SCHEDULE This project has final land-use approval. 1.Valuation information Signature: Date: (a)Job description:ggo a.,� 6i*R FI our This project has DEQ approval. Signature: Date: Occupancy L YY,,ov,p x-I)N Zoning approval verified: ❑Yes ❑ No Construction type: 1A Property is within flood plain: ❑Yes ❑No Square feet: \at"),),7 CATEGORY OF CONSTRUCTION Cost per square foot956,5 p ❑Residential ❑Government Et Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: t.c.y Job site address: \u60 jr <Arai Energy Path: City:Ser-2,4 ri cl Z I State: Q& ZIP:91,7477_ ❑new Nalteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes Lio No Reference: \7-03-u-7,7. Taxlot: 0460 t _ Total valuation: S$y'Go ouo (�� p♦ PROPERTY OWNER 2.Building fees Name:W\c,KL c_ t4 i i\++rt4&G—gCOI9r4-1 N\JS�wl Lam- (a) Permit fee(use valuation table): s 3822,-----a) - Address:AAtkoo MtAcs..l F yQNe- (h)Investigative fee(equal to[2a]): S City: OVvt wnZ ('o4•t. State: \C S ZIP:b0,33 (c) Reinspection(S per hour): Phone: Fax: - - (number of hours x fee per hour) S E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): S lib Lj (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3.Plan review fees %�/� (a) Plan review(65%x permit fee[2a]): S 2 r(¢$t):"— Sign here: /j....-e-1------ (b)Fire and life safety(40%x permit fee[2a]): S I2:=-- ❑This installation is being made on resid tal or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family.and is exempt from licensing 4.NIiscellane0us fees requirements under ORS 701.010. (a) Seismic fee, I%(.01 x permit fee[2a]): Y, IZ?2 CONTRACTOR INSTALLATION pp,�, �q (h)Technology fee,5%(.05 x pennit fee[2a]): S �^f Business name: '.SO[� o,.v _ s(. SrtL TOTAL fees and surcharges(2e+3c+4a+4b): $ 75362 Address: ?a (2.,uX 7c667 City:Sv .c--it1i. State: OK ZIP:dt`747 I"------------p(Z7 n r r" t L(.G. ci-iyert,r-17 to Phone:54( -'xi,-4051 Fax:54I -741 -o 6 in:37 [-h4.4-iCS CC 2o-z-477 er-' CiYiJV E-mail: St'towk0:.5k4onSt. cc,...s CCB license nn.: 46`m'7 I µ'x(LJftNO (19N5 t. W t 4t✓ Pen-t'^ mt.- I�eMK— viva&tL- 1t4. 3. TYVrt-44 Print name:Skc & -t\ ‘n Signature: .. l�y - S. SUB-CONTRACTOR INFORMATION Name CCB License ti Phone Number Electrical -3k 17 ,A511,2)\ 5t\1146-4656 Plumbing 0 (AO \r)17 ,o'',-5S(-0355 �e c � - Mechanical COM fvt( .`o`✓ L1 b O 51U:7U-thou