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Home My WebLink AboutPermit Building 2008-1-25 __~~QI~:WF.-i!:lU~!:.~: \l!JW~J,!UUi .1 . 0'o~~cf \'J~:AY CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01081 ISSUED: 08/16/2007 APPLIED: 07/20/2007 EXPIRES: 07/25/2008 VALUE: $ 60,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300400 Springfield TYPE OF WORK: Medical Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Third floor remodel. Owner: WILLAMETTE MEDICAL CENTER LLC Address: 541 WILLAMETTE ST #106 EUGENE OR 97401 Phone Number: 541-686-1807 I CONTRACTOR INFORMA TION I Contractor Type Contractor License Expiration Date Phone Archilect BERGSON & DELANEY 541-683-8661 General MElLI CONSTRUCTION CO 63771 02/12/2008 541-485-1417 Electrical BUILDERS ELECTRIC INC 4296 12/10/2011 541-485-0922 Mechanical COMFORT FLOW 460 06/27/2009 541-726-0100 Plumbing BARON PLUMBING INC 147744 05/14/2009 541-935-1081 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: .B # of Slories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: liB n/a I DEVELOPMENT INFORMATION I Front yard 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: Street Improvements: Storm sJtg.Tl~a~~ SHALL EXPIRE IF THE WORK SpeciaIIJ~tI.!ScP');;\j ER THIS PERMIT IS NOT AUTHORIZED UND Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENT~ENTION: Oregon law requires you to TOJlOW r~!es aQI?[lled by the Oregon Utility NotificatldR'e"JHfet.Y~~'ose rules are set forth in OAR OOlhOOpootJ;/ljfllIfiS9h 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). Paee 1 of 3 .__~,~~~~,glJ,~~~i, '~~'ll4!!~!\ ~f. -+ Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Commflnd/Puhlic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee . + 8% State Surcharge Building Permit Miscellaueous Mechanical + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Ore Add, Alter, Extend Orc Ea Add Total Amount Paid Initial Review Initial Review 07/23/2007 07/23/2007 Plannin2 Review Public Works Review 07/25/2007 07/30/2007 Structural Review 07/23/2007 SUB Review 07/25/2007 I Valuatio~ Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 60,000.00 Total Value of Project Ppp~, P'lirl I Amount Paid Date Paid $293.31 $180.50 $20.00 $50.12 $25.06 $40.10 $451.24 $50.00 $6.80 $8.16 $3.40 $48.00 $20.00 7/20/07 7/20/07 8/16/07 8/16/07 8/16/07 8/16/07 8/16/07 8/16/07 1/25/08 1/25/08 1/25/08 1/25/08 1/25/08 $1,196.69 I Plan Reviews , 07/23/2007 07/23/2007 APP LLH WI LLH 07/30/2007 07/30/2007 APP EMM APP JHJ .07/30/2007 WI JMP 08/03/2007 APP JF Pa2e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01081 ISSUED: 08/16/2007 APPLIED: 07/20/2007 EXPIRES: 07/25/2008 VALUE: $ 60,000.00 Value Date Calculated $60,000.00 $60,000.00 07/20/2007 Receipt Nnmber 2200700000000001172 2200700000000001172 1200700000000001053 1200700000000001053 1200700000000001053 1200700000000001053 1200700000000001053 1200700000000001053 2200800000000000108 2200800000000000108 2200800000000000108 2200800000000000108 2200800000000000108 Computers not working. Unable to print information to process application. Attached SDC Worksheet. No New SDC's. (JHJ) Received 7/25/2007 with mnltiple projects and a backlog. No energy code issues or inspections. CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01081 ISSUED: 08/16/2007 APPLIED: 07/20/2007 EXPIRES: 07/25/2008 VALUE: $ 60,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review OK Plans Review: Third floor nurses station remodel. Job #COM2007-0108I. 07/25/2007 08/13/2007 GRG Fire extinguishers shown on Plan Sheet 21 A I. Will verify on inspection. Structural Review 08/14/2007 08/14/2007 APP JMP Received final internal approval. 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. I, Rellllired InsJle~tions I Framing Inspection: Prior to cover and after all rough in inspections h.ave been approved. 