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Home My WebLink AboutPermit Building 2018-09-05SPruNGTIELD ,b 0{€G0i{ Web Address: ww-springfi€id-or.9ov Building Permit Commercial Structural Permit Number: 81 1 -1 8-0021 1s-STR IVR Number: 81 1003849691 E ma il Add ress : permitcenter@springfield -or.9ov Permit lssued: September 05, 2018 Category of Construction: Commercial Submitt€d Job Value: $175.000.00 Description of Work: X-ray equipment replacement Room 1Q10-11 Type of Work: Alteration Worksite address 3333 RiverBend DR Springfleld, OR 97477 Parcel 1703220004102 Owner: Add.ess PEACEHEALTH 1115 SE 164TH AVE VANCOUVER. WA 98683 Business name GBC CONSTRUCTION LLC - Primary License ccB License number 166612 Phone 541 -752-0341 lnspection 1999 Final Building 1999 Final Building '1260 Framing 1 540 Gypsum Board/Lath/Drywall 1829 Special lnspection 1600 Ceiling Grid lnspection group Struct Com Struct Com Struct Com Struct Com Struct Com Struct Com lnspection status Pending Pending Pending Pending Pending Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contacl the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call IAAA-299-2421 use IVR numberi 811003849691 Schedule using the Oregon ePermitting lnspection App, search 'epermitting' in the app store Permils m ust be posted in clear view on the worksite. Permils expire iI work is not stafted within 180 Days of issuance or if wo* is suspended tor 180 Days o. longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this typ€ of work will be com plied with whether specified hercin or not. Granting of a permit does nol presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance o, construction. ATTENTION - CALL BEFORE YOU OIG: Oreqon law requires you to Iollow rules adopted by the Oregon Ut,lity Notification Center. Those rules are sel forth in OAR 952-001-0010 through OAR 952-001{090. You may obtain copies of the rules by calling the Conter at (877) 668{001 or dial 811. All persons or entities Frerforming work under this permit are requircd to be licensed unless exempted by ORS 70'1.010 (Structural/Mechanical), ORS 479.540 (Elecrrical), and ORS 693.010-020 (Plumbinq). Prinred on:9/5/18 Page 1ol2 std_BuildingPermil-pr City of Springfield Development and Public Works 225 Flfth Street Springfield, OR 97477 54L-7 26-37 53 TYPE OF WORK JOB S]TE INFORJTIATION LICENSED PROFESSIONAL INFORIIi|ATION PENDING INSPECTIONS Permit Number: 81 1.1 8-0021 1 5-STR Page 2 ot 2 Fee Description Technology Fee Seismic Review - Essential Facilities Strudural building permit fee State of Oregon Surcharge - Bldg (t2ok of applicable fees) Quantity Total Fees: Fee Amount $67.95 $13.46 $1,345.56 $t61.47 $1,588.44 Printed on 9/5/18 Page 2 ol2 std-EuildingPermrt_pr PERMTT FEES k$Transaction Receipt 81't -1E-00211$STR Rec€lpt Number:,167918 Receipt DatE: 9/5/l E Crty of Springfield Develolment and Publrc works 225 Ftfth Street sDnnafie d, aR 97477 547 726 3753 oerm tcenter@s0nn0neld-or.qovww sprhgfie Ld-or gov U/brksne address: 3333 Riveraend DR, Spnngfield, OR 97477 Parcel: 1703220004102 Fe€s Paid 9/5n8 9/5/18 9/5/18 Unftt 1.00 Ee 100 Ea 1.* a" De3cnption Struclural building permit le€ Seismic R€view - Essential Facililies 22+mnno-425602-1030 22+O00@-!2ffi2-103o 821 -0000+21 500400m s1.345.56 s13,t6 1161 47 $1,345.56 $13 46 s161.47Stale ol Oregon Surcharge - Bldg (12% of 9/5X 8 1 0O Aulomatic Technology Fee 1 00-00000-425605-0000 s67 95 $67.95 Credil card auihonzalion 015907 $1 588.44 Cashier: chris Carpenter $1,588.42r FrN_T6N.di6Re'pl_1, Cny op SpnrNcner-o. oREGoN Structural Permit Application 225 Fifth Street. Springfi€I4 OR 97477 . PH(541)726-3'753 tFN<(541y126-3689 L*..."