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Home My WebLink AboutPermit Building 2007-10-8 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01232 ISSUED: 09/19/2007 APPLIED: 08121/2007 EXPIRES: 04/05/2008 VALUE: $ 200,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 S 59TH ST ASSESSOR'S PARCEL NO.: 1702343201001 Springfield TYPE OF WORK: Interior TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: TI of existing dental office Owner: MCKENZIE DENTAL CENTER INC Address: 110 SOUTH 59TH STREET SPRINGFIELD OR 97478 Phone Number: 541-747-8030 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Medical Gas Plumbing Contractor License Expiration Date TEAM MASTERS CONSTRUCTION LLC 165274 12/29/2008 J K GUCKENBERGER ELECTRIC INC 45129 04/24/2008 OREGON CASCADE PLUMBING & HEATIN127 _'1oU~Wf 11/28/2008 OREGON CASCADE PLUMBING & HTG~~ 0(\ \)~ 0(<<\ 11/25/2008 OREGON CASCADE PLUMBIN~~~ ~(lJ.~~~teS~~t\l\'\. 11/25/2008 D - I)l.....r ~W":~e;V1 ~e tu'~ ~\O~ . ~ ce 00,\0 n\e'- \fIJ,e"l:..~~ \0 ~\,itay.\'it~r 10~ oOJe'l ~e ~~ Lot Size: ~~ o~i~ftf\~~~ ~ ~\\~\. Sq Ft 1st Floor: ~OO9l)l~;t1 ~i-()(e~ Sq Ft 2nd Floor: ~~ ~ \t '\ Sq Ft Basement: . Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 503-407-0792 541- 7 46-4656 503-588-0355 503-588-0355 503-588-0355 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: Total: # Street Trees Rqd: Hg~ped: Paved Drive Rqd: ~ % of Lot Coverage: 'fP\y-,:'t. f ~~ \~ t\"t\C~. fl ~'1\~\.~ 'f\\\~ \'~~(.~ tO~ \~~ -IA \" ,\,,\~L\\ ""\VO"V PUBLIC IMPR - EN' U\~ \~ ,,-Or'" ~~ ~~t.~Ct.~ ~_ Type: C~'i '\~~ t)~ Downspouts/Drains: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: Pae:e 1 of3 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01232 ISSUED: 09/19/2007 APPLIED: 08/21/2007 EXPIRES: 04/05/2008 VALUE: $ 200,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 200,000.00 Value Date Calculated Total Value of Project $200,000.00 $200,000.00 08/21/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $637.55 8/20/07 1200700000000001070 + 10% Administrative Fee $10.80 9/12/07 2200700000000001440 + 5% Technology Fee $5.40 9/12/07 2200700000000001440 + 8% State Surcharge $8.64 9/12/07 2200700000000001440 Add, Alter, Extend Circ $48.00 9/12/07 2200700000000001440 Add, Alter, Extend Circ Ea Add $60.00 9/12/07 2200700000000001440 + 10% Administrative Fee $114.08 9/19/07 1200700000000001214 + 5% Technology Fee $57.04 9/19/07 1200700000000001214 + 8% State Surcharge $91.27 9/19/07 1200700000000001214 Building Permit $980.84 9/19/07 1200700000000001214 Fixture $160.00 9/19/07 1200700000000001214 + 10% Administrative Fee $42.10 10/8/07 1200700000000001279 + 5% Technology Fee $23.55 10/8/07 1200700000000001279 + 8% State Surcharge $33.68 10/8/07 1200700000000001279 Medical Gas Base Fee $241.00 10/8/07 1200700000000001279 Medical Gas Each Inlet/Outlet $180.00 10/8/07 1200700000000001279 Medical Gas Plan Review $50.00 10/8/07 1200700000000001279 Total Amount Paid $2,743.95 Fire Department Review 08/28/2007 Fire Department Review 10/04/2007 Initial Review Medical Gas Plan Review 08/2212007 10/0512007 Medical Gas Plan Review 10/04/2007 Plan Review Comments Planninl! Review 08/28/2007 I Plan Reviews I 09/1912007 OK MF See attached Fire Department Plan Review. MF 10/0412007 OK GRG See attached comments for Fire Department Plans Review comment5 for the medical gas submittal. 08/22/2007 APP LLH 10/05/2007 APP SKG Dental Air, Dental Vacuum, Level 3 Nitrous Oxide, Level 3 Oxygen 10/04/2007 WE SKG Need engineered signed plans, also fire's review 09/17/2007 10 JMP WI. Received responses from Rick Chavez. 08/28/2007 APP EMM Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01232 ISSUED: 09/19/2007 APPLIED: 08/21/2007 EXPIRES: 04/05/2008 VALUE: $ 200,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 08/28/2007 08/28/2007 APP JHJ Attached SDC Worksheet. No New SDC's. (JHJ) Received 8/28/2007 with 4 applications and a heavy backlog. See attached documents for 7 structural comments faxed to Harvey Snair. Received final internal approval. See JMP's attached documents for Item 3 requesting the energy code forms and information. No energy code issues or inspections. Structural Review 08/22/2007 09/14/2007 WE JMP Structural Review SUB Review 09/19/2007 08/28/2007 09/19/2007 09/14/2007 APP WE JMP DH SUB Review 09/17/2007 09/17/2007 APP DH 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. Reauired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. 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 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 permitcard islo~..ated at the front of the property, and the approved set of plans will remain on the site at all time;j;dUring. c DStrUcti~n '- _ fi / / l/t~~ \D/8/0, , . I . Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1232 COM2007-01232 COM2007-01232 COM2007-01232 COM2007-01232 COM2007-01232 Payments: Type of Payment Check cReceintl RECEIPT #: ( '1 City of Springfield Official Receipt Development Services Department !Public Works Department 1200700000000001279 Date: ~0/08/2007 Description Medical Gas Base Fee Medical Gas Each Inlet/Outlet Medical Gas Plan Review + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OREGON CASCADE PLUMBING Received By djb Page I of 1 Item Total: Check Number Authorization Batch Number Number How Received I 36635 I In Person \ . Pa'yment Total: I I I I ! I \ I 8:52:33AM Amount Due 24 1.00 180.00 50.00 23.55 33.68 42.10 $570.33 Amount Paid $570.33 $570.33 10/8/2007