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Home My WebLink AboutPermit Building 2020-01-03OREGOIi web Address: www.springfield-or.9ov Building Permit Commercial Structural Permit Number: 81 1-19-OO2821-STR IVR Number: 811048810070 City of SPringfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGFIELD 'S Permit Issued: January 03,2O2O TYPE OT WORK Category of Construction: Commercial Submitted Job Value: $22,000.00 Description of Work: TI - Create staff lounge on the 3rd floor Type of Work: Tenant Improvement JOB Worksite Address 3333 RiverBend DR Springfield, OR 97477 Parcel t703220004702 Owner: Address: PEACEHEALTH 1115 SE 164TH AVE VANCOUVER, WA 98683 LICENSED INFORMATION Business Name ANDERSEN CONSTRUCTION COMPANY OF OREGON LLC - Primary License ccB License Number 218297 Phone 503-283-6772 PENDI'{G 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 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: 811048810070 Schedule using the Oregon ePermitting Inspection App, search "epermifting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, Grantang of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OO10 through oAR 952-OOl-OO9O, You may obtain copies of the rules by calling the Center at (503) 232-L987. All persons or entities pedorming work under this permit are required to be licensed unless exempted by ORS 701.O1O (Structural/Mechanical), ORS 479.540 (Electrical)r and ORS 693.O10-020 (ptumbtng). Printed on: 1/3/20 Page 1 of 2 Cr\myReports/reports//productron,/01 STANDARD ,j SCHEDULING INSPECTIONS Permit Number: 81 1-19-002821-STR Page 2 of 2 Fee Description Technology Fee Structural building permit fee State of Oregon Surcharge - Bldg (L2o/o of applicable fees) Pnnted onr 1/3/20 Page 2 of 2 Quantity Fee Amount $ 18.20 $364.00 $43.68 $425.88Total Fees: C i \myReports/reports//productron/0 1 STAN DA RD PERMIT FEES SPRINGFIELD ,# OREGOI{ www. springfield-or. gov Worksite address: 3333 RiverBend DR, Springfield, OR 97477 Parcel 17Q3220004102 Transaction Receipt 81 1 -19,002821 -STR IVR Number: 81 1048810070 Receipt Number: 473450 Receipt Date: 1/3/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permltcenter@springfield-or. gov Transaction Units date 113120 1.00 Ea 1t3t20 1t3t20 'r .00 Ea 1.00 Automatic Technology Fee Description Structural building permit fee State of Oregon Surcharge - Bldg (12o/o oI applicable fees) 224-00000-425602- 1 030 821 -00000-21 5004-0000 20 4 -00000 - 42560 5-0000 Fees Paid Account code Fee amount $364.00 $43 68 $18.20 Paid amount $364.00 $43 68 $18 20 Payment Method: Check number: 18283 Payer: ANDERSEN CONSTRUCTION COMPANY OF OREGON LLC Payment Amount:$425.88 Cashier: Chris Carpenter Receipt Total:$42s.88 Printed: 1/3/20 1:10 pm Page 1 of 1 F I N_TransactionReceipt_pr t Structu ral Permit Application ffi225 Fifth Street . Springfield, OP.97477 . PH(541)726-3753 . FAx(54 I )726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. This project has final land-use approval. Date This project has DEQ approval Signature:Date Zoning approval verified: ! Yes E No Property is within flood plain: I Yes n No E Residential fl Government E] Comnrercial Job site address: 3333 Riverbend Drive City: Springfield State: OR ZIP:97 477 Subdivision:Lot no.: Relerence Taxlot:17032200 - 4102 PR( Name: Peacehealth Address: I I l5 SE, l64th Ave City:Vancouver State:wA ZIP:98683 Phone: (54 I ) 344-91 57 Far: E-mai I : j ho I loway(@peacehealth.org Building .agent authorizing this application Sign here: I This made on or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Business 126s; Andersen Constrr.rction Address: W 4th Ave City: Eugene State: OR ZIP:97 401 Phone:541 -735-3525 Fax: E-mail. jhubbard@andersen-const.com CCB license no.:218297 Print name: Joe [{ubbard Signature: Permir no.: l\-mlbLl- Date t?I (a) Job description <)Occupancy: I-2 (Hospital) Construction type: lB' Fully Sprinkted Square feet: 268 sf Cost per square foot: Other information: Type of Heat: Energy Path E new @alteration E addition (b) Foundation-only permit? ! Yes E] No (a) Perrnit fbe (use valuation table): Total valuation s22,000 $ (b) Investigative f'ee (equal to [2al):$ (c) Reinspeotion (number of h, ($ per hour) ours x fee per hour)$ (d) Enter I 27o surcharge (.12 x l2a+2b+2cl)$ (e) Subtotal offees above (2a through 2d)$ (a) Plan review (65% x permit t'ee [2a])$ ,U (b) Fire and life safety (65% x permit fee [2a])$ (c) Subtotal offecs above (3a and 3b):S $(a) Seismic fee, l%o (.01 x permit lee [2a]): (b) Tech tbe,5Yo (.05 x permit fee[2a]+PR fee [3c])$ I'OTAL fees and surcharges (2e+3c+4a+b):$LIL;,%? Name CCB License #Phone Electrical OEG 203 (54r) 747-081 r Plumbing Harvev + Price Co 77 (s4t) 746-162t (s4t) 7 46-t621 Mechanical Harvey + Price 77 Last edited 5-5-2019 BJones DEPARTMENT USE ONLY LOCAL GOVERNMENT APPROVAL CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION CONTRACTOR I NSTALLATION FEE SCHEDULE l. Valuation information 2. Building fees 3. Plan review fees 4. Miscellaneous fees SUB.CONTRACTOR