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Home My WebLink AboutPermit Building 2006-4-28 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00211 ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: 10/28/2006 VALUE: $ 80,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 939 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300500 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant improvement- NW Medical Owner: Address: AAA OREGON/IDAHO 600 SW MARKET ST PORTLAND OR 97201 t8hone Number: laW requires 'IOU. :T1E.Nl\ON: Oregonb the Oregon Ut\ll\y h A ,...lnnIAd 'I __~ opllort tol\OW \U,v"_'._.~, Those \U'v: ~'1 952-001- 1,Ci:ONiI'Rl\'CTOR INF0RMi\'1jION 'I:l rules by in OA~ ""~ -- obtain cOP\t:~ v' .. bone Contractor 0090. 'Iou [(lay ter tN~ice'itsJelep Expiration Date SUMMIT INDUSTRIES ll:!.Gng the cen oieg0632lii}t'I NO\llh""~~OIl25/2010 EUGENE ELECTRIC S~SN'mE'iNC'1eiS 1_80\?0200.2344 - 03/17/2007 AIR RITE CONTROL INC center 63302 12129/2007 TWIN RIVERS PLUMBING INC 17695 03/11/2007 503-222-6900 Contractor Type General Electrical Mechanical Plumbing Phone 503-223-9703 541-344-3561 503-238-0388 541-688-1444 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedronms: B SI VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Totali\'t. ~Cl~" # Street Trees Rqd: \l\~I!I\fncl~~~Ii.Cli Paved Drive Rqd: ~\C~:. S\'\r-'-'- 't.'{:\,\\S \lQJn~~c~Cl~ % nf Lot Coverage!:) \It.~WI\'\ \Jl{i.Cl't.rr- '\ ~ClCll{i.'t.Cl '\\'\:~\-\arr-\lt.~", (\rr- \S ~'O~ I PUBLIC IMPROVEMEJ{T~~II\~~~\Jo~'l \It.'''\\J'v. r-~'( Sidewalk Type: , pownspoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review Comm/lnd/Public Plan Review Fire & Life Safety + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less luspections - Investig. Plumb + 10% Adminfstrative Fee + 8% State Surcharge -Mechanical Issuance Fee-- + 10% Admiuistrative Fee + 8% State Surcharge Buildiug Permit Fixture Furnace - up to 100,000 btu Gas Outlets 1-4 Mipimum/Adjustment Mechanical Sauitary Sewer - Improvemeut Sanitary Sewer - Reimbursemept SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Trauspo Admin SDC Transpo Improvemeut SDC Transpo Reimbursement Total Amount Paid Fire Department Review 02/24/2006 luitial Review 02/24/2006 . .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00211 ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: 10/28/2006 VALUE: $ 80,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 80,000,00 Value Dale Calculated $80,000.00 $80,000.00 02/22/2006 Total Value of Project 1<'..... P1irll Amount Paid Receipt Number 2200600000000000235 2200600000000000235 2200600000000000378 2200600000000000378 2200600000000000378 2200600000000000378 1200600000000000387 1200600000000000405 1200600000000000405 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 1200600000000000568 Date Paid $316.97 $195.06 $9.90 $7.92 $36.00 $63.00 $45.00 $4.50 $3.60 $10.00 $60.27 $48.21 $487.65 $70.00 $24.00 $4.00 $17.00 $190.66 $250.74 $10.00 $1,392.70 $132.03 $27.41 $366,62 $4,813.19 $1,091.20 2/22/06 2/22/06 3/23/06 3/23/06 3/23/06 3123/06 3/31106 4/4/06 4/4/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 4/28/06 $9,677.63 I Plan Reviews I 04/05/2006 OK See attached docuement for Fire Department Plans Review comments. GRG 02/24/2006 APP SKG Pa!!e 2 of 4 .CITY OF SPRINtJl'lI'.,LD Building/Combination Permit PERMIT NO: COM2006-00211 ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: 10/28/2006 VALUE: $ 80,000.00 . Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Review Comments 04/2112006 10 JMP Plan Review Comments 03/31/2006 10 JF Plan nine Review Public Works Review 02124/2006 02124/2006 03/0212005 03/2112006 APP APP EMM SB Revised Plan Review - Fir 04/19/2006 04/26/2006 OK AG Revised Plan Review - Str 04/19/2006 04/19/2006 10 JMP Structural Review Structural Review 04/27/2006 02124/2006 04/27/2006 , 03/01/2006 APP WE JMP JMP SUB Review 02124/2006 03/06/2006 WE JF SUB Review 03/17/2006 03/17/2006 10 JF SUB Review 04/10/2006 04/10/2006 APP JF WI. Received faxed valuation from Doug Stroud. HV AC code forms received. See allached document Medical Office Inlill, SDCs (difference) added, Oxygen storage. Provide documentation defining exact location and manner of storage of compressed oxygen bollles. AG reviewed control zone fax from 4/18/06. I called and spoke w/Jonathan (contractor) and let him know this was needed. MF WE. Oxygen storage. Received structural response from Jonathan Price. Still waiting for valuation. Received linal internal approval. See allached documents for 12 structural comments faxed to James M. Lewis. See Item 7 of JMP's structural comments allached for request of energy code forms. WE. Received lighting forms 3/17. Still waiting for HV AC and BE forms. Received HV AC worksheet form 4a & mech. plan, forwarded to SUB 3/27/06dlm. HV AC forms received 3/31/06jf. 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. ~RIPlnllirlPlrl 'n~nections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Grid: After drywall approval but prior to cover. 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. Rough Plumbing: Prior to cover and including required testing. Paee 3 of 4 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00211 ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: 10/28/2006 VALUE: $ 80,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete, Rough Mechanical: Prior to Cover Final Mechanical: Wben all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Underslab Plumbing: Prior to filling the trench and including required testing. SUB Final: After all required energy inspections have been requested and approved, SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting 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 gree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, t the permit card is locate at the front of the property, and the approved set of plans will remain on the site at all ti s g construct' ~~ ~~~ l 2&-~61h Date Paee 4 of 4 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone .~~ CjA.of Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-002 I I COM2006-0021 I COM2006-002 I I COM2006-002 I I COM2006-002 I I COM2006-00211 COM2006-00211 COM2006-00211 COM2006-00211 COM2006-00211 COM2006-00211 COM2006-00211 COM2006-00211 COM2006-00211 COM2006-002 I I COM2006-002 I I COM2006-002 I I Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000000568 Date: 04/28/2006 Description 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 Fixture Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Building Permit + 8% State Surcharge + 10% Administrative Fee Paid By SUMMIT CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received djb 38766 In Person Payment Total: Page I of I 10:59:13AM Amount Due 250,74 190,66 1,091.20 4,813,19 132.03 1,392,70 10,00 27.41 366,62 70,00 24,00 4,00 17,00 10,00 487,65 48,21 60.27 $8,995.68 Amount Paid $8,995,68 $8,995.68 4/28/2006 , ' . