HomeMy WebLinkAboutPermit Miscellaneous 2008-8-8
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED:
EXPIRES'
VALUE:
COM2008-00876
08/08/2008
06/16/2008
02/08/2009
$ 9,016.00
225 Filth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fd'
541-726-3769 InspectIOn Lme
SITE ADDRESS 123 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO 1703154001101
SPRINGFIETYPE OF WORK Miscellaneous
TYPE OF USE AddItIon CommercIal
PROJECT DESCRIPTION Fife Alarms for Pathology Consultants and Non Rated Secunty Doors at the South
End
Owner PEACEHEALTH
Address 123 INTERNATIONAL WAY
SPRINGFIELD OR 97477
Contractor Type
Electncdl
Fire Contrador
I CONTRACTOR INFORMA T10N .
Contractor ATTENTION Oregon law r~oimStYou t!j:xplratIon Date
OREGON ELECTRfl;';c'g[lt~~i~f29gegOn Utility 07/01/2010
SIEMENS BUILD~~iJm,4.~~J~~,ose rule! ~res_et forth
- -::= t~'~"':::1~'.~!,;1.........c;.-VVI-
""l:iIJUIOOIJJrnIl~Idlli!liIR.~.mJle rules by
i.cI,,"1~ 1I1l' LIijHllfr. \I~ote: tneTelephone
numb/lrotcstllNeOregon Utility Nollficallon Lot SIZe
~OO'rl8tJ~332-2344). Sq Ft 1st Floor
Type of Hedt Sq Ft 2nd Floor
Water Type Sq Ft Basement
Rdnge Type Sq Ft Garage/Carport
Energy Path Sq Ft Other
Spnnkled BUlldmg n/a Occupant Load
Phone
503-234-9900, I
503-234-9995
# of UOIts
Pnmdry Occupancy Group
Seconddry Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
FrontYdl d Setback
S,de I Setbdck
SIde 2 Setback
Rearyard Setbdck
Solar Setbacks
OveJlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
"o'frb~: Coverage
nile: ~'JL~
I PUIJllJ([;If~t'RE IF THE WORK
ANMfvtENCED OR IS ABA~t~MJli~Sr~T
Y 180 DAY PERIOD. D~~~QfltS/Drallls
Totdl
HandIcapped
Compdct
Street Improvements
Storm Se\\Cr Available
Special InstructIOn
Notes
Paee I of3
-~jii
Status
Issued
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
DescrlotlOn
Tvpe of ConstructIOn
CITY OF SPRINGnELD "
Building/Combination Permit
PERMIT NO' COM2008-00876
ISSUED' 08/08/2008
APPLIED. 06/16/2008
EXPIRES: 02/08/2009
VALUE: $ 9,016.00
I Valuation DescrlDtlOn I
$ Per Sq Ft
or mulllplier
Squdre Footage
or B,d Amount
Value
Date Calculated
Total Value of ProJect
L.Fpp< P~lrIJ
Fee DescnptlOn Amount PaId Date PaId Receipt Number
+ 10% Admllllstrdllve Fee $5316 7/16/08 1200800000000000783
FLS Safety Systems RevIew $531 60 7/16/08 1200800000000000783
+ 100/0 AdmlDlstratlve Fee $11 86 8/8/08 2200800000000001213
+ 12% Stdte Surcharge $1424 8/8/08 2200800000000001213
+ 5% Technology Fee $593 8/8/08 2200800000000001213
BUlldmg PermIt $11864 8/8/08 2200800000000001213
Plan RevIew Comm/lnd/Pubhc $7712 8/8/08 2200800000000001213
Plan RevIew File & L,fe Safety $4746 8/8/08 2200800000000001213
Total Amount PaId $86001
100tIdl RevIew
06/16/2008
Fire Deoartment Review
06/16/2008
lmtl.!1 Review
07/15/2008
Structural RevIew
07/17/2008
I Plan RevIews I
06/16/2008 APP LLH
07/15/2008 APP GRG Plans RevIew AddItIon of fire alarm
dpphances on 1st dnd 2nd floors for
Pathology Consultdnts Job
#COM2008-00876 dnd
COM2008-00444 Contractor
SIemens Buddmg TechnologIes
Plans show three dddlllonal
NotificatIOn Apphance CIrCUIts
(NAC CIICUltS) and add.llondl
photoelectnc smoke detectors to the
eXlstmg system for the tenant mfill
spdces
Plans appear to meet code
requirements
07/17/2008 APP LLH
08/05/2008 APP RWC Forwarded to Robert Castde as
requested
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00876
ISSUED. 08/08/2008
APPLIED. 06/16/2008
EXPIRES' 02/08/2009
VALUE: $ 9,01600
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3 769 InspectIOn Lme
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectlons requested before 7 00
a m. will be made the same workmg day, mspectlOns requested after 7 00 a m will be made the followmg
work day.
I Reolllrerl InsnectlOns I
Frammg InspectIOn Pnor to cover and after all rough m mspectlOns have been approved
Fmdl BUlldmg After all reqUIred mspectlOns have been requested and approved and the butldmg IS complete
Rough Electnc Pnol to Cover
Fmdl Electnc When all electncal work IS complete
Low Voltage Pnor to cover
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformdtIon hereon IS true dnd correct, dnd I further cerllfy that any and all work performed shdll be done m accordance WIth
the Ordmances of the CIty of Spnngfield dnd the Ldws 01 the State 01 Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wtll be made of any structure Without permIssIOn of the CommuOlty ServIces DIVISIOn, BUlldmg Safety
I further cerllfy that only contractors and employees who are m compliance WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure tha II reqUIred mspe n re requested at the proper tIme, that each dddress " readdble from the
street, that the permIt car slated at the fr t the property, and the approved set of plans WIll remam on the sIte at all
limes dIJnn on~structlO01 ttJ tV ~
CJ '0 - OD
~
own'f' con[rdctot!"ature .;:....
Date
Pa2e 3 of 3
225 Flfth'Street
Sprmgficld, Oregon 97477
541-726-3759 Phone
".~AINOFlI1J.""~
"..t.." - ,
iii: . '
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00876
COM2008-00876
COM2008-00876
COM2008-00876
COM2008-00876
COM2008-00876
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #.
2200800000000001213
Date 08/08/2008
DescnptlOn
Plan ReView Commllnd/Pubhc
Plan ReView File & Life Safety
BUlldmg Permit
+ 5% 1 echnology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
JOHN HYLAND CONST
Item Total
<":heck Number AuthOrizatIOn
ReceIved By Batch Number Number How Received
dJb 008996 In Person
Payment Total
Page I of I
10 38 20AM
Amount Due
77 12
4746
11864
593
1424
II 86
$27525
Amount P:ud
$275 25
$27525
8/8/2008