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Home My WebLink AboutPermit Building 2006-9-14 -~~"; ~. . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01190 ISSUED: 09/14/2006 APPLIED: 09/1312006 EXPIRES: 03/14/2007 VALUE: $ 51,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3355 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New PROJECT DESCRIPTION: Northwest Specialty Clinic - Excavatiop/Structural Fill Only Commercial Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Architect General Contractor License HASKELL ARCHlTECrS AND ENGINEERS ...........".... TURNER CON~,T~.l!,CiT'.9.N'C.Q\YI.I1AN.Y,JI><f' ,~9?!\8; \,\iI\H AU IIp\BUI\;D1NG.\NFORMATlON'IIS ,lJiJ r COMlVltl~L.tU UH I::' I\tSl\'~UUNtU fOR ANY 130 g,~f~t!lXi,~m), Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date Phone 11/09/2007 503-226-9825 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Notes: I PUBLIQ;IMI'R0,Y.EIYIElN'I'SJI' law requires you to follow rule~ adcptea DY trSi~~.l1~q.~~~~ty Notif;cation Center, Those rUle:, ~~" _~::. '~~,h in OAR 952-001-001 0 thrOL~o~,nspouts/Drams: 0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notlflcalion Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Paee I of2 -iF~ . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01190 ISSUED: 09/14/2006 APPLIED: 09/13/2006 EXPIRES: 03/14/2007 VALUE: $ 51,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 Valuation Descriotion I Description Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 51,500.00 Value Date Calculated Total Value of Project $51,500.00 $51,500.00 09/13/2006 Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee Plan Review Comm/lnd/Public Site Work Amount Paid Date Paid $37.85 $18.92 $245.99 $378.45 9/14/06 9/14/06 9/14/06 9/14/06 Receipt Number 2200600000000001297 2200600000000001297 2200600000000001297 2200600000000001297 Total Amount Paid $681.21 I Plan Reviews I Structural Review 09113/2006 09/13/2006 APP AC Clair recommends issuance of NSC Excavation and Structural Fill Only Permit - 1st Plan Review Conditions apply. See job site notes 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. I Retllliredlnsnect~ Site Inspection: To be made after excavation but prior to setting forms. 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 limes during construction. (~ IY)~ Owner ~C/..ll ac~nature c:yj 141 O~ i I - Date Paee 2 of2 225 Fifth Street SprihgfiCld, Oregon 97477 541-726-3759 Phone . J~~;~~ u.... ~" Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-01190 COM2006-01190 COM2006-0 1190 COM2006-0 1190 Payments: Type of Payment Cred itCard cReceinll RECEIPT #: 2200600000000001297 Date: 09/14/2006 Description Plan Review Commllnd/Public Site Work + 5% Technology Fee + 10% Administrative Fee Paid By PEACEHEAL TH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 099551 In Person Payment Total: Page I of I 3:03:47PM Amount Due 245,99 378.45 , 18,92 37.85 $681.2 J Amount Paid $681.2\ $681.21 9/14/2006