HomeMy WebLinkAboutPermit Building 2008-10-6 (2)
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f .
Status
Issued
.1
225 Fifth Street, Springfiel~, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. I
II
SITE ADDRESS: 3333 RIVERBEND DR 3rd Floor
"'
ASSESSOR'S PARCEL N0.: 1703220004100
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S0S
ISSUED: 10/06/2008
APPLIED: 10/03/2008
EXPIRES: 04/16/2009
VALUE: $ 996,000.00
SPRINGFIETYPE OF WORK: Medical Office
Commercial
PROJECT DESCRIPTION: Oregon Cardiology
Owner: PEACEHEAIhH
Address: PO BOX 147911
EUGENE ORI 97440
:1
il
TYPE OF USE: New
I CONTRACTOR INFORMATION I
Contractor Type
. General
Electrical .
Mechanical
Plnmbing
Contractor
'I
JOHN HYLAND CONSTRUCTION INC
E C COMPANY
FM SHEET METAL INC
II
T:WIN RIVERS PLUMBING INC
. License
46071
49737
89710
17695
Phone
541-726-8081
503-224-3511
541- 726-3000
541-688-1444
Expiration Date
07/ll/2010
0l!l5/2010
03115/2009
03/1112009
I , BUILDING INFORMATION I
# of Units: I
!I
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Typ~
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'
Frontyard Setback:
Side I 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 Sewer Available:
Special Instruction NOTICE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 3
II.
REQUIRED PARKING
Total:
Handicapped:
Compact:
SidA?I'!!NIl:rC'M: Oregon law requires you 10
~W~WcAA!M"ted by Ihe Oregon Utility
ouffoallon Center. Those rules are set fort~
In OAR 952-001-0010 through OAR 952-001:
0090.. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for Ihe Oregon Utility Notification
Center is 1-800-332-2344).
Status
Issued
225 Fifth Street, Springfiel~, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
II
11
,
I
Descriotion Tvpe of Construction
II
Bid Amount Use Bid Amount
Fee Descriotion ,
-Mech Iss 2+ Appliances-'I
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Not Listed
Building Permit
Fixture Ii
, ,
Plan Review Comm/IndlPublic
Plan Review Fire & Life S'~fety
Plan Review Mechanical (25%)
Plan Review Plumbing (30%)
+ 100/0 Administrative Fe~!
+ 12% State Surcharge ,,'
+ 5% Technology Fee
Add, Alter, Extend Circ 'I
Add, Alter, Extend Circ Ea Add
Low Voltage - Commerci~1 Indus
Perm Serv/Fdr 200 amps ~r less
II
Total Amount ~aid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S0S
ISSUED: 10/06/2008
APPLIED: 10/03/2008
EXPIRES: 04/16/2009
VALUE: $ 996,000.00
I Valuation Oescrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
996,000.00
Value
Date CalCulated
Total Value of Project
$996,000.00
$996,000.00
10/06/2008
li~pH.i,1J
ArrlOunt Paid
Date Paid
, Receipt Number
$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
$88.30
$105.96
$44.15
$50.00
$510.00
$104.00
$219.00
10/6/08
10/6/08
10/6/08
1016/08
10/6/08
10/6/08
1016108
'10/6/08
10/6108
10/6108
10/6/08
I 0/16/08
10/16/08
10/16/08
10/16/08
10/16/08
10/16/08
10116108
2200800000000001484
2200800000000001484
2200800000000001484
1200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
$11,045.75
Plan Reviews I
"
To Request an inspection call the 24 hour recording at 726-3769. All 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
work day. "
I J;'Ptlllirpr! Imnpl'tion,<: I
Page 2 of 3
Status
Issued
225 Fifth Street, Springfielli, OR
541-726-3753 Phone
541-726-3676 Fax !I
541-726-3769 Inspection Line
:!
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S0S
ISSUED: 10/06/2008
APPLIED: 10/03/2008
EXPIRES: 04/16/2009
VALUE: $ 996,000.00
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 of the City ii 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 ouly J~ntractors 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
stre'et, that the permit card'l is located at the front of the property, and the approved set of plans will remain on the site at all
"
times during construction.'
