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Home My WebLink AboutPermit Miscellaneous 2010-11-9 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00670 IVR Number: 811160591832 www.cLspringfield.or.us PROJECT STA TUS: STATUS DATE: ISSUED: APPLIED: 11/09/2010 11/05/2010 Issued 11/09/2010 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 05/08/2011 $10,000.00 SITE ADDRESS: 3355 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004101 SCOPE: Commercial Miscellaneous WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reconfigure (1) exam room to (3) exam rooms- 441 s.t. Phone Number: OWNER: ADDRESS: NSC PROPERTIES LLC 3355 RIVERBEND DR STE 430 SPRINGFIELD OR 97477 PEACEHEALTH PO BOX 1479 EUGENE OR 97440 OWNER: ADDRESS: Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Contractor Name . EASTSIDE ELECTRIC INC # of Units: o # of Bedrooms: Sprinkled Building: Yes Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: ' Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 117770 Lic Exp 10/04/2011 Phone 541-741~1499 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 5 Site Information ~ Engineered.tff/I:ENTION: Oregon law requires you to Fill Volum~Qllow rules adopted by the Oregon Utility Flood Ha~~Ltf1!;J',:ion Center. Those rules are set forth Land Haz~,\dj\~~~,,52-001-001 0 through OAR 952-001- Retaining&~t. You may obt:,tin copies of the rules by Soils ReportB"q~if~~,:a center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). NOTICE: IRE IF THE WORK THIS PERMIT SHI\LL f~s PERMIT IS NOT I\UTHORIlEO UNOER I\BI\NOONEO FOR COMMENCEO OR IS I\NY i 80 01\'1' PERIOO. Springfield Building Permit 11/9/2010 2:31:11PM Page.10f4 www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00670 IVR Number: 811160591832 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.u5 PROJECT STATUS: STATUS DATE: Issued 11/09/2010 ISSUED: APPLIED: 11/09/2010 11/05/2010 EXPIRES: VALUE: 05/08/2011 $10,000.00 PROJECT DESCRIPTION: SCOPE: Commercial Miscellaneous WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Reconfigure (1) exam room to (3) exam rooms v 441 s.f. SITE ADDRESS: 3355 RIVERBEND DR, Springfield, OR 97477.8800 AssEsOR's PARCEL NO: 1703220004101 Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION I Overlay Di~t: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Oescrietion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Descriotion Building Permit Fee Structural Plan Review Fee Commercial State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $136.00 $88.40 $16.32 $6.80 $247.52 Date Paid 11/09/2010 11/09/2010 11/09/2010 11/09/2010 Receipt # 374849 374849 374849 374849 Springfield Building Permit 11/9/2010 2:31:11PM Page 2 of4 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00670 IVR Number: 811160591832 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/09/2010 11/05/2010 Issued 11/09/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us EXPIRES: VALUE: 05/08/2011 $10,000.00 SITE ADDRESS: 3355 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004101 SCOPE: Commercial Miscellaneous WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reconfigure (1) exam room to (3) exam rooms. 441 s.f. Plan Review ~ DeDartment Application Acceptance Received 11/0512010 Completed 11/09/2010 Result Over the Counter Due Date 11/05/2010 Mechanical Review 11/09/2010 Not Required 11/09/2010 11/09/2010 Comments: Over the counter permit Permit Issuance 11/09/2010 11/09/2010 11/09/2010 Issued Reviewer Kip Kaufman Kip Kaufman Nancy Machado '-,1Y?9, (20(1 Of"11/O~/2019';; ;~ot~Repyi~'!.~L;;f~;,:;:t. t~ip~a~(ll1~~' ","f::;:';- ;,~. ~;~'(;-:~:;,~~.~":.:;'~~~,"':~:J'-~~';~::.,:~~~~~~l.~~-"~':'\<Y~':~ch.> ~'~,:'~ ,.::; 11/09/2010 11/09/2010 Not Required Kip Kaufman Eire Review , ," '~-'';-;:0v_':'':0t1}(9)20)O' .'.j,'" -,,-43t:!<-f"~";-_' _:-w0>r.-;:\_ ~COlTlmel1ts: ' 9:yerthe'cou_ntef-~er~~t.k_"'-'. .'m ' , -I.., .. ~ _,' ", ,_,~ M" ,m ,_ Public Works Review 11/09/2010 Comments: Over the counter permit ~ .,...,--~ -'"""-'-"-'"""',",,,"'~"'''''''''''':~, '! ~~er~Y:C:Q}:fe,:F~~y~e~,,:~;:;;d~.~'>:i1i1,J'/~~~2~94~~;_~))~O~{2o,JQ~~'/~r~,~l~~~~~" ~~-o l..;'N()t:Req'uired"'\('~_'::'t-.;L.r ',;:);Kip,Kaufman,, ,'~ '~:\'--' " J to: ,Commen4;: 'Ov~rJhe Gaunter permit, y +h,'~"". .'