HomeMy WebLinkAboutPermit Building 2009-3-6
Status
Issued
CITY OF SPRINt>HI!.LD
Building/Combination Permit
PERMIT NO: COM2009"00309
ISSUED: 03/06/2009
APPLIED: 03/06/2009
EXPIRES: 09/06/2009
V ALlJE: $ 2,000;00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. SITE ADDRESS: 3377 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
^TTE. "TI~'I ,..,. , TYPE OF USE: New Commercial
,. -1; . ,,\ 'l....",nnn ~\N. ..~Ci' "~fY" Ilnll to
PROJECT DESCRIPTION: Oncology - 5th Floor RMP Building-I See C9-280 fiirJmain permit. This permit allows
. f('I"JW ,'IUP,So 8.rl')l"'\fFl 1;\1 thP ('rp.....()11 I J+i1it'l .
work to proceed fOr: Conng of tlo. orJ'lab, undertloor pi, emct condOlt to top of slab
. . I'JI:lUIll'RUO'l,l....l!1TP.r. 1l10SCi {' /!P,S Arp ":f=if tor .
and celhng ductwod<.qnly"Wu ,oark beyond hIHCOP.e'\s.atS er's Icontractor's nsk
1i1\.Ji-\ncrO~'v - u,u,nrOUqnUAR8t>2-U 1-
UU>lU. YOU may olltaln caples onne rules by . 9
US ONCOLOGY . calling the center. (Note: the telephone Phone Number. 713-306- 975
16825 NORTH CHASE DR #I309,umber for the Oregon Utility Notification
HOUSTON TX 77060 Center is 1-800-332-2344).
Springfield TYPE OF WORK: Medical Office
Owner:
Address:
, CONTRACTOR INFORMATION .
Contractor Type
General
Contractor
LEE CONSTRUCTION COMPANY
License
63579
Expiration Date
01116/2010.
Phone
.541-683-3607
# of Units.:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
, BUILDING INFORMATION I
NmfLI::
THIS PEffunlt~I{~. h E~PIRE IF THE WORK Lot Size:
B AUTHOR~~\!jIjII~!r r,UC, r.<: PERMIT IS NOT Sq Ft 1st Floor:
, TIpe ~tlI at': I.~ Sq Ft 2nd Floor:
IB COf\11fv1E~~~~rGFH~: ABANDONED FOR Sq Ft Basement:
ANY 180 Rh'llgfi:ypQD. Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
20,887
184
I. DEVELOPMENT INFORMATIO,N I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% .of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROV~MENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of 3
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
(
,I Valuation Descriotion I
Description . Tvpe of Construction
. $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fpp~ P~W
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit .
Miscellaneous Plumbing
Amount Paid
Date Paid
$23.40
$9.75
$79.00
$58.00
$58.00
3/6/09
3/6/09
3/6/09
3/6/09
3/6/09
Total Amount Paid
$228.15
I, Plan Reviews I
CITY OF SPRINGFIELD
" Building/Combination Permit
PERMIT NO: COM2009-00309
ISSUED: 03/06/2009
APPLIED: 03/06/2009
EXPIRES: 09/06/2009
VALUE: $ 2,000.00
Value
Dale Calculated
Receipt Number
220090000000000023;
2200900000000000237
2200900000000000237
2200900000000000237
2200900000000000237
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. .
~r.~.npf'tio"iJ
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Underl100r Plumbing: Prior to insulation or decking.
Pa2e 2 on
_Sfl"!~IGI"JtlL,l;l,
l .
I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00309
ISSUED: 03/06/2009
APPLIED: 03/06/2009
EXPIRES: 09/06/2009
. VALUE: $ 2,000.00
225 Fifth Street, Springtield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
By signature, [state and agree, that I have carefully examined the completed application and do hereby certify that all
information 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 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.
Ilnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit <;i'rd,is located at the front of the property, .and the approved set of plans will remain on the site at all
times durin~ n. n t1~ C H .(! 01
,Y'
Owner or Contractors Signature Date
Pace3 of 3
225 Fifth Street
Springfield;Oregon 97477
541-721'"3759 Phone
Job/Journal Number
COM2009-00309
COM2009-00309
COM2009-00309
COM2009-00309
COM2009-00309
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
Miscellaneous Plumbing
I st Appliance
+ 5% Technology Fee
+ 12% StateSurcharge
Paid By
LEE CONSTRUCTION
,
2200900000000000237
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/06/2009
11:47:3IAM
Amount Due
58.00
58.00
79.00
9.75
23.40
$22H.15
Item Total:
Check Number Authorization
Received By Bat~h Number Number How Received
cjc
Page 1 of I
9956
Amount Paid
In Person
Payment Total:
$228.15
$228.15
3/6/2009
... "JI
Structural Permi(Application
--
225 FIfth Street. Springfield, OR 97477 +PH(54I)726-3753. FAX(541)726-3689
1~~DEPAR:'rMENff~uSEr0iiirr!f.~1
"..;'''''''''~.'!.1I1~f'':,"<~'Jc~'''''0.'~~''''''*"''\l.,{,-s~".,,..'_,4't~-1'b.c.'.
