HomeMy WebLinkAboutPermit Building 2004-4-7
Status
Issued
.
. Lll l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01224
ISSUED: 04/07/2004
APPLIED: 12/08/2003
EXPIRES: 10/16/2004
VALUE: $ 611,268.30
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2510 Game Farm Rd
ASSESSOR'S PARCEL NO,: 1703220002702
Springfield TYPE OF WORK: Office
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Willamette Dental
Owner: SKOURTES EUGENE C
Address: 14025 SW FARMINGTON RD BEAVERTON OR 97005
# of Units: # of Stories: 11)\0
Primary Occupancy Group: B Heightof;S:&uc!\liJ'~
.,\\'''' \)~'..,
Secondary Occupancy Group: ~}'Il.,.o!,I.I.pt: \\~"
Primary Construction Type VN o{\ \'~-.tIW~ret:r~e;ve 1:)0'
Secondary Construction Type: ~0'0~ 6 '0'1 W~lll~ll~ 9J~'l; ';j.eS \
# of Bedrooms: ~~\o ' (j:l~\e ~~o~lt~~ PSI{\,e ,u 0{\0
~~, ,u\0S :'0~e~.:-,\ 0 \~"~o\eS ~o~ \rJ.e~~r.~~o{\
,0~~\C~\~~~.OO'(DEVE~OpMi~iNE~RMATION I
~O o"'~ U ~~. Ii!,{\"u' Q,O\" r>.?_I'
\{\ --(0:1\0 C; O,e ,,('_r>:,
OO9J'\\\(IoQ, 'I 0' \~0 ',_ ,OVerlay Dist:
c'O' 100' \ ' ", # Street Trees Rqd:
(Iou.... Paved Drive Rqd:
7 .~\f\~'I-
, ~~"P'~P~ENTS I
Street ImprOVemen{\\),\t~. ~"\ ~~"b~~ t\:.;~\) i\)\\
Storm Sewer Availa~\'El ~'t.\\~'t.\) ~~ 5 p..~~r\)
Special Instruction: ....VJ'W..\j\\\ C't.\) \j\\ \\)\).
... ~~'t.~ ~ ~'t.~
Notes: C~'( \~ \)~
Contractor Type
Applicant
Architect
General
Electrical
Mechanical
Plumbing
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Phone Number: 503-644-6444
I CONTRACTOR INFORMATION I
Contractor
MCINTYRE CONSTRUCTION
WATERLEAFARCHITECTURE
MCINTYRE CONSTRUCTION INC
JB ELECTRIC
COMFORT FLOW
TUCKER PLUMBING CO
License
Expiration Date
Phone
10/08/2007
03/14/2008
06/27/2005
11107/2004
503-228-7571
541-687-2841
541-687-5770
541-726-0100
541-343-8008
3550
104929
460
109801
I BUILDING INFORMATION'
1 Lot Size:
20.00 Sq Ft1st Floor: 6,120
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area: 9,760.00
REQUIRED PARKING
Total:
Handicapped:
Compact:
% of Lot Coverage:
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
To Storm Sewer
Page 1 of6
.
. CITY V1< ~rKll~unJ'.,LU
Building/Combination Permit
PERMIT NO: COM2003-01224
ISSUED: 04/07/2004
APPLIED: 12/08/2003
EXPIRES: 10/16/2004
VALUE: $ 611,268.30
Status .Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Medical Offices
Pavin!!
