HomeMy WebLinkAboutPermit Building 2006-8-1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005"01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 01/26/2007
VALUE: $ 191,000,00
Springfield TYPE OF WORK: Care Facility
SITE ADDRESS: 2669 S CLOVERLEAF LP
ASSESSOR'S PARCEL NO.: 1703224300800
Commercial
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing care facility and interior remodel
Phone Number: 541-686-1119
Owner: CLOVERLEAF ASSISTED LIVING LLC
Address: 30 E BROADWAY STE 160
EUGENE OR 97401
Contractor License
BURTON WALTER 114163
WHISKEY HILL ELECTRIC INC 162985
SALEM FlRE,ALARM INC I'. W ,\-IE \76884:
JET HE~~JN9~!ti!i'.\ S\'\f\\..\.. 'f:."/J)\~ ?EI'\N\\\ \'32'4~' \
TAPANI\P.b'U\Yl,~,I!'i9, l.ll(G)ER ,~. "n(\MI=O 1'\60958
I\C~~~il'l(ltBti"ci;iN-G 'iNFORMA TlON I
\BG Of\~ n-'''-'
I'\N'{ # of Stories: .
II Height of Structure
SR-I Type of Heat:
V A Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Expiration Date
05/24/2008
02101/2009
10/1212007
05/31/2007
07/23/2009
Phone
503-775-1962
503-981-4640
503-364-4566
503-363.2334
360-687-3983
I
19.00
Lot Size:
Sq Ft 1st Floor: 463
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 5
n/a
I DEVELOPMENT INFORMATION I
-.
,
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: ~ .,01.1 ~~andicapped:
Me'" '~.
Paved Drive Rqd: lec,1.I I' \)\1 \ ~pact:
% of Lot Coverage: e901' \Z,'Il \\e 0le90 e ",e\ \01'\.
O~" 01 eO 'o'l ~ l.I\e'" 'iJ.I g<::,'2..GG
,_eN,1 _",nO~ ___~C.e 1 ,,!>.~ ,~c. 'o'l
I PUBLIC IMP.RQVEMEN:fS'fo,\Q \nIOI.l~~ 0\ \nee;nOI'6
'1IlP" "\J') '" ~O? ....e \el . ~\iOI'
~O\I g<::,'2.-v ;p\'iJ.'"j ewalK", ypeb\I\le~
, OJ>.~ 1.1 \fI'iJ.'l 0 \el ~ u'~ 1\1\1\'l \~ ^\
II' g" '{O eel' DowlispoutslOnllns:
GG v'. \ne 01""- ?j!J(..'v
e'iJ.\\11'9 \Ol\ne, ,\_'CGG-
rl\'oel 'e\ ,'''
1'1.1'" eel"
Paee I of8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Pavine
Tvpe of Construction
Estimate
Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Exteud Circ Eo Add
+ 10% Administrative Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 20t to 400 amps
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 8% State Surcharge
+ 8% State Surcharge
Building Permit
Fixture
Heat Pump
Inspections - Other Plumbing
Low Voltage - Commercial Indus
Minimum/Adjustment Mecbanical
Paving
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
.
. CITY OF ~rKINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 01/26/2007,
VALUE: $ 191,000.00
I Valuation Descriotion I
, ,
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage'
or Bid Amount
185,000.00
6,000.00
Value
Date Calculated
$185,000.00
$6,000.00
$191,000.00
01/31/2006
01/31/2006
Total Value of Project
J<pp< Poirl .
11 rr .......
Amount Paid
$409.92
$252.26
$10.30
$8.24
$43.00
$60.00
$13.80
$11.04
$63.00
$75.00
$10.00
$13.50
$112.01
$10.80
$83.51
$841.90
$112.00
$12.00
$45.00
$135.00
$33.00
$76.20
$149.99
$92.30
$85.00
$228.79
$300.88
$10.00
$228.94
$21.70
$47.61
$8.53
$106.81
$24.21
$80.00
Date Paid
Receipt Number
3200500000000000712
3200500000000000712
1200600000000000393
1200600000000000393
1200600000000000393
1200600000000000393
2200600000000000470
2200600000000000470
2200600000000000470
220060000000~000470
2200600000000000655
1200600000000000713
2200600000000000655
1200600000000000713
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
1200600000000000713
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
2200600000000000655
12/30/05
12/30/05
4/3/06
4/3/06
4/3/06
4/3/06
4/17/06
4/17/06
4/17/06
4/17/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
Paee 2 of8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Drainage Impervious Area
+ 10% Administrative Fee
+ 8% State Surcharge
Fixture
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 10% Administrative Fee
FLS Safety Systems Review
Total Amount Paid
Fire Department Review
.
