HomeMy WebLinkAboutOccupancy Temporary 2007-10-29
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TEMPORARY CERTIFICATE OF OCCUPANCY
OWNER OF BUILDING:
Owners Mailing Address:
DESCRIPTION OF PROJECT:
CITY OF SPRINGFIELD
Community Services Division
Building Safety
WOMENS CA~ PROPERTIES LLc
598 E 13TH AVE EUGENE OR 97401
Medical Office
OCCUPANCY GROUP:
B
CONSTRUCTION TYPE: VA
This Certificate granting Temporary Occupancy is issued pursuant to the requirements of Section 308 (d) of the Springfield Building Safety Codes
Administrative Code for the structure located at 3100 Martin Luther King Jr Pkwy , City Job Number COM2007-00068.
This Temporary Occupancy is valid for thirty (30) days. All items specified below must be completed within this time period. If these items are not completed,
inspected and approved within this time period, the Temporary Occupancy will be revoked and the building shall be vacated immediately.
Conditions for Use:
Provide final inspections for all trades per letter from Clair dated 10/25/07
Provide fire final
Provide Sub final
Provide Planning final
This TemDorarv Certificate of Occuoancv Exoires
On
By: ~~ l, ~ )~ Date Issued: lM1l.-01
BUilding!r~~/l~
This Temporary Certificate of Occupancy shall be post~~~onspicuous pQe on the premises and shall not be removed except by the Building Official or his
designee. This Certificate is valid for no longer than 30 days from the date of issuance.
David J. Puent, Building Official
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NVV
Cregor, ~)733C
tf 800.3B3J3fJS5 ph 54 L75u.1302 fx 54 L7~13,2264
www.claircompanv.com
October 26, 2007
City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
Attention: Dave Puent, Building Official
Subject: Recommendation for Temporary Certificate of Occupancy
Project: Women's Care Physicians and Surgeons
3100 Martin Luther King Jr.
CLAIR Project No.: 1141-024-1
Building Permit No.: COM2007-00068
Clair Company, Inc. (CLAIR) has provided 3rd party plan review and inspection services for the Women's Care
Physicians and Surgeons Project on behalf of the City of Springfield (City). CLAIR recommends issuance of a
Temporary Certificate of Occupancy for a period of thirty (30) days.
Inspections conducted on October 25,2007 for Temporary Certificate of Occupancy have been attached and have items
requiring correction. Additionally, plan review comments issued February 2, 2007, by CLAIR, along with any
conditions set forth by other City departments, will need to be resolved prior to issuance of Final Certificate of
Occupancy.
If you have any questions or need clarifications regarding the information we have provided or requested, please do not
hesitate to contact our office at (541) 758-1302 or by email ataclair@claircomoanv.com.
Sincerely,
dlttlL-
Allan Clair, CRO.
Project Manager
Cc:
Karen Rutan, Women's Care Properties, LLC
Thomas Grogan, The Haskell Company
Bill Kilgannon, The Haskell Company
Gilbert Gordon, City of Springfield Fire Department
Al Gerard, City of Springfield Fire Department
CLAIR Project File #1141-024-1
Attached:
# I - Electrical Inspection Report dated 10/25/07
#2 - Mechanical Inspection Report dated 10/25/07
#3 - Plumbing Inspection Report dated 10/25/07
#4 - Building Inspection Report dated 10/25/07
. Page#: One ( of: " STRUCTURAL INSPECTION Fwd. Reference #: B-
. REQUEST AND REPORT FORM REPORT #: B- ,7] / 8
La I r wO{Y\.0Y\.$ c.o..-VQ....." Back Reference#: B-
. Print clearly. Use one form for each inspection. Date Closed:
525 NW Second Street, Corvallis, Oregon 97330 SHMC phone: (541) 741-3085 fax: (541) 741-7917
tfBOO.383;8855 ph 541.758.1302 fx 541.753.2264 www.c1aircompany.com Tom DeFever (541) 230-0308
Permit Holder: The Haskell Company Project #: 41417301
ISite Address: 3100 Martin Luther King Jr. Parkway Springfield, Or. Permit #: COM-2007-00068
I Contact: Morris Daniel Site Phone: 541-988-5090 / 904-545-1330 Jurisdiction: Springfield
