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Home My WebLink AboutPermit Building 2014-07-28 (2)SPRING"I@LD �s OREGON mmatedngfield-ocgov Building / Commercial Permit PERMIT NO: 811-SPR2014-01297 PROJECT STATUS: Issued ISSUED: 07/28/2014 STATUS DATE: 07/28/2014 APPLIED: 06/16/2014 SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703220004102 -----PROJECT- DESCRIPTION= —' 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permit"nter@spdngfield-or.gov EXPIRES: 01/23/2015 SCOPE: Tenant Infill TYPE OF STRUCTURE: Commercial OWNER: PEACEHEALTH ADDRESS: 1115 SE 164TH AVE VANCOUVER WA 98683 Phone Number: CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor GREENSERRY CONSTRUCTION LLC CCB 166612 09/26/2015 541-752-0381 Inspections INSPECTIONS REQUIRED 8690 Fire Sprinkler Final 8750 Fire Alarms 8999 Final Fire 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 in place, but prior to plastering. 1550 Firewall Firewall: Located and constructed according to plans. 1560 Firestop Assemblies 1600 Ceiling Grid Ceiling Grid: After drywall approval but prior to cover. 1999 Final Building 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 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 each address is readable from the street, that the permit card is locatedkd,/J1g��ppp�,l8pdklCe(WV4WI'AMVplans will remain on the site at all times during construction. Nott Ja nCenter. Those rules are set forth In 2-001.0010 through OAR 952.001- may obtain copies of the rules by� the telephone Owner or contractor SiNMAeT for the Oregon Utility NotiticatioRafe Center Is 1.800.332-2344). IIS PERMIT SHALL EXPIRE IF THE WORK UTIfORIZED UNDER THIS PERMIT IS NOT ;OIv MENCED OR IS ABANDONED FOR Springfield Building Permit 7/28/2014 3:15:43PM ,NY 180 DAY PERIOD. Page 1 of 1 SPRINGf1EL0 - CPPY OF SPRINGFIELD t �.. TRANSACTION RECEIPT 225 Fifth St Springfeld,OR 97477 OREGON 541-726-3753 811-SPR2014-01297 w .spnngfield-ocgov 3377 RIVERBEND DR penitcenter@spdngfield-ocgov RECEIPT NO: 2014001309 RECORD NO: 811-SPR2014.01297 DATE: 06/16/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE' Structural Plan Review Fee Commercial 224-00000-425602 1060 506.35 TOTAL DUE: 506.35 Credit Card Lee Kerch 506.35 015475 TOTAL PAID: 506.35 SPRINGFIELD --- CITY OF SPRNGFIELD "6-201REGON 225 Fifth St ; TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2014-01297 w .springfieldocgov .3333 RIVERBEND DR permitcentef@sp6ngfield-ocgov RECEIPT NO: 2014001622 RECORD NO: 811-SPR2014-01297 DATE: 07/28/2014 P's fl iI Building Permit Fee 224-00000-425602 10028 779.00 Continuing Education 224-00000-425606 2.50 Fire, Life, Safety Plan Review 224-00000-425602 1077 311.60 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 93.48 Technology fee (5% of permit total) 100-00000-425605 2099 14.85 TOTAL DUE: 1.201.43 GREENBERRY CONSTRUCTION LLC 22711 TOTAL PAID: 1,201.43 LSPRINIGIFIELID -��- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spdngfeld,OR 97477 OREGON 811-SPR2014-01297 541-7263753 v .spdngfieldocgov 3333 RIVERBEND DR permitcenter@spdngfield-or.gov RECEIPT NO: 2014001624 RECORD NO: 811-SPR2014-01297 DATE: 07/28/2014 Technology fee (5% of permit total) 100-00000-425605 2099 22710 24.10 TOTAL DUE: 24.10 TOTAL PAID: 24.10 Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ 1.'AX(541)726-3689 L `ELD..,. OEGOH Permit no.: �jy — /Z c 7 Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o)' issuance or if work is suspended for 180 days. COCAL'GOVERNMENT ARPROUAL ' This project has final land -use approval Signature: Date: This project has DEQ approval. Signature: Date: _ Zoning approval verified:_ ❑ Yes...... ❑ No Property is within flood plain: ❑ Yes ❑ No CATEl30RY..OF CONSTRUCTION, „ ❑ Residential ❑ Government Commercial JOB SITE INFORMM-10 LANPllmQCA7i,9N' Job site address: 3333 RiverBend Drive city: Springfield State: OR zip: 97477 Subdivision: I Lot no.: Reference: ® Taxlot: PROPERTY OWNEE;, - ,, Name: Pea C - RiverB n Address: c/o Jim Mston - 123 Internai ion I Way City: Springfield Slate: ZIP: 97477 Phone: Fax: - - E-mail: Building Owner or Owner's a enl authorizing this a plication: Architect / L. A. Kers�i Architecture, Pnc. Sign here: ❑ This installation i etng made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACT0�2 111$ iALLATIpN' Business name: Greenberry Construction Address: 2273 NW Professional Dr. Suite 200 city: Corvallis State: OR ZIP: 97330 Phone: Fax: - - E-mail: CCB license no.: 166612 Print name: Kelly W'11*S Signature IMS M* Name CCB License # Phone Number Electrical TBD Plumbing Mechanical TBD (a) Job description: Add MRI to existing „shell Space Occupancy 1-2 Construction type: 1 B Square feet: 950 Cost per square foot: 100(excluding MEP Other information: Type of heat: Energy Path; ❑ new [Ralteration ❑ addition (b) Foundation -only permit? ❑ Yes ® No Total valuation: I $ (a) Permit fee (use valuation table): _ $22Y (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ `( (e) Subtotal of fees above (2a throuRb 2d): $ (a) Plan review (65%x permit fee [2a]): $ s (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): S (a) Seismic fee, 1%(.01 x permit fee [2a]): $ (b) Technology fee, 5%(.05 x permit fee[2a]): TOTAL fees and surcharges (2e+3c+4a+4b): I $ 1 Shu C Lo