HomeMy WebLinkAboutPermit Building 2007-12-19 (2)
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CITY OF SPKll~uFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED-
APPLIED
EXPIRES.
VALUE'
COM2007-01679
12/19/2007
11/14/2007
06/21/2008
$ 124,644.00
225 Fifth Street, Sprmgfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon Lme
SITE ADDRESS 123 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO 1703154001101
SPRINGFIETYPE OF WORK Commercial Miscellaneous
TYPE OF VSE AlteratIOn
Commercldl
PROJECT DESCRIPTION Cardboard processmg area
Owner PEACEHEALTH
Address 123 INTERNATIONAL WAY
SPRINGFIELD OR 97477
Pbone Number 541-686-3828
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electncal
MechdDlcal
Contractor LIcense
ANDERSON DABROWSKI ARCHITECTS
JOHN HYLAND CONSTRUCTION INC 46071
OREGON ELECTRIC CONSTRUCTION INC 203
FM SHEET METAL INC 89710
BUlLDI]'".. mrORMATION I
ExpiratIOn Date
07/11/2008
07/01/2008
03/15/2009
Phone
503-239-7377
541-726-8081
503-234-9900
541 -726-3000
# of Vmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
B
# of Stones
HeIght of StroCtUl e
Type of Hedt
Water Type
Range Type
Energy Path
Sprmkled Buddmg
2 Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq FI Basement
Sq Ft Garage/Carport
Sq Ft Other
nla Occupdnt Load
10
lIB
I DEVELOPMENT INFORMATION I
Front yard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbdcks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Totdl
Handlcdpped
Compact
I PUBLIC IMPROVEMENTS I
Street ImAA~N: Oregon laWhreqoUlreg~~Utlilty
~ U w,!!,1!~\I adopted by t e re
Storm Se 2~1 /MdN'e-enter Those rules are set forth
Spec..' r P~I'lm2-o01'0010 through OAR 952-001.
0090 You may obtalO caples of the rules by
Notes caliing the center. (Note the telephone
number for the Oregon Utility Notlflcallon
Center IS 1-800-332-2344).
Sidewalk Type
NOTICE: DownspoulslDlams
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
T
Pa2e I of 4
_......."~ iIifJiiI
WiL...
Status
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspectlOn Lme
DescriptIOn
Tvpe of ConstructIOn
Esllmate
EstImate
Fee DescriptIOn
Plan RevIew Comm/lnd/Puhhc
-Mech Iss 2+ Apphances-
+ 10% AdmmlStratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
AIr Handlmg VOlt Vp to 10,000
Buddmg PermIt
Fixture
Mmmmm/AdJustment Plumbmg
Thermal VOlt
+ 10% AdmmlStrallve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend nrc
Add, Alter, Extend nrc Ea Add
Total Amount PaId
Planume Review
11/14/2007
Imllal RevIew
Plan RevIew Comments
11/14/2007
11/14/2007
CITY OF M'Kll~GFIELD .
Building/Combination Permit
PERMIT NO
ISSUED:
APPLIED
EXPIRES.