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Date: 10/24/07 "REQUEST A: Final Building Inspection at or before: 1:00PM
Mon_Tue---.:....Wed_Thurs_X_Fri_ I Date: 10/25/07 . Building: 1 'IFloor: 1
Description: Final for Temporary Certificate of Occupancy System:
Location/Rm#: Gridline: Ito Gridline:
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Pkg: _ Vol_ of _ Shea": Grid: and/or Pkg: _ Vol._ of _ Sh~~t: Grid:
INSPECTION RESULTS: The followina conditions are to be corrected and subiect to reinsoection unless conditionallv'aD'Draved. OK,II
Check or "Y" = Affirmativeflncluded "X" or "N" = Negative/not included NfA = Not Applicable - NOJo<
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OFFICE COPY
CONTRACTOR'S COPY
TURNER'S COPY
lINSPECTOR'S COpy
0010 Site Insoectionl
0011 _ErosiQr:!!Gr~c:fina Inspection
0015 Footina
0017 Foundation
~Slab
0021 Post and Beam
0023~Floor Insulation
0025 Fireplar;~
..QQlZ Shear Wall Nailin
0029IFrjll11in(lln~~~r.t,i.s2.r'
RCSISIR&Rl1'1/03105
IN PROGRESS: No decision given. Date: 1 / Signature:
Ai FAIL - DO NOT COVER! Date: /0 / zJ7 tJ7 Signature: eI~~(/ //<--
CONDITIONAL APPROVAL: Date: / 1 Signature:
(PASS Proceed with work. Date: / / Signature:
NOTICE: STRUCTURAL CORRECTIONS: Corrections are required to completed within 20 calendar days unless other
arranqements are made with the inspector. OAR 918-271-0030 OAR 918-785-0230
0031 Wall Insulation -+ 0071 Hold Downs Installed -+
0033 Ceilina Insulation -+ 0073 Eooxv Anchors -+
0035. Roofina -+ 0075 Hiah Strenl?~h Bolt,in'1 -+
~.!m Drvw~ll -+_ _ ..JWZZ Structural Weld~ -+
0040 Masonrv -+ 0079 Structural Masonrv ~
Firewall -+ S ra ed On Fireoroofina
0055 Lath/Plaster -+ 01 fio Soecial.~tructural -+
0057 Reinforced Gvosum Concrete _' 011~ InsulationVaoor Barri~r -+
Pilin Drilled Piers/Caission .JlllQ Rouah Gradina far Pavina
0061 Bolts Installed in Concrete 0134~Final Pavino -+
0063lStructural Concrete -+ i 0184lFence -+ J
Roof Sheath in lNailin -+ ....,t::~~;~ection -+ ,
7 Glu.Lam Beams ~ Final Buildina ) ~ ^-
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Page#: One' of:
Fwd. Reference #: E- q
ELECTRICAL . INSPECTION
REQUEST AND REPORT FORM REPORT #: E- "B''? 0 1- "
W Qm..t.V\.s ~VL Back Reference#: E-
. Pril')t c1early.Ul,c on~ ,~.... IVI "'dIJ'\ inspection. Date Closed:
525 NW Second Street, Corvallis, Oregon 97330 SHMC phone: (541) 741-3085 fax: (541) 741-7917
If 800.383.8855 ph 541.758.1302 fx 541.753.2264 www.claircompany.com Dick Sellers (541) 230-0303
Permit Holder: The Haskell Com pany Project #: 41417301
Site Address: 3100 Martin Luther King Jr. Parkway Springfield, Or. Permit #: COM-2007-00068
Contact: Morris Daniel Site Phone: 541-988-5090 / 904-545-1330 Jurisdiction: Springfield
Date: 10/24/07 It REQUEST A: Final Electrical Inspection at or before: 1 :OOPM
.Mon_Tue_Wed_Thurs_X_Fri_ I Date: 10/25/07 Building: 1 I Floor: 1
Description: Final for Temporary Certificate of Occupancy System: Electrical
Location/Rm#: Gridline: I to Gridline:
Pkg: _ VoJ _ of "'- Sheet: Grid: 'and/or Pkg: _ Vol. _ of _ Sheet: Grid:
FftlL - DO NOT COVERI Date: / / . Signature:
V CONDITIONAL APPROVAL: Date: IfJ /.:J 'fI l7' 7 Signature: ~ (b 1\/JJr~
PASS Proceed with work. Date: / / Signature:
. NOTICE: ELECTRICAL CORRECTIONS: Corrections are required to completed within 20 calendar days unless other'
arranqements are made with the inspector. OAR 918-271-0030 OAR 918-785-0230
. OFFICE COpy : 0415 IVerify Ufer Ground -. 0475- Ceiling Grid
CONTRACTOR'S COPY 0420 Underground Electric -. 0480 Exterior Lighting
'TURNER'S COPY II 0422 Underslab Electric -. 0482 Electrical Special
INSPECTOR'S COPY ~ I 0424 Rouj:Jh Electric -. . 0486. Pedestal
0490 Other: . I I 0440 IElectric Service -. ~ 0492lSign Electrical
0410 tTemporarv Service -. J I 0448 .Low Volta!:)e -. I 04991 Final Electric
RCS/EIR&Rl11/03/05
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INSPECTION RESULTS: The followino conditions are to be corrected and subiect to reinsoection unless coriditionallvaooroved.