-.ryl DEPARTMENT USE Oi{LY Permit no SrY-7t t d This permit is issued und€r oAR 9tt-460-0030. Permits expire if work is not strrted within 1E0 days of issuance or if work is suspended for lt0 days. FEE SCHEOULE l. Vdurtion . &/r (a) Job Occupancy L 'r44-r, Square feet: 4 DD Cost per square foot 0ther infomation TlTe of Hert )s/: "t Ener$/ Prthl ! new (b) Fomdation-only pemit? E Yo No Totd valuetion: 2. Building fees (a) Pemir fe€ (use valuation table)$ O) Investigative fee (equal to [2a])s (c) Reinspection ($ per hour): (number of hotrrs x fee per hour) (d) Enter I 29lo surcharge (.12 x l2a+2b+2c)):$ (e) Subtotd of fees rbove (2a through 2d):$ 3. Phn reviev fee3 (a) Plan review (65% x permit fee [2a])$ (b) Fire and life safety (65% x p€rmit fee [2a])$ (c) Subtotrl of fees .bove (34 rnd 3b):$ 4. Miscelhneous fees (a) Seismic fee, l% (.01 x permit fee [2a])s (b) Tech fee, 5% (.05 x permit fee[2a]+PR fe€ [3c])$ TOTAL fee3 rDd surchrrges (2ef3cf,h+b):t T^ / LOCAL GOVERNMENT APPROVAL This project has final land-use approval Sigmture:Date: This project has DEQ approval Signatuc:Date: Zoning approvat vcrified: E Yes E No Property is within flood plain: !Yes ENo CATEGORY OF CONSTRUCTION fl Residential E Govemmenl E Commercial JOB SITE INFORMATION ATD LOCATION .rz,/ 7 33 tl/u/4 ZIPstot"gL Subdivision: v l-ot no. Yaqqcc:\1O7)? OO a1.{r oATaxlot: PROPERry OWNER Name:Z Addrf}st )21 tu ft rAlLlJ et>al /2a -r- city/.ofincrA'4./State:? Z zrPzl?77 Phone:U Fax: this application: Sign here: Building tr ft,i" i*Joti6 ir-Bfg rnade on residential or famr prop€rty owned by me or a member of mylnrmediate family. aad is exempt fiom licensiog requir€ments under ORS 701 .0 10. CONTRACTOR INSTALATION eaaress:ZZ1 1 ,/,1 t/) State2 Z-zrPtETr2C eq54/75L'Oq77,Phore:flf ZZ4 - V/ 7i rfu...41 O ra.<-- CCB license no Signature I FORiIATION Phone NumberCCB License #Name 0tqElectriccl /r["2Plumbing I bl\rr-t 4 ltMech.trlcd lt I-ast edited 5-5-2017 BJones Date: Job site address: i,tz /t-, E-mail: '/, /tt^ t <7.I su"ioo" nu-e, ,) f / tV- B-nart: .tia,//ul Prinl name: 7- t CoDstruction q/pe: ! aaaition City of Springfield Development Services Department 225 Fifth Street Springfield, OR97477 SPEINGFIELD Planning Division Information Sheet for Building Permits Commercial/ Industria l/ M ulti-Family Residentiat The Planning Division requires the following information for all building permit submittals on properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial, including new construction, expansions, and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100) or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review (SDC 3.3-100) may also be required, depending on the site. NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. licant Name:pA D D Phone: 5//'Z4=t-t - o o o Com n L za fro o Fax= 5a/'752'd/72 Address: ZL13 DDA,/ DR.5crr TAX LOT NO(S):ASSESSOR'S MAP NO: oa Q7q 7De,Address: ( Pro e Description of the proposed work to be completed unde rttV/a', ex )s /to is building permit: Xra a eq 0/ __L-2/-( A,U / through an application process (i.e' MDS or site Plan Review)? If yes, Case #: If no, is this a change in use? E Yes 6" fl"" d UselProroved Use:Prior E Yes Has this development pro I been reviewed by the Planning Division Does the use necessitate the use of any chemicals or substances that are h re uire l.laterial Sa and Data Sheets MSDS to be ke on site?Yes No us or Overla sTOTZ:Zonin The proposed proiect requires submitta! and approva prior to building Permit aPProval: Statement Letter Regarding DWP Exemption MDS Land Use ComPatability Statement I of the following Planning application DWP Overlay District DeveloPment Other: MDS Site Plan Review Date:Reviewed b Requi red Project Information ( Ap pl ica nt: com plete th is section ) Required ProPerty Information (City Intake Staff: complete this section) t D tr T I