HomeMy WebLinkAboutPermit Building 2007-10-12
Status
Issued
CITY; OF SPRINGFIELD
I
Building/Cdmbination Permit
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 0,7/24/2007
EXPIRES: 04/12/2008
VALUE: $ 180,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 123 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703154001100
Springfield
TYPE OF WORK: Interior
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Sector F Mens and Womens restrooms
Owner: PEACEHEAL TH
Address: 123 INTERNA TIONAL WAY
SPRINGFIELD OR 97477
Phone Number: 541-686-3828
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
JOHN HYLAND CONSTRUCTION INC 46071
OREGON ELECTRIC CONSTRUCTION INC 203
FM SHEET METAL INC 89710
TWIN RIVERS PLUMBING INC 17695
BUILDING INFORMATION I
Expiration Date
07/11/2008
07/01/2008
03/15/2009
03/11/2008
Phone
541-726-8081
503-234-9900
541- 726-3000
541-688-1444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
I DEVELOPMENT INFORMATION'
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:
Notes:
. I PUBLIC IMPROVEMENTS I
Street ImproArl~TrON: Oregon law requires you to
.fol ow rules adopted by the Oregon Utility
Storm Sew~Ot~ Center. Those rules are set forth
Special InsttwO~:g52-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Sidewalk Type:
NOTICE: Downspouts/Drains:
THIS PERMIT SHALL EXPIRE-IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!e 1 of 4
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
Plan Review Comm/Ind/Public
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
MinimumlAdjustment Mechanical
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 07/24/2007
EXPIRES: 04/12/2008
VALUE: $ 180,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
180,000.00
07/24/2007
Value
Date Calculated
Total Value of Project
$180,000.00
$180,000.00
~
Amount Paid
Date Paid
Receipt Number
$591.01
$40.00
$118.32
$59.16
$94.66
$909.24
$224.00
$50.00
$363.70
$836.57
$1,100.17
$96.84
$13.00
$6.50
$10.40
$48.00
$32.00
$50.00
7/24/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
10/12/07
10/12/07
10/12/07
10/12/07
10/12/07
10/12/07
1200700000000000955
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
2200700000000001581
2200700000000001581
2200700000000001581
2200700000000001581
2200700000000001581
2200700000000001581
$4,643.57
I Plan Reviews I
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 07/24/2007
EXPIRES: 04/12/2008
VALUE: $ 180,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
08/0212007
08/02/2007
OK
GRG
Plans Review: Remodel of former
break room on 1st floor to enlarged
restrooms. Job #COM2007-01093.
Occupancy Classification: B.
Construction Type: II-B
sprinklered. 760 sq. ft.
1. Provide fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher's) shall be
between 3 and 5 feet above finished
floor (2007 Springfield Fire Code
906).
2. If more than 20 sprinkler heads
are added or require relocation,
submit sprinkler plans and
calculations to the City of
Springfield Development Services
Division Building Permit Technician
for Springfield Fire Marshal's OffiCE
review and approval. If less than 20
sprinkler heads are relocated,
provided submittal showing
relocation of sprinkler heads and
ensure system maintains compliance
with NFPA 13 requirements.
3. Fire alarm system changes and
relocations shown on Plans Sheets
E4.1 and E4.2. Additional devices
appear to be required for Areas B
and C to meet NFP A 72 standards.
Subcontractor shall contact Deputy
Fire Marshal Gilbert Gordon,
541-726-2293 for testing and
approval.
Initial Review
Public Works Review
Structural Review
07/26/2007
08/0112007
07/26/2007
07/26/2007
08/01/2007
08/1 012007
APP
APP
APP
LLH
JHJ
DJP
Attached SDC Worksheet. (JHJ)
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.
Pal!e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 07/24/2007
EXPIRES: 04/12/2008
VALUE: $ 180,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
1 ReQuired Insoections I
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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 4 of 4
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:d.helgen@oregon-electric.com
Receipt # EC518559
10/12/200710:35:57 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[K] Addition/alteration/replacement
D 1 or 2 family dwelling
D Multi-family
[i] Commercial/Industrial
1,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential.(with above sq. ft.) . ,
1[~!~!~!i~ilall~~~~:~m~~'~!J~~~W,t~~iji'i2i~~i~l~~~!~~~~~:~,~~~S,!;~i~~;
200 amps or less
20 I amps to 400 amps
401 amps to 599 amps
I Job no.: 45436
I City/State/ZIP: SPRINGFIELD, OR 97477-1047
1 Suite/bldg.lapt.no.:
I Project name: Facilities Restroom Remod
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1703154001100
1 Lot no.:
200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
Restroom Remodel, Faciliteis Sector F
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
each add I branch circuit
$48.00
$4800
I Name: Stacy Broux
I Phone: (541) 507-8626
Email:
$3200
I Fax: 507-8626
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighti~ ~ O't..
Signal circuit ;..
~~
a>
f766
CD =0 -"
~
lEI. lic. no.: 26-95C 1 CCB lie. no.: 203
I Business Name: OREGON ELECTRIC CONSTRUCTION INC
I Contact: Sondra Brown
IAddress: 10lOSE IITHAVE
I City/State/ZIP: PORTLAND OR 97214-2507
[Phone: (541)7470811 I Fax: (541)7470852
I Email: s.brown@oregon-electric.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 3006S
I Supervising electrician's name: GARY LEE PEOPLES
--- 'ti)
Subtotal ~OO II 3D
State Surcharge (8% of penn it fee) $10.80 I
City Of Springfield fees' $20.25 V
. TOTAL PERMIT FEE $~ll'c... 9
· City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee :/r:;..-"
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001581
Date: 10/12/2007
12:08:22PM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
48.00
32.00
50.00
6.50
10040
13.00
$159.90
Job/Journal Number
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-0 I 093
COM2007-01093
COM2007-01093
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE OREGON Online
ELECTRIC
CONSTRU
CTlON INC
Payment Total:
$159.90
$159.90
cReceintl
Page I of I
10/12/2007