'Check or "Y" = Affirmative/lncluded "X' or "N" = Negative/not included . N/A = Not Applicable NUMBER ALL COMENTS/
Life Safety Ckts. Is installation ready for inspection per OESC 080.019 (F) (1)?
CriticalCkts . T~/~rw-~'C.lf I~A-p f/"Itt~n. .
EquipmentCkts.. ~~tW"~ t:{I>J't4J r5ilfJd-rlc.~.-( '~., ~dc.1J~ .~
INormal Ckts. ItO.Ir-.~ (' l) r::"-1l9!J.T sf r3ld'( !::f,~'=-~- L.X.J::Z..1--r:..1.:)&J ~
IGen. Li!=!hting -W-' f'p 1V. . A..!. 7~ I ~ 0..4 pi.. (j , ).1-~ ~ A'\ I ~ f.?
INurse Call, b l:'~;t. 9-e.-e. 6e..}e~
I Fire Alarm
/PubAddress I ~~ p!:-pe ~ Ie., 12.e..(({Jl}{ r-e. Il) to
IL.V. Lt!=!. CtrLI A~ :~ - Arf- ~S/) .. t..!liI (13) ~4n~j
I Data Sys. I ,\ T ~ e e ~1fl.o\." r.l-t- C. ~-mH": hi A.X:: r f:J A.J. t:JOr fr'J r ,-:=f)r -/::J. ~ (U rLIJ/ ~
ITelephone I,? ll~iLl /.n ~AH)r(:I~ f-.ttL P\rl~f "~dhl b~ f2-f.C-rv\/.Jk:J +()
IRad. / MRI I :')C'r-Mi J;r, tkc. bb-JJt'>fI.\6- (ltt.L{7ac.."
ISmoke Dmpr I -
I Heat Cable I
Ipneum. Tubel
MedGasAlm I
IOther (List) I
IN PROGRESS: No decision given. Date: / Signature:
OK
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Page#: One of:
Lair
MECHANICAL INSPECTION
REQUEST AND REPORT FORM
W l)(Vl eJ'\S Q,:a..,y'CC
Fwd. Reference #:.M-
REPORT #: M- f? 3 I 7
Back Reference #: M-
Print clearly. Use one form for each inspection. Date Closed: 1
525 NW Second Street, Corvallis, Oregon 97330 SHMC phone: (541) 741-3085 fax: (541) 741-79171
.tf 800.383.8855 ph 541.758.1302 fx 541.753.2264 www.c1aircompany.com Tom DeFever (541) 230-03081
Permit Holder: The Haskell Company Project#: 41417301
Site Address: 3100 Martin Luther King Jr. Parkway Springfield, Or. Permit #: COM-2007-00068
Contact: Morris Daniel Site Phone: 541-988-5090/904-545-1330 Jurisdiction: Springfield
,Date: 10/24/07 "REQUEST A: Final Mechanical' Inspection at or before: 1:00PM
Mon_Tue_Wed_Thurs_X_Fri_ I Date: 10/25/07 Building: 1 IFloor: 1
Description: Final for Temporary Certificate of Occupancy . System: Mechanical
Location/Rm#: I Gridline: Ito Gridline:
Pkg: _ Vol _ of _ Sheet: Grid: and/or Pkg: _ Vol.- _ of _ Sheet: Grid:
INSPECTION RESULTS: The followino conditions are to be corrected and subiect to reinsoection unlessconditionallv aooroved.
