HomeMy WebLinkAboutPermit Building 2006-9-14
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01189
ISSUED: 09/14/2006
APPLIED: 09/1312006
EXPIRES: 03/14/2007
VALUE: $ 56,100.00
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541-726.3676 Fax
541.726-3769 Inspection Line
SITE ADDRESS: 3377 RiverBend Dr
ASSESSOR'S PARCEL NO,: 1703220000902
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: RiverBend Medieal Pavilion (RMP) - ExcavationlStructural fill
Commercial
Owner: PEACEHEALTH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Contractor
ANSHEN+ALLEN
TURNER CONSTRUCTION COMPANY
License
Expiration Date Phone
206.652.0111
11/09/2007 503.226.9825
69988
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Eoergy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Notes:
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J\\'\\\'lll\L' ~ .\ .1,\',)\1.
. ,
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: t
. you 0
ATTENTION' Oregon law requires , .
" ,'. ..., ",~ ",~nnn lJhlitv
I PUBLIC IMPROVEME'Nisl;i~'~~~~~;r:"Th~se rules are set lorth
, c- , ," n~'G'h'nughOAR952.001-
in O/J\ ~52 Sidewalk Type: . 1 th rules by
00 Y ~av obtain copies 0 e
OOv . OU DownspoutslDrains:e telephone
I\, the cen' ijl ~1'\lU~""'."
C2,. Ing 1 th 0' r~gon Utility Notilication
number or e )
Center is 1.800.332.2344 ,
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
\ ..,'
Pa2e I of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01189
ISSUED: 09/14/2006
APPLIED: 09/1312006
EXPIRES: 03/14/2007
VALUE: $ 56,100.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541.726.3769 Inspection Line
I Valuation Descriotion I
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
56,100,00
Value
Date Caleulated
Description
Estimate
Tvpe of Construction
Total Value of Project
$56,100,00
$56,100,00
09/13/2006
F..... Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Plan Review Comm/lnd/Public
Site Work
Amount Paid
Date Paid
Receipt Number
$39,80
$19,90
$258,67
$397,95
9/14/06
9/14/06
9/14/06
9/14/06
2200600000000001296
2200600000000001296
2200600000000001296
2200600000000001296
Total Amount Paid
$716,32
I Plan Reviews I
Slructu ral Review
09/13/2006
09/13/2006
APP AC
Clair recommends issuance of RMP
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~..~
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,
J further certify that only contraetors and employees who are in compliance with ORS 701.005 will be used 00 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.
;;:., .I ~
Ir'/ ~
Own~on ct rs Signature
9114-/oy>
I I
Date
Pa2e 2 of2
225 Fifth Str~et
./ .
Springfield, Oregon 97477
541-726-3759 Phone
· ii:~
ca of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2006.0 1189
COM2006.0 I J 89
COM2006.0 1189
COM2006-0) ) 89
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001296
Date: 09/14/2006
Description
Plan Review Comm/lnd/Public
Site Work
+ 5% Technology Fee
+ ) 0% Administrative Fee
Paid By
PEACEHEALTH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 047327 )n Person
Payment Total:
,
Page I of )
3:0Z:13PM
Amount Due
258.67
397,95
)9,90
39,80
$716,32
Amount Paid
$716.32
$716,32
9114/2006