HomeMy WebLinkAboutPermit Building 2008-10-6 (3)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01505
Is'S UED: 10/06/2008
APPLIED: 10/03/2008
EXPIRES: 05/05/2009 .
VALUE: $ 996,000.00
..,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3333 RIVERBEND DR 3rd Floor
ASSESSOR'S PARCEL NO.: 1703220004100
SPRINGFIETYPE"OF WORK: Medical Office
TYPE OF USE: New
,
I PUBLIC IMPROVEMENTS I ATTENTION: Oregon law requIres you to
fo"g~ ~",!~"'!1.Q.p.tecl by the Oregon Utility
Notlfre'illtm'Cllfflllt. Those rules are set forth
In OA~ll00;ta.llIrough 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 HI00-332-2344).
PROJECT DESCRIPTION: Oregon Cardiology
Owner: PEACE HEAL TH
Address: PO BOX 1479
EUGENE OR 97440
,
I CONTRACTOR ~NFORMA!ION.
Contractor Type
~ General
Electrical
Low Voltage Electrical
Mechanical
Plumhing
Contractor License
JOHN HYLAND CONSTRUCTION INC 46071'
E C COMPANY 49737,
NATIONAL NETWORK SERVICES OF ORE054300
FM SHEET METAL INC 89710!
TWIN RIVERS PLUMBING INC 176951
BUILDING INFORMATION I i'
"
# of Units:
Primary Occupancy Group:
Secondary Occupa'ncy Croup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
~~~
~~~~
I,DEVELOPMENTlNFORMATlON I
Overlay Dist:
# Street TreesRqd:
Paved Drive Rqd:
% of Lot Coverage:
';,'1'.
Street Improvements: ,.
St'WO!f400:Availahle:
SPffnSInliwtiT"';)HALL EXPIRE IF THE WORK
IWTHORIZED UNDER THIS PERMIT IS NOT
NOcdMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I of 3
Commercial
Expiration Date
07/11/2010
01/15/2010
02/10/2009
03/15/2009
03/1112009
Phone
541-726.8081
503-224-3511
541-726-9209
541-726.3000
541-688.1444
,
'n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
.. Conipact:
~"y.,
_~r~'~""'~~'~j~~ji '~iSt>' i';,;;;,.,
I' .,' .,
~
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 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% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance NOt Listed
Building Permit
Fixture .
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
Plan Review Mechanical (25%)
Plan Review Plumhing.(30%)
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ .
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount.Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01505
ISSUED: 10/06/2008
APPLIED: 10/03/2008
EXPIRES: 05/05/2009
VALUE: $ 996,000.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$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
$5.20
$6.24
$2.60
$52.00
$5.20
$6.24
$2,60
$52,00
$11,177.83
Square Footage
or Bid Amount
,
996,000.00,
Value
Date Calculated
TotalValue of Project
$996,000.00
$996,000,00
10/06/2008
Fees PaicJ I
Date Paid
Receipt Number
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
10/16/08
10/16/08
10/16/08 ;
"
10/16/08
10/16/08
10/16/08
10/16/08
10/30/08
10/30/08
10/30/08 "
10/30/08
11/5/08
11/5/08
11/5/08
11/5/08
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001484
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001515
2200800000000001576
2200800000000001576
2200800000000001576
2200800000000001576
1200800000000001115
1200800000000001115
1200800000000001115
1200800000000001115
I Plan Reviews I
Pa2e 2 of 3
,,"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour recordillg 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.
R.~flui~ed Inspedio~~ I
Low Voltage: Prior to cover.
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 he done in accordance with'
the Ordinances of the City of Springfield and the Laws of the State of Oregon pe'rtaining to the work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who al'e in ~ompliance withORS 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 frontof the propertr, and the approved set of plans will remain on the site at all
times during construction. '
Owner or Contractors Signature
Paee 3 of3
,.
Date
, .
City of Springfield
Electrical Authorization To Bcgin ~ork
E-mailedTo:purchasing@smeed.com..
Receipt # RC541381
1115/2008 12:00:08 PM
Check on status of permit "
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New constructi~n
[i] AdditionhilterationJreplacement
10 I, 01"2 famil~ dwelling
D Multi-family
[K] Commerci~11 Industrial
IJobno.: 2906 IJobllddress: 3333 G1\JQ;=F;,:-,;.fR3- Dl\lPY'hmd
I City/State/ZIP: SPRINQFIELD, OR 97477.7521
I Suitc/bldg./apt.no,:
I Project name: Orego'n Cardiology Ste 300
Cross street/directions to job site: Cross streets: Ethan and Game Fann Road . off of
\tIartin Luther King Drive - Suite # 300
I Subdivision:
ITax-map/parcel no.: ]70322000]000.