..A:, ,,,,,.-. ,.:_'t""'i. >.~' ."<;;-~:~~t~~,:;:.,. ~ ,,~"" ~ e'."" ~.:-.~:~;t+;:::;;i~}'~~l.~,;,~;~;> ~_._'.~_'".__,~_~~'.- ~;;. _' ,. .J ~--,,--~~':,=,,*""" ',- ,,,,,,,,_;;,:,;:~,____~, "'_i~ " , _h.__~,,"_'""""_"_"'__ Traffic Review 11/09/2010 11/09/2010' 11/09/2010 Not Required Comments: Over the counter permit "" ~ . ..~ q.' Kip Kaufman Initial Review Comments: Over the counter permit Springfield Building Permit 11/9/2010 2:31:11PM Page 3 of 4 .. CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-5PR2010-00670 IVR Number: 811160591832 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 t_~: ~OR'GON www.cLspringfield.or.U5 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 11/09/2010 ISSUED: APPLIED: 11/09/2010 11/05/2010 EXPIRES: VALUE: 05/08/2011 $10,000.00 SITE ADDRESS: 3355 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004101 SCOPE: Commercial Miscellaneous WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reconfigure (1) exam room to (3) exam roomsw 441 s.f. INSPECTIONS REQUIRED ~ Inspections 1260 Framing 1600 Ceiling Grid 1999 Final Building Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Ceiling Grid: After drywall approval'but prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. 1540 Gypsum Board/Lath/Drywall 1710 Fire Sprinklers 4500 Rough Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 4999 Final Electrical 8690 Fire Sprinkler Final By signature, I 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 or 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 I 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 a the front of the pro , and the approved set of plans will remain on the site at all times during construction. 11/1/ro / I Date Owner or Contractor Signature Springfield Building Permit 11/9f2010 2:31:11PM Page 4 of4 '~ermit Application ~:i L-,>~r'~<Cl -'~~ ":..."'S"'!">" h.. - , >I..i;'~-~'" ~'-"'~-<~"\':;,;",,~:+~~,~':~"'.~ ;'i.:'J:,:;l. ."..c,., .' . HY'.QF\ e~~GF;JIEDD.PREGO~''':":':I,,:,,;;!i'':i'''"''"~f!'';'' [1~;i~:::~~i~~ ~.-;;"",,1i'''''' ~.-'~,';:'. t{~~~~~.L\;.,. ~ -~t ," , . . DEPARTMENT USE ONLY Permit no.: 8 L L - 5l'R2-6> W- (,je Date:1-l -5- j 67 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. Lo.tAi:.'GQYE@M~~f;'Mp'~qVA~i::;;~i,;;'\;_'~';;fi;:f;. This project has final landwuse approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No j,i,,;'1.0)'ii;;:;.;.;;~~(c:;ATE'c>9fiY;h(jF:;;C:oJliSI@c:;TJQN;}i;,;i;i(,[,,~"'';}!i'' 225 Fifth Street. Springfield, OR 97477. PH(541)726.3753. FAX(541)726.3689 Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.0 I O. Sign here: Print name: Signature: ',. "'i"::, ,'. ;':SlJB-CGN.TRACJOR.INI'ORMATIQNc';:c;.;;':!,: ",~ ,'i_~::o.,.,." ;:'>;';~'" ; Name Electrical Plumbing Nt)' Mechanical M CCB License Number Phone Number '-;.",.. ;, '_;"' ~,;,L'~l',' . " """..,-. . '~"., .FEE"SCHEDi.Ji.E"': :i;y':ai~~'tiM';~for (a) Job description: Occupanc Construction type: Square feet: Cost per square foot Other information: Type of Heat: Energy Path: o new ~alteration (b) Foundation-only permit? Total valuation: o addition DYes ONo (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (e) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2e]): (e) Subtotal of fees above (2a throngh 2d): $ $ $ $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal offees above (3a and 3b): ;:-A_~~\MI~c,~iH\'n-~_6ils~. (~~~L:~\:~f/;0{~{~-;,~:_{};i~":),:\ ";',-_,,,-, (?) Seismic fee, 1% (.01 x permit fee [2a)): $ TOTAL fees and surcharges (2e+3c+4a): S j www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00670 3355 RIVERBEND DR CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECOIU> NO: 81 I-SPR20 I 0-00670 DATE: 11/09/2010 > ~~!'/:" ~2i:';:-;.'" '<o,"~;};.-, )if3_cQ~1.ltiJ::c;~6l:!Ei; ;':'-"\:"~8MOQN:f'DUE,- - : ...,J 224-00000-425602 $136.00 224-00000-425602 $88.40 821-00000-215004 $16.32 -~- 100-00000-425605 $6.80 TOTAL DUE: $247.52 t- PAiiMENT-TYREr:~-;;RA YOR~'f>~c6s8n'_":'NMACHA156""COl\lfMENTS: '::"",,':"":';:7r,;i'--F_,~--~'?AMoUNTPAID' . . - - RECEIPT NO: 2010000800 lDESCRIPTION: -".t~,_ ,;',-' Building Permit Fee Structural Plan Review Fee Commercial State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Check 4941 MOIR CONSTRUCTION CONSTRUCTION $247.52 $247.52