II
Owner or Contractors SigJature
Page 3 of 3
Date
ZON
INITIALS /V~ ~
DATE /O/Yb ~ OK ,
SOURCE ,noSh<'/'/
" ,
. _ _ _, r ~ _. "-'__ '-. . . .:" ..-,
2151:iFt(~ STR'EKf . 'SPRINGFIELD. OR 97477 . PH:(54I)726-3753 .- FAX: (541)726-3689,
~~~~~:~:;(!f);:;~~71r;(}&5
I.
'5Hinc
3.
5t7(J{/ S'f ;::r Sh.dl :;,PMd"
/0, /b ~ 0rY'
Date
LEGAL DESCRIPTION: A.
Or:!.. De- "'-" I J OK.V~U !(~d d>>vi'F';service Included
JOB DESCRIPTION:
--I ----
.-/-
5CJCJcJ' '<j
~(A ~ t,,:b,
WIJ-v..
:Permits ar~ nOD-tra~sre~bl.e and expir~,i.f wo~k is
:notstarted- within,180,(}ays of. is~uanc~ or if work is
'Suspended for 180 davs.
. - - .
'2.
Electrical Contractor Et e "I'hPai1o'1
Address /)o8o'X 9'2,5""
City A- \ lodbWf Phone .9// q-2b- tf.2./?b
I
:::"J.,j-7- ('
Supervisor Li~~Ilse_ N~mber ___ v ~
Expiration Date /0 -Ol-JO
Constr. contr. Number Z Z - 15'" C
Expiration Date ::z- II' : I 7- I - c: 0 Ii
~~~uperVi::g Electrician
~(./~
':1
-=--.,
Owners Nam ),), nl/t-J:..J
Address ' (] (Rax !.y?'1
Ci~ JJLJf1V Phone
OWNER L'ISTALLATION
The installation is being made on property town which
is not intended for sale,'lease or rent. - . .
Owners Signature:
Inspeciion Req nest: 726-3769
1000 sq. ft., or less
Each additional 500sq, ft, or
portion thereof .
~c:;h Man':lfact:d.Home.or
Modular Dwelli'ng SerYiceor
Feeder' '
$121.00
$ 22,00
$57,00
B.
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 i Amps to 1000 Amps
Over 100Q Amps/Volts
Reco!lnect Qnly
? $ 73.002 I '1 -
$ 86.00
$143;00
$186;00
$426,00
,$ 57.00
c.
"installation, Alteration or. Relocati.on
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 57.00
$ 79,00
$114,00
D.
Ne~ Alter~tion or Extension Per Panel
One Circuit J
~:~~i~d~~i~~~~~~~:r~~i'~r with ~Q-l
50
$ 50,00
$ 5,00
510
,E,
4.
$ 57,00
$ 57,00
$ 29,00
.;L $'52,00 10'1 -
is $52.00 + Surcharges
trO
eg,3-
I,05.Qln
~'i)."l.,O
II"; I,~
, , " ~'1i;2..1 "!>-
Shared-Drivc(T:):'BuiJding-ForrrislElectiical Pennit Applicaiioll 7-0S.doc
C}JYYX(JOO~ - OISDS
K-~ \D\\l9\O~
Pump or irrigation
Sign/Qutl,ine LighJ.ing
Limited 'Energy/~esidential
Limi~ed En~rgy/CommcrciaJ
Minimum
12% State' Surcharge
10% Administrative Fee
5% Techno.ls>gy Fee
TOTAL
225 Fifth Street
Sp~ingfield, Oregon 9747,7
541-726-3759 Phone
Job/Journal Number
COM2008-01505
COM2008.0 1505
COM2008.01505
COM2008.0 1505
COM2008-0 1505
COM2008-0 1505
COM2008-0 1505
Payments:
Type of Payment
Check
cReceiotl
'I
RItCEIPT #:
2200800000000001515
"
Description
Perm ~erv/Fdr 200 amps or less
Add, Alter, Extend Circ
"
Add, ~Iter, Extend Circ Ea Add
Low'Voltage - Commercial Indus
"
+ 5% Technology Fee
.;1
+ 12% State Surcharge
,1
+ 10% Administrative Fee
'I
Jl
Paid By
, EC COMPANY ALBANY
~ .
City of Springfield Official Receipt
Development Services Department
Public Works Department
,Date: 10/16/2008
1I:43:33AM
Amount Due
219,00
50,00
510,00
104,00
44,15
105,96
88.30
$1,121.41
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
3873
Amount Paid
By Mail
Payment Total:
$1,121.41
$1,121.41
10/16/2008