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Home My WebLink AboutPermit Building 2006-5-25 . . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: OS/25/2006 APPLIED: 12/3012005 EXPIRES: 11125/2006 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 Owner: Address: TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Addition to existing care facility and interior remodel I requires you.to N. Orenon aW n Ut\ll\y .~~lC"rnO. ~. , .. .ho ()reQo _ ,,_ ,. OU\JlV.... -I .'. rp. Stil I""'" \0110'1'1 rules a nterh9m~'NUiiiber:a ~~k2.lt6j\1I9 Noti\ieatlo;~~1_001 0 through ~~ne rules by in 01\1'1 95 _~" nbtain cOpIes, ~ .~Ionhone uu::>v. ,~- . enter. \'W'o.::.' N tineation. , CONTRACTOR INFORMA"FION I,er ~he Oregon UtIlity 4~). nU\\lU~' .0 . 1 800-332.-2.3 Contractor .' Licensecen\E~'~ir~tion Date Phone BURTON WALTER 114163 OS/24/2008 503-775-1962 WHISKEY HILL ELECTRIC INC 162985 02/01/2009 503-981-4640 SALEM FIRE ALARM INC 76884 10/12/2007 503-364-4566 JET HEATING INC 3944 05/31/2007 503-363-2334 TAPANI PLUMBING INC 60958 07/23/2009 360-687-3983 CLOVERLEAF ASSISTED LIVING LLC 30 E BROADWAY STE 160 EUGENE OR 97401 Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: II SR-I VA # of Stories: Lot Size: Height of Structure 19.00 Sq Ft 1st Floor: Type of He'at';)TICE: S'I~t2ndr!100r:\K Water TYP~:'HS PERMIT SHAll EXPIS\fE[ Ba~e.ri;.rt;\T " ER THlc ~.I' ~1I!\11 I~ I\IU Range Type:UTHORIZED UNO 'Sq Ft Gara~e/Carport Energy PaIF:1~^MENCED OR IS ABAISqiFilo'ihfr!K Sprinkled B~iJiljng:O DAY p,n/a"D Occupant Load: ANY III ,->l'U . 463 5 , DEVELOPMENTlNFORMATlON 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: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer A vaUable: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of7 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Estimate Pavine Tvpe of Construction Estimate Use Bid Amount Fee Description Plan Review CommllndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 80/0 State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps -Mechanicallssuance 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 Comm/lndlPublic 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 Trsnspo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit . . Lll t OF SPRINGFmLlJ Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: OS/25/2006 APPLIED: 12/30/2005 EXPIRES: 11125/2006 VALUE: $ 191,000.00 I Valuation Descrintion 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 ~ 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 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 5/25106 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 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 Total Amount Paid Fire Department Review Initial Review Plannine Review Public Works Review 01/03/2006 01/03/2006 01/03/2006 01/03/2006 . $201.43 $4,017.67 . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: OS/25/2006 APPLIED: 12/30/2005 EXPIRES: 11125/2006 VALUE: $ 191,000.00 5/25/06 2200600000000000655 I Plan Reviews I 03/30/2006 01/03/2006 01/06/2006 02102/2006 OK GRG Fire Department Comments include revision. See attached notes. APP SKG APP EMM Planning application not needed per Tara Jones. Does 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. APP SB Paee 3 of? 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 of7 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: OS/25/2006 APPLIED: 12/30/2005 EXPIRES: 11/25/2006 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 1-1 & SR-I.Bldg's 1 & 2 are both 3,982 sq ft with 466 sq ft new entry. Total sq fl 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 903.3.1.1. 903.3.1.1 references a NFPA 13 system. These occupancies have a NFPA 13D syslem based on plans submitted by Oregon Automatic Sprinkler Co 3/24/94. Subcontractor shall submit sprinkler plans to Springfield Fire Marshal's Office fnr 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) meeling 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 signage meeting requirements of 2004 OSSC 1011. Provide means of egress illumination meeting requirements 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: 11/25/2006 VALUE: $ 191,000.00 Provide fire extinguishers with a minimum rating of 2-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 ( 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 ahnut the pantry door opening into 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 5 of7 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: OS/25/2006 APPLIED: 12/30/2005 EXPIRES: 11/25/2006 VALUE: $ 191,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Envelope forms. Bldg. envelope forms received 3/31/06 jf. Received Building envelnpe 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. Il?p~ 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 cnver 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 Concrele: 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 now test. Final Fire Department. Afler all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the huilding 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 6 of7 . . CITY OF SPRIN\JNt-LD . Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: OS/25/2006 APPLIED: 12/30/2005 EXPIRES: 11/25/2006 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 erecled but prior to placement of concrete. SUB Mechanical: Following City Rough Mechanical inspection approval and prior tn 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 certify that all information hereon is true and correct, and I further certify that any and all wnrk performed shall be done in accordance wilh 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 lhis 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 7:;;:TJ}JP=- slY;) Oh Owner or Contractors Signature Date Paee 7 of7 . . AITACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET - , JOURNAL OR JOB NUMBER C0M2005.() 1786 NAME OR COMPANY: Phoenix Assisted Livin. LOCATION: ' 2669 CloverleafLooo MAP & TAX LOT NUMBER:. 17 03 22 43 00800 DEVELOPMENT TYPE: Assisted Livin~ Home expansion NEW DEVELOPED AREA (S.F.): 463.00 EXISTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): I STORM DRAINAGE lTE: ITE: LOT SIZE (S.F.): 254 IMPERVIOUS SQ. FT. 623 x $ 0.323 PER SF TOTAL STORM DRAINAGE SDC:, 2 SANITARY,SFWFR-rIIY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 12 x $ 25.07 PER DFU 12 x $ 19.Q7 PER DFU $ 44.14 TOTAL LOCAL WASTEWATER SDC:' $529.68 I $0.00 TOTAL MWMC REIMBURSEMENT FEE: $21.70 TOTAL MWMC IMPROVEMENT FEE: $228.94 MWMC ADMINISTRATIVE FEE: $10.00 TOTAL MWMC SDC:, $ 260.64 $260.64 SUBTOTAL (ADD ITEMS 1.2.3.&4) $1,122.77 L=__ 3 TRANSPORTATION BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.46 x 2.74 B. IMPROVEMENT COST: 0.46 x 2.74 EXISTING A. REIMBURSEMENT COST: 0.00 x 0 B. IMPROVEMENT COST: 0.00 x 0 x $ 19.09 PER TRIP x NTF S24.2 I ~ $106.81 ~ x $ 84.19 PER TRIP x NTF o NTF $0.00 ~ $0.00 I x $ 19.09 PER TRIP x x S 84.19 PER TRIP $ 103.28 x o NTF TOTAL TRANSPORTATION REIMBURSEMENT SOC:I TOTAL TRANSPORTATION IMPROVEMENT SOC: TOTAL TRANSPORTATION SDC:I S 131.02 I 4 SANITARYSEWER-MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0.46 B. IMPROVEMENT COST: NUMBER OF FEU's 0.46 x $46.88 PER FEU S21.70 I $228.94 I x $494.46 PER FEU EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's 0.00 B. IMPROVEMENT COST: NUMBER OF FEU's 0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 PER FEU $0.00 I $0.00 I x SO.OO PER FEU x 5 ADMINISTRATIVE FEES. BASE CHARGE (SUBTOTAL ABOVE) $ 1.122.77 x 5% = I S56.141 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE:I $ &.... tI/. &...&, a....... soc COORDINATOR 21212006 DATE TOTAL SDC CHARGES com200S.01786, Phoenix Assisted Lvg, 2669 Claver1eaf.x1s ~""""'-~;~~. .....;%l:i:;ti ". 8 0;:,." ~,~\..., "'IE~u' u'j;' -:I,;.:! ':i\" '<no = ';,IJ 0 ,,',.~:O::l u..:tLl - et: u 'I;. $201.43 :'14Ji;} $201.43'1,178 ,~"" if;....~' ;,~~;:ik $300.88 i'J'Iib ~ ~,.tI:',:r ::::'::1' \':::, <,l ';'/fr~, '.:~;;-::~; Jlt~:.~ 'j~z'f: -"f:<: "U,:,'). .:"; $24.21 .1173 $106.81 .1094 $131.02 :t' 1054. 1186 U87 1189 8.53 1175 47.61 1190 SI.178.90 1 JULY 2004 . . DRAINAGE FIXTURE UNIT (DFU) CALCUI,A TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ()NL Y THE NET ADDITIONAL FIXTURES) ---- Phoenix Assisted Living FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN. FLOOR SINK INTERCEPTORS FOR GREASEl01USOLIDSlETC INTERCEPTORS FOR SAND/AUTO WASHlETC LAUNDRY TUB CLOTHES W ASHERlMOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONIETC RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC SHOWER. SINGLE STALL SHOWER. GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASIN/lJOUBLE LAVATORY SINK: SINGLE LAVATORYIRESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INST ALLA TION TOILET, pRJV ATE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S' FIXTURES NEW OLD 3 2 2 2 UNIT EQUlV ALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS: .EDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AfTER ANNEXA TION DATE IN T ABLE. CALCULATE CREDITS SEPARATELY YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER $1,000 ASSESSED VALUE $5.29, $5.19 . .$5.12 $4.98. $4.80 $4.63. $4AO. $4.07 $3.67 . $3.22 $2.73 $1.25 $L80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AfTER ANNEXATION DATE) com200S-01786, Phoenix Assisted Lvg, 2669 Cloverleaf.xls YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 x x RATE PER $1,000 ASSESSED VALUE CREDIT TOTAL .$1.45 $L25 S1.09 $0.92 $0.72 . $0.48 $0.28 $0.09 $0.05 $0.00 $0.00 . $0.00 DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o 3 o 2 1 o 6 o o o o 12 $0.00 $0.00 $0.00 , JULY 2004 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-01786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-01786 COM2005-0 1786 COM2005-0 1786 Payments: Type of Payment Check cReceint I . RECEIPT #: a lilt: a of Springfield Official Reeeipt _elopment Services Department Public Works Department 2200600000000000655 Date: OS/25/2006 Description Plan Review Minor - Planning Fixture Inspections - Other Plumbing Plan Review Comm/lnd/Public Plan Review Fire & Life Safety Building Permit Paving Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Sidewalk Permit Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By CHATEAU GARDENS Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 1288 In Person Payment Total: Page I of I 8:23:00AM Amount Due 85.00 112.00 45.00 149.99 92.30 841.90 76.20 201.43 300.88 228.79 24.21 106.81 21.70 228.94 10.00 47.61 8.53 80.00 12.00 33.00 10.00 83.51 112.01 $2,911.81 Amount Paid $2,911.81 $2,911.81 5/25/2006