Permit no.:J1'J - Jeff
I Date: 5((/ jt) '1
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180. days of issuance or if work is
suspended for 180 days.
I
I
1 Zoning approval verified: DYes D No 1
i~w..i~;~~~9~~iiM~~]~~fj:O]lmI~r~1N~j :. ~:~::u;:~:n type--C:
e~~~~~.[;'~~i i~::=;:OO'
I City: ~ P FLI) 1 State: (3-(2--.1 ZIP: 1 I
. I Energy Path:
I Subdivision: 1 Lotno.: I D --n~.
11~~e.fe~enc~.:._~"",,~,_..~__.,~~..L~~~~:il.'Y2B~. .c\,_~_ '..~~'" ...ili.~]"..''l1. .'~:: I';b) ;::datio:~;;;::t?
. ,"""'i:0Y"'="'P.RORER:f,'("OWNER" .h . 3'''''' ;\1'.,.."",0",\
!f. . ,"'_<m!S"'litl,.,,~..'1..-JI".;:'~~~"~..""""_"~'''''~__'''>''~'_c. .'"".,9;;, ,,,"-$. ..,.,,"','........,"""'-. I Total valuation: J ~ J $ I
I Name ~ f{0'\0H I 1?2.\'B--..."I'd.''''''''!i''~''1'''''~-l!-',"]i!!l'''''''r'']':'j,i';il.''G''''';;"lI'l'''''-'li~~~.".ti!' ~'I
1 I -~i.7, HI mg~Jees~~W5'(:J:';;'~~.'~"','.{;,~",'M~:Nb~\'b~o;l""'!"c~,_,;rt~J(/l;:',," ;,",~., {
Address: --.. .-. 'H'~'~_H. _-..___._'''''''''''^''''C7'''..'''.'' ",,"--... ".C. "M"~ ,-,,'.' ;n')!'-. -Ft ,....."'~. /.'0'0.' ~.
1 . 1 (a) Permit fee (use valuation table): I $ I
CIty: I State: I. ZIP: I.. I I
1 (b) Investigative fee (equal to [2a]): $
Phone: Fax: I ( ) R . . ($ I I
c emspectlon per hour):
I E-mail: (number of hours x fee per hour) $
This installation is being made on residential or farm property owned by I (d) Enter I2% surchar e (.12 x [2a+2b+2c]): $ 1
me or a member of my Immediate famIly, and IS exempt from IIcensmg g
requirements under ORS 70LOIO. I (e) Subtotal offees above (2a through 2d): $ I
I This project has final. landMuse approval.
Signature:
I This project has DEQ approvaL
Signature:
Date:
Date:
Sign here:
1 Business name: LF:/E &f\/$ T/zw:.-T7 Of\/ CiJ
1 Address: fi, ~ 2 7' ~:." ~ ;::. I -Wn /be, JOSt,'7
I City: Euc,t7---C I State: lJX:- 1 zIPCf0'1ttt
I Pbon" Fax: I
1 E-mail:
I CCB license no.:
Print name:
Signature:
1~~a!ilsl!J'B!C0N[ljg&~jfLQJ~liNfiQBM2>.'ljIQN~~\\,;;;;\jii1
I Name CCB License Number Phone Number I
I Electrical I
I~-q I
1 Me,hankal 1 1
jl-f'fLlc....v'\N,,-~ ,', ~
1382-~'( ~Lri I Tt<:. "t '?t:-
'7 Or., {;" J-. fo/ D t'hl ~
elA.~~tJ.c M--. 01]t{O!
~,~oJ,,\u.~~ '. ~ %- i?
l[gji'\~"..~"~i'EE(fsc'HEDU~Er,~~c~"'4l11
1~-#.1f.C"!"~;'~~.i~u"L~._,,~:....._.I^'~"""m.M'__s-1fi..'-,--,,,-=,2i..~~~;'
Iti~v1fit1rn15mi1fi6Virt~~timrr~~~1~~~.~~~~.i!~~\?L~1
0. ..b___._c...." ...,. ... ."_~~)Jf"iiMltL,,,,<F.~~"'~.;;;"'_~O!it
(a) Job description: r:WOtt-
O~cupancy B
{ffic/IV4c ~L/Al'tI3IMEaf I
-, ,. I
I
I
I
I
I
,1
I
I
D addition
DYes
DNo
I (a) Plan review (65% x permit fee [2a]):
1 (b) Fire and life safety (40% x permit fee [2a]):
I (c) Subtotal of fees above (3a and 3b):
1 (a) Seismic fee, J% (.OI x permit fee [2a]): $.
I . TOTAL fees and surcharges (2e+ 3c+4a): $