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Home My WebLink AboutPermit Building 2006-1-6 . . CITY OF SPRINGFIELD-' Building/Combination Permit" PERMIT NO: COM2005-01547 ISSUED: 01106/2006 APPLIED: 11/0112005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1144 GATEWAY LP ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF Medical Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Remodel of medical offices in Suite 100, Owner: FRESENIUS MEDICAL CARE Address: 1400 E SOUTHERN AVE, SUITE 500 TEMPE AZ Phone Number: 971-244-0034 , I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Mechanical Plumbing Contractor ANKROM MOISAN ASSOC MCINTYRE CONSTRUCTION INC 3550 10/08/2007 EUGENE ELECTRIC SERVICE INC 90200 WOf\~3/17/2007 INNOVATIVE AIR .i\ln!ttt_ ~~"i 1t\E 010/11/2006 MCINTYRE CONsri\~t~W"J ,~~~.~~~~SPr.~~~l r\~ 0/08/2007 I Blmmll!ll~ FhRM ".. -7D.t;~il1 to~ot~fE,i\\OO. Lot Size: ~'elg\rt ~i Sq Ft 1st FIoor: Type of Heat: Sq Ft 2nd FIoor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled nla Occupant Load: License Expiration Date Phone 503-245-7100 541-687-2841 541-344-3561 541-746-1040 541-687-2841 # of Units: PrImary Occupancy Group: Secondary Occupancy P"rlmary Construction Type Secondary Construction # of Bedrooms: B IIA Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I , ~Qi)IRED PARKING . uI1eS _1\\i\l~ Overlay Dist: \a'olJ 1eO: e~o~<(Jtal\o0.n # Street Trees O'e~ofl \ne 0\ ~1Hiili1Iicap'Jred:' ~\, , ..I 'O'l 'es <> r;.')-V Paved Drive R9~\~,\0\'" oo,?\eV ose 1U' Of\~omI!~~:)'l % of Lot Co,v.era2e;u\e~ a 'e1, ,n ",,'ou~n . \ne 1U\ e ~\o'fl ' Cefl' 0 \\" . 0' :fIOfl \o.....r.a\lOfl. "r:\\-OO'l..,,, co\lle"':...e w\e~',r~\iOfl IPUBLIC IMPROVEMENTSi l'\Ia'l ~~\~1, \.~~'Z)\I'I\'lI":A~' O"v' \ne c ",p90 ",,-?-_?-'2> o ~"'Il\~ ,Sidewalk' (l!ype: C<>" \0' ,"' , '1_0" :oel .", IS flul'\l CeDownspouts/Drains Street Storm Sewer Available: Special Instruction: Notes: 1 of 4 Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54i-726-3769 Inspection Line Description Type of Construction Estimate Estimate Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Backllow Device Building Permit Fixture Miscellaneous Mechanical Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMITNO: COM2005-01547 ISSUED: 01106/2006 APPLIED: 11/0112005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 i I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 80,000.00 Value Date Calculated Total Value of Project $80,000,00 $80,000,00 1lI01/2005 Fpps PaidJ Amount Paid Date Paid HIl/05 HIl/05 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 Receipt Number 2200500000000001531 2200500000000001531 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 $316.97 $195.06 $10.00 $68.97 $48.27 $28.00 $487.65 $84.00 $45.00 $45.00 $171.59 $225.66 519.86 $1,746.03 I Plan Reviews I 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01547 ISSUED: 01/06/2006 APPLIED: 11/01/2005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 . -ilk Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fire Department Review 11/03/2005 01/04/2006 OK GRG Initial Review 11/02/2005 11/03/2005 APP LLH Plannlne Review 11/03/2005 11/15/2005 APP EMM Public Works Review 11/03/2005 12/02/2005 APP SB Structural Review 11/03/2005 11/10/2005 WE JMP Structural Review 11/28/2005 12/07/2005 10 JMP Structural Review 01/0412006 01/04/2006 10 JMP SUB Review SUB Review 12/07/2005 11/03/2005 12/0712005 11/18/2005 APP. JF WE JF Plans Review: Remodel for Fresenius Medical Care. Job #COM200S-0 I 547. Provide fire extinguishers with a minimum rating of 2-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 fioor (2004 Springfield Fire Code 906). Provide lIIuminated exit signage meeting requirements of 2004 OSSC 1011. Provide means of egress illumination meeting requirements of 2004 OSSC 1006. Subcontractor shall submit fire alarm plans to Springfield Fire Marshal's Office for review and approval for any modifications to the fire alarm system (2004 Springfield Fire Code 901.2). Added SDCs for new fixtures, See attached documents for 7 structural comments faxed to Timothy A. Root. WE. Received response from Timothy A. Root. Faxed energy code forms to Jack Foster. Left a voice mail for Tim requesting items 5 and 6-contractor data and valuation. . WE. Called and left a voice mail message for Tim Root requesting contractor data and valuation, No energy code issues or inspections, . JMP requested energy code information in Item 4 of the attached structural comments. To Request an inspection can the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. win be made the following . work day. 3 of 4 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-37691nspection Line Building/Combination Permit PERMIT NO: COM2005-01547 ISSUED: 01106/2006 APPLIED: 1110112005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections bave 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical 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 wiD be made of any structure without permission ofthe 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 wiD remain on the site at.l!!!.. times du g co troclion. ~ 1"'\ ------- o-Wii ~ \~ G~~G ~ I 4 of 4 225 Fifth Street Springfield, Oregon 97477 '541-72~3759 Phone . ~jIf. Job/Journal Number COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 ill. Payments: T~e of Payment CreditCard :t " ill. , - " .~ - :n ;, " ;1). I " " ~ :n 1/612006 RECEIPT #: 1200600000000000018 Description Miscellaneous Mechanical -Mechanical Issuance Fee- Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture . Backflow Device Miscellaneous Plumbing Building Permit + 8% State Surcharge + 10% Administrative Fee Paid By MCINTYRE CONSTRUCTION Lbeck Number Batcb Number Received By djb I of I ": ' ~ty of Springfield Official Receipt .velopment Services Department . Public Works Department . Date: 01106/2006 Item Total: Autb.orizatiOD Number How Received 056648 In Person Payment Total: 1l:12:34AM Amount Dne 45.00 10,00 225,66 171.59 19.86 84,00 28.00 45,00 487.65 48.27: : 68,97, . $I,234.UO Amount Paid $1,234.00 $I,234.UU : . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVEWPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2005-01547 NAME OR COMPANY: Fresenius Medical Care LOCA nON: 1144 Gatewav. loop. Suite lOOW MAP&TAXWTNUMBER: 1703220002300 DEVELOPMENT TYPE: Kidney dialvsis Center remodel NEW DEVEWPED AREA (S.F.): 4.750.00 EXISTING DEVEWPED AREA (S.F.): 4.750.00 TOTAL IMPERVIOUS SURFACE (S.F.): ITE: lTE: WT SIZE (S.F.): 1 STORM nRAINA(l~ x S 0.323 PER SF IMPERVIOUS SQ. FT. 630 630 TOTAL STORM DRAINAGE SDC:) S ]9.07 PER DFU $ 44.14 TOTAL LOCAL WASTEWATERSDC:, 3 TRANSPORTATION PREVIOUSLY PAID ON COM2004-01509 BLOG AREA TGSF x TRlP RATE x COST PER ADT x NEW TRlP FACTOR NEW A, REIMBURSEMENT COST: 4.75 x 31.45 B. IMPROVEMENT COST: 4.75 x 31.45 EXISTING A. REIMBURSEMENT COST -4.75 x 31.45 B. IMPROVEMENT COST: -4.75 x 31.45 2_ SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B, IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 4 SANITARY SFWER _ MWMr NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's 9 S 25.07 PER DFU x 9 x x S 19.09 PER TRlP x 0.95 NTF x S 84.19 PER TRlP x 0.95 NTF x $ ]9.09 PER TRlP x 0.95 NTF x S 84.]9 PERTRIP S 103.28 x 0.95 NTF S397.26 I S2, 708. 78 , SII,948.22 I (S2,708.78)I (SI ],948.22)1 TOTAL TRANSPORTATION REIMBURSEMENT SDq TOTAL TRANSPORTATION IMPROVEMENT SDC:I TOTAL TRANSPORTATION SDC:, S PREVIOUSLY PAID ON COM2004-01509 4.75 x S70.3] PER FEU S333.99 ~ 4.75 x S741.69 PER FEU S3,523.04 ~ -4.75 x S70.31 PER FEU (S333.99)1 -4.75 x S741.69 PER FEU (S3,523.04)1 EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC ]MPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:' S SUBTOTAL (AJ?D ITEMS 1,2,3, & 4) S397.26 I 5 ADM]NISTRATlVE FEES' BASE CHARGE (SUBTOTAL ABOVE) S 397.26 x 5% , S19.86 TOTAL TRANSPORTATION ADMINISTRATION FEE: S TOTAL SEWER ADMINISTRATION FEE: S Steven W. Beaudry Barnes SDC COORDINATOR 1111712005 DATE TOTAL SDC CHARGES COM2005-01547, Remodel Dialysis office.1144 Gateway Loop Suite 100E.x1s ,., ~~uS O::S&~ ~ u .~~ u 0 t>:u SO.OO SO.OO I t78 S225.66 1183 SI7I.59 1184 S397.26 SO.OO SO.OO SO.OO 1173 1094 SO.OO 1054 SO.OO 1186 SO.OO 1187 SO.OO 1189 SO.OO L f 1175 19.86 1190 ~ $4]7.12 1 JULY 2004 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQU]V ALENT ~ DRAINAGE FIXruRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) Fresenius Medical Care FIXTURES NEW OLD 6 2 4 4 o o .- ~'./' ". :, 4" d._..'.... 2 UNIT EQUIVALENT 3 ] 3 3 6 2 3 6 ]2 ] 3 2 2 3 2 2 I 5 6 3 {', 'i-, 'I.';: .: '." ~ f' . . . l. :tdT AiJElRAINAGE FIXTURE UNITS~ .EDU (Equivalent Dwelling Unit) is a dischm-ge eq'uivalent to a single family dw~li~ (20 DFU) set at 167 gallons ocr day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON DATE IN TABLE, CALCULATE CREDITS SEPARATELY DRAINAGE FIXTURE UNITS o o 12 o o o o o o o o o o -3 o o o o o o o o o 9 YEAR RATE PER SI,OOO YEAR RATE PER SI,OOO ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE = 1979 or before S5.29 1992 1980 S5.19 1993 SI.45 1981 S5.12 ]994 SI.25 ]982 $4.98 1995 SI.09 1983 $4.80 ]996 SO.92 ]984 $4.63 ]997 SO.72 1985 $4.40 ]998 SO.48 ]986 $4.07 ]999 SO.28 1987 S3.67 2000 SO.09 1988 S3.22 2001 SO.05 1989 S2.73 2002 SO.OO 1990 S2.25 2003 SO.OO ]991 SI.80 2004 SO.OO CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x SO.OO IMPROVEMENT (IF AFTER ANNEXATION DATE) x SO.OO CREDIT TOTAL r SO.OO COM2005-01547, Remodel Dialysis office,1144 Gateway loop Suite 100E.x1s 1 JULY 2004