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Permit Building 2013-8-6
• SPRINGFIELD 225 Fifth St hitit CITY OF SPRINGFIELD Springfield,OR 97477 \i�EOON Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01117 www.springfield-or.gov peonitcenter©springfield-or.gm/ PROJECT STATUS: Issued ISSUED: 08/06/2013 EXPIRES: 02/01/2014 STATUS DATE: 08/06/2013 APPLIED: 05/31/2013 SITE ADDRESS: 1863 LAURA ST,Springfield,OR 97477 SCOPE: Medical Office ASSESOR'S PARCEL NO: 1703271003900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: STR-New dentist offices OWNER: STAMBAUGH DANIEL L Phone Number: ADDRESS: 1944 LAKEVIEW DR EUGENE OR 97408 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type • Lic No Lic Exp Phone Electrical Contractor JB ELECTRIC INC CCB 104929 03114/2014 541-687-5770 Mechanical Contractor INNOVATIVE AIR INC CCB 161742 10111/2014 541-746-1040 General Contractor MCINTYRE CONSTRUCTION INC CCB 3550 10/08/2013 541-687-2841 Plumbing Contractor HARVEY 8 PRICE CO CCB 77 10/31/2014 541-746-1621 INSPECTIONS REQUIRED Inspections 1020 Zoning/setbacks 1059 Final Paving Final Paving: After paving is complete. 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment,conduit piping and other equipment items are in place but prior to concrete. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1450 Insulation Duct 1530 Exterior Shearwall 7T--Il r�++�� ATTENTION• nrpnnn law renuires you to 1540 Ggpsufrf&ferd/Lath/Drywall �D�rJwall: Prior to taping. Lath/Plasjet;oT' aelm @dgCttftet(ail Iht�1iHgesEct istontOtlllty THIS PERMIT SHALL EXPIRE IF bk#IdMr t�rior and exterior are inlGl§cecbut,prjc(r is ppste7ngse rules are set forth 1600 cOilthifORIZED UNDER THIS PERMITA&N:I After drywall approVNG16trrI Mo@BJep010 through OAH 952-001- 1630 R6oflSillena l{) EU UK IS ABANDONED g 00;3. You may obtwin co;.;cc of tho rulos by magi 4i, 1` 1°� DAY PERIOD. eathin calling the center. (Note: the telephoto 1999 Final'Bull`d'I g Final Building: After all required in€pettloai f1aC/41886Qrfia6bretkllan'M happ,'oC/a the building is complete. Center is 1-800-332-2344). 1370 Masonry Veneer Springfield Building Permit 8/6/2013 11.30:11AM . Page 1 of 2 SPRINGFIELD 225 Fifth St • 6... CITY OF SPRINGFIELD Springfield,OR 97477 7k. Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01117 www.springfield-or.gov permitcenter @springfield-or.gov 1996 Final Inspection—Planning 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 or 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 constr ction. / ' Owner or Contractor Signature ' Date • • Springfield Building Permit 8/6/2013 11:30:11AM Page 2 of 2 • SPRINGFIELD CITY OF SPRINGFIELD • • k i 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 `�� 541-726-3753 OREGON 811-SPR2013-01117 www.springfield-or.gov 1863 LAURA ST permitcenter @springfield-ar.gov RECEIPT NO: 2013001708 RECORD NO:811-SPR2013-01117 DATE:08/06/2013 ;DESCRIPTION,_ . ___._ ._ . .a>._... . _ '. ,? ACCOUNT CODE/TRANS CODE L---__ „ AMOUNT-DUE,L.