HomeMy WebLinkAboutPermit Miscellaneous 2008-2-28
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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
ASSESSOR'S PARCEL NO.: 1703220000902
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00280
ISSUED: 02/28/2008
APPLIED: 02/27/2008
EXPIRES: 06/0112009
VALUE: $ 233,000.00
Springfield TYPE OF WORK: Tenant Infill
PROJECT DESCRIPTION:
TYPE OF USE:
Facilities Management Tenant Improvement project
Alteration
Commercial
Owner: PEACEHEALTH
Address: PO BOX 1479
EUGENE OR, 97440
Contractor Type
Electrical
Contractor
EC COMPANY
, # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
TUIC' DC:D~nIT CUI\I I I:VDIOC It: TWC 'Mnov
AUTHORIZED UNDER THlpJJERMIT ISJ\lnT.. I
COMMENCED OR IS ABA.,:~I.~a11O~,-ptrscnotlOn
A~IY 18p nAY PERIOD.
Type 0 ConstructIOn
Description
o
I CO~TRACTOR INFORMATION I
License
49737
BUILDING INFORMATION I
Expiration Date
01/15/2010
Phone
541-926-4266
# 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
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% or Lot Coverage:
ATTENTION: Oregon law rCQl:L'r," \'~i' : ~,
.f...."~,,. ....1__ _ _l _ ,.. ," .. _ .
- - -'---r---~' "', ".... ''''OJ'';.Ir ,.
I PUBLIC IMPROVEMlNil'IIS<l1tion Center. Those rules a7-e ~,,; i',;:iil
, ... vr..! 952-Pp1-0011P.rhr~!1gh OAR 852-001-
0090.< You ri1!Wrrilldill t'bpies of the rules by
calling thlDoWliSjrouJslDl'ains: telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
',.
Paee I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Comm!IndlPublic
Plan Review Fire & Life Safety ,
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ Ea Add'
'Perm Serv/Fdr 200 amps or less
Total Amount Paid
$1.00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00280
ISSUED: 02/28/2008
APPLIED: 02/27/2008
EXPIRES: 06/01/2009
VALUE: $ 233,000.00
233,000.00
02127/2008
Total Value of Project
$233,000.00
$233,000.00
I , Fees Paid I
Amount Paid
$109.~0
$131.88
$54.95
$1,098.98
$714.34
$439.59
$30.30
:$36;36
$15:15 '
$230.00
$73.00
$2,934.45
Plan Reyiews I
Date Paid
Receipt Number
2/28/08
2/28/08
2128/08
2128/08
2/28/08
2/28/08
m/1/08
1211/08/
,12/1/08
12/1/08
'1211108
2200800000000000259
2200800000000000259
2200800000000000259
2200800000000000259
2200800000000000259
2200800000000000259
3200800000000000769
3200800000000000769
3200800000000000769
3200800000000000769
3200800000000000769
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.
Low Voltage: Prior to cover.
I Relluired Insnections I'
, \
By signature, I state and agree, that I bave carefully examined the completed application and do bereby 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 of Springfield and tbe 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 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furtber 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.
Owner or Contractors Signature
Date
Paee 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:davidom@e-c-co.com
Receipt # EC542806
12/1/20088:47:13AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 .New construction [il Addition/alteration/replacement
l?f~-~',:'~;:;.~" :i-~'.rr"~'~~~':"'P~T]GO~~~~~~~~'r:~4E1fO~~'lf:~~~:'.'
I 0 I or2 fumilydwelling 0 Multi-family lliJ Commercial/Industrial
I:i.~,-" /;; ,..~~~c."/ : "~~R~,"sltE:I~~9~MA-r:i-Q~~:4~.~:,~O,~TioN_~ 7~,~,::1_~k '.' ~,}~,,~
IJob no.: 73091 IJob address: 3333 '~-1'IU'\.I" IUJ 1<-i v..e. v b en L
ICity/StaterL.lP: SPRINGFIELD, OR 97477-7521
I Suite/bldg.lapt.no.:
I Project name: Sacred Heart
Cross street/directions to job site:
ISubdivision:
ITax map/parcel no,: 1703220001000
ILot no,:
Tenant Infill
_ .~~:'".-:.~+c:~'~!;4f!~.~~~~t',;~~TE'~g~i~C!~~L~1:.~}:~. .
