HomeMy WebLinkAboutPermit Building 2008-10-6
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
lluilding/Combination Permit
PERMIT NO: COM2008-01S0S
ISSUED: '10/06/2008
APPLIED: 10/03/2008
EXPIRES: 04/06/2009
VALUE: $ 996,000,00
SITE ADDRESS: 3333 RIVERBEND DR 3rd Floor
ASSESSOR'S PARCEL NO,: 1703220004100
SPRINGFIETYPE OF WORK: Medical Office
PROJECT DESCRIPTION: Oregon Cardiology
Owner: PEACEHEAL TH-
Address: 'PO BOX 1479
EUGENE OR 97440
TYPE OF USE: New
Commercial
I CONTRACTOR IN~ORMATIO~ J
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
JOHN HYLAND CONSTRUCTION INC
E C COMPANY
FM SHEET METAL 1NC
TWIN RIVERS PLUMBING INC
License
46071 '
49737
89710
17695
Expiration Date
07/11/2010
01/15/2010
03/15/2009
03/1lI2009
Phone
541.. 726-8081
503..224-3511
541 :726-3000
541-688-1444
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primal)' Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~"' .
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm SewA-U:~~: Oregon law requires you to
S ecial Inli'/lJRWJiI!les adopted by the Oregon Utility
p Notification Center, Those rules are set forth
Notes: In OAR 952-001-0010through OAR 952..001-
0090, You may obtain copies of the rules by
calling the center. (Note:the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Paee 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
:, D~wnspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.
Status
Issued
225 Fifth Street, Springfield, OR
54 1-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection' Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
-Mech Iss 2+ Appliances-
+ 10% Administnitive Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Not Listed
Building Pcrmit
Fixture
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Plan Review Mechanical (25%)
Plan Review Plumbing (30%)
Total Amount Paid
I Valuation' Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
996,000.00
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S0S
ISSUED: 10/06/2008 '
APPLIED: 10/03/2008
EXPIRES: 04/06/2009
VALUE: $ 996,000.00
Value
Date Calculated
Total Value of Project
Fpp<, P~i4J
Amount Paid
Date Paid
$996,000.00
$996,000.00
10/06/2008
$42.00
$441.07
$529.29
$220.54
$231.00
$3,958,73
$221.00
$2,573,17
$1,583.49
$57,75
$66,30
10/6/08
10/6/08
10/6/08
10/6/08
10/6/08
10/6/08
10/6/08
10/6/08
10/6/08
10/6/08
10/6/08
Receipt Number.
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
To Request an inspec'tion call the 24 hour recording at 726-3769. A'II inspections requested before 7:00
a,m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
workday.
$9,924.34
I Plan Reviews I
Ii'r'Wirp~ 1'\~I'~~;rhlr< I
Paee 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S0S
ISSUED: 10/06/2008
APPLIED: 10/03/2008
EXPIRES: 04/06/2009
vALUE: $ 996,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree; that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with,ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times.during construction.
(\~\; ~~\~ ) \ ~0\ tl ' \(") \ \ (I \ ( ',<.
\. o'~r or Contractors Signature Date
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1505
COM200S-0 1505
COM200S-0 1505
COM200S-0 1505
COM200S-0 1505
COM200S-01505
COM200S-0 1505
COM200S-0 1505
COM200S-0 1505
COM200S-0 1505
COM200S-0 1505
Payments:
Type of Paymc!1t
Check
cReceintl
RECEIPT #:
2200800000000001484
Description
Plan Review Comm/lnd/Public
Plan Review Fire,& Life Safety
Building Permit
Fixture
Appliance Not Listed
-Mech Iss 2+ Appliances-
Plan Review Plumbing (30%)
Plan Review Mechanical (25%)
, ,
+ 5% Technology Fee
+ 12% State Surcharge'
+ 10% Administrative Fee
Paid By
HYLAND CONST
Receh::.ed By
dim
. ,Check Number
Batch Number
Page I of I
1005659
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/0~/2008
Item Total:
Authorization
Number How Received
In Person
Payment Tofal:
2:04:30PM
Amount Due
2,573.17
1,5S3.49
3,95S,73
221.00
231.00
42.00
66.30
57.75
220,54
529.29
441.07
$9,924.34
Amount Paid
$9,924.34
$9,924.34
10/6/2008