HomeMy WebLinkAboutPermit Building 2018-09-05SPruNGTIELD
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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)
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