HomeMy WebLinkAboutPermit Building 2007-8-14
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01172
ISSUED: 08/14/2007
APPLIED: 08/08/2007
EXPIRES: 02/14/2008
VALUE: $ 10,523,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3377 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield
TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Riverbend Medical Pavilion Tenant Improvements
Commercial
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
Applicant PEACEHEALTH
Architect ANSHEN & ALLEN 415-882-9500
General TURNER CONSTRUCTION 503-226-9825
Electrical E C COMPANY 49737 01115/2008 503-224-3511
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
1-2
IIA
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
5 Lot Size:
83.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
1,225
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
StorMalJ&Et vailable:
SpecT:HI8tff~:SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
NoteeOMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEME." "v... vrogon raw require. you to
r~les adopted by the Oregon Utility
o Icatlo~~ilk ~pie rules are set forth
In OAR 952-001-001 0 throug_~ OAR 952.0()1-
0090. You Ml.,~&p1WDf the rules by
cafllng the center. (Note: the telephone
number for the Oregon Utility Notification
Center 18 1-800-332-2344).
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 601 to 999 amps
Plan Review Electrical (25%)
Temp Power 401 - 600 amps
Total Amount Paid
Structural Review
08/08/2007
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,523,000.00
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01172
ISSUED: 08/14/2007
APPLIED: 08/08/2007
EXPIRES: 02/14/2008
VALUE: $ 10,523,000.00
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
$10,523,000.00
$10,523,000.00
08/08/2007
$843.20
$421.60
$674.56
$48.00
$548.00
$200.00
$826.00
$2,730.00
$3,154.00
$276.00
$540.00
$2,108.00
$110.00
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
8/15/07
Receipt Number
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
1200700000000001045
AC
Clair
$12,479.36
I Piau Reviews I
08/0112007
OK
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.
~eouiredJnsne~tions I
Pal!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01172
ISSUED: 08/14/2007
APPLIED: 08/08/2007
EXPIRES: 02/14/2008
VALUE: $ 10,523,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Owner or Contractors Signature
Date
Pal!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-0 1172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-0 1172
COM2007-0 1172
Payments:
Type of Payment
Check
Check
Job/Journal Number
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-01172
COM2007-0 1172
COM2007-01172
COM2007-01172
COM2007-01172
Payments:
Type of Payment
Check
Check
c Receint 1
RECEIPT #:
1200700000000001045
Description
Temp Power 401 - 600 amps
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 601 to 999 amps
Perm Serv/Fdr 1000 amps/volts
Add, Alter, Extend Circ
Low Voltage - Commercia] Indus
Add, Alter, Extend Circ Ea Add
Plan Review Electrical (25%)
+ 5% Techno]ogy Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
EC
EC
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/15/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw
lkw
Description
Temp Power 401 - 600 amps
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 601 to 999 amps
Perm Serv/Fdr 1000 amps/volts
Add, A]ter, Extend Circ
Low Voltage - Commercial Indus
Add, Alter, Extend Circ Ea Add
Plan Review E]ectrical (25%)
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
EC
EC
203524
202921
In Person
In Person
Payment Total:
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw
]kw
Page 1 of 1
203524
202921
In Person
In Person
Payment Total:
11 :44:30AM
Amount Due
110.00
2,730,00
3,154,00
276,00
540.00
826.00
48.00
200,00
548,00
2,108,00
421,60
674.56
843.20
$12,479.36
Amount Paid
$1,334,96
$11,144.40
$12,479.36
Amount Due
110,00
2,730.00
3,154,00
276.00
540.00
826,00
48.00
200,00
548.00
2,108.00
421.60
674.56
843.20
$12,479.36
Amount Paid
$1,334.96
$1 ],144.40
$12,479.36
8/] 5/2007
ZON mil C.I
INITIALS N VV\
DATE '1\-\5.... b1
SOURCE ~
~ - 14.-- D'/
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMTT A PPT.1rA T1()N 1l72-
City Job Number ... C-oY'1 ;) O() I - ~fu ~ Date
1.
3.
MediCAI__ Qffioc Bu i Idin3
LEGAL DESCRIPTION: 110:; d..:d-.. 0 Ci Oc ,0 )..
_ R,\JUbe.nd. Medi(.Q1 PQ\Ji\ iON
"
JOB DESCRIPTION:
COY(L <t Sl)<L,~
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$55.00
B.
2.
Electrical Contractor _ ~c.. Com~\f
Address .pO ~O X ~ '2..?
3Cf
~
2.
.3
L.
2..130 -
3l5"i -
2'1~-
5YD
'82..(0-
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
City A\ OCLY"\'-l
,
Phone C~4\\ q2.~ ~42Co~
Supervisor License Number "02515
c. ...Tcin]J,,!,aryScryiccsIor
NOTICE: .. .....
THIS PERMt1ltS$IA~IQmlItEJfMaWQRK
AUTHOR~f}.ijN~ESsJHIS PERMIT IS NOT
COMMEN~"Rt~(}\}1WJ90NED tuft
ANY 18(Yl01AVIfi(lij0~Amps I
Over 600
to -1- 01
Expiration Date
$ 55.00
$ 76.00
$110.00
Constr. Contr. Number l1q 1 '37
\ \0-
Expiration Date t - 1'0 -0 ~
D.
Signature of Supervising Electrician
tJ~G9-
New Alteration or Extension Per Panel
One Circuit l
Each Additional Circuit or with
Service or Feeder Permit
~
y<{~
5Y~-
$ 48.00
$ 4.00
\37
Owners Name Pe.ac..-e.. Hec.ll+h
Address :3 ~ 3~ C1C1...rruL Fo...v rn R.t\.
City ~in~~-eJd Phone (S'-ll~ '\%~-12lfO
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
OWNER INSTALLATION Limited Energy/Residential $ 28,00
The installation is being made on property I own which Limited Energy/Commercial L.j $ 50,00 2f)O -
is not intendecy.;Y'i ~~ffle"':~~on faw requires youl'tiJlimum Electric Permit Inspection Fee is $50.00 + Surcharges
Owners SigI11tiM~e,~~~~:~f~~e~h~~~I~:~~~e~/~I~~[l;o'I~~~~lJ~~ "8432.-
i {\i\P::J:)::>-nn1-nn10 throllgh OAR 952-001- 8% State Surcharge G, 14 s"
~:-:J, You may obtain copies ofthe rules by 10% Administrative Fee '&4?> 'LO
ca"irg the center. (Note: the telephone 5% .Technology Fe~ '"" '2..\ CoO
Ilumber for the Oregon Utility Notification 2.5 '/. P\c.t.n 9.e.\J\"(u) Fe.e. 2.IO'i'-
Inspection Request: ~e~~s 1-800-332-2344). TOTAL ~ /2.419. ~<O
Shared Drive(T:)/Building Fonns/Electrical Permit Application 7-07,doc