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Home My WebLink AboutPermit Miscellaneous 2005-6-30 (3) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 08/20/2006 VALUE: Status: Issued .j 225 Flfth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax ,,541-726-37691nspection Line SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 Springfield TYPE OF Commercial MisceUaneous TYPE OF USE: New Commercial PROJECT DESCRIPTION: Construction Trailer Site Owner: Address: PEACEHEALTH PO BOX 14'19 EUGENE OR 97440 .0("\\\\0 ., l'P'u\J\\ v- : \ \\\\,\~ I CONTRACTOR'INFORMA T10N, trt'(\ r\"" OVJ 15"'- UO"l- '-., "'ol,)\e (\.I e 95'2.- Contractor ,,\I~, (1\lv' 3-(~\8(. ,nose \.I9n (Ulgense3s \)~Expiratlon Date E C COMP ANY~\~\~3-\\O('C~\ _00"1 0 \n(O \eS '491'[1' ;O(\e 0111512008 TWIN RIVERS'PLlJ.l\1BINGffl(:,\)\3-$\ C~_~C>' \\17695:t.3-\\0(\ 0311112007 \1' - ." ..,- . ~... ...... ..- OO\lcBUILDINGIINFORMATIONI$ . C3-"''':.( 10( $\".; _$OO-'''''~ (\\.I~'c# ~~~Wrles:"I Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Phone 503-224-3511 541-688-1444 ,1 , Contractor Type Electrical ,'. Plumbing " # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Fl 2nd Floor: Sq Ft Basement: Sq Ft Sq Ft Other: Occupant Load: nla I DEVEWPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Til: # Street Trees If ,\-IE '-NQIli dlcapped: pav~g1t)le1R~d:i S\-If:>,\'\' EY-.PIRE ERt-!ol\ IS '€a pact: % o(~~yera'g5 \l~OER ,\-liS P O~EO fOR ~\l\\-IORI~:rn (\I;r IS f:>,Bf:>,~O IPUBLIC IMPRO\j;~R\\JU. ,,~(~ 1, Sidewalk Type: Front yard Setback: , Side I Sethack: -. Side 2 Sethack: Rearyard Setback: ,_Solar Setbacks: Street Storm Sewer Available: Special Instruction: Downspouts/Drabts Notes: 1 of 3 Status: Issued 225 F1ftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line ~ Description Type of Construction -" Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 1000 amps/volts Perm ServlFdr 601 to 999 amps Plan Review Electrical (25%) Temp Power 200 amps or less Temp Power 201 - 400 amps Temp Power 401 - 600 amps + 10% Administrative Fee + 7% State Surcharge _ Low Voltage - Commercial Indus '"" + 10% Administrative Fee '. + 7% State Surcharge Backflow Device Not Covered Plumbing Plan Review Plumbing (30%) Water Line - Ist 50 Feet + 10% Administrative Fee + 7% State Surcharge Backflow Device Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Water Line - Each Addt1100' + 10% Administrative Fee + 8% State Surcharge Backflow Device Water Line - Ist 50 Feet Water Line - Each Addtll00' ~ Total Amount Initial Review 04/28/2005 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 08/20/2006 VALUE: I Valuation Descrintion I $PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpe~ Paid) Amount Paid Date Paid Receipt Number 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 3200500000000000406 3200500000000000406 3200500000000000406 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000332 1200600000000000332 1200600000000000332 1200600000000000332 1200600000000000332 S803.10 $562.17 $750.00 $1,141.00 $2,007.75 SI,400.00 $4,140.00 S600.00 $4.50 S3.15 $45.00 S15.70 S10.99 S14.00 S98.00 S55.11 $45.00 $17.70 S12.39 $14.00 $45.00 S90.00 S28.00 S16.00 S12.80 S28.00 S90.00 $42.00 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 6/30/05 6/30/05 6/30/05 1/20106 1/20/06 1/20/06 1/20106 1/20/06 1/20/06 2/28/06 2/28/06 2/28/06 2/28106 2/28/06 2/28/06 3/22/06 3/22/06 3/22/06 3/22/06 3/22/06 $12,091.36 I PIan Reviews I 04/28/2005 APP LLH Temporary Electrical Plan Review approved by Clair. See attached documents for information. 2 of 3 . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/3012005 APPLIED: 04/2812005 EAr ~S: 08/20/2006 VALUE: Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. Ail inspection 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. Temporary Electric: Approval required prior to Utility Company energizing pole. Low Voltage: Prior to cover. Rough Plumbing: Prior to cover and Including required testing. Water Line: Prior to filling trench and Including required testing. Final Plumbing: When aU plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of Inspection. , 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 of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD 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 at the front of the property, and the approved set of plans wiD remain on the site at all times during constructiOlL /1M..~ ~ ~ Owner or Contractors Signature "3 /2- -2_/~ b Date/ / 3 of 3 225 Fift!t Street .~. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Payments: Tllle of Payment Check J. :p :, ;! ")1 :! " :1" ~ " 'y, -;j Ii" 3/22/2006 .\ . RECEIPT #: Description + 8% Stale Surcharge + 10% Administrative Fee Waler Line - 1st 50 Feel Water Line - Each Addtl 100' Backflow Device Paid By TWIN RIVERS PLUMBING INC .~ ~. IfIiijty of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000332 Date: 03/22/2006 Item Total: {;becK Number Aumorlzatlon Received By Batch Number Number How Received djb 25610 In Person Payment Total: 1 of 1 1:16:46PM Amount Due 12.80 16.00 90.00 42.00 28.00 $188.80 Amount Paid $188.80 $188.80