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER ' COM2006-00211 NAME OR COMPANY: NWMEDICAL LOCATION: 939 Harlow Rd. Suite 300 MAP & TAX LOT NUMBER: 17 03 22 33 00500 DEVELOPMENT TYPE: Medical Office moviru! into cmotv SlJCllCC. (Paid for sincl. tenant office 715) NEW DEVELOPED AREA (S,F,): 2.816,60 1TE: 720 EXISTING DEVELOPED AREA (S,F,): 2.8]6,60 1TE: 715 TOTAL IMPERVlOllS SURFACE (S,F,): LOT SIZE (S,F,): I STORM DRAINAGE 0,85 NTF $],651.00 1 0,85 NTF $7,282.45 1 0,9 NTF ($559,80)1 .' 0,9 NTF ($2,469.26)1 IMPERVlOllS SQ, IT, x $ 0.323 PER SF TOTAL STORM DRAINAGE SDC1 2 SANITARY SEWER-CITY A REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 10 x $ 25,07 PER Dru 10 x $ 19,07 PER Dru $ 44,]4 TOTAL WCAL W ASTEW A TER SDq $44 1.40 I 3 TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A REIMBURSEMENT COST: 2,82 x 36,13 B. IMPROVEMENT COST: 2,82 x 36.]3 EXISTING A. REIMBURSEMENT COST: .2,82 x ] 1.57 B. IMPROVEMENT COST: .2,82 x ] 1.57 x $ ]9,09 PER TRIP x x $ 84.19 PER TRIP x x $ ]9,09 PER TRIP x x $ 84.]9 PER TRIP $ 103,28 x TOTAL TRANSPORTATION REIMBURSEMENT SOC:I TOTAL TRANSPORTATION IMPROVEMENT SOC: TOTAL TRANSPORTATION SDC:, $ 5,904,391 4 SANITARY SRWF.R - MWMC NEW: A REIMBURSEMENT COST: NUMBER OF FEll's 2,82 x $93,75 PER FEU $264,06 1 B. IMPROVEMENT COST: NUMBER OF FEU's 2,82 x $988,92 PER FEU $2,785,40 I EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's -2,82 x $46,88 PER FEU ($132,03)1 B. IMPROVEMENT COST: NUMBER OF FEU's -2,82 x $494,46 PER FEU ($1,392.70)1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMlNISTRA TTVE FEE: TOTAL MWMC SDC:, $ 1,534,73 SUB~TAL (ADD ITEMS ].2,3, & 4) $7,880.52 L 5 ADMIN]STRATTVE FEES' BASE CHARGE (SUBTOTAL ABOVE) $ 7,880,52 x 5% , $394,03 . TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMlNISTRA nON FEE: $ &.... W. ~ e..- soc COORDINATOR 3/1312006 DATE TOTAL SDC CHARGES 1 SteveCOMBuildSDCJUL2Q05.xls .1I~ 8 ~ ~ .:ilil ~ $ J! l\i ~&!l~ $0,00 I $0,00 ),178, ' $250,74 $190,66 $44 1.40 $1,091.20 $4,813,]9 $5,904,39 _ $0,00 $132.Q3 $],392,70 $]0,00 $1,534,73 , JULY 2004 . . DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE NUMBER OF NEW FIX1URES x UNIT EQUN ALENT = DRAINAGE FIX1URE UNITS (NOTE: FOR REMODEl.S. CALCULATE ONLY TIlE NET ADDmONAL FIX1URESl NW MEDICAL FIXTURE TYPE BA TIITIJB DRlNKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTER...r.r ,v...$ FOR GREASEJOlUSOLIDSIETC, INTER...r.r' v...$ FOR SAND/AlITO WASHlETC, LAUNDRY TIJB CLOTIlES W ASHERlMOP SINK CLOTIIES 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 BASINIOOUBLE LAVATORY SINK: SINGLE LA V A TORYIRESIDENTlAL BAR URINAL, ST ALUW ALL TOILET, PUBLIC INST ALLA TION TOILET, PR/V A TE INSTALLATION MISCELLANEOUS: NUMBER OF EDU'S' . . FIX1URES NEW OlD 1 UNIT EQUNALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 I 5 6 3 2 " i . .f:,: TOTAL DRAINAGE FIX11JRE UNITS= . 'EDU ffiauivaJentDwe11in. Unit) is. di,cbaroe eauivaJent to. ,incle fami1v dwellin. (20 DFUl set at 167 ..nons DOl' day CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNEXED 1979 orbefore 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER Sl,Ooo ASSESSED VALUE :,;,S5.29~ i" $5.19~ "",S5,12" ;S:t,98 ;:~::f i:$4:40: ;r $497; ""s~,F', :'0, $3,22',' '~', $2,73; " :}:~t CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AITER ANNEXATION DATE) 1 SteveCOMBuildSOCJUL2005.xts YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER SI,OOO ASSESSED VALUE ~~:13~~ :;j!:\'!!!:ji.I;:::' I ,I SO.72 ~;'~f.\~~i~~tf i:<.';~ ,.~.~.;~ ~"~ " :~t':'t~\..: :~:~; "'I",!-".-: --'""," SO.oo ~ !i!.:i~:~j:~::::::]~:i::~:~::i:::: f~:~.!~ x x CREDIT TOTAL DRAINAGE FIXTURE UNITS 3 o o o o o o o o 1 o o o ,6' , o o o o o o o o o 10 SO.OO SO,OO SO,OO 1 JULY 2004