Check or "Y" ;: Affjrmalive/lncluded "X" or "N" ;: Negative/not included N/A ;: Not Applicable
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IIN PROGRESS: No decision given. Date: /
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FAIL - DO NOT COVER! Date:' / /
)0 CONDITIONAL APPROVAL: Date: /fJ /2 rt () 7 Signature: jJ c;;:x/M.f' $--..
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PASS Proceed with work. Date:. / / Sign<;lture:
NOTICE: MECHANICAL CORRECTIONS: Corrections are required to completed within 20 calendar days unless other
arranqements are made with the inspector. OAR 918-271-0030 OAR 918-785-0230
'OFFICE COPY . 0305~Underfloor Mechanical -.. 0350 Preliminary Inspection -..'
. 'CONTRACTOR'S COpy 0306Underslab Mechanical -.. 0380 Freestanding Pellet Stove
TURNER'S COPY 0307 Underfloor Gas -. ~ 0394 Complaint. Mechanical -..
INSPECTOR'S COpy 0310!ROU9h Gas -+ ~ 0397 Progressive Inspection -.. ,
0302 Underground Gas -.. -I 0315 Gas Service -..': 0398 Final Gas -..
0303 UnderslabGas -.. ~ 0320 Rouqh Mechanical -.. I 0399 Final Mechanical -..'X f .
RCS/MIR&Rl11/03/05
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Signature:
Signature:
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L c,:. r HOsDital/OHVI Dermit Back Reference #: P- ~'~oC1
Print clearly. Use one form for each inspection.. Date Closed: . t'O/~/o 7
525 NW Second Street, Corvallis, Oregon 97330 SHMC phone: (541) 741-3085 fax: (541) 741-7917
If 800.383.8855 ph 541.758.1302 fx 541.753.2264 www.claircompany.com Rich Miller (541) 501-8095,
Permit Holder:t.iA~~~ c;.c,M~.....j Project#: +/kI'13.0l .
ISite Address: ~160 NW<':ntJ Ltl~er<.. ~iN-&,'~.PM<.KW)"'1 Permit#: L.DM '2.C101"oO~;)
I Contact: ~.~-:.? D~teL, Site Phone: ?"41.-tfi?P.>"'~"'O Jurisdiction: Springfield
, Date: 10 1 t.~ 1171 II REQUEST A: (type) Inspection at or before: AM/PM
Moh_Tue_Wed_Thurs_Fri)( IOate:/61'lE167 Building: I Floor:
Descriptio'n: J:::1/0M...... ~1fJ6., 16J6'~511.Dk11<EfP~ System:
Location/Rm#: \ilJl)Jv~!;; C~~ . Gridline: Ito Gridline:
Pkg: _ Vol _ of _ Sheet: _ Grid: _ and/or Pkg: _ Vol.. _ of _ Sheet: . Grid:
INSPECTION RESULTS: The followino conditions are to be corrected and subiect to reins.:Jection unless conditionallv aooroved.
. Check or "Y" :: Affirmative/Included "X" or "N" :: Negative/not included N/A:: Not Applicable
PLUMBING INSPECTION
R1=QUEST AND REPORT FORM
Fwd. Reference #: P-
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fPage#:. One ')f: /
REPORT #: P- 8>310
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.6A6tro-dN C,(JMPL6-n:t:J7J'/J~ "7l!rM #:t-tPlJ }(.!f5R)/Z'li!5276Ct" I <9k.
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OFFICE COPY
CONTRACTORS COpy
TURNER'S COPY
INSPECTOR'S COpy
0207 Underslab Plumbing
0210 U.nderground Plumbing
0212 Underfloor Plumbing
RCS/PIR&R111/03/05
IN PROGRESS: No decision given. Date: / Signature:
FAIL - DO NOT COVERI Date:'1 / Signature: . ;'7, ;- f) 1
~ CONDITIONAL APPROVAL: Oate: b-u?l p7 Signature: C\~~~~-"
I IPASS Proceed with work. Date: I . I Signature: ( I ~ .
