HomeMy WebLinkAboutPermit Building 2007-4-10
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00507
ISSUED: 04/10/2007
APPLIED: 04/06/2007
EXPIRES: 10/10/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3333 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield
TYPE OF WORK: Hospital
TYPE OF USE: Addition
PROJECT DESCRIPTION: Underground pneumatic tube and fiber Duct installation
Commercial
Owner: PEACEHEALTH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
TURNER CONSTRUCTION COMPANY
License
69988
Expiration Date
11/09/2007
Phone
541-988-7240
NOi'lCE'
# of Units: THIS P '. # of Stories:
Primary Occupancy Gm'JPi-In ERMl!ti.1HALL E lIeight of Structure:
Secondary OccupancYIGroup: RIZED I B~ XP'1l'fpe:Of-ff.eat:
Primary Constructio~, H~'l,'l,IENCElJW DER THIS~~~~;t;r~eWORK
Secondary ConstructIon ify,pJa DA R IS A8ANL~~g~"Ij'YPf: NOT
# of Bedrooms: Y PERIOD En~fgy ,,~:
. Sprinkled Building:
! BUILDING INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback: .'..1 / b, " Overlay Dist:
Side I Setback: iO/!:'I': >'I'~~ ~_ ' # Street Trees Rqd:
Side 2 Setback: ,,!Otifj(:.ltio., C . ~/1'r'.'E':l t)\! '..,.p'a~~~ Driye Rqd:
Rearyard Setback:r. OAi=:: 9'-~ -,.. ,I2r. .17'<:' 1 _ .~. of [;ot/Coverage:
:J . "'/-01)1 ro ~.. 1(,,-_
Solar Setbacks: OCl~ " '0 . -"lIJ" , . , ~ Jr..'., I
...t.... '''''1 -., 'tt I .'-, ..
... ,.~...L. 'V'u/~j\\.-'
'>.,Cl.I,.-nr'" _ ""/'/'. ,......
J:.1J;j: ....:t.:: :'I~~': :'.1 P~B[;IC"I\1PROYEMENTS I
Street Improvements: .~. _ . ,r. "-"):~!.''-;P ,,;",:,/ l". ,,--.l~:),"onl>
,j~~~;,':)r,,-" "'i!"~'.\;(;t"...,'"
"" . '. "l"( .
..<.~~) ".
Sidewalk Type:
DownspoutslDrains:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Plan Review Electrical (25%)
Plan Review Plumbing (30%)
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO'
Special Waste Connection
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00507
ISSUED: 04/10/2007
APPLIED: 04/06/2007
EXPIRES: 10/10/2007
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$72.00 4/10107 2200700000000000522
$36.00 4/10/07 2200700000000000522
$57.60 4/10/07 2200700000000000522
$45.00 4/10/07 2200700000000000522
$11.25 4/10/07 2200700000000000522
$202.50 4/10/07 2200700000000000522
$45.00 4/10/07 2200700000000000522
$490.00 4/10/07 2200700000000000522
$140.00 4/10/07 2200700000000000522
$1,099.35
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.
IR..~
Final Plumbing: When all plumbing work is complete.
Special: See Plan Review andlor Inspector Notes.
Sanitary Sewer Line: Prior to filling trench and including required testing.
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 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 will remain on the site at all
times during construction. .
(l{)~ Mnuli4 q //0101
Owner or Contractors Signature Date
Paee 2 of2
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Page I of I
MACHADO Nancy
From: WILSON Kaye
Sent: Tuesday, April 1 0, 2007 8:53 AM
To: BOWLS BY David; KELLY Deyette; MACHADO Nancy
Cc: HOPPER Lisa; MOORE Donald; PEARSON John
Subject: FW: Pneumatic Tube Permit Fees
F.Y.I....... just in case you have any questions or if you have to issue the permit.
From: Melody Plews [mailto:mplews@c1aircompany.com]
Sent: Tuesday, April 10, 2007 7:4S AM
To: cmoulds@peacehealth.org
Cc: Allan Clair; PUENT David; WILSON Kaye; Millie Hicks
Subject: Pneumatic Tube Permit Fees
Hi Chip,
The permits for the Pneumatic Tube is ready to be paid for and picked up. The fees total $1,099.35 for the
plumbing and electrical. I will have a stamped set of plans here onsite for you to pick up as well.
Please keep in mind that once you have an electrical contractor for this work, you will need to submit a signed
permit application to me here prior to any installation so I can ensure that I gets to Ihe City and to the right project
number. Let me know if you have any questions.
Thanks, .
Melody Plews
CLAIR Company
3333 Game Farm Rd.
Springfield, OR 97477
Ph: (541) 741-3085
Fx: (541) 741-7917
CI: (503) 519-6948
rnnlewswklaircomnanv.com
4/10/2007
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~~
<aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
225 .FiUb Street
Springfield, Oregon 97477
541-726-3759 Pbone
Job/Journal Number
COM2007-00507
COM2007-00507
COM2007-00507
COM2007-00507
COM2007-00507
COM2007-00507
COM2007-00507
COM2007-00507
COM2007-00507
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000522
Date: 04/10/2007
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddU 100'
Special Waste Connection
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Plumbing (30%)
Plan Review Electrical (25%)
Paid By
RICHARD W MOULDS
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
njm 047032' In Person
Payment Total:
Page I of 1
I :52:23PM
Amount Due
45.00
490.00
140.00
45.00
36.00
57.60
72.00
202.50
11.25
$1,099.35
Amount Paid
$1,099.35
$1,099.35
4/10/2007