$201.43
$1.40
$1.12
$14.00
$57.20
$75.23
$6.62
$70.80
$708.00
$4,952.04
5/25/06
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
8/1/06
8/1/06
I Plan Reviews ,
05/31/2006
07/03/2006
OK
Paee 3 of 8
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 01/26/2007'
VALUE: $ 191,000.00
2200600000000000655
3200600000000000283
3200600000000000283
3200600000000000283
3200600000000000283
3200600000000000283
3200600000000000283
1200600000000001177
1200600000000001177
GRG
Alarm System submitted 5/30/06.
Forwarded to Gilbert Gordon/lh
Plans Review: Fire alarm system.
Job #COM2005-01786. Designer:
Joe Ripp. Contractor: Salem Fire
Alarm. Phone: 503-364-4566.
As per telephone conversation,
andible chime/strobes are accepted
as an alternative to'horn/strobes.
Provide an emergency plan showing
staff coordination and response to
an activated fire alarm situation.
Coordinate with building owner or
operational supervisor. Plan must
reference the alternative audible
chime/strobes.
Provide dBA audibility report of all
portions of the building.
Provide strobes inside all bathrooms
per 2004 Oregon Structural
Specialty Code 1109.14.
Provide as-builts to the Springfield
Fire Marshals Office and the
building owner.
. . CITY V.. ~rJ(H~\':'''lt,LD
Building/Combination Permit
Status Issued PERMIT NO: COM2005-01786
225 Fifth Street, Springfield, OR ISSUED: OS/25/2006
541-726-3753 Phone APPLIED: 12/30/2005
541-726-3676 Fax EXPIRES: 01126/2007.
541-726-3769 Inspection Line VALUE: $ 191,000.00
,
Fire Department Review 06/15/2006 06/15/2006 OK MF 6/15/06 - Chateau Gardens-
Commercial Kitchen Hood
Suppressinn System. Job
#COM2005-01786. Hood 72" x 42"
Duct 10" x 14" Griddle length 24"
Range length 24". Ansul R-102 3
Gal. Plans appear to meet
requirements. Mfechtel
Fire Department Review 01103/2006 03/30/2006 OK GRG Fire Department C~mments include
revision. See attached notes.
Initial Review 01103/2006 01/03/2006 APP SKG
Plannine Review 01103/2006 01106/2006 APP EMM Planning application nnt needed per
Tara Jones. Does nnt increase
parking requirmeni or extend into
any existing parking area or
setback.
Public Works Review 01103/2006 02102/2006 APP S8 SIDEWALK INSPECTION
REQUIRED FOR WORK IN
RIGHT-OF-WA Y. Call before
placement of concrete. SDC's
added. LDAP application is required
if more than 50 cubic yards of
material is proposed to be removed.
Public Works Review 05/31/2006 05/3112006 APP S8 ADDED SDCs for ~ew utility sink.
Paee 4 of8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Revised Plan Review - Fir
.
OS/23/2006
OK. MF
Paee 5 of8
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 01126/2007
VALUE: $ 191,000.00
Plan Review. Phoenix Residential
COM2005-01786. Addition to
existing care facility and interior
remodel. Construction Type V -A.
Occupancy Type I-I & SR-I.Bldg's
I & 2 are both 3,982 sq ft with 466
sq ft new entry. Total sq ft with
addition 8,322. Building has
sprinkler and alarm system.
ALLOWABLE AREA INCREASE.
