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Home My WebLink AboutPermit Building 2007-12-19 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO. COM2007-0I679 ISSUED: 12/19/2007 APPLIED. 11/14/2007 EXPIRES: 06/19/2008 VALUE: $ 124,64400 225 Fifth Street, Sprmglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 123 INTERNATIONAL WAY ASSESSOR'S PARCEL NO 1703154001101 SPRINGFIETYPE OF WORK Commercial Miscellaneous TYPE OF USE AlteratIOn Commercial PROJECT DESCRIPTION Cardhoard processmg area Owner PEACE HEAL TH Address 123 INTERNATIONAL WAY SPRINGFIELD OR 97477 Phone Number 541-686-3828 I CONTRACTOR INFORMATION I Contractor Type Arch,tect General Electncal Mechamcal Contractor License ANDERSON DABROWSKI ARCHITECTS JOHN HYLAND CONSTRUCTION INC 46071 OREGON ELECTRIC CONSTRUCTION INC 203 FM SHEET METAL INC 89710 ExpiratIOn Date 07/11/2008 07/01/2008 03/15/2009 Phone 503-239- 73 77 541-726-8081 503-234-9900 541-726-3000 I BUILDING INFORMATION I # nfUmts # nf~~\ Pnmary Occupancy Group B eo:l~~ iVfture Secondary Occupancy Group Ofl \~' e a;~ ~1R~j'\- Pnmary ConstructIOn Type . ()lfB ~ '0'1 \'\\), ~ ~e!i> '0'1 Secondary ConstructIOn DJ/tfI,O~'e009\e: ~ose !)Q,'f/. !\~Q9P~fl0 # of Bedrooms ..~;;~\e. cefl\0" \0\'(\'0 9\1Jin~ I\lI\li,i'ffi~\lOfl \Q\' ~r:~.\Ofl J:fJ\~~\fI CO ~e'ir>'I'ilj'itdb~lldmg nla \'~~~ -r'l; \..110" _ I~O l;.\d~._;,''\ ~~. '(0"~0 ce(\\~wml:N'T INFORMATION , Q\J~\\flQ, \0' \'(\0 ~ \-. ~\)~fI. cefl\0' 2 Lol SIZe Sq Ft 1st Floor Sq Ft2nd Floor Sq Ft Basement Sq FI GaragelCarport Sq Ft Olher Occupant Load 10 Froniyard Setback Side I Setback Side 2 Setbdck Rearyard Setback Solar Setbacks Overlay Dlsl # St. eet Trees Rqd P dved Dllve Rqd % 01 Lot Coverage REQUIRED PARKING Total Handicapped Compdct Slreellmprovements Slorm Sewer AvaIlable SpecmllnstructlOo I PUBLIC IMPROVEMENTS I .t ~~~" Sldewalk.;l'\'PK. c. ~~\ ~~~1 \'<> ~()"C~:. ~~ CO~~~~ \~\~\)\)~t.\) ~~ \~\S ?~~\'Lt.\) U~~ \S p.'O~ P.U\~ x.~Ct.\) t.~\O\)' C~~~ ~ \)~ ? p.~'l \'0 Notes Paee I of 4 ~iik"~ Status Issued 225 Flflh Slreet, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescriptIOn Estimate Tvpe of ConstrnctlOn Estimate Fee DescriptIOn Plan Review Comm/lnd/Pnbhc -Mech Iss 2+ Apphances- + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcharge AIr Handlmg UOIt Up to 10,000 BUlldmg Permit FlXtu re MIOImum/Adjustmenl Plumbmg Thermal Unit Total Amounl PaId Plannme Review 11114/2007 IDltIal ReView Plan ReVieW Comments 11/1412007 11/14/2007 Plan ReView Comments 11114/2007 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO ISSUED' APPLIED EXPIRES: VALUE COM2007-0I679 12/19/2007 11/14/2007 06/19/2008 $ 124,644 00 I, VaJuatlOn DescrmlJon I $ Per Sq Ft or multlpher $100 Square Footage or Bid Amounl 124,644 00 Value Ddle Cdlculaled Total Value of Project $124,644 00 $124,644 00 11/1412007 !?pp<, pqjQJ Amount Pdld Date Paid Receipt Number $463 02 $40 00 $7713 $38 57 $6171 $900 $712 34 $32 00 $1800 $13000 11/14/07 12/19/07 12/19/07 12/19/07 12/19/07 12/19/07 12/19/07 12119/07 12/19/07 12/19/07 1200700000000001400 1200700000000001510 1200700000000001510 1200700000000001510 1200700000000001510 1200700000000001510 1200700000000001510 1200700000000001510 1200700000000001510 1200700000000001510 $1,581 77 Plan ReViews I WE Letter sent regarding pharmdceutlcal dOSing, dlspenslUg and stOJ dge machmes See dllached documents 11/14/2007 11/14/2007 APP LLH 10 LLH Called Phllhp Farrington to request 41h sel of drawmgs and energy forms for Sprmgfield UtIhty Board He Sdld he would get them to us right away ReceIved vOice mall from Beth at Anderson Dabrawskl Archllects a~klDg which energy forms were needed I phoned her back and left a message that any hghtmg and/or mechaOlcal forms If changes or addItions, If nol, just check the "box" not applicable dud send to me and I WIll forward to Springfield UtilIty Boa. d 11/14/2007 10 LLH P dee 2 01 4 CITY OF SPRINGFIELD C Building/Combination Permit Status Issued PERMIT NO' COM2007-01679 225 