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Home My WebLink AboutPermit Building 2020-01-03 (2)ORTGON Web Address: www.sprangfield-or. gov Building Permit Commercial Structura! Permit Number: 81 1-19-OO2822-STR IVR Number: 811081952339 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGFIELD ,B Permit Issued: January 03, 2020 TYPE OF WORK Category of Construction r Commercial Submitted Job Value: $27,000.00 Description of Work: New storage room on 4th floor Type of Workr Tenant Improvement JOB SITE INFORMATION Worksite Address 3333 RiverBend DR Springfield, OR 97477 Parcel 1703220004702 Owner: Address: PEACEHEALTH 1115 SE 164TH AVE VANCOUVER, WA 98683 LICENSED Business Name ANDERSEN CONSTRUCTION COMPANY OF OREGON LLC - Primary License ccB License Number 278297 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 prolect. Schedule or track inspections at www. build ing permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811081952339 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permats expire if work as not started within 180 Days of assuance or if work as suspended for 18O Days or longer depending on the issuing agency's policy, All provisions of laws and ordanances governing this type of work will be complied with whether specified herein or not. Granting 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-OO1O through OAR 952-OO1-OO9O. You may obtaan copaes of the rules by calling the Center at (5O3) 232-t987. All persons or entities performing work underthis permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.54O (Electrical), and ORS 693.O1O-O20 (Plumbing) Printed on: 1/3/20 page 1 of 2 C : \myReports/rercrts//production/0 1 STAN DA RD Permit Number: 81 1-19-002822-STR Page 2 of 2 Fee Description Technology Fee Structural buildrng permit fee State of Oregon Surcharge - Bldg (L2o/o of applicable fees) Printed ont !/3/2O Page 2 ol 2 Quantity Fee Amount $21 . 1s $422,94 $50.7s $494.84Total Fees: C: \myReports/reporlsl / produdtoolOl STAN DA RD PERMTT FEES SPRINGFIILD ,# OREGON www. sprin gfield-or. gov Worksite address: 3333 RiverBend DR, Springfield, OR 97477 Parcel: 1703220004102 Transaction Receipt 811-19-002822-STR IVR Number: 81 1081952339 Receipt Number: 473451 Receipt Date:113120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97427 54t-726-37s3 permitcenter@springfield-or. gov Transaction Units date 1t3t20 1,00 Ea 1t3t20 1.00 Ea 1t3t20 Description Structural building permit fee State of Oregon Surcharge - Bldg (12o/o oI applicable fees) Fees Paid Account code 1.00 Automatic Technology Fee 224 -00000 -425602- 1 030 821 -00000-21 5004-0000 204 -00000 - 425605-0000 Fee amount $422.94 $50 75 $21 .1 5 Paid amount $422.94 $50.75 $21.15 Payment Method: Check number: 18282 Payer: ANDERSEN CONSTRUCTION COMPANY OF OREGON LLC Payment Amounti $494.84 Cashier: Chris Carpenter Receipt Total $494.84 Ptinled. 113120 1.12pm Page 'l of '1 F lN_Tra nsaction Receipt_pr mr.;d Structural Permit Application 225 Fifth Street t Springfield, OR 97477 ) PH(54 l\726-3753 . FAX(54 I )726-3689 DEPARTMENT USE ONLY Permit no.: 11-nlO>a- I Date: )7 t-1 t1 iffieffi 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. LOCAL GOVERNMENT APPROVAL This pro.ject has final land-use approval. Signature:Date: This proiect has DEQ approval Signature:Date Zoning approval verifled: ! Yes E No Property is within flood plain: f] Yes E No E Residential I Government E Commercial JOB SITE INF D Job site address: 3333 Riverbend Drive City: Springfield State: OR ZIP:9'1477 Subdivision Lot no. Reference:Taxlot: 17032200 - 4102 PROPERTY OWNER Name: Peacehealth Address: I I l5 SE l64th Ave City:Vancouver State:WA ZIP:9868i Phone: (541) 344-9157 Fax E-mai I : jholloway@peacehealth.org Building Own?ry Sign here: .7 , Owner's agent authorizing this application: ! this instl+tatitrida"g&" ae on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR I NSTALLATION Business name: Andersett Construction Address: W 4th Ave City: Eugene State: OR ZIP:97 401 Phone: 541 -735 - 3525 Fax: E-mait. .ihubbard@andersen-const.coln CCB license no.:218297 Print name: Joe Hubbard Signature: FEE LE 1. Vr (a) Job Occupancy: l-2 (Hospitat/ Constructiontype: lB - Fully Sprinkled Square feet: 610 sf Cost per square fbot: Other information: Type of Heat: Energy Path ! new Ealteration n addition (b) Foundation-only permit? ! Yes E No $ 27,000Total valuation: 2. Building fees s(a) Permit lee (use valuation table): $(b) Investigative lee (equal to [2a]) $ (c) Reinspection ($ per hour): (number of hours x t-ee per hour) $(d) Enter I 27o surcharge (.12 x [2a+2b+2c)): s(e) Subtotal offees abovc (2a through 2tl): 3. Plan review fees (a) Plan review (65% x permit l'ee [2a]):$ $(b) Fire and life safety (65% x permit lee [2a]): $(c) Subtotal offecs above (3a and 3b): 4. Miscellaneous fees $(a) Seismic fee, lo/o (.0 1 x permit lee [2a]): $(b) Tech fee,5%o (.05 x permit fee[2a]+PR fee [3c]) 'L{q48rlI'OTAL fees and surcharges (2e+3c+4a+b): Name CCB License #Phone 203 (541) 747-081 r Electrical oEc Plumbing Harvey + Price Co 77 \s4t) 746-t62t lllec ha nical Harvey + Price 77 (s4l\ 746-t62t Last edited 5-5-2019 B.lones Crry oF SPRTNGFIELD, oREGoN CATEGORY OF CONSTRUCTION SUB-CONTRACTOR INFORMATION