HomeMy WebLinkAboutPermit Building 2007-3-27
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.,CITY OF ~rKJl~td'u'LD
Building/Combination Permit
PERMIT NO: COM2007-00345
ISSUED: 03/27/2007
APPLIED: 03/09/2007
EXPIRES: 09/27/2007
VALUE: $ 2,903,100.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3363 Riverbend Dr Skywalk
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield
TYPE OF WORK: Hospital'
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Shell & core
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
IA
BUILDING INFORMATION I " ,,-,\,,,,,":':.
0reCOn ' .
".\-\""- ...:b,-,t,...e. ~ .__.' t
# of Stories: \"'5 adopts.., ule.L!!,tS1ze:\ 'v'
'1_ .. rll <. -""o-e r ~ ~- "('I
Heigbtof'Slf:Uct~16nter. '"" h ~lI-l\tt1st'F1oo[:
TYP-ll.:.o.fiHeatP1'I OO~-OO~O \hro~g (~\!\\:.2!1.!1!Floor:
WaIW.:JIype952.- "obtain caples S'lJ\~~~~S!\lent:
Ran~5iJ~pe!OU (1\0., nter. (\'Io\e: .\~'Sil',t,g~!;fgtl~arport
Energy C<'1t,W,g thQ C6 1'cl~On Utllt\~~ l'},O'ther:
Sprinkle<lBui\4iiig: trteO. ;!I/al_33Z--0ccujlant Load:
"UT\I~" .... _......""',,.. l!=i ,.""vv
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1-2
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% Of~\WYr:r:age: THE WORK
TUI<:' PFRMIT SHA.ll EXP~~;~'AIT It:. NOT
I PUBLIC IMl!J~~ME~T!ij~~; A.~~~DO~ED fOR
CQMMtNvcU PER\~dewalk Type:
^NY 180 DA.Y .
M. DownspoutsfDrains:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvemepts:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Caleulated
Paee I of 3
-i:A..,._-
~-.~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Appliance Not Listed
Building Permit
Fixture
Furnace. Unit Heater
Furnace - up to 100,000 btu
Gas Outlets 1-4
Pellet Stove/Insert
Plan Review Comm/lndlPublic
Plan Review Electrical (25%)
Plan Review Fire & Life Safety
Plan Review Mechanical (25%)
Plan Review Plumbing (30%)
Special Waste Connection
Temp Power 200 amps or less
Total Amount Paid
.
$1.00
2,903,100.00
. U 1 i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00345
ISSUED: 03/27/2007
APPLIED: 03/09/2007
EXPIRES: 09/27/2007
VALUE: $ 2,903,100.00
$2,903,100.00
$2,903, I 00.00
03/09/2007
Total Value of Project
Fpp<, P~ill J
Amount Paid
$1,019.07
$509.53
$815.25
$43.00
$84.00
$99.00
$9,678.65
$98.00
$36.00
$12.00
$4.00
$30.00
$6,291.12
$44.25
$3,871.46
$45.25
$46.20
$56.00
$50.00
Date Paid
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3/27/07
3127/07
3/27/07
3/27/07
Receipt Number
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
1200700000000000336
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.
$22,832.78
I Plan Reviews I
l1?p~
Paee 2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00345
ISSUED: 03/27/2007
APPLIED: 03/09/2007
EXPIRES: 09/27/2007
VALUE: $ 2,903,100.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state apd 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 ofthe 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 strncture 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 eacb 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.
('~ in '
Owner o::C+tra~ure
??!ZJl/o7
Date ( ,
Paee 3 of 3
225 F.ifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
.ik~
<Aor Springfield Official Receipt
'-Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
COM2007-00345
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000336
Date: 03/27/2007
Description
Special Waste Connection
Furnace - up to 100,000 btu
Furnace - Unit Heater
Pellet StovefInsert
Appliance Not Listed
Gas Outlets 1-4
Temp Power 200 amps or less
Add, Alter, Extend Circ
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Building Permit
Add, Alter. Extend Circ Ea Add
Fixture
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Plumbing (30%)
Plan Review Mechanical (25%)
Plan Review Electrical (25%)
item Total:
Paid By
PEACEHEAL TH
<";heck N umber Authorization
Received By Batch Number Number How Received
djb 284343 In Person
Payment Total:
Page I of 1
II :29: II AM
Amount Due
56,00
12,00
36,00
30,00
99.00
4,00
50,00
43,00
6,291.12
3,871.46
9,678,65
84,00
98,00
509,53
815,25
1,019,07
46,20
45,25
44,25
$22,832.78
Amount Paid
$22.832,78
$22,832.78
3/27/2007