VALUE'
COM2007-01679
12/19/2007
11/14/2007
06/21/2008
$ 124,644.00
I ValuatJon DescnntJon I
$ Per Sq Ft
or multlpher
$100
Square Footage
or BId Amount
124,644 00
Vdlue
Date Calculdted
Total Value of Project
$124,64400
$124,64400
11/14/2007
Fpp<. P.,tl I
Amount Paid
Date PaId
ReceIpt Number
$463 02
$40 00
$77 13
$38 57
$6171
$900
$712 34
$3200
$1800
$13000
$960
$480
$768
$48 00
$48 00
11/14/07
12/19/07
12/19/07
12/19/07
12/19/07
12/19/07
12/19/07
12/19/07
12/19/07
12/19/07
12/21/07
12/21/07
12/21/07
12/21/07
12/21/07
1200700000000001400
1200700000000001510
1200700000000001510
1200700000000001510
1200700000000001510
1200700000000001510
1200700000000001510
1200700000000001510
1200700000000001510
1200700000000001510
1200700000000001522
1200700000000001522
1200700000000001522
1200700000000001522
1200700000000001522
$1,69985
Plan Revtews I
WE
Letter sent regard 109
pharmaceutlcaJ dosmg, dispenSing
and storage mdchmes See attached
documents
11/14/2007
11/14/2007
APP LLH
10 LLH
Called Phllhp F drnngton to request
4th set of drawmgs dnd energy
forms tor Sp. mgfield Vllhty BOded
He saId he would get them to us
nght away
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO COM2007-0]679
225 F,fth Street, Springfield, OR ISSUED. 12/]9/2007
541-726-3753 Phone APPLIED. ] 1/] 4/2007
541-726-3676 Fax EXPIRES 06/21/2008
541-726-3769 InspectIOn Lme VALUE' $ ] 24,644 00
Plan ReView Comments 11/14/2007 11/14/2007 10 LLH ReceIved vOIce mdll from Beth at
Andel son Ddbrawskl Architects
askmg whIch energy lorms were
needed 1 phoned her bdck dnd left
a message that any IIghtmg and/or
mecba",cdl forms If changes or
addItIOns, If not, lust check the
"box" not applicable and send to me
and I wIll forward to Springfield
UtIhty Board
IRltlal ReView 11/2012007 11/20/2007 10 LLH ReceIved energy lorms to send to
SUB, but stilI waltmg on addItIOnal
set of drawmgs to forward to SUB I
will place the energy forms 10 the
plan folder untIl the plan set arrives
to forward to SUB
SUB ReVIew 11/14/2007 11/2612007 10 LLH Waltmg on forms and addItIonal set
01 plans to forward to SUB
ReceIved set of plans and energy
forms to lorward to SUB WIll
forward today fOl thell review
Structural ReView 11/1412007 11/30/2007 APP LLH ReVIewed by Mlck Nolte at the
BUlldmg Department lor structural
revIew under contract wIth the CIty
of Sprmgfield
SUB ReVIew 11/27/2007 11/30/2007 APP DH See dttdched documents lor SUB
approval
Fife Department ReView 11/14/2007 12/05/2007 OK GRG See attached document for Fire
Department Plans ReVIew
comments
Plannme ReView 12/17/2007 12/17/2007 APP EMM Amy Chmltz from SUB spoke wIth
Tracy Scolla from pharmacy Says
EqUIpment plans mcluded wIth
bUlldmg plans are already eXlstmg
Amy WIll check secondary
contdmment tor the~e mdchmes and
paml booth area Ihe next tIme she
does an mspectlOn on the sIte
Pubhc Works ReVIew 12/18/2007 12/1812007 APP JHJ Attached SDC Worksheet No New
SDC's (JHJ)
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED'
APPLIED'
EXPIRES'
VALUE.
COM2007-01679
12/19/2007
11/14/2007
06/21/2008
$ 124,644.00
225 FIfth Street. Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
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
Relllllrerl I n,~?~ctJ?ns I
Frammg Inspection Pnor to cover and after all rough 10 mspectlOns have heen approved
Drywall Pnor to tapmg
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Rough Mechamcal Pnor to Cover
Fmal Mechdmcal When all mechamcal work IS complete
Fmal Plumbmg When all plumbmg work IS complete
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buIldmg IS complete
Rough Electnc Pnor to Cover
Fmal Electnc When all electncdl work IS complete
By SIgnature, 1 state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further cellltv that any and all work pertormed shall be done 10 accordance WIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State 01 Oregon pertammg to the work descllbed herem, dnd
that NO OCCUPANCY wIll be made of any structure WIthout permISsIOn of the Commumty ServIces DIVIsIOn, BuIldmg Safety
I further certify that only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS project
I fnrther agree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each address IS readable from the
street, that the permIt card IS located at the front 01 the property, and the approved set of plans wIll remam on the SIte at all
tunes dunng constructIOn
Owner or Contractors Slgndture
Date
Paee 4 of 4
CIty of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-maIled To s a lans@oregon com
ReceIpt # RC522895
12/21/20078 26 44 AM
~
Ii
By Phone
Check on status of permit
(541)726-37<;3 or Em".1 permltcenter@cl sprmgfield or ns
I SubdiVISion
IT,umlp/p.lrcelno 1703154001100
DESCRIPTION OF WORK
Ilot no
I I FEE SCHEDULE
II DU'tcnptlOn I Qty I F'l Totdl
I Rl..Sldentlal~SIi\GLE. OR mlllh-famll~ dl\clhng umt Include..
