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