HomeMy WebLinkAboutPermit Building 2008-2-28 (2)
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a:ITY OF ~rKll'tJ1'lJ!.LD
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
Building/Combination Permit
PERMIT NO: COM2008-00280
ISSUED: 02/28/2008
APPLIED: 02/27/2008
EXPIRES: 08/28/2008
VALUE: $ 233,000.00
Status
Issued
SITE ADDRESS: 3333 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield, TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Facilities Management Tenant Improvement project
Commercial
Owner: PEACEHEALTH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION I
'v//~' ";"'/ON'
# oftStories:'Ufe . Oreg Lot Size:
Heig~lKSii:~~&fe10Pte~~/aw req Sq Ft 1st Floor:
TfP.SBfHeat;.'_Ooenter. Ih Y the O~/fES%I.2nd Floor:
W'I!er,T{ile:llJa 1-0010 Ih OSe fUles eg,sq &r.8\lsement:
RlJD~fJJyPes c% Oblain c~0~9h 0-4~es~'f[~ragefCarport
Energyl\fa'1lr: Ihft nter. (NOt'P~es Of Ih Sscr-6b~er:
SprinkIJdEBl\!jdJ.nQ[egon J~: ~& Ie, e f0llll1j!1ant Load:
~i"tJJ,::._;~.lil'~,.\u el'''_..", "
I DEVELOPMENT INFORMAt'i~).lJficauOIJ
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBtI~ IMPROVEMENTS I
THI; ~~IC: Sidewalk Type:
AUTHOR RMrr SHAll fXp DownspoutslDrains:
COM IlED UNDER IRE 1F 'fHE 1M
ANy ~~~:~ OR IS A~~~:OENRMIT IS ~:
PERIOD. ED FOR
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
.
a:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00280
ISSUED: 02/28/2008
APPLIED: 02/27/2008
EXPIRES: 08/28/2008
VALUE: $ 233,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
Estimate
Estimate
$1.00
233,000.00
$233,000.00
$233,000.00
02/27/2008
Total Value of Project
Fees Paid J
, Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Amount Paid
Date Paid
Receipt Number
$109.90
$\31.88
$54.95
$ I ,098.98
$714.34
$439,59
2/28/08
2128108
2128/08
2/28108
2/28/08
2/28108
2200800000000000259
2200800000000000259
2200800000000000259
2200800000000000259
2200800000000000259
2200800000000000259
Total Amount Paid
$2,549.64
I Plan Reviews I
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.
I Reouir..d ~n..~tionsJ
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 will be made ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contrac!ors 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 will remain on the site at all
times during construction.
c:n-A'v\;\iU.\~~~
~l i
Own'(9 or Contractors Signature
1/19, -0<6
Date
Page 2 of 2
225 Fifth Street
Spri~gfie'd,Oregon 97477
541.-726-3759 Phone
. J:n;~
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Ci_ Springfield Official Receipt
D.opment Services Department
Public Works Department
Job/Journal Number
COM2008.00280
COM2008-00280
COM2008.00280
COM2008-00280
COM2008.00280
COM2008-00280
Payments:
Type of Payment
CreditCard
cReceil'l11
RECEIPT #:
2200800000000000259
Date: 02/28/2008
Description
Plan Review Comm/lndlPublic
Plan Review Fire & Life Safely
Building Permit
+ 12% State Surcharge
+ 10% Administrative Fee
+ 5% Technology Fee
Paid By
PEACEHEAL TH OREGON
REGlO
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
djb 005280 In Person
Payment Total:
Page I of I
8:24:19AM
Amount Due
714.34
439.59
1,098.98
131.88
109.90
54.95
$2,549.64
Amount Paid
$2,549.64
$2,549.64
2/28/2008