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