The URL can be used to link to this page

Home My WebLink AboutPermit Building 2005-6-30 (2) '. .Lll i' OF ~rKll'l\.d<lELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 11/15/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 Springfield TYPE OF WORK: Commercial Miscellaneons TYPE OF USE: New Commercial PROJECT DESCRIPTION: Construction Trailer Site Owuer: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor ECCOMPANY TWIN RIVERS PLUMBING INC License 49737 17695 Expiration Date 01/15/2008 03/11/2007 Phone 503-224-3511 541-688-1444 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I StreetII!I1P.!P,';~~f~ts: Sidewalk Type: fr"'~u . . urer:Jon law reqUires Y t Storm'Sewef:Available.:led by tile 0 .)IJ 0 DownspoutslDrains: f\' .........' r r'(-';J 1 L' " f1 Special'Instruction:lter Thos" I ~, .' '/ 10 OAR 952-001-0010 th ~ ru es '1-" ,'et '[)~':"" '.'_ Note~ilO. You ma rouQh OAR 95;>-O~1J-."Tll :: calling the!e ottalO,CO):JS of t.-e r. '2" ". TI-1IS PERMIT SHALL EXPIRE IF THE WORK number for then~r. (,-.ote; the IU'L, ),~C,~c . AUTHORIZED UNDER THIS PERMIT IS NOT Center is ;~8gon U.rllty No'" Cc;: co: CONiMENCt:D OR IS ABANDONED FOR 00-332-2344). ANY 12J DAY PERIOD. Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 1000 amps/volts Perm ServlFdr 601 to 999 amps Plan Review Electrical (25%) Temp Power 200 amps or less Temp Power 201 - 400 amps Temp Power 401 - 600 amps + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus + 10% Admiuistrative Fee + 7% State Surcharge Backflow Device Not Covered Plumhing Plan Review Plumbing (30%) Water Line - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Backflow Device Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Water Line - Each Addtl100' + 10% Administrative Fee + 8% State Surcharge Backflow Device Water Line - 1st 50 Feet Water Line - Each Add1l100' -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Inspections - Partial Mech Miscellaneous Mechanical Total Amount Paid . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 11/15/2006 VALUE: I Valuation Descrintion , $ Per Sq Ft or multiplier Amount Paid $803.10 $562.17 $750.00 $1,141.00 $2,007.75 $1,400.00 $4,140.00 $600.00 $4.50 $3.15 $45.00 $15.70 $10.99 $14.00 $98.00 $55.11 $45.00 $17.70 $12.39 $14.00 $45.00 $90.00 $28.00 $16.00 $12.80 $28.00 $90.00 $42.00 $10.00 $9.00 $7.20 $45.00 $45.00 $12,207.56 Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp<, P"ii.,I Date Paid Receipt Number 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 t200500000000000554 t200500000000000554 1200500000000000554 1200500000000000554 3200500000000000406 3200500000000000406 3200500000000000406 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000332 1200600000000000332 1200600000000000332 1200600000000000332 1200600000000000332 2200600000000000695 2200600000000000695 2200600000000000695 2200600000000000695 2200600000000000695 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 6/30/05 6/30/05 6/30/05 1/20/06 1/20/06 1/20/06 1/20/06 1/20/06 1/20/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 3/22/06 3/22/06 3/22/06 3/22/06 3/22/06 5/31/06 5/31/06 5/31/06 5/31/06 5/31/06 Paee 2 of 3 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 11115/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 04/28/2005 I Plan Reviews I 04/28/2005 APP LLH Temporary Electrical Plan Review approved hy Clair. See attached documents for information. 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 following work day. I Renuired I~ Temporary Electric: Approval required prior to Utility Company energizing pole. Low Voltage: Prior to cover. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Final Plumhing: When all plumhing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 timesdurin:~s\:~ o S-I 31 (0'& ''--/ Owner or Contractors Signature Date Page 3 of 3 225 Fifth Street Springfi~ld, Oregon 97477 ./' 541-726-3759 Phone .Wi~ <aof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Miscellaneous Mechanical -Mechanical Issuance Fee- Inspections - Partial Mech + 8% State Surcharge + 10% Administrative Fee Paid By SHEKHAR W SHINDE 2200600000000000695 Date: 05/31/2006 Item Total: (;heck Number Authorization Received By Batch Number Number How Received IIh 67557 In Person Payment Total: Pa"e 1 of I I :57:00PM Amount Due 45.00 10.00 45.00 7.20 9.00 $1I6.2U Amount Paid $116.20 $1I6.2U 5/3112006