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
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4. MisceUaneous fees
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