An I-I wN-B construction has an
allowable area of 4,500 sq ft - I
story. An increase of 300% is
allowed based on OSSC 506.3 with
automatic sprinkler system based on
903.3. I. I. 903.3. I.I references a
NFPA 13 system. These occupancies
have a NFPA 130 system based on
plans submitted by Oregon
Automatic Sprinkler Co 3/24/94.
Subcontractor shall submit
sprinkler plans to Springfield Fire
Marshal's Office for review and
approval (2004 Springfield Fire
Code 901.2).
Subcontractor shall provide
submittal plans and cut sheets of a
commercial kitchen hood and duct
fire suppression system(s) meeting
UL 300 for review and approval by
the Springfield Fire Marshals Office
for all cooking surfaces producing
grease-laden vapors (2004 SFC
901.2).
Subcontractor shall submit fire
alarm plans to Springfield Fire
Marshal's Office for revicw and
approval (2004 Springfield Fire
Code 901.2).
Provide illuminated exit signage
meeting requirements of 2004 OSSC
1011.
Provide means of egress illumination
meeting requirements of2004 OSSC
1006.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Revised Plan Review - Fir
Revised Plan Review - Str
Structural Review
Structural Review
Structural Review
Structural Review
SUB Review
.
0113112006
01/31/2006
OS/24/2006
01124/2006
01/26/2006
01103/2006
01/04/2006
01131/2006
OS/24/2006
01/24/2006
01/26/2006
01/13/2006
01/13/2006
. CITY V.. ~rKll~\':'NELD
Building/Combination Permit
PERMIT NO: COM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 01126/2007
VALUE: $ 191,000.00
Provide fire extinguishers with a
minimum rating of2-A:10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
10 JMP
Provide a signed AM&M ( Boilding
Official & Fire Marshal) for fire
resistive deficiency alternative.
Drawings received 2/10/2006.
WE. Received partial response from
Tony Koach. Contacted him to
request the second set of revised
drawings, the energy code forms and
the subcontractor information.
Received final internal review, 2 sets
of drawings, plumbing contractor
and fee payment, and Dave Puent's
approval of the AM&M.
WE. Called Tony Koach and he
said he will be submitting revised
drawings to address the comments
including the concern about the
pantry door opening iuto the
corridor exit path.
WE. Emailed structural comments
to Tony Koach at his request.
See attached documents for 8
structural comments faxed to Tony
Koach.
See Item 5 of JMP's structural
comments (attached) for the request
for the energy code forms and
information.
APP JMP
10 JMP
10 JMP
WE JMP
WE JF
Paee 6 of8
.
.CITY OF ~rKll~\':'''lt,LD'
Building/Combination Permit
PERMIT NO: COM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 01126/2007
VALUE: $ 191,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
02127/2006
03/06/2006
10 JF
WE. JMP faxed energy code forms
to Jack Foster. JMP called and left
a message for Burton Walter letting
him know that we are still waiting
for Building Envelnpe forms. Bldg.
envelope forms received 3/31/06 jf.
Received Building envelope code
forms.
SUB Review
04/06/2006
04/17/2006
APP 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.
I Upnllirprf In~npr~
Ufer Electrical Ground: Install ground rod at footiug and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Fire Dep~rtment Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
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.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
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.
Paee 7 of8
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005001786
ISSUED: OS/25/2006.
APPLIED: 12/30/2005.
EXPIRES: 01126/2007
VALUE: $ 191,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
Electric Service: Approval required prior to utility company energizing service.
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do hereby cerlify 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 nf 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
limes during construction.
'A#~
Owner'";;; co~ors Signature
tJ / /0 rp
Date
Paee 8 of8
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.~~~...
Wic . .
. .......' --"
~ .*"~.. . . .-
caof Springfield Official Receipt
'-lopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1786
COM2005-01786
Payments:
Type of Payment
Check
cReceinl1
RECEIPT #:
Description
FLS Safety Systems Review
+ 10% Administrative Fee
Paid By
LARSEN FIRE PROTECTION
INC
1200600000000001177
Date: 08/0112006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
7579
In Person
Paymenl Total:
Page I of I
10:IO:09AM
Amount Due
708.00
70.80
,)116.6\)
Amount Paid
$778.80.
$778.8U
8/112006