1 "U~l..hcd garage
111 OOO~q It or less
I Ea addl 500 sq f't or portIOn
II Lllwled em.rgy fLSldwtla!
(wIth above Sq ft)
I lImIted energy multifamIly
I n..sldentml (wIth above Sq ft)
I I ~U"vlces OR feeder.. 18:.t.lllatlOn, alteratIOn. Al\D/OR relocation
I 1200 amps or less
1201 amp!l to 400 .Imps
1401 amps to 599 amps
TF\1PORARY serviceS OR feeder!l lO1otall.l.tlOo, alterah9-n.
AND/OR relocatIOn
200 amps or less
201 .Imps to 400 amps
401 dmps to 599 amps
TYPE OF WORK
I D New constructIOn
lliJ Addltlon/alteratlOnlreplact.ment
CATEGORY ~OF CO-NSTRUCTION
10 I or 2 famIly dwellmg D MultI family [K] Commerclal/lndustnal
I JOB SITE INFORMATION AND LOCATION
IJob no 45639 IJob dddre!l!l 123 INTfRNATIONAL WAY
I Clt}/State/ZIP SPRINGFIELD OR 97477 1047
I SUltc/bldg hpt no
I Project name RlvcrbLnd Annex OML
Cross street/directions to Job Sltt
Ne\'. Cardboard Processlllg rqUlpment
SITE CONTACT
Branch CIITIlIt<. ~ NI!.W, .lIteratlOlI, OR e).tenSlOn, per p.mcl'
A fee lor branch CirCUits wIth
above servIce or fet.dt.r tee
each branch CIrCUIt
B fee for branch CirCUIts
without servICe or feedt.r flt.
flrst branch Circuit
$48001
$4S 001
I
I
I
I
I
I
I
Subtotal I $9600 I
~tate ~urcharge (8% ofpenmt fee) $768 I
City OfSpnngfield fet.s * I $J440!
TOTALPl,RMIl H,I:. $118081
10% local Admlll fee 5% Local 1 echnology I ee
$4800
I Name Rand\ RO~lll
!Phone (541)7470811 Irax (541)741-1585
I Fmall r roslll@oregon electnc com
I CONTRACTOR
I EI he no 26 95C I CCD lie 110 203
I Busllle........ Ndme OREGON ELEC I RIC CONS rRUCTION INC
I Contact ShIrley Lans
IAddress 1010 SL III HAVI
IOty/St1te/LJP PORTLAND OR 972 I 4-2507
IPhone (503)2349900 ll<dX (541)7411585
I Emall s a lans@oregon com
I Metro he no I City hc no
I Supervlsmg electriCian's hc 110 34695
I SupervISIng electriCian's n...me RANDALL S RO';IN
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 lDspectlon
CJch addl branch CIrCUit
12
$400
Mlscelldllt'Ou!I
ServIce reconnect only
Each manufactured or modular
dwel1mg servIce and/or feeder
Pump or IITlgatlOn clrck
SIgn or outlllle Ilghtmg
SlgnJI WCUlt(....) or lImllt.d-
energy panel alteratIOn or
vxtt.nSlOn
nOI ollered online at thiS JUTlSdlctlon
ELECTRICAL PERMIT FEES
I
I
I
:;. CIty Of Sprlllgfield
NOTE ThiS Authorization To Begm Work expires wlthm 180
days If a permit IS not obtained
The local bUIlding department may determme that an
Authorization To Begm Work IS null and void If It does not
meet applicable land use laws and local ordm3nces
ThiS Authorization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
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
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #.
1200700000000001522
Date 12/21/2007
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmlOlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
DDK ONLINE OREGON OnllOe
ELECTRIC
CONSTRU
CTION
Payment Total
Page I of I
II 1950AM
Amount Due
4800
4800
480
768
960
$11808
Amount Paid
$ II 8 08
$11808
....
,y
12/21/2007