I Namc: Troy Wilson
I Phone: (541) 979-9544 1 Fa" (541) 926-4268
I Email: davidom@e-c~co.com
"'. ,9q~~):~S;}q~}~~~~~d
ICCDlic. no.: 49737
I EI. lie. no.: 22-15C
I Business Namc: EC COMPANY
1 Contnct: WILLIAM COBURN
IA.dctrcss: 32758 OLD I-IWY 34 SE
1 Cit}'/Statcf.lIP: ALBANY OR 97321-0343
1 Phone: (541)9264266
1 Email: davidom@e~c~co.com
I Metro lie. no.:
!Supen..-jsing electrician's lie. no.: 3257S
I Supervising electrician's name: WilLIAM R COBURN
I Fax: None
ICit)'lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e.mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I
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I
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I
Description I Qty. Ea. Total
.Rc:..idential.SING LE::"OR:ili'Ulti::flinlily:(Jweliiiig:Unit;iiilEfiidesf~~k~A~1
-~~til~~dfg~~igJ:~~~~::~~J '~1 \;:~~;.; ~:-~;"fi :(,_-~~tr5"~<!_~~;1l:';~t-- ,~'~~_
Il,OOOsq, ft. or less
1 Ea. addl 500 sq. fl. or portion
1
I
:,,1
I
- Limited energy, residential
(wilh above so. f1.)
- Limited energy, multifamily
residential (with above sa. fl.)
- Limited energy, c9mmercia'l
(with above sq. ft,)
I - Stand-alone limIted energy,
residential
I - Stand-alone. limited energy,
multi-familv
- Stand-alone limited energy,
commercial
-S~HiCf_~2K)e&i~~)}~f~~ij~~;< rilt~Iiii,o,~-~ t,~~'blpR:ti!~Cll!!2n
173,00
.; I
173.001
1
I
~I
I
1
1
_ c-- '"
,~",' ," j"-' ,;...
'/",:,'. ,--...;c
1230,001
I
1
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
1;'TEM')O~RY_~~~;ic~i"OR... !fdcrS'i1iit~IJ~!.i!M;a.l.t~I.~ti~~l~~t\~'" ',:
~~\~P{9~ r~'2.el!_~~O,!l'~,s!:t?" '~"tt ~y ;,0 ;~:r;;:~:,-;:{i'hF;.' '-/:'C":J',;
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
1,:#{uicll~ci~~ui~E'~ N ~:Sy,::~lt~!~itj~~l' qRJ~~,~f~~O_llf~Cr:p~_~el
I A. Fee for branch circuits with 461 $5.00
service or feeder fee, each
branch circuit.
lB. Fee for branch circuits I
without service or feeder fee,
first branch circuit
I each addl branch circuit I
1 Service reconnect only
I Each manufactured or modular
dwel1ine. service and/or feeder
1 Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy pane], alteration, or
extension.
1
1
I
_~C~l?T~I~AL,PEjlMlt ;',1
Subtotal I $303.00 I
State Surcharge (12% of permit fee) $36.36 I
City OfSpringf'ield fees *'1 $45.451
I TOTAL PERMIT "'EE $384.8]
* City Of Springfield fees: 10% Adminislration Fee; 5% Technology Fee
Uorn20tJ~ _CfJL gv
12-0\ -o~
N VV\..
This Authorization To Begin Work must be posted at the job site untilu:eplaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Deyelopment Services Department
Public Works Department
Job/Journ'al Number
COM2008-00280
COM2008-00280
COM2008-00280
COM2008-00280
COM2008-00280
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200800000000000769
Date: 12/01/2008
Descriptio~
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee ,
+ 10% Administrative Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ONLINE
In Person
Payment Total:
NJM
Page I of 1
9:15:2IAM
Amount Due
73,00
230,00
15.15
30.30
36.36
$384.81
Amount Paid
$384,81
$384.81
12/1/2008