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Home My WebLink AboutPermit Miscellaneous 2008-2-28 (3) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00280 ISSUED: 02/28/2008 APPLIED: 02/27/2008 EXPIRES: 06/0112009 VALUE: $ 233,000.00 225 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 Springfield TYPE OF WORK: Tenant Infill , TYPE OF USE: Alteration PROJECT DESCRIPTION: Facilities Management Tenantlmprovement project Commercial Owner: PEACE HEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor JOHN HYLAND CONSTRUCTION INC ECCOMPANY License 46071 49737 Expiration Date 0711112010 0111512010 Phone 541-726-8081 541-926-4266 BUILDING I.!"FORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Gro'!p: Primary Construction Type' Secondary Construction Type: # of Bedrooms: # of Stories: Height ot'Structure Type of H,eat: Water Type: Range Type: Energy Path: Sprinkled Building: LotSize: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I. DEVELOPMENT INFORMA nON . REQUIRED PARKING, Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Stre'et Trees Rqd: Paved Drive Rqd: I % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: St S A~'tNJIO~; Oregon law requires you to S or~ I le't'6'!row.fUlWseadopted by the Oregon Utility peCla 1\M{1/1i:M.~R:in Center. Those rules are set forth In OAR 952-001-0010through OAR 952-001- Notes: 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: DownspoutslDrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ?:W180 DAY PERIOD, Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate , Fee Description + 10% 'Administrative Fee + 12% State Surcharge ,+ 5% Technology Fee Building Permit Plan Review CommlIndlPuhlic Plan Review Fire & Life Safety , -Mech Iss 2+ Appliances- + 1 % Seismic Fee + 10% Administrative Fee + 10% Administrative Fee + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Ea Add Furnace - Unit Heater' Minimum/Adjustment Mechanical Perm Serv/Fdr 200 amps or less Plan Review Mechanical (25%) + 10% Administrative Fee + 12% State Surcharge. + 5% Technology Fee Fixture Plan Review Plumbing (30%) Total Amount Paid CITY OF ~rKll"H.JJ:<1J<,LD Building/Combination Permit PERMIT NO: COM2008-00280 ISSUED: 02/28/2008 APPLIED: 02/27/2008 EXPIRES: 06/0112009 VALUE: $ 233,000.00 I Valuation Desc~i9ti..?~,1 ' $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 233,000.00 Value Date Calculated Total Value of Project F~p~, ~ Amount Paid Date Paid $233,000,00 $233,000.00 02/2712008 $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 $6.40 $7,68 $3,20 $64,00 $19.20 2/28/08 2/28/08 2/28/08 2/28/08 2/28/08 2/28/08 12/1/08 12/1108 12/1108 12/1108 12/1/08 12/1/08 12/1/08 12/1108 1211108 12/1108 12/1108 12/1108 12/1108 , 12/3/08 12/3/08 12/3/08 12/3108 12/3/08 Receipt Number 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000000259 2200800000000001687 2200800000000001687 2200800000000001687 3200800000000000769 2200800000000001687 3200800000000000769 2200800000000001687 3200800000000000769 3200800000000000769 2200800000000001687 2200800000000001687 3200800000000000769 2200800000000001687 1200800000000001194 1200800000000001194 1200800000000001194 1200800000000001194 1200800000000001194 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. . $3,154.49 Plan Reviews ,I , Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00280 ISSUED: 02/28/2008 APPLIED: 02/27/2008 EXPIRES: 06/01/2009 VALUE: $ 233,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired ~I'snections , 11111,"11111, I Low Voltage: Prior to cover. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City 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, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 front of the propertY, and the approved set of plans will remain on the site alall times during construction. ~\Qr'i)-\\\)JL\\ot ~: ~~'. Owner or Contractors Signature ().l \J \ CA.... ~ \2..3.le; Date 'Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00280 COM2008-00280 COM2008-00280 ' COM2008-00280. COM2008-00280 Payments: Type of Payment Check cReceintl RECEIPT #: Description Fixture Plan Review Plumbing (30%) + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By TWIN RIVERS PLUMBING City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001194 Date: 12/03/2008 .1:45:54PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 64.00 19.20 3.20 7.68 6.40 $1U0.48 Amount Paid LLH 404480 By Mail Payment Total: $100:48 $100.48 " Page I of]' 12/3/2008