` Building Permit Fee 224-00000-425602 1002 2,951.80 SDC: Improvement-Transportation SDC 447-00000-448027 1174 4,175.83 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 2,372.37 TOTAL DUE: 9,500.00 %PAYMENT TYPE PAYOR• CASHIER:CCARPENTER . ' COMMENTS-- - . : • AMOUNT PAID A Credit Card MCINTYRE CONSTRUCTION INC 9,500.00 02691g TOTAL PAID: 9,500.00 • • SPRINGFIELD CITY OF SPRINGFIELD _______ii t1 l .as 225 Stith St ` E�oN TRANSACTION RECEIPT Springfield.OR97477 541-726-3753 811-SPR2013-01117 www.springfield-or.gav 1863 LAURA ST permitcenter©springfield-ar.gov RECEIPT NO: 2013001711 RECORD NO:811-SPR2013-01117 DATE:08/06/2013 - i,DESCRIPTION ' _ACCOUNT_CODEITRANSCODE — _,1 Commercial Fire(.10 Per Sq Foot) 100-00000-424005 9112 396.50 Fire, Life, Safety Plan Review 224-00000-425602 1077 1,180.72 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 18.70 SDC: Improvement-Transportation SDC 447-00000-448027 1174 4,843.70 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,151.42 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 764.12 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 89.45 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 63.48 SDC:Total Storm Administration Fee 719-00000-426604 1180 56.85 SDC:Total Transportation Administration Fee 719-00000-426604 1190 550.95 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 354.22 Technology fee(5%of permit total) 100-00000-425605 2099 147.59 — -- -- -- — -- TOTAL DUE: 9,627.70 PAYMENT TYPE PAYOR_ CASHIER:CCARPENTER .-_ -,.COMMENTS _,_.__'.__ _ _._.. `AMOUNT PAID Check MCINTYRE CONSTRUCTION INC 9,627.70 1009 TOTAL PAID: 9,627.70 • • SPRINGFIELD CITY OF SPRINGFIELD SPRINGFIELD 225Fifth St ttEGON TRANSACTION RECEIPT Spnngfield,OR97477 541-726-3753 811-SPR2013-01117 www.spnngfieidor.gov 1863 LAURA ST permitcentergspnngfield-or.gov RECEIPT NO: 2013001077 RECORD NO:811SPR2013-01117 DATE:05/31/2013 ref .Ye3.71aI gi .-11,-k_t..,-" Via: i. r .al_:_'```"iLL, 'f'iACCOUNTCODE/TRANSCODE 4` ', a:`a':'AMOUNTTDUE':a.s' Structural Plan Review Fee Commercial 224-00000-425602 1060 1,918.67 TOTAL DUE: 1,918.67 _ e PAYMENTiTYPE_Pi i_;.'PAYOR 4=CASIRER:'oBOwLSBr w_=%* COMMENTS 44: __,tif'A' 1'UNT - iarstk__, f tiA2; Credit Card william mcintyre 1,918.67 03941g TOTAL PAID: 1,918.67 Structural Permit Application SPRINGFIELD - r9DEP RTMEN USEiONLY'; AAA .. CITY OF SPRINGFIELD,OREGON t f,Cx '-. Permit no.: 5(3_p ( / —7 r 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: ,�'J f '5 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuan a or if work is suspended for 180 days. •'.�s. _.h,, LOCAEGOVERNMENT APPROVALcT"r, 'fre -ta `` „s_:;,55 �'�FEE4SCHEDULgrg;,v;PA �` �� This project has final land-use approval. zF_Veluahoninformatiun' -'.,,bi;.� .,� r, rT y°j Signature: Date: t Zj,1/Z (a)Job description: j n j(S r ofirAce' This project has DEQ approval. l Occupancy Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: vu Property is within flood plain: ❑Yes ❑No Square feet: .-35(p .5-- --1-0- ,�. .S A ».Go im- a~R"rx;. sTMg" ,CATEGO�tY70F.;�pCONSTRUCTION gtaiNt iO Cost per square foot. ❑Residential ❑Government ®'Commercial Other information: rilMaTCliiiii§itig INFORMATION*AND LOCATIONIaTT Type of Heat: Job site address: ten L/4J r7ner ‘jr- Energy Path: . City: 5 t7fO C.%tate:97h'77 ZIP:97'!77 trnew ['alteration ❑addition_ Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes allo Reference: 1 763 27/0 Taxlot: 0 3 So C) Total valuation: $ Ge,t7 r -:o eli 4 e 0.ROI?ERTY,%WNEi2Wi ;5'--r*97-7/...' 2LBuddtng fees .: '' c5A : ,,' '1,Mils g.. -;.e Name: 4 )a. 5 7 4jrj l&4t /j (a)Permit fee(use valuation table): $ 29.57 i2.— Address: tifign-,Th-s.:-S-va- (4&�/ (b)Investigative fee(equal to[2a]): $ ty: 24 Ydh_-I 5' . ass (c)Reinspection($ per $ Ci State: ZIP://y c)Rein ection $ er (number of hours x fee per hour) Phone: Fax: - - _____. - - ��` 2-7 E-mail: d sd,r4) Own�r A4'1. 