HomeMy WebLinkAboutPermit Building 2006-5-31
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 11130/2006
VALUE: $ 191,000.00
\
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2669 S CLOVERLEAF LP
ASSESSOR'S PARCEL NO.: 1703224300800
Springfield TYPE OF WORK: Care Facility
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing care facility and interior remodel
Commercial
Phone Number: 541-686-1119
Owner: CLOVERLEAF ASSISTED LIVING LLC
Address: 30 E BROADWAY STE 160
EUGENE OR 97401
Contractor Type
General
Electrical
. Low Voltage Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I t
I W re"uuvv you 0
TION' Oregon a.., U"'itv
Contractor ATTEN' do ted by tLiceifse'Jn Expiration Date
BURTON W ALTER lolloW rule!; a P Thosel14'163are set 101105/24/2008
WHISKEY HILL EbEG;rRi(5lfN~~t~~10 thrcl6]98SAR 9r'':<'O~.li2l0112009
SALEM FIRE ALARM:IN,€952.{) 'obtain COl76884,I tho :~'~~~ 10/1212007
JET HEATING INC 0090:, You may nter. (N039.44\c ':'0 , ',05/31/2007
TAPANI PLUMBING INGlng the ce 6095811.'" ."C '07/23/2009
. . ............ nr~non. _
Bui'L'OING:iNIl0RMATIONI"v' /.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Cnnstruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
11
SR-I
VA
I
19.00
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
- ....\1
Phone
503-775-1962
503-981-4640
503-364-4566
503-363-2334
360-687-3983
463
5
I DEVELOPMENT INFORMATlONIl"c W WI.: ~~~6~
\.,".1\\:t.. c.\\I\\'\, {..1" \ rlcl"WlI"i IS ~ REQUIRED PARKING
"v ~~I'c\',~I"i;) a "i\\IS l' 101,) ran
Overl~~\'!llSf: '1~G \l~l,)tn 1\~l,)a~{.. Total:
# Stre,et\"'r~S\~!Id:i) al'c IS 1\'0 Handicapped:
pavedi1~lv\~JR.qd;.,\: ~ I'cl'clal,). Compact:
% nf Cot "-':over.!'ge~
p..~'\ IV
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of 7
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Pavine
Estimate
. Use Bid Amount
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 80/0 State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 100/0 Administrative Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
Perm Serv/Fdr 201 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 Mechanical
Paving
Plan Review CommlInd/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
.
.aU I" OF ~rJ(INGFIELD '
Building/Combination Permit
PERMITNO: cOM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 11130/2006
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 Calculaled
$185,000.00
$6,000.00
$191,000.00
01/31/2006
01/31/2006
Total Value of Project
F'pp< PIiliJ
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
12130/05
12130/05
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
5125/06
5/25/06
3200500000000000712
3200500000000000712
1200600000000000393
1200600000000000393
1200600000000000393
1200600000000000393
2200600000000000470
2200600000000000470
2200600000000000470
2200600000000000470
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
Paee 2 of7
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
Total Amount Paid
Fire Department Review
05/31/2006
Fire Department Review
01/03/2006
Initial Review
Planoine Review
01/03/2006
01/03/2006
Public Works Review
01/03/2006
Public Works Review
05/31/2006
.
$201.43
$1.40
$I.I2
$14.00
$57.20
$75.23
$6.62
$4,173.24
5/25/06
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
I Plan Reviews I
03/30/2006
01/03/2006
01/06/2006
02/0212006
05/31/2006
OK GRG
APP SKG
APP EMM
APP SB
APP SB
Paee 3 of7
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 11130/2006
VALUE: $ 191,000.00
2200600000000000655
3200600000000000283
3200600000000000283
3200600000000000283
3200600000000000283
3200600000000000283
3200600000000000283
Alarm System submitted 5/30/06.
Forwarded to Gilbert Gordon/lh
Fire Department Comments inclode
revision. See attached nntes.
Planning application not needed per
Tara Jones. Docs not increase
parking requirment or extend into
any existing parking area or
setback.
SIDEWALK INSPECTION
REQUIRED FOR WORK IN
RIGHT-OF-WAY. 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.
ADDED SDCs for new utility sink.
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
Paee 4 of 7
.CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 11130/2006
VALUE: $ 191,000.00
MF
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 fl 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. 903.3.1.1 references a
NFPA 13 system. These occupancies
have a NFPA 13D 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).
Subcontractnr 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 review and
approval (2004 Springfield Fire
Code 901.2).
Provide illuminated exit sign age
meeting requirements of2004 OSSC
101 I.
Provide means of egress illumination
meeting requiremenls of 2004 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
.
01/31/2006
01/31/2006
OS/24/2006
01/24/2006
01/26/2006
01/03/2006
01/04/2006
01/31/2006
OS/24/2006
01/24/2006
01/26/2006
01/13/2006
01/13/2006
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 11130/2006
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 legihle 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 ( Building
Official & Fire Marshal) for fire
resistive deficiency alternative.
Drawings received 2110/2006.
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 into the
corridor exit path.
WE. Emailed struclural 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 lhe request
for the energy code forms and
information. .
APP JMP
10 JMP
10 JMP
WE JMP
WE JF
.Pal!e 5 of7
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 11/30/2006
VALUE: $ 191,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phnne
541-726-3676 Fax
541-726-3769Inspectinn 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 wailing
for Building Envelope 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.
IRp~
Ufer Electrical Ground: Install ground rod at footing 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 SheathinglNailing: Before covering sheathing with finish material.
Fire Department 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 inspectinns 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 6 of7
.
. CITY OF ~rKlj~\.:,"lt,LD'
Building/Combination Permit
PERMIT NO: cOM2005-01786
ISSUED: OS/25/2006
APPLIED: 12/30/2005
EXPIRES: 11/30/2006
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 tn 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 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 whn 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 locl'ted at the front of the property, and the approved set of plans will remain on the site at all
time~Uring _ c L-onstru..ction. / .
~
>(31 (LJ-h
Owner or Contractors Signature
Date
Paee 7 of7
225 Fifth Street
. .
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-0 1786
COM2005-01786
COM2005-0 1786
COM2005-0 1786
COM2005-0 1786
COM2005-0 1786
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2005-0 1786
COM2005-0 1786
COM2005-0 1786
COM2005-0 1786
COM2005-0 1786
COM2005-0 1786
Payments:
Type of Payment
Cash
Change
cReceintl
RECEIPT #:
~.
~..
CAof Springfield Official Receipt
_Iopment Services Department
Public Works Department
3200600000000000283
Date: 05/31/2006
Description
Fixture
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Paid By
CLOVERLEAF ASSISTED
LIVING LLC
CLOVERLEAF ASSISTED
LIVING LLC
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
djb
In Person
djb
I n Person
Payment Total:
Description
Fixture
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Paid By
CLOVERLEAF ASSISTED
LIVING LLC
CLOVERLEAF ASSISTED
LIVING LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
djb In Person
Payment Total:
Page I of I
I :48:56PM
Amount Due
14.00
1.12
1.40
75.23
57.20
6.62
$155.57
Amount Paid
$160.00
($4.43)
$155.57
Amount Due
14.00
1.12
1.40
75.23
57.20
6.62
$155.57
Amount Paid
$160.00
($4.43)
$155.57
5/3 112006