HomeMy WebLinkAboutPermit Mechanical 2014-07-28SPRINGFIELD- 225 Fifth St
kw
CITY OF SPRINGFIELD Springfieid,OR 97477
3 i40 Phone: 541-726-3753
E OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01562
mm.springfieldacgov, permitmnterQspnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/28/2014
EXPIRES: 01/23/2015
STATUS DATE: 07/28/2014 APPLIED: 07/21/2014
SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477
SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703220004102 TYPE OF STRUCTURE:
Commercial
_PROJECT DESCRIPTION: - — M=Hydronic system= Build out—y"ic surgery suite _--- -
___
OWNER: PEACEHEALTH
Phone Number:
ADDRESS: 1115 SE 164TH AVE
VANCOUVER WA 98683
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No Lie Exp Phone
General Contractor GREENBERRY CONSTRUCTION LLC CCB
166612 09/26/2015 541-752-0381
Plumbing Contractor THAN RIVERS PLUMBING INC CCB
17695 03/11/2015 541-688-1444
INSPECTIONS REQUIRED
Inspections
2420 Hydronic Piping
2999 Final Mechanical Final Mechanical: When all mechanical work is complete.
By signature, I slate 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 Slate 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. n
Owner or onlractor Signature Date
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 052-001-0010 through OAR 952-001•
0090. You 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),
Springfield Building Permit 7/28/2014 3:09:28PM Page 1 of 1
ELD ---
CITY OF SPRINGFIELD
TRANSACTION RECEIPT
E
225 Fifth St
Spnngfield,OR97477
OREGON
811-SPR2014-01562
541-726-3753
w .spnngfield-or.gov 3333 RIVERBEND DR
permitcenter@spnngfield-or.gov
RECEIPT NO: 2014001617 RECORD NO: 811-SPR2014-01562
DATE: 07/28/2014
Continuing Education Fee 224-00000-425606
2.50
Mechanical Permit fee (based on value of work) 224-00000-425604
1006
134.61
Special Occupancy Fee 224-00000-425602
1097
1.35
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004
1099
16.15
Technology fee (5% of permit total) 100-00000-425605
2099
6.73
TOTAL DUE:
161.34
NNT i=YP
Check GREENBERRY CONSTRUCTION LLC
161.34
22711
TOTAL PAID: 161.34