1 - t (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 59`/ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: G3ttjlau{reiew fees ,e3& it,Ru ra'w criu`t °sE'irig437-re;±67 (a)Plan review(65%x permit fee[2a]): $/ // U —' Sign here: ilij:i ..C.-a=!'---t (b)Fire and life safety(40%x permit fee[2a]): $ /1 TO_ z.- ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing 2451S'l tscllaneous fees.r' r s r,.,"s;e^ '�'A r :k requirements under ORS 701.610 1% v �, „� ,� (a)Seismic fee, 1%(.01 x permit fee[2a]): $ �7 `„ -w -'-; ,CONNTRACTOR INSTALLATIQW;. sx .��r. w.' (b)Technology fee,5%(.05 x permit fee[2a]): Sig? Business name: /vl G- //l) 7Y el-C- Lti-'a:5 7 .per ����� TOTAL fees and surcharges(2e+3c+4a+4b): $6.5 Address: (02(72 ∎e C" City: ,t// State: j ZIPS7? __ Phone: - Fax: - - E-mail: CCB license no.: 3v 0 ■ Print name: ///'��'jj//�� 513 / - Out 3 Signature: t Z?i% C/91-1L-tht -I f (fJ'_� oil ( J' . [„r r,!t„ :'sitoKCONTRACTowiNFORMATION ,,,�',,.j`�,,,,[�+':' it CCB License# Phone Number ..� a 1 1 q H ,��t Electrical I/ I•, 1 "i-6 c--t Plumbing / /,iitw- -y tj/ 7 v"-a-c Mechanical //OAS) 7/JJ • SPRINGFIELD 225 Fifth St ' `hCITY OF SPRINGFIELD Springfeld,OR97477 ` u� Phone: 541-726-3753 ' yell Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01194 www.springfield-or.gov permitcenter@springfield-or.gav PROJECT STATUS: Issued ISSUED: 08/06/2013 EXPIRES: 02/01/2014 STATUS DATE: 08/06/2013 APPLIED: 06/07/2013 SITE ADDRESS: 1863 LAURA ST,Springfield,OR 97477 SCOPE: Mechanical Only . ASSESOR'S PARCEL NO: 1703271003900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: MEC-New dentist offices OWNER: STAMBAUGH DANIEL L Phone Number: ADDRESS: 1944 LAKEVIEW DR EUGENE OR 97408 L CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JB ELECTRIC INC - CCB 104929 03/14/2014 541-687-5770 Mechanical Contractor INNOVATIVE AIR INC CCB 161742 10/11/2014 541-746-1040 General Contractor MCINTYRE CONSTRUCTION INC CCB 3550 10108/2013 541-687-2841 Plumbing Contractor HARVEY&PRICE CO CCB 77 10/31/2014 541-746-1621 INSPECTIONS REQUIRED Inspections . 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 2210 Underfloor Gas Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 2255 Gas Pressure Test 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2995 Final Gas Final Gas: When all gas work is complete. 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 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 or 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. `� / ou to � { tJ W '.ol� , pre9e settfoYth wner or Cont`'�al P"' through OAR 952 Uu 1 Date 'NICE:•NoUb to:001_00 l through of the rules by in OAR 952- a obtain coP HIS PERMIT SHALL EXPIRE IF THE WORK 0090. You in Y Note:the tetePh ?' Ul HOP,IZED UNDER THIS PERMIT IS NOT calling the t ente0regon Utility Notification number for the g00_332.234 4)• ;OMNIENCED OR IS ABANDONED FOR Springfield Building Permit Centel {S 1� 8/6/2013 11:29:09AM ;NY 180 DAY PERIOD. Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD fa 225 FM St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-S P R2013-01194 www.springfield-or.gov 1863 LAURA ST permitcenter @springfield-or-gov RECEIPT NO: 2013001709 RECORD NO: 811-SPR2013-01194 DATE:08/06/2013 [DESCRIPTION ___ACCOUNTCODEITRANSCODE - :.AMOUNT DUE..._: Mechanical Permit fee(based on value of work) 224-00000-425604 1006 356.33 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 42.76 Technology fee(5%of permit total) 100-00000-425605 2099 17.82 -- --- ----� - -- -� ---_ - TOTAL DUE: 416.91 7 PAYMENT TYPE,- PAYOR_CASHIER:ccARPENTER -__COMMENTS - AMOUNPPAID . j Check MCINTYRE CONSTRUCTION INC 416.91 1009 TOTAL PAID: 416.91 • • • • SPRINGFIELD 225 Fifth St ' " CITY OF SPRINGFIELD Springfield,OR 97477 C 6� Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 . Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01195 . www.springfield-or.gov permitcenter @springfieltl-or,gov PROJECT STATUS: Issued ISSUED: 08106/2013 EXPIRES: 02/01/2014 STATUS DATE: 08/06/2013 APPLIED: 06107/2013 SITE ADDRESS: 1863 LAURA ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703271003900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: PLM-New dentist offices OWNER: STAMBAUGH DANIEL L Phone Number: ADDRESS: 1944 LAKEVIEW DR EUGENE OR 97408 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JB ELECTRIC INC CCB 104929 03/14/2014 541-687-5770 Mechanical Contractor INNOVATIVE AIR INC CCB 161742 10/11/2014 541-746-1040 General Contractor MCINTYRE CONSTRUCTION INC CCB 3550 10/08/2013 541-687-2841 Plumbing Contractor HARVEY 8 PRICE CO CCB 77 10/31/2014 541-746-1621 INSPECTIONS REQUIRED Inspections 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3440 Culvert/Catch Basin 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3620 Backflow Device Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 3999 Final Plumbing Final Plumbing: When all plumbing work is complete. 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 or 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 locaM pEftgrfOPJ:0.th5opp Syr PS dUhfeap ddset of plans will remain on the site at all times during ., constr ctton. folio • rules ad.ate. by the Oregon Utility r; • No ' .n a Ir. o ose rules are set forth p WDRK Ai��/ . ;I:: %.�M�1:� .i N/ rough OAR 9U2-001- /) 6 — / 3 Pt nTICE: All EXPIRE 1F NE\14°?;NOT Owner or Contract6FF.ig6) MS cen •r. (Note: the tele h.e y Date THIS PERMIT SH THIS PERMIT number for th- Oregon Utility Notification AuTNORIZED ORSABANDONED FDR .,'^.;r-: Center is 1-800-332-2344), COMMENCED Springfield Building Permit 8/6/2013 11:27:56AM ANY 180 DAY PER IDD• Page 1 of 1 • SPRINGFIEL CITY OF SPRINGFIELD iii.:�►. • 225 Fifth St �o OREGON TRANSACTION RECEIPT 225 Fifth tOR 97477 541-726-3753 811-S P R2013-01195 www.springfield-or.gov 1863 LAURA ST permitcenter @springfield-or.gov RECEIPT NO: 2013001710 RECORD NO: 811-SPR2013-01195 DATE:08/06/2013 DESCRIPTION__._. __L._._____,._ - _ _. _ __ - . ACCOUNT CODE/TRANS_CODE ep ' , ;_AMOUNT_DUE, Backflow preventer 224-00000-425603 1005 63.00 Catch basin or area drain 224-00000-425603 1005 84.00 Clothes washer 224-00000-425603 1005 21.00 Floor drain/floor sink/hub 224-00000-425603 1005 21.00 Sanitary Waste or Portable Water Supply not listed 224-00000-425603 1005 21.00 Sanitary sewer 224-00000-425603 1005 83.50 Sanitary sewer-each additional 100 feet or portion of 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 273.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 108.18 Storm Sewer 224-00000-425603 1005 83.50 Storm Sewer-Each additional 100 feet or portion of 224-00000-425603 1005 42.00 Technology fee(5%of permit total) 100-00000-425605 2099 45.08 Water Line 224-00000-425603 1005 83.50 Water Line- Each additional 100 feet or portion of 224-00000-425603 1005 21.00 Water closet 224-00000-425603 1005 63.00 Water heater 224-00000-425603 1005 21.00 TOTAL DUE: 1,054.76 j_ PAYMENT TYPE ___PAYOR_ CASHIER:CCARPENTErs_ COMMENTS : ^ - AMOUNT PAID Check IC/ICI-IV-TYRE CONSTRUCTION INC- 1,054.76 1009 TOTAL PAID: 1,054.76 • •