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Home My WebLink AboutPermit Miscellaneous 2005-6-30 (4) . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 08/20/2006 VALUE: SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 Springfietd TYPE OF Commercial Miscellaneous TYPE OF USE: New Commercial PROJECT DESCRIPTION: Construction Trailer Site - Owner: PEACEHEALTH Address: PO BOX 14'79 EUGENE OR 97440 Contractor Type Electrical Plumbing ,aTTi=~ITlf"\'d. ^ __ , I CONlRACTvn. mFORMr..-n<:il,.,.'ires you to N ". ~r'-- -1 ..,~ vlegon Utility C otlflcatlon Center Tt-I)<n., ~~ .._ ' . ontractor in OAR 952 . "'lcen.es arEE'XJ)wation Date E C COMPANY -001 ~001 0 t49737]h OAR 952-oVl5/2008 TWIN RIVERS PLUM~I~&I~~;..~a:. obtai~,t7695S of the rule03.t\l1/2007 .... . ;:......... ."H"';; Ult::: It:l~pnone , BUIl!.DING INIlQRMA;f,JONI,I'ty N t'f' . .' ~I ! I 0 I Icatlon L;enter IS 1-800-332-2344) # of Stories: . Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled nla Occupant Load: Phone 503-224-3511 541-688-1444 . # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction , # of Bedrooms: I DEVELOPMENT INFORMATION' REQUIRED PARKING I.,. Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Street Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: NOTICE: IPUBLIC IMP~ALL EXPIRE IF THE WORK . COMMENCEO ORDI~\mEfJMJ~bSR NOT ANY 180 DAY PERIQD!'wnspoutslDrams Total: Handicapped: Compact: . Notes: 1 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection 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 - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Backflow Device Sanitary Sewer - 1st 50 Feet Water Line - 1st 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: 08/2012006 VALUE: I Valuation Descrintion I $ perSq Ft or multipHer Square Footage or Bid Amount Value Date Calculated Total Value of Project F~~ Pairl I 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 . . . $803.10 $562.17 $750.00 $1,141.00 $2,007.75 $1,400.00 $4,140.00 $600.00 $4.50 $3.15 $45.00 $15.70 $10.99 $14.00 $98.00 $55.11 $45.00 $17.70 $12.39 $14.00 $45.00 $90.00 $28.00 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 6130105 1/20/06 1/20/06 1/20/06 1/20/06 1/20/06 1/20/06 2/28/06 2/28106 2/28/06 2/28/06 2/28/06 2/28/06 Temporary Electrical Plan Review approved by Clair. See attached documents for information. To Request an inspection call the 24 hour recording at 726-3769. All 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. $11,902.56 I Plan Reviews I 04/28/2005 APP LLH 2 of 3 . . CITY OF SPRINGFIELD . Status: Issued 225 Fifllt Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit' PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 08/20/2006 VALUE: 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 mling 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, 1 state and agree, lItat I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify lItat any and all work performed shall be done m accordance willt the Ordinances of lite City of Springfield and the Laws of lite State of Oregon pertamlng to lite work described herem, and lItat NO OCCUPANCY wiD be made of any structure willtout permission of the Community Services Division, Building Safety. I further certify lItat only contractors and employees who are in compliance willt ORS 701.005 will be used on this project. I further agree to ensure lItat all required inspections are requested at the proper time, lItat each address Is readable from the street, that the permit card is located at lite front of the property, and lite approved set of plans wID remain on the site at all times during construction. ~~~ , Owner or Contractors Signature ~/ .z.. "F / 6 (, Date .I I 3 of 3 225 Fifth Street Springfield, Oregon 97477 54f-726-3759 Phone . Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Payments: TWe of Payment Check ~ l:r " .\ :0 .( :u 2/28/2006 . ,( RECEIPT #: Description Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Water Line - Each AddtllOO' Backflow Device + 10% Administrative Fee + 7% State Surcharge Paid By TWIN RIVERS PLUMBING INC 8.!'~"'!'~"!"'" ,__ '.', 1IiL, ..,., -.' '. , - ~ r - . JIiY of Springfield Official Receipt Wvelopment Services Department Public Works Department 1200600000000000214 Date: 02/28/2006 Item Total: LUecK rmmoer AutDonzallon Received By Batch Number Number How Received djb 25595 In Person Payment Total: I of I 10:14:39AM Amount Due 45.00 90.00 28.00 14.00 17.70 12.39 $207.09 Amount Paid $207.09 $207.09