ILot no.:'
Low Voltage - nurse call equipment
IN..n" John Hy]andfHIS PERMIT SHAl,LEXPIRI= 11= TI,lI:.JN(lgl('
I Phone: (54])747'7~I7JTHORIZED IINniJ:~'THIS PI=RMIT I~ Nc).T I
11~=:~,,~,g,~~M~NG,EQQB1S__ARA~!QQ~f2,~,,;,"~,".. II
","r$>,''''ff!'c '."A"V 1fOO"'Am""N~OR"<'Ii1t!-"**""""'" ,,,,",,jjl>;
;a '. -'"",:,,'iJ*r\~ '.I='Er! _n!t!1t!!D_ !1_,1~~". . ""'"' _,_"'"",~'Y';m:10'L&~-"'~~-t-,., .Ii, '<~.~-~:
I EI. lie, no.: 20-396CLE ceo lie. no.: 66811 I I
I Business Name: SMEED SOUND SERVICE INC I
IContact: PAUL5MEED I
IAddress: PO BOX 2099" I
City/State/ZIP: EUGENE OR 97402 I
I Phone: (541)6861656 I Fax: None !
I Email: purchasing@smeed:com I
I Metro lie. no.: I City lie. no.: I
I Supervising electrician's lie. no.: 4226LEA I
I Supervising electrician's name: PAUL SMEED, V I
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions o~ how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained. .
I Description
111.000 sq. f( or less
1 Ea. addl 590 sq, it, or portion
D\l.1 - Limited energy, residential
I (with, above SQ. f1.)
'1 - Limited energy, multifamily
I residcntia]'(with above SQ, f1.).
I 1 - Limited,energy, commercial
(with above SQ, ft.)
1 - ~tand,-al.,o. ne-limited energy,
resIdential
1 - Stand-aI_one lim~ted energy,
multi-familv
1 - Stand-al.one limited energy,
commercial
$52.00
$52.00
I
I
140) amps to 599 amps 1
I~T..','E'~._.tt.O,w,..~\,.'..R."~S,l:~~'n:il:~~r~'QR1t~~~e~ri, 'i.rr~'.]! .'1i?',~; ~Iic'r .~.'! ~,n...;,..,.<'w..;~~'. ".;'
'\.N.D/o]')r.....]~er~l~f"--'..". we" ,.~.....,.".. t",-'"'"11.....~. .,..' -',~"."" ".,... . ., ....
1;;;~":~~:;~lf~W ~~r=~;~:~~;~~~;;?~.~cl' ..
I ''''''''Ii'' "","woo ,~" ;j""'i
20] amps "V" l!lm]On CAn P.r ThOS uYleo 2.~ ._'-fortI
1.4~~~:,,~~ !ns~t.R>952-qOl:Q0191PJf']J9~.9~Ft9520()1 ~
1;1lr~~~~.~t.t\i~~t\)~"!~'lll~"'\!!~ l'/!):!I'6P!rra~rljr"'~:h '
I A. FecfOf.b. fMi1l11i/Jo@I!flEl.'Jeerter.{Noh:thete'tphonel
sem" or fqmrlilge1''IDr the Orego i Jfl't N ,. .
branch circuit. ,.. _ _ .. _ n II Y 0 Iflcatton
B.. Fee forl~. r.anch circ~lltgl I) I.OUU-~ ",w4:::'\:S44J I I
wIthout servIce or feeder fee,
first branch circuit:.
e<lch addl ~ranch circuit I
1200 amps or less
120J'<lmps to 400.amps
1 Service reconnect only
I Each manufactured or modi.ilar
dwellinE..service and/or feeder
1 Pump or ilj-igation circle
1 Sign or ou~line lighting
I Signal circ~. it(s) or li.mited-
energy panel, alteratIon, or
extension.: .
I
I
I
I
I
Subtotal $52.0:\
State Surcharge (l2%'ofpennit fee) $6.24 I
,City Of Springfield fees. $7.80 I
I TOTAL PERMIT FEE $66.04 I
. City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
The local building department may determine that an
Authorization To Begin Work is null and void if it does not """i\B 0
meet applicable land use laws and local,ordina.nces. CoMo t..}.../'J ~ }SDt.:=)
Jcva I AtV~ - \ \ \ 5
riATE PROCESSED: I \ \ ") I C'Jtt\
This Authorization To Begin Work must be posted at the j(bi,site until replaced by a Permit
. ~ROCESSED BV' \!, '<--P("Of''{
"1-. " .
225"Ftfth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1505
COM2008~01505
COM2008-0 1505
COM2008-01505
Payments:
Type of Payment
ONLINE CHGS
,
cReceintl
City of Springfield Official Receipt
Development Services Department.
PublkWorks Department
RECEIPT#:
1200800000000001115
Date: 11/05/2008
Description
Low Voliage - Commercial Indus
+j% Technology Fee
+ 12% State Surcharge.
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
I~em Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE ' SMEED Online
, SOUND
'i SERVICE
lNC
Payment Total:
(j
il'.
Page I of I
2:30:IOPM
Amount Due
52.00
2.60
6.24
5.20
$66,04
Amount Paid
$66.04
$66.04
11/5/2008