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HomeMy WebLinkAboutPermit Building 2008-10-6 (2) ....;.seAI,N~IiiI~t!, 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