VN
Use Bid Amount
$ Per Sq Ft
or multiplier
$85.30
$1.00
Square Footage
or Bid Amount
6;111.00
90,000.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$521,268.30
$90,000.00
$611,268.30
12/08/2003
03/3012004
l..Fppo PiWU
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $1,259.15 12/8/03 2200200000000001847
Plan Review Fire & Life Safety $774.86 12/8/03 2200200000000001847
+ 10% Administrative Fee $5.00 2/27/04 1200400000000000250
+ 7% State Surcharge $3.50 2/27/04 1200400000000000250
Temp Power 200 amps or less $50.00 2/27/04 1200400000000000250
-Mechanical Issuance Fee- $10.00 4/7/04 2200400000000000331
+ 10% Administrative Fee $394.18 4/7/04 2200400000000000331
+ 7% State Surcharge $239.06 4/7/04 2200400000000000331
Add, Alter, Extend Circ Ea Add $186.00 4/7/04 2200400000000000331
Annexed 1996 $-139.83 4/7/04 2200400000000000331
Backflow Device $28.00 4/7/04 2200400000000000331
Building Permit $1,937.15 4/7/04 2200400000000000331
Fixture $518.00 4/7/04 2200400000000000331
Furnace - up to 100,000 btu $72.00 4/7/04 2200400000000000331
Gas Ou tlets 1-4 $4.00 4/7/04 2200400000000000331
Gas Outlets 4+ $2.00 4/7/04 2200400000000000331
Heat Pump $72.00 4/7/04 2200400000000000331
Paving $526.65 4/7/04 2200400000000000331
Perm ServlFdr 200 amps or less $126.00 4/7/04 2200400000000000331
Perm ServlFdr 401 to 600 amps $125.00 4/7/04 2200400000000000331
Plan Review CommfInd/Public $190.12 4/7/04 2200400000000000331
Plan Review Fire & Life Safety $117.00 4/7/04 2200400000000000331
Planning Final Occy Inspection $118.00 4/7/04 2200400000000000331
Sanitary Sewer - 1st 50 Feet $45.00 4/7/04 2200400000000000331
Sanitary Sewer - Improvement $1,221.91 4/7/04 2200400000000000331
Sanitary Sewer - Reimbursement $1,607.44 4/7/04 2200400000000000331
Sanitary Sewer Each Addtll 00' $42.00 4/7/04 2200400000000000331
SDC MWMC Administration $10.00 4/7/04 2200400000000000331
SDC MWMC Improvement $1,498.37 4/7/04 2200400000000000331
SDC MWMC Reimbursement $2,200.62 4/7/04 2200400000000000331
SDC Sanitary/Storm Admin $470.55 4/7/04 2200400000000000331
SDC Transpo Admin $997.47 4/7/04 2200400000000000331
SDC Transpo Improvement $14,285.95 4/7/04 2200400000000000331
SDC Transpo Reimbursement $3,238.35 4/7/04 2200400000000000331
Storm Drainage Impervious Area $5,437.50 4/7/04 2200400000000000331
Pa!!e 2 of6
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
Inspections - Investig. Plumb
Total Amount Paid
.
. CITY OF ~rKll~unJ'.,LU
Building/Combination Permit
PERMIT NO: COM2003-01224
ISSUED: 04/07/2004
APPLIED: 12/08/2003
EXPIRES: 10/16/2004
VALUE: $ 611,268.30
$45.00
$98.00
$42.00
$45.00
$28.00
$45.00
4/7/04
4/7/04
4/7/04
4/7/04
4/7/04
4/16/04
$37,976.00
I Plan Reviews I
Fire Department Review 12/1112003 03/0212004 OK GRG
Initial Review 12/1112003 12111/2003 APP RJB
Medical Gas Plan Review 04/09/2004 04/14/2004 WE SKG
Plannin!! Review 1211112003 WE
Public Works Review 12111/2003 03/12/2004 APP SB
Revised Plan Review - Fir 12/24/2003 03/02/2004 OK GRG
Revised Plan Review - Pia
Revised Plan Review - Pu
Revised Plan Review - Str
Revised Plan Review - Str
Revised Plan Review - SU
Structural Review
12124/2003
03/18/2004
APP
EMM
12/24/2003
12124/2003
03/29/2004
03/12/2004
12124/2003
03/30/2004
APP
APP
WE
SB
JMP
JMP
12/24/2003
12/12/2003
12112/2003
WE
JMP
Pa!!e30f6
2200400000000000331
2200400000000000331
2200400000000000331
2200400000000000331
2200400000000000331
1200400000000000495
See attached comments.
Faxed plan review comments to
contractor see attached document
Needs to submit final site plan and
then sign Development Agreement.
Planner is Linda Pauly.
Revised Plan Review: Willamette
Dental Clinic. Job
#COM2003-01224. Occupancy
Classification: B. Construction
Type: V -N, non-sprinklered. 6,111
square feet. No cbange in plan
review comments from 1/29/04
Easemeuts need to be signed and
recorded before occupancy issuance.
JB Electric drawings El and E2.
Received revised drawings A4 and
A5 and information on II items.
JMP called Justin Rotherham and
noted that the medical gas design is
expected this week. Other
outstanding items include HMIS,
and easements signed and recorded.
12/12/2003 See attached fax to Dick
Aanderud requesting structural
calculations and special inspection
and testing forms. 1/13/2004
received framing and lateral load
calculations. JMP called and faxed
Justin to complete the special
inspection form signatures and
requested truss calculations. JMP
faxed structural review comments to
Dick Aanderud.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/06/2004
Structural Review
02/25/2004
Structural Review
03/0912004
Structural Review
03/17/2004
SUB Review
02125/2004
SUB Review
1211112003
04/07/2004
02125/2004
03/19/2004
03/19/2004
03/1712004
12/1912003
. CITY OF ~rKll~uFIELD
Building/Combination Permit
PERMIT NO: COM2003-01224
ISSUED: 04/07/2004
APPLIED: 12/0812003
EXPIRES: 10/1612004
VALUE: $ 611,268.30
APP JMP
Justin Rotherham and Bill McIntyre
called about the Medical Gas Piping
plans. They asked for the permit to
be issued this week with a deferred .
submittal on the stamped Medical
Gas plans which they intend to
deliver for review by this coming
Friday.
