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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