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HomeMy WebLinkAboutPermit Building 2008-2-28 (2) _~.~.'G'~';",~' ,',..... . , ,".-, ! - ... --- -.'" .' . 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;~ ~.: ~ 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