HomeMy WebLinkAboutPermit Building 2008-5-1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00379
ISSUED: 0510112008
APPLIED: 03120/2008
EXPIRES: 11/01/2008
VALUE: $ 24,960.00
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS. 2400 Hartman Ln
ASSESSOR'S PARCEL NO 1703223300600
Spnngfield TYPE OF WORK Intenor
TYPE OF USE' Remodel
CommercIal
PROJECT DESCRIPTION. Remodel Oregon Urology mstltute
Owner. HARLOW UROLOGY CENTER LLC
Address 2400 HARTMAN LN 200
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
JOSHUA JAY MCLA WS
License
159664
Expiration Date
05/05/2008
Phone
541-409-8734
# ofUmts.
Pnmary Occupancy Group.
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIon Type
# of Bedrooms
B
I BUILDING INFORMATION'
'\.. - ,....., '"
t # Of Stones')regon law re' Lot SIze
HeIght of SlIrJAhWlby the gurres you t~q Ft 1st Floor
, " ,Typ~ ~f:rreat.':r Those rUle;:~~~e~~'''~q Ft 2nd Floor
(' ,~ater TypeD01 0 through OAR 952 orYti Ft Basement
\ ~R~/g~'J'!p61btam COpIes of the rUI~~OJ.~ Ft Garage/Carport
r Ene~bypMt-er (Note the telepho ~ Ft Other
ILllllDer )'T.)~ tbift () ne
~prCnKle(t'DtHrtrij'tgn Utl"ty NatfflcatJo Occupant Load
enter l~ 1_s:lnn '7)"(1 n.- . '\ ...
_!- J..\'7" .
I DEVELOPMENT INFORMATION 'I
23,900
10,258
VA
REQUIRED PARKING
Frontyard Setback'
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd.
% of Lot Coverage
Total
HandIcapped
Compact'
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIon'
SIdewalk Type
NOTICE: Downspoutsillrams.
THIS PERMIT SHAll EXPIRE rF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
X,~~M.ENCED OR IS ~BANDONED FOR
Notes
DescnptlOn
Type of ConstructIon
$ Per Sq Ft
or multIplIer
Square Footage
or BId Amount
Value
Date Calculated
Pal!e 1 of 3
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
EstImate
EstImate
Fee DescnptIon
Plan RevIew Comm/Ind/Pubhc
+ 10% AdmmlstratlVe Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUlldmg PermIt
Plan RevIew FIre & LIfe Safety
Total Amount PaId
SUB RevIew
ImtIal RevIew
Pubhc Works RevIew
Plannm!!: RevIew
Structural RevIew
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00379
ISSUED: 05/01/2008
APPLIED: 03/20/2008
EXPIRES: 11/01/2008
VALUE: $ 24,960.00
$1.00
03/20/2008
24,960 00
$24,960.00
$24,960 00
Total Value of Project
~
Amount PaId Date PaId ReceIpt Number
$160 77 3/20/08 1200800000000000258
$24 73 5/1/08 3200800000000000252
$29 68 5/1/08 3200800000000000252
$1237 5/1/08 3200800000000000252
$24734 5/1/08 3200800000000000252
$98.94 5/1/08 3200800000000000252
$573.83
I Plan Reviews I
03/24/2008
03/21/2008 03/24/2008 APP LLH
03/24/2008 03/27/2008 APP JHJ
03/24/2008 03/31/2008 APP EMM
03/24/2008 04/04/2008 APP LLH
Energy forms mcluded wIth plan
sent to SUB 3/24/2008(1h)
SDC worksheet No New SDC's
(JHJ)
Plans reVIewed by Mlck Nolte wIth
the BUlldmg Department under
contract wIth the CIty of Spnngfield
Pa!!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00379
ISSUED: 05/01/2008
APPLIED: 03/20/2008
EXPIRES: 11/01/2008
VALUE: $ 24,960.00
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fire Department Review
03/24/2008
04/28/2008
OK
GRG
Plans Review Remodel of receptIOn
areas for SUites 100 and 200 Job
#COM2008-00379. Occpancy
ClassificatIon B. ConstructIon
Type. V-A Spnnklered (Note
BUlldmg was ongmally constructed
under the 1997 UBC/1998 OSSC as
a mIXed B/I-l 3 occupancy with a
Type V-I hour-sprmklered
constructIon classificatIOn See
COM2003-00610 dated 8/22/03)
Mamtam fire extmgUlshers every 75
feet travel distance
Contact Deputy Fire Marshal
GIlbert Gordon (phone
541-726-2293) for mspectIons of any
fire spnnkler head relocatIOns
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 Reouired Insoections I
Frammg InspectIOn Pnor to cover and after all rough m mspectIons have been approved.
Fmal Fire Department After all reqUirements of the Fire Department have been met
Fmal Buddmg After all reqUired mspectlOns have been requested and approved and the bUlldmg IS complete
CeIlmg Gnd After drywall approval but pnor to cover
By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance with
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure without permission of the Commumty Services DIVISIOn, BUlldmg Safety.
I further certify that only contractors and employees who are m complIance with ORS 701 005 wIll be used on thiS project
I further agree to ensure that all reqUired mspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permit card IS 10 d at the front of the property, and the approved set of plans wIll remam on the site at all
tImes dunng constructIon
~~'
owCJontr~c~ Signature
'51
~
Date
Pae:e 3 of 3
225 F!,.fth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00379
COM2008-00379
COM2008-00379
COM2008-00379
COM2008-00379
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
CIty of Sprmgfield Official Receipt
Development Services Department
Public Works Department
3200800000000000252
Date: 05/0112008
DescrIptIOn
Plan RevIew FIre & LIfe Safety
BUlldmg PermIt
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratlVe Fee
PaId By
AFFOL TER WEST JONES
ARCH
Item Total
Check Number AuthorIzatIOn
ReceIved By Batch Number Number How ReceIved
dJb 074641 In Person
Payment Total
Page I of I
11 02 5lAM
Amount Due
9894
24734
1237
2968
2473
$413 06
Amount PaId
$4 13 06
$413 06
5/1 /2008