Loading...
HomeMy WebLinkAboutPermit Building 2018-10-08SPRINGFIELD ,b Building Permit Commercial Structural Permit Number: 81 1 -18-002379-STR IVR Number 81 1039969041 Email Address: permitcenter@sprin9freld or.9ov OREGON web Address: www springfield or.9ov Permit lssued: October 08, 2018 Category of Construction: Commercial Submitted Job Value: $3,500.00 Description ot Work: Pathology Consultants Ste 440 - lnstalling door/wall Type ol Work: Alteration JOB SITE INFORMATION Worksite address 3355 RIVERBEND DR 440 Sprinqfield, OR 97477 Parcel 1703220004101 PEACEHEALTH 1115 SE 164TH AVE VANCOUVER, WA 98683 LICENSED PROFESSIONAL INFORMATION Business name MCINTYRE CONSTRUCTION INC . Primary License CCB PEND NG lnspection 1999 Final Building 1260 Framrng 1 540 Gypsum Board/Lath/Drywall 1600 Ceiling Grid lnspection group Struct Com Struct Com Struct Com Struct Com lnspection status Pending Pending Pending Pendrng SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work Contact the issuing jurisdjction indicated on the permil to determine required rnspections for this project Schedule or track inspections at www.buildingpermits oregon.gov Schedule by phone call l-88A 299-2821 use IVR number 811039969041 Schedule using the Oregon ePermitting lnspectron App, search "epermitting" in the app store Permits must be posted in clear view on the worksite. Permits expire it work is not started wilhin 180 Days of issuance or if worl is suspended for 180 Days or longer depending on the issuing agency.s poticy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not p.esume to give authority to vaolate or cancel the provisions oI any other state or local law rcgulating construction or the performance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952{01-0010 through OAR 952{01{090. You may obtain copies of the rules by calling the Center at (877) 668-{001 ordial 811. All persons or entities perlorming work under this permit are required to be licensed unless exempted by ORS 70,1.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing). Pnnted on 10/a/18 Pagelofz sld_B urtdrngperm l_pr City of Springfield Development and Public Works 225 Fifth Street Sptingfield, OR 97477 541-726-3753 TYPE OF WORK Ownea: Address: License number 3550 Phone 541 -687 -2841 Permit Number: 81 1-'18-002379-5TR Page 2 ol 2 Fee Description Technology Fee Structural building permit fee Structural plan review fee State of Oregon Surcharge Eldg (12olo of applicable fees) Quantity Total Fees: Fee Amount slo.2l $124.44 $80.89 $ 14.93 $2 30.5 3 sld_8u(dingPe.mil_prPage 2 ol2 PERMIT FEES ffi Transaction Receipt 811-18-002379-STR Receipt Number:468269 Receipt Date: l018/18 Cny ol Springfield ww spdngrield or gov oevelopmenr a.d Publrc trJorkt 225 FrRh Stre€r sp..9rierd, oR 97477 54t-7 26-37 53 Dermrtce.ter@sD(nqf ield or qov worksite address: 3355 R|VERBENO DR 2t40, Springfietd OR 97477 Parcelr 1703220004101 Fees Paid 10/E/18 10ft118 10Bl1A Unlt 10O Ee l.0O E6 10O E. 22+W425602-1030 224-00000-425602 1030 82 1 -0000G21 5004-0000 11214 $80.89 s14 93 s12144 $80 89 s1! 93 Slruclural building p€rmii fee Slruclural plan revEw fee Slate ol Oreqon Surcnaroe - Bldo (12% of 10/8/18 1 0O Aulomalic Technology Fee 1 00,00000,425605-0000 $10 27 $10 27 Credn card authorizalion' 070059 9230 53 Cashler: Kainna Anderson 9230.53 FrN_TGnsadonRece'pr_p. Clry or SpntNcpreln. oREGoN Structural Permit Application L.t*{225 Filth Srreet. Springfield, OR 97477 . PH(541)726 3753 I FAX(54 I ) 726,3 689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of isluanci or if u ork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE State 7tP Address City:Statc /|,TO'I AL fees and surcharges (2et3c+,la+b):s CCB license no Print nar,re SUB.CONTRACTOR INFORMATION CCB I.icense #Phone \umber Electriril Plumbing Mechanical DEPARTMENT USE ONLY Permit no Date This project has final land-use approval Signature: This project has DEQ approval Signature: Property is within floodplain: fl Yes Dale ! yes Exo Exo Zoning approval verifi ed CATEGORY OF CONSTRUCTION E Govemment I Conrnrercial JOB SITE INFORMATION AND LOCATION I-ot no Taxlot a Subdivision Rcferencc PROPERTY OWNER Addrcss CiB"1,IP Building Owner or Owner's agent authorizing this application sign here: <,, ,; (, -Loan ' Phone E-mail Fax fl This installation is being made on residential or farm property owned by me or a member ofmy immediate family, and is exempt from liccnsing requirements under ORS 701.010. CONTRACTOR INSTALLATION 1. Valuation information Occupancy Construction q.pe Square feet Other information E new Elalteration I addition (b) Foundation oply pcrmit'i !ves ENo Tolal valuation:' 2. Iluildittg lics (a) Permit fee (use valuation table)s (b) Investigativc fee (equal to [2a])S (c) Reinspection (S per hour) (number ofhours x fee pcr hour) (d) Enter l27o surcharge (.12 x [2a+2b+2c]) (e) Subtotal offees abov€ (2a through 2d)S 3. PIan revielv fees (a) Plan review (65% x pcrnrit fee [2a])s (b) Fire and life safety (65% x permit fce [2a])S (c) Subtotal of fees above (3a aod 3b) (a) Seismic fee, 1% (.01 x permit fee [2a])S (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c])S Last edited 5 5 2017 BJoncs (a) Job descriprion: 7r-rlet] , r,,O"-,r ( /v(!.) (/A Cost per square foot: co5 + 'I ype of Heat: I.lnerg\ Path: S s $ ls 4. MisceUaneous fees Signarurc:a4/) I tDate: E Residenrial c{lJob sitc addressl A ciry: ^ LL- +l \alnc: S!a!a: t-\ / *Y' "TTL (a /'- ( _1j ^)3<.( \-_^.t * Rusiness nanre: <> U A^-t-z) l' ,-)-Z ?,A N I'hone:Fax: <-.L -E-nrail: