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HomeMy WebLinkAboutPermit Building 2008-10-6 (4) Building/Combination Permit PERMIT NO: COM2008-01505 ISSUED: 10/06/2008 APPLIED: 10/0312008 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 CITY OF SPRINGFIELD SITE ADDRESS: 3333 RIVERBEND DR 3rd Floor ASSESSOR'S PARCEL NO,: 1703220004100 SPRINGFIETYPE OF WORK: Medical Office PROJECT DESCRIPTION: Oregon Cardiology TYPE OF USE: New Commercial NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK l:lJTHORIZED UNDER THIS PERMIT IS NOT ~,OMMENCED OR IS ABANDONED FOR ANY ISO DAY PERIOD. ' Owner: PEACE HEAL TH Address: PO BOX 1479 EUGENE OR 97440 I, CONTRACTOR INFORMATION I Contractor Type General Electrical Low V ollage Electrical Mechanical Plumbing Contractor License JOHN HYLAND CONSTRUCTION INC 46071 :I E C COMPANY' 49737 NATIONAL NETWORK SERVICES OF ORE054300 FM SHEET METAL INC 89710 TWIN RIVERS PLUMBING INC ' 17695 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: 'Energy Path: Sprinkled Building: I, DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: " Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvem~ENTION: Oregon law requires you to' Storm Sewer AvdllU61l!:rules adopted by the Oregon Utility, SpeciallnstructtIJR!ification Center, Those rules are set forth in qAR 952,001-0010 through OAR 952-001~ Notes: 0090. You may obtain copies of the Jules by calling tlie center. (Note: the telephone number for the Oregon Utility Notification. Center is 1-800-332-2344). ' ,.J . ;'," Page 101'3 '., , '.r' Expiration Date 07/11/2010 01/15/2010 02/1'012009 03115/2009 03/11/2009 Phone 541-726-8081 503-224-3511 541-726-9209 541-726-3000 541-688-1444 n/a Lot Size: Sq Ft 1st Floor: SqFt 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Status Issued 225 Fifth Street, Springfield, OR 541"726-3753 Phone ,541-726-3676 Fax 541-726-3769 Inspection Line ' Descrintion Tvne of Conskuction ' Bid Amount Use Bid Amount Fee Description -Mech Iss 2+ Appliances- + 141% Administrative Fee + 12% State Surcharge + 5% Technology Fee Appliance Not Listed Building Permit Fixture Plan Review CommfIndlPublic Plan Review Fire & Life Safety Plan Review Mechanical (25%) Plan Review Plnmbing (341%) + 141% 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 24141 amps or less + 141% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 141% Administrative Fee + 12% State Surcharge +,5% Technology Fee Low Voltage - Commercial Indus + 141% Administrative Fee + 12% State Surcharge + 5% Technology Fee Medical Gas Base Fee Medical Gas Each Inlet/Outlet Medical Gas Plan Review 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 v aluation D~scriotion I $ Per Sq Ft or multiplier $1.4141 Square Footage or Bid Amount' 996,000,4141 $996,414141,4141 $996,414141:4141 14114161241418 Value Date Calculated Total Value of Project Fpp<, p~;... . I, ... Amount Paid Date Paid Receipt Number $42,4141 $441.417 $529.29 $2241.54 $231.4141 $3,958,73 $221.4141 $2,573,17 $1,583,49 $57,75 $66,341 $88,341 $1415,96 $44,15 $541.4141 $5141.4141 $1414.4141 . $219.4141 $5,241 $6,24 $2.641 $52.4141 $5,241 $6,24 $2,641 $52,4141 $29.141 $34.92 $14.55 $249.4141 $42,4141 $87,341 141/6/418 141/6/418 141/6/418 141/6/418 141/6/418 141/6/418 141/6/418 141/6/418 141/6/418 141/6/418 141/6/418 141/16/418 141/16/418 . 141/1 61418 141/16/418 141/16/418 141/16/418 141/16/418 141/341/418 141/341/418 141/341/418 141/341/418. 11I5/~8 1I!5/418 1115/418 1115/418 12131418 12/3/418 1213/418 1213/418 12/3/418 12/3/418 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411484 2241418414141414141414141411515 2241418414141414141414141411515 2241418414141414141414141411515 2241418414141414141414141411515 2241418414141414141414141411515 2241418414141414141414141411515 2241418414141414141414141411515, 2241418414141414141414141411576 2241418414141414141414141411576 2241418414141414141414141411576 2241418414141414141414141411576 1241418414141414141414141411115 1241418414141414141414141411115 1241418414141414141414141411115 1241418414141414141414141411115 1241418414141414141414141411196 1241418414141414141414141411196 1241418414141414141414141411196 1241418414141414141414141411196 1241418414141414141414141411196 1241418414141414141414141411196 $11,634,741 Pa!!e 2 of 3 Status .. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I 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 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. Re/luired lnsnections , II I rl I I II Low Voltage: Prior to,cover. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all infnrmation 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 the Laws of the State ?f 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 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 at all times during construction.' ' .. Siq~f\lt~. fuJd :CL Owner or Contractors Signature U\ u... N\<iiQ J ItH Pa2e 3 of 3 \'2- '3'O~ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2008-0 1505 COM2008_0 1505 ' COM2008-0 1505 COM2008-0 1505 COM2008-0 1505 COM2008-01505 Payments: Type of Payment Check r cReceiotl RECEIPT #: Description Medical Gas Base Fee Medical Gas Each Inlet/Outlet + 5% Technology Fee + 12% State Surcharge + I 0% Administrati~e Fee Medical Gas Plan Review PaidBy TWIN RIVERS PLUMBING City of Sp'ringfield Official Receipt Development Services Department Public Works Department 1200800000000001196 Date: 12/03/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received LLH 404478 By Mail Payment Total: ,,' Page I of I 1:47:37PM Amount Due 249.00 42.00 14.55 34.92 29.10 87.30 $456.87 Amount Paid $456.87 $456.87 12/312008