Received Electrical permit
application and Drawing E2,
Signature sheet of Special Inspection
form, and 1121/2004 compaction
inspection. Still waiting for responsl
to review comments.
Received truss calculations for
approval. Left voicemail for Justin
Rotherham at McIntyre
Construction, Inc. Still waiting on
responses to Items I, 2, 16, 17, and
18 from February 6, 2004
preliminary structural review letter
and plumbing comments from
February 10, and II, 2004 faxes.
Confirmed with a telephone
conversation and followup fax on
March 22, 2004.
Received transmittal letter from
Michael J. Kaiser at Poage
Engineering with 4 sheets of Revised
Final Site Plans and Exhibit" A".
Received energy code forms and
Drawings Ml, M2, and PI.
12/19/2003 JMP called Dick
Aanderud and requested all
necessary code forms for Building
Envelope, HV AC, and Lighting
systems. 1/2/2004 JF requested from
electrical contractor new code forms
to comply with 10/03 changes in
Chapter 13. Contractor to supply
updated forms ASAP. 1/14/04 Pass
lighting system review only.
1/2012004 updated Aanderud on
need for Building envelope and
HV AC forms.
WE JMP
WE JMP
APP JMP
APP JF
WE JF
To Request an inspection call 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. will be made the following work
day.
Pa!!e 4 of6
.
. Lll t' OF ~rKll~unJ'.,LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-01224
ISSUED: 04/07/2004
APPLIED: 12/08/2003
EXPIRES: 10/16/2004
VALUE: $ 611,268.30
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
IRpnlli~
I Site Inspection: To be made after excavation but prior to setting forms.
2 Erosion/Grading Inspection: After all erosion measures are in place.
27 Sanitary Sewer Line: Prior to filling trench and including required testing.
28 Storm Sewer Line: Prior to filling trench.
29 Final Plumbing: When all plumbing work is complete.
30 BackOow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
31 Rough Medical Gas: Prior to cover and including required testing.
32 Final Medical Gas: When all medical gas work is complete and certificate is provided to inspector from verifier.
33 Rough Mechanical: Prior to Cover
34 Final Mechanical: When all mechanical work is complete.
35 Rough Electric: Prior to Cover
36 Final Electric: When all electrical work is complete.
37 SUB Concrete Slab: Prior to and following pour.
38 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
39 SUB Final: After all required energy inspections have been requested and approved.
40 SUB Plumbing: Following City Rough Plumbing Inspection approval and prior to cover.
41 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
42 SUB Ceiling Grid: Interior Lighting
43 SUB Exterior Lighting
44 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at tbis point.
45 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
46 Final Gas: When all gas work is complete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Roofing: Prior to installing any roof covering.
II Drywall: Prior to taping.
12 Firewall: Located and constructed according to plans.
13 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
14 Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
15 Roof SheathinglNailing: Before covering sheatbing with finish material.
16 Ceiling Grid: After drywall approval but prior to cover.
17 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
18 Final Fire Department. After all requirements of the Fire Department have been met.
19 Final Building: After all required inspections have been requested and approved and the building Is complete.
20 Rough Grading: After gravel is in place but prior to placing concrete.
21 Final Paving: After paving is complete.
22 Underslab Plumbing: Prior to filling the trench and including required testing.
Paee 5 of6
.
. CITY OF ~rKll~unJ'.,LU
Building/Combination Permit
PERMIT NO: COM2003-01224
ISSUED: 04/07/2004
APPLIED: 12/08/2003
EXPIRES: 10/1612004
VALUE: $ 611,268.30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
23 Underground Plumbing: Prior to filling the trench and including required testing.
24 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
25 Rough Plumbing: Prior to cover and including required testing.
26 Water Line: Prior to filling trench and including required testing.
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 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 card is located at the front of the property, and the approved set of plans will remain on the site at all
times dur' g onstruction.
Lj---/b - () V
Date
Paee 6 of6
.
225 Fifth Street
SP.ringfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
A_~.Mn~,...... .
-....~ '~""""-'. !
WiL --'f
. .... I
". i.
- .
.,-- --.
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200400000000000495
Job/Journal Number Description
COM2003-01224 inspections - Investig. Plumb
Payments:
Type of Payment
CreditCard
4/16/2004
Paid By
DANIEL MCINTYRE
Received By
djb
Page I of I
Date: 04/16/2004
Item Total:
(;heck Number Authorization
Batch Number Number How Received
000358
002332 In Person
Payment Total:
2:40:IIPM
Amount Due
45.00
$45.00
Amount Paid
$45.00
$45.00