HomeMy WebLinkAboutPermit Building 2006-12-19
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'-
. CITY OF SPRINGFIELD
Building/Combination Permit
, PERMIT NO: COM2006-01624
ISSUED: 12/19/2006
APPLIED: 1211912006
EXPIRES: 06/19/2007
VALUE: $ 91,900.00
Status
Issued
SITE ADDRESS: 3363 Riverbend Dr Skywalk
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield TYPE OF WORK: Foundation
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Structural Foundation wlGeopiers
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Applicant
Architect
General
Contractor
PEACEHEALTH
ANSHEN & ALLEN
TURNER CONSTRUCTION
License
Expiration Date Phone
"
r.. O.
415-882-9500
503-226-9825
BUILDING INF0RlnATl~~ I;;;
~ ~~'~'~''9,''
# ofUn;ts: # ofStilri~~ 6I1l' <S' ~ ~v-r.~ Lot Size:
Primary Occnpancy Group: 1-2 Height ;)fj!ttuc\)1~ "'0 <9s;, ~ ~ Sq Ft 1st Floor:
Secondary Occupancy Group: Type ofHeaP.~ e:>1ll 0 ~~ci> "" Q Sq Ft 2nd Floor:
Primary Construction Type ~ ~IA<% Water Typ~:, ~ % ~'%"'o %>~ Sq Ft Basement:
Secondary Construction Type: 0 <1' ~ Range Type:"; ~....<9 %: o,,~. ~ ~"Sq Ft Garage/Carport
# of Bedrooms: '7-.% ~ ~ Energy Path: .,~ "'-z:: ~ ~.~ ~ 0<9'59, Ft Other:
":Y ~ ~ Sprinkled Buildi~~~ ~. "Qn~ '% ~9.f'~pant Load:
Y"" \ ~ .... 1'\'1 ......_ (2 ___ .~ "" .""\
-~" ;tiiVELOPMENT INFORMA1:iON~'~ '~ -~ ~~~
~'v- ',,6- C:% '-.t 'd!~"C;h ~ ~ % REQUIRED PARKING
\>' <Y ~~, '0 ~ g, <S' "1' ." c
-> ~ 9..xevay Dist: ~ ~.~ ~ ~ Total:
~, ~#'Stre~.Trees Rqd: ~ '70 .~ 0 1b Handicapped:
-{f> :';:e,Yved D1ive Rqd: V, ?b ~ '?' Compact:
v \ v. r/ VI. ,.
~ %\offfiot:€overage: ",
~ ''0:: ~ -<
"\~ 0,~_%
v .... _ .... ''-
I PUBL1€:IM~ROVEMENTS I
~...-
8,956
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Speciallns,truction:
DownspoutslDrains:
Notes:
Paee I of2
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01624
ISSUED: 12/19/2006
APPLIED: 12/19/2006
EXPIRES: 06/19/2007
VALUE: $ 91,900.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
1 Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
91,900.00
Value
Date Calculated
Foundation Onlv Use Bid Amount
Total Value of Project
$91,900.00
$91,900.00
12/19/2006
Fees tlW!J
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Foundation Permit
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Amount Paid
Date Paid
Receipt Number
$53.45
$26.72
$42.76
$534.45
$347.39
$2\3.78
12119/06
12119/06
12119/06
12119/06
12/19/06
12119/06
1200600000000001773
1200600000000001773
1200600000000001773
1200600000000001773
1200600000000001773
1200600000000001773
Total Amount Paid
$1,218.55
I Plan Reviews I
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 Renllire11~
Foundation: After forms are erected but prior to concrete placement.
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 tbe work described herein, and
that NO OCCUPANCY will be made of any structure withont 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 tbe
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-01624
COM2006-0 1624
COM2006-0 1624
COM2006-0 1624
COM2006-0 1624
COM2006-0 1624
Payments:
Type of Payment
Cred itCard
cReceintl
. aPlUNaFJu.o "
'~
Wt. 5
C& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
RECEIPT #:
1200600000000001773
Date: 12/19/2006
Description
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Foundation Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PEACEHEAL TH
item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
djb
051093 In Person
Payment Total:
Page I of 1
10:55:46AM
Amount Due
347,39
213,78
534.45
26,72
42,76
53.45
$1,21H.55
Amount Paid
$1,218,55
$1,2IH.55
12/19/2006