HomeMy WebLinkAboutPermit Building 2006-2-22
" ,
.
Status
In Review
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
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00211
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
10/01/2006
$ 80,000.00
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant improvement - NW Medical
. _, ,;,p<; yOU to
_. ....."'1. (IreQon \o.H ' - ~..",,~on U\\\l\~
I CONTRACTOR, INFORMATION Ire set lotth
lOW" ',~" C ntet. \ nu~" ,- OAR 952.001'
Contractor Not\liC:~0~_O~1_00i 0 trui~~s8\ the ~xpiration Date
EUGENE ELECTRIC !iERVICE'INC" obtain \90200" telep\1Ot03/,1712007
, "~-'I 111", ' '-' the
TWIN RIVERS PLUM~ING,INC d. _ ~pntet. lI17695."... lo.l",liticat03/H/2007
I BUlr:DiNG,iNFOaMATioN:i;2~2344).
CeO\el'~ ' .
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Owner:
Address:
AAA OREGONflDAHO
600 SW MARKET ST
PORTLAND OR 97201
Contractor Type
Electrical
Plumbing
. # of Units:
Primary Occupancy ,Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
" Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 503-222-6900
Phone
541-344-3561
541-688-1444
B
SI
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
RE~WRED PARKING
Overlay Dist: .~, PI?-c It i\'\c ~?W.i
# Street~ll~.!l~\JIli SW>.\.\. c~\'\IS ?c?-Wlli li\lI'dicapped:
Paved DWI~$ijll. cD UI'lDc?- i I'lDOl'lcD fesffinpact:
% ofLotR8Yf.\'a~?' cD O?- IS f>.Bf>.
COWlWlc~~r." Pc?-IOD.
I PUBLIC IMPRdf~t'~TS I
.
Sidewalk Type:
DownspoutslDralns:
Paeelof3
.
, Status
In Review
_ 225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
='541-726-3676 Fax
"541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
- Plan Review CommllndlPublic
~ Plan Review Fire & Life Safety
~ + 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Inspections.. Investig. Plumb
Total Amount Paid
.
. CITY OF ~t'Kll~\J.l'u'LD
Building/Combination Permit.
PERMIT NO: COM2006-00211
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
10/0112006
$ 80,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
80,000.00
Value
Date Calculatcd
Total Value of Project
$80,000.00
$80,000.00
02/22/2006
Fpp< P"ir1 J
~
Amount Paid
Date Paid
Receipt Number
$316.97
$195.06
$9.90
$7.92
$36.00
$63.00
$45.00
2/22106
2/22/06
3/23/06
3/23/06
3/23/06
3/23/06
3131/06
2200600000000000235
2200600000000000235
2200600000000000378
2200600000000000378
2200600000000000378
2200600000000000378
1200600000000000387
$673.85
I Plan Reviews ,
Fire Department Review 02/24/2006
Initial Review 02/24/2006 02/24/2006 APP SKG
Plan nine Review 02/24/2006 03/02/2005 APP EMM
Public Works Review 02/2412006 03/2112006 APP S8 Medical Office Infill, SDCs ..
(difference) addcd.
Structural Review 02/24/2006 03/01/2006 WE JMP See attached documents for 12
structural comments faxed to James
- M. Lewis.
- SUB Review 02/24/2006 03/0612006 WE JF See Item 7 of JMP's structural
comments attached for request of
energy code forms.
SUB Review 03/17/2006 03/17/2006 10 JF 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 3/27/06 dim
.. 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.
"
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2006-002I1
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
10/0112006
$ 80,000.00
225 Fifth Slreet, Springfield, OR
,,541-726-3753 Phone
-:-541-726-3676 Fax
541-726-37691nspeclion Line
I ~\'i\~uirf~d Insnections ,
rllll"
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Grid: Afler drywall approval bul prior to cover.
Final Fire Deparlment. 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 tesling.
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.
Eleclric Service: Approval required prior to utility company energizing service.
Underslab Plumbing: Prior to filling the trench and including required testing.
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 Ihe City of Springfield and Ihe Laws of Ihe Stale of Oregon perlaining 10 Ihe work described herein, and
Ihal NO OCCUPANCY will be made of any slructure withoul permission of Ihe Community Services Division, Building Safety.
I further certify Ihal only conlraclors and employees who are in compliance wilh ORS 701.005 will be used on Ihis projecl.
I further agree 10 ensure Ibal all required inspeclions are requesled allhe proper lime, Ihal each address is readable from Ihe
streel, Ihallhe permit card is located allhe front of Ihe property, and Ihe approved set of plans will remain on the site at all
times during construction.
,,{~) d~
3/31/0 b
Dai (
Owner or Contractors Signature
Pa2e 3 00
"
.:.\
225 Fifth Str.eet
Springfield, Oregon 97477
541-726-3759 Phone
.
~f
. <'--../' ~
,Ji,i,ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200600000000000387
Date: 03/31/2006
Job/Journal Number Description
COM2006-00211 Inspections - Investig. Plumb
- Item Total:
'I
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check TWIN RJVERS PLUMBING djb 25620