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Home My WebLink AboutPermit Building 2008-2-28 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00280 ISSUED: 02/28/2008 APPLIED: 02/27/2008 EXPIRES: 08/28/2008 VALUE: $ 233,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration PROJECT DESCRIPTION: Facilities Management Tenant Improvement project Commercial Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I 't.. '.,..,.. luflr liON # O~\~J~rie's:?Ufes . OregO Lot Size: He4gl~fBf'Sk'1f~fi9'oPted ~/qW req . Sq Ft 1st Floor: T~~~ti@.ft?-oo enter. Ih Y the orU'r~12nd Floor: w~/rrfJft.l77q 1-001 0 thOse rUleS eg~ ~ ~sement: RAJI)f!tf~'f~phe c~ Obtain c~O~9h OA~e~ W:~rage/Carport Energy,"'Or:th nter. (Nol'eS Ofth .9s'f-5b~er: SprinkltM~nQregon ,;: tfJ~ te' e 'li1esu.oant Load: 8'')-0,,,,, vti/it. . le.ph_ 011' -u...,\S~J '\01, fl' "t:1 I DEVELOPMENT INFORMAT1{ffl('~4).JJCcltiOIJ 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: Street Improvements: Storm Sewer Available: Special Instruction: THIS PE : Sidewalk Type: AUTHOR RMIT SHALL EXP Downspouts/Drains: COMME~gED UNDER THIJRE IF THE WORK ANY 180 DAEyD OR IS ABANtOENRMIT IS NOT PERIOD. ED FOR Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00280 ISSUED: 02/28/2008 APPLIED: 02/27/2008 EXPIRES: 08/28/2008 VALUE: $ 233,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 233,000,00 $233,000.00 $233,000.00 02/27/2008 Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Plan Review Comm/lnd/Public Plan Review Fire & Life Safety Amount Paid Date Paid Receipt Number $109.90 $131.88 $54.95 $1,098.98 $714.34 $439.59 2/28/08 2/28/08 2/28/08 2/28/08 2/28/08 2/28/08 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 Total Amount Paid $2,549.64 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Reouired Insoections I 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. Ch-7UVVlL ~~~~- own~jor Contractors Signature 1/1fl .O~ Date Pae:e 2 of2 225 Fifth Street Springfield, Oregon 97477 541.-726-3759 Phone Job/Journal Number COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000259 Date: 02/28/2008 DescriptIOn Plan RevIew CommllndlPubhc Plan RevIew FIre & LIfe Safety BUlldmg PermIt + 12% State Surcharge + 10% Admmlstratlve Fee + 5% Technology Fee Paid By PEACEHEAL TH OREGON REGIO Item Total: Check Number Authorization ReceIVed By Batch Number Number How Received dJb 005280 In Person Payment Total: Page 1 of I 8:24:19AM Amount Due 71434 439 59 1,098 98 13 I 88 10990 5495 $2,549.64 Amount PaId $2,549 64 $2,549.64 2/28/2008