FIfth Street, Spl IDgfield, OR ISSUED: 12/19/2007 541-726-3753 Phone APPLIED, 11/1412007 541-726-3676 Fax EXPIRES, 06/19/2008 541-726-3769 Inspechon LIDe VALUE: $ 124,644 00 Imhal RevIew 11 /20/2007 11/20/2007 10 LLH Received enel gy forms to send 10 SUB, hut stili waltIDg on addItIOnal sel of drawIDgs 10 forward to SUB I WIll place the energy forms ID Ihe plan tolder unhllhe pldn sel dl rives 10 forward 10 SUB SUB RevIew 11/14/2007 11/26/2007 to LLH Waltmg on forms and additional set of pldns 10 forward 10 SUB ReceIved sel of plans and energy forms to lunvdl d to SUB W,ll forward loday for Ihelr revIew Slruclural RevIew 11/14/2007 11/30/2007 APP LLH RevIewed hy Mlck Nolte allhe BUlldIDg Oeparlmenl for ,lruClurdl review under contract \\ Ith the Clt) 01 SprIDgtield SUB RevIew 11/27/2007 11/30/2007 APP OH See allached documenls for SUB approval Fife Deparlment RevIew 11/14/2007 12/05/2007 OK GRG See alldched documenl fOI Fu e Oeparlmenl Pld", RevlCw comments Planmne: ReView 12/17/2007 12/17/2007 APP EMM Amy ChIDllz from SUB spoke wllh Tracy Scolla from pharmacy Says EqUlpmenl pldns IUeluded Wllh hUlldIDg plans are already eXlSllUg Amy WIll check secondary contdlDment for these machlOes and pamt booth area the next time she does an IRspectlOn on the site PuhlIc Works ReVIew 12/18/2007 12/18/2007 APP JHJ Allached SDC Worksheet No New SDC's (JHJ) To Request an InspectIOn call the 24 hour recording at 726-3769. All Inspections requested before 7:00 a ill Will be made the same working day, InspectIOns requested after 7'00 a m Will be made the follOWIng work day IRp~ Frammg InspectIOn Pnor to cover and after all rough m mspectlOns have been approved Drywall Prior 10 IdplUg Rough PlumhlUg Prior 10 cover and IUcludlUg required lesllUg Rough Mechamcal Prior 10 Cover Paee 3 of 4 -~"~ -... Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-0]679 ISSUED' 12/]9/2007 APPLIED' 1l/14/2007 EXPIRES' 06/19/2008 VALUE' $ 124,644.00 225 F,fth Slreet, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Fmdl MechaDlcdl When all mechaDlcal work IS complete Fmal Plumbmg Wben all plumbmg work IS complete Fmal Bulldmg After dll reqUIred mspecllons have been requested and approved and Ihe bUlldlllg IS complete By sIgnature, I state and agree, Ihall have carefully examllled the completed apphcatlOn and do hereby celtlly thdt all mformatlOn hereon IS true and correct, and I fUl ther celllly Ihat dny dnd all work perlol med shall be done 10 accordance WIth Ibe Ordmances of the C1ly of Spnngfield and the Laws of Ihe State of Oregon pertdmmg to the work descllbed herem, and Ihal NO OCCUPANCY will be made of any slrnclure wlthont permIssIOn of the CommuDlty ServIces DIvIsIOn, BUIld 109 Safel) I further cerllfy that only contractors dnd employees who are 10 comphance WIth ORS 701 005 will be used on thIs project I furlher agree 10 ensure that all reqUIred mspecllOns are requested at the proper tIme, that each address IS readable from the streel, thai the permIt card IS localed at Ihe front of tbe property, and the approved sel 01 plans will remam on the sIte at all 'm"'"~"4 Owner or 'Contractors Signature /2-1/1/0r-- I I Date Paee 4 of4 225 Fifth Strect Sprmgfield, Oregon 97477 541~726-3759 Phone ~ City of Sprmgfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01679 COM2007-01679 COM2007-01679 COM2007-01679 COM2007-01679 COM2007-01679 COM2007-01679 COM2007-0 1679 COM2007-0 1679 Payments Type of Payment CredltCard cRecelOll RECEIPT #, 1200700000000001510 Date' 12/19/2007 DeSCriptIOn Building Permit FIXture MInimum/AdJustment Plumbing Air Handling Unit Up to 10,000 Thermal Unit -Mech Iss 2+ Appliances- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By PROPERTY PLANNING DVPMNT Item Total <":heck Number AuthOrizatIOn Received By Batch Number Number How Received dJb 0 I 0466 In Person Payment Total Page 1 of I 848 ]OAM Amount Due 71234 3200 1800 900 13000 4000 3857 61 71 77 13 $1,11875 Amount Paid $1,11875 $],11875 12/19/2007