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HomeMy WebLinkAboutPermit Miscellaneous 2008-2-28 (2) 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 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration PROJECT DESCRIPTION: Facilities Management Tenant Improvement project Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor License EC COMPANY ,,_0 \/Ou1@737 IillN'(';I~''':' )\y}~" i'-\\E-\,\\IO~eb ~~~'J~ 952.-0~ , l\oIN fUleScen\i!i~Oh,mril) in Oil' lules 0'1 ~O\i'ica\\~~_oo,-<n~~\lIJ' ~~~~fe\l"o~e n in Oi'-\'. 9 u roa'/ @I!~ \,\o\i\ica\lO 0090. ,'/0 \"e ce~~i'\1\!\11~4)' ca.llln9 I \01 \"8:li)I .:B ~2.- I\urope en\et:iie ~y atb: , C Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type , Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I .,;'" Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Commercial Expiration Date 01/1512010 Phone 541-926-4266 n/a.c Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: . Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: r ...u~ \NO?~ I PUBLI~i~EMJ')\r~ ~~\\'I~\:~~\i IS ~\J\ 1\'11S l't:rlI1!r \It-\&~ 1~\~~Wr- I\-\O~ll\:O IS f>.~\w~ f>.\l W\W\\:t-\C\:O O~ ~IOO.nownspoutslDrains: ,CO "0 Ot-.'{ pt: , p..t-\'{ ~" . Street Improvements: Storm Sewer Available: Special Instruction: Notes: I. Val~~tion DescriiJtion' I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction ~... Paee I of 3 Value Date Calculated ....;~~!~~~I_~git ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description + 100/0 Administrative Fee + 12% State Surcbarge + 5% Tecbnology Fee Building Permit Plan Review CommlIndlPublic Plan Review Fire & Life Safety -Mecb Iss 2+ Appliances- + 1 % Sei~mic Fee + 10% Administrative Fee + 10% Administrative Fee + 12% State Surcbarge + 12% State Surcbarge + 5% Tecbnology Fee + 5% Tecbnology Fee Add, Alter, Extend Circ Ea Add Furnace - Unit Heater Minimum/Adjustment Mechanical Perm ServlFdr 200 amps or less Plan'Review Mecbanical (25%) Total Amount Paid $1.00 233,000.00 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 $233,000.00 02/27/2008 Total Value of Project fPP"i f.?\!U Amount Paid Date Paid Receipt Number 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000001687 2200800000000001687 2200800000000001687 3200800000000000769 2200800000000001687 3200800000000000769 2200800000000001687 3200800000000000769 3200800000000000769 2200800000000001687 2200800000000001687 3200800000000000769 2200800000000001687 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. $109.90 $131.88 $54.95 $1,098.98 $714.34' $439.59 $40.00 $0.52 $5.20 $30.30 $6.24 $36.36 $2.60 $15.15 $230.00 $30.00 $22.00 $73.00 $13.00 2/28/08 2/28108 2/28/08 2/28/08 2/28/08 2/28/08 12/1108 12/1108 12/1108 12/1108 12/1/08 12/1108 I-211/08 12/1108 12/1108 1211/08 1211/08 1211/08 12/1108 $3,054.01 I Plan Reviews I IRp~ Paee 2 of3 Status Issued, 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line 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 By signature, I state and agree, that I bave carefully examined tbe completed 'application and do bereby certify tbat all , information hereon is true and correct, and I further certify that any and all work performed shall be dOlle in accordance with the Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety. I furtber certify that only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project. I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe street, tbat tbe permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on tbe site at all times during construction. ow"'r/d!.~" f!~ Paee 3 of 3 1'J-I-,c16 Date City of Springfield Official Receipt Development Services Department' Public Works Department 225 Fifth Street ,- . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 COM2008-00280 Payments: Type of Payment CreditCard ../ cReccinll RECEIPT #: 2200800000000001687 1l:40:2IAM Date: 12/0112008 Description Furnace - Unit Heater , c-Mech Iss 2+ Appliances- Minimum! Adjustment Mechanical Plan Review Mechanical (25%) + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee + I % Seismic Fee Amount Due 30,00 40,00 22,00 13,00 2,60 6,24 5.20 0,52 $119.56 Paid By JOHN HYLAND CONST INC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 001121 In Person Payment Total: $119,56 $119.56 Page I of I 12/I 12008