NOTICE: PLUMBING CORRECTIONS: Corrections are required to completed within 20 calendar days unless other
arrangements are made with the inspector. OAR 918-785-0200 (4)
0216 Rough Plumbing -. - 0270 Special-Plumbing -.
0218 Shower Pan -. 0278 Underslab Medical Gas -.
0220 Water Line -. 0280 Underground Medical Gas
0226 Sanitary Sewer Line "'+ 02841Rough Medical Gas' -.
0230 Storm Sewer Line -. 02891 Final Medical Gas -.
0250 Backflow Device -+0290lProgresiive Inspection -. . ..
0252 Grease Trap -+' j 02991Final Plumbing -. y:
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J . PLUMBING INSPECTION
REQUEST AN~P~T/~ORM
LiliM~""~Cg'" "rM.'t l~
Fwd. Reference #: P- g.3 to .
REPORT #: p.' @'36Q'
Back Reference #: P.-
Page#: One of: I
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02071
02101
I 0212~
RCS/PIR&Rl11/03/05
Print clearly. Use one form for each inspection. . Date Closed:
1525 NW Second Street, Corvallis, Oregon 97330 SHMC phone: (541) 741-3085 fax: (541) 741-7917
tf 800.383.8855 ph 541.758.1302 fx 541.753.2264 Www.c1aircompany.com Rich Miller (541) 501-809~
Permit Holder: The Haskell Company Project#: 41417301
Site A~dress; 3100 Martin Luther King Jr. Parkway Springfield, Dr., Permit #: COM-2007-o6068
Contact:. Morris Daniel Site Phone: 541-988-5090 / 904-545-1330 Jurisdiction: _~pringfield
Date: . 10/24/07 . I REQUEST A: Final Plumbin Inspection at or before: 1:00PM
Mon_,.",_ Tue Wed Thurs X Fri Date: 10/25/07 Building: 1 IFloor: 1
Description: Final for Temporary Certificate of Occupancy System: Plumbin~ .
Locati(>n/R~#: . WOM~S ~ t!.C'""1....ITf!51<. Gridline:. I to Gridline:
Pkg: - Vol_ of. _ Sheet:. .' Grid: and/or Pkg: -'- Vol. _ of -.,; Sheet: Grid:
INSPECTION RESULTS: The followinq conditions are to be corrected and subject to re;nsoection unless conditionally approved.
. Check or "Y" = Affirmativp.llncluded "X' or "N" = Negative/not included N/A = Not Applicable
1'f'RPVlI6t!6f';:;-::;pr D4CKFlRW~ H'eJi? ~t::iGT~1l
1S-6C7/~AJ'~&o; '0;:3 pfJ.:5C
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IN PROGRESS: No decision given. Date: / / Signature: /
FAIL - DO NOT COVER! Date: / / Signature:
viCONDITIONAL APPROVAL: Date: IV/ Q5/67 Signature:
'PASS Proceed with work. Date: / i Signature: (
N9T1CE: PLUMBING CORRECTIONS: Corrections are required to completed within 20 calendar days unless other
. / arrangements are made with the inspector. OAR 918-785-0200 (4)
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OFFICE COpy 0216 Rough Plumbing -+ .0270 Special.Plumbing
CONTRACTORS COpy 0218 Shower Pan -+ 0278 Underslab Medica
TURNER'S COpy 0220 Water Line -+ 0280 Underground Med
INSPECTOR'S COpy 0226 Sanitary Sewer Line -+ 0284 Rough Medical G
Underslab Plumbing -+ 0230 Storm Sewer Line -+ 0289 Final Medical Gas
Underground Plumbing -+ 0250 Backflow Device . -+ 0290 Progresiivelnspe
Underfloor Plumbing -+ 0252 Grease Trap -+ , 0299 Final Plumbing
ction -+
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SUPPLEMENTAL INSPECTION
REQUEST AND REPORT FORM
REPORT#: f!3 ?;ty:::j
www.claircompany.com
I SHMC phone:(541) 741-3805 fax: (541) 741-7917
..@ i%UIJi.67l5 /M6,7;il-LL-A-"ffi9AJ t)P'.<r~//.( /~I U~JfJ;>'iA-5~C<J (!1J~f;6P~
Print clearly.
525 NW Second Street, Corvallis, Oregon 97330
If 800.383.8855 ph 541.758.1302 fx 541.753.2264
Lair
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Date: