HomeMy WebLinkAboutPermit Building 2019-09-18CitY of Springfield
Develo9ment and Public Works
225 Fifth Stree(
springfield, OR 97477
yL-126'3753
SPRINGTIELD
ni
OREGON
web Address: www.sprinqfield-or'9ov
Building Permit
Commercial Structural
Permit Number: 811-19-OO1560'STR
IVR Number: 811053961153
Email Addressr permitcenter@springfield-or'gov
Permit Issued: SePtember 18, 2019
CategorY of Construction: Commercial
Submitted ,ob value: $245,000 00
Type of Work: Alteration
TYPE OF WORK
Descriptio n of Work: 4th Flr pediatrics- reconfigure offices to exam rms
worksite Address
3377 RiverBend DR
Springfield, oR 97477
Parcel
L7 03220004102
Owner:
Addressl
PEACEHEALTH
1115 SE 164TH AVE
VANCOUVER, WA 98683
JO B SITE INFORMATION
TIONFORMALINAt{PROFESSIOSEDNLICE
Business t{ame
ANDERSEN CONSTRUCTION
COMPANY OF OREGON LLC .
Primary
License
CCB
License Number
2ta297
Phone
503-283-6712
PENDING INSPECTIONS
Inspection
1999 Final Building
1260 Framing
1540 Gypsum Board/Lath/Drywall
1600 Ceiling Grid
Inspection GrouP
Struct Com
Struct Com
Struct Com
Struct Com
Inspection Status
Pending
Pending
Pending
Pending
SCHEDULING INSPECTIONS
various inspections are minimally required on each project and often dependent on the scope of work. contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project'
Schedule or track inspections at www.buildingpermits oregon'gov
call or text the word "schedule" to 1-888-299-2821 use IVR number: 811053961153
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permits cxpire if work Is not srarted within t8O Days of issuance or lf !{ork is suspended for 18O Days or longer depending on
the issuing agency's policy,
All provisions of laws and ordinances govemang this type of work wlll be complied with wheth€r sp€cifled hereln or not.
Granting of a permit does not presume to give authority to violate or csncel the provisions ofany other state or local law
regulating construction or the pertormance ol construction,
ATTENTTO : Oregon law requires you to follow rules adopted by the Oregon Utility ltotificatlon Center. Those rules are set
torth ih oAR gs2'.oor'-ooro tt rough oAR 952-OOa-OO9O- vou may obtain .opies of the rules by catting the Cellt€r at (503)
232-L9A7.
all persons or entities Performing work und€r this permit are regutred to be ticense., untess exempted by ORs 701.oto(Structurat,/M€chanicat), oRS 479.540 (Etectricat), and ORS G93-Ot O_O2O (ptumbiDg).
c : ln y Re po tu/ re @ fts// p rod udi o n / 0 1 Sf A D A R D
Permit IVumberi al 1-19-OO1E6O_STR
Fee Description
Technology Fee
Seismic Review - Essential Facilities
Structural building permit fee
State of Oregon Surcharge - Bldg (12o/o of applicable fees)
Page 2 of 2
Quantity Fee Amount
$89.28
$17.68
$1,758.00
$212.16
$2,0a7.r2Total Fees:
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PERMIT FEES
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Structural Permit Application
225 Filth Str.a. Spnngficld, OR 97477. PH( 541 )72Gl7Sl . IAX(51 I )7?6-1689
This permlt is issucd under OAR 9lE-460-0030. Permirs explr. if
suspendcd for 180 drys.
nork is not strrtcd within 180 days of uan or fwork is
2at1 rz
L-""."."ro{
0
OEPARTMENT USE ONLY
Datc: Qf,S11\
LOCAL GOVERNMEMI APPROVAL
Ihis projcd has finalland-us€ appmval
SiBnature:Dale:
This proj€ct has l)llQ approval
signaturr:l)ate
Toning approval vcrified: IYcs ENo
Propc(y is within flood plain: EYes DNu
CATEGORY OF CONSTRUCTION
D Residential I Govemmc'nt fi Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:3377 Riverbend Dr
Ciry: SPringfield slale: OR zlP97 471
Subdivision: N/A tot no.: N/A
Reference: N/A 'l'axlot:04102
PROPERTY OUT'NER
Nanlc:PeaceHealth Sacred Heart Medical Center
Addrcss: 3333 Riverbend Or
Ciry: Springfield Surc: oR ?.lP9147i
phone:514.954€843 )rax
/nrf,'sBuildillg(hrrEr or
Sign hcrd;
irntappl
peacehealth.orgE-mail
E f-tris insrrttrrtnr iJ uiig 'nla. .,'*ii;jr;6
by mc or a nrcmber ofnry immediale lbmily. shd is exempt liom
llicensing rcquiremcnts u'der ORS ?01.010.
propeny
Busincss nanrc:Andersen Construction C ompany of Oregon, LLC
Addfc"s 309 West 4th Ave, Suite 201
c ity: Eugene SrareOR ZlPt97401
Phone:541-231.0520 I.'ax
CCB license no.: 218297
ng
Signature
SUffi
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Eleatricsl
OEG, lnc 203 541-7 47 -0a11
PlxmblnS
Alliant Systems 153420 541-246-1633
M.ctrnicrl
Alliant Systems 153420 541-246-1633
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FEE SCHEDULE
l. Vslurtion ioformalion
(a) Job dsscriptiur cs I
Occupsncy B. A-3
Corrstruction typc: ll-A
Square feet: 1400
Cost pcr squarc firct: $175.00
Othcr informationr
l ypc ofllcst:
! ncrv ffialteratiorr E addilioD
(b) Foundation-only permir? E yes E No
'l-otal ralustion:r $245,000.
2rBriilditrg fecs
(a) Pgnnit Ge (use vslualion lablc)t tTbv
(h) Invostigative fee (€qual to l2al):I
$
(d) l.:nter l2% surchdrge (.12 x [2a+2b+2clt $
(e) Subtotol offees.bov. (2s thlough 2d):s
(a) Plin review (650/o ll grcmrit fee l2au $
(b) Fire md lifc safcty (65010 x pennil fcc [2a]):$
(c) Subtotsl of ties rbov. (J! ,nd 3b):t
(a) Seismic fee, lolo (.01 r pcrmir fee [2al):t /nrt
(h) Tcch fcc, 5% (.05 x pernil fcc[2al+PR fec [3c])la
JOTAI, fe.r snd sufthsr*ei (2e|3c+.h+b)r
La$ ediEd 5-5-2019 Bjoncr
Pe,-irno.t_: lci 16Gd
CONTRACIOR INSTALLATION
E-mail: ablessing@andors€nonst.com
Prinl name:
f,n.r$/ Prth:
(c) Reinspecrion (I per hour):
(nu,nbcr ofhours x fec pcr hour)
3. Plrrr revlew fccs
4, Miscellancous fees
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