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 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, 1 state and agree, that I have carefully examined the compleled application and do hereby certify that alf 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 eard is located at the front of the property, and the approved set of plans will remaiu on the site at all times during construction. Owner or Contractors Signature Date Page 3 of 3 .City of Springfield Electrical Authorization To Begin Work E-mailedTo:kelly@builderselectric.com ~.~AI~l'..~'.. .....~... . . .. K'........ c..' _, ".......~.',."~.. Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 10 New constmction I Description IX] Addition/alteration/replacement Receipt # EC524527 1/25/2008 I :03:34 PM Qty. Total I. '1 ! I Ea. I 0 I or 2 family dwelling 11,000 sq. ft. or less I Ea. addl 500 sq. ft. or ponian I - Limited energy, residential (with above SQ. f1.) . I-Limited energy, multifamily residential (with above SQ. (1) I-Limited energy, commercia") (with above sa. ft.) I - Stand-alone limited energy, residential I - Stand-alone limited energy, multi-family I - Stand-alone limited energy, commercial 1~~r"ic.e~'<?~:f~~'~~f:flW,~!}i)~~~U?E~a't5ratio~!:;S~R[O~{'r~_I,o}~i_~-n< ."'-"1 1200 amps or less I 120 J amps to 400 amps I 140] amps to 599 amps 1;]~~~b~~1ij~~eJ;~~c~;:~ 1200 amps or less I 201 amps to 400 amps 140 I amps to 599 amps o Multi-family o Commercial/Industrial IJobno,: 07-9651-S IJobaddrcss: 1007 HARLOWRD I City/State/ZIP: SPRINGFIELD, OR 97477-7124 / Suitc/bldg./apt.ao.: I Pmjeet name: omg Cross street/directions to job site: Subdivision: I Tax map/parcel 110.: 1703223300400 /Lotno.: I I .~.I ',~.~~ I NEW CIRCUIT AND EXTEND 5 CIRCUITS ., I Name: JEFF BROWN !PhOlle: Email: I Fax: Subtotal I $68.00 I State Surcharge (12% of pennit fee) $8.16 rA ~!Ii'S,,"'g4jeldfeeS"1 $1020 II ~,-'i _ ,. TAL~~lIa' HE I $8636 I COM: l'D <til\<.Of'(nn.t'll"d '^, fe'. 5% Local Technology Fee RCPT#' b<~(:O r ~ IVY DAlE PROCESSED: \ ~d 5./()'fS . . (._~ PROCESSED BY:- . . J\,\ t-A- "--.-/' This Authorization To Begin Work musl be posted at Ihe job site uJ:ltil re~laced by a Permit. \J I A. Fee for branch circuits with service or feeder fee, each branch circuit. I B. Fee for branch circuits without service or feeder fee, first branch ClrCUI!; I each addl branch circuit ." lEI. lie. no,: 20-12C ICCBlie, no,: 4296 I Business Name: BUILDERS ELECTRIC JNC I Contact: Kelly O'Brien IAddress: 195 MADISON S1' City/State/ZIP: EUGENE OR 97402 I Phon" (541 )4850922 I Fax: (541 )4854055 I Email: kelly@buildersclectric.com J Metro lie. no.: I City lie. no,: I Supervising electrician's lie. no.: 5275S I Supervising electrician's name: RUSSELL R ROBBINS I Service reconnect only I Eneh manufactured or modular dwelling, service and/or reeder I Pump or irrigation circle I Sign or outline lighting I Signal circ. uit(s) or limited- energy panel, alteration, or extension 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. I $48.001 not ofl'ered online at this jurisdiction , ~~ ".;...r~'AI"9!".~.."".....,.:....... -.;:'.' . .,. 0 ,~, .... .. ., - ..,."...,.,-"",~"",., 225 Fifth_Street Sptingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 I 081 COM2007-0 I 081 COM2007-0l081 COM2007-01081 COM2007-01081 Payments: Type of Payment ONLlNE.CHGS cReceint 1 City of Springfield Official Receipt Development Services Department Publie Works Department RECEIPT #:. 2200800000000000108 Date: 01125/2008 2:20:15PM Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 48.00 20.00 3.40 8.16 6.80 $86.36 Paid By ONLINE PERMIT CHGS Item Total: Lheck Number Authorization Received By Batch Number Number How Received Amount Paid NJM ONLINE BUILDERS In Person Paymenl Total: $86.36 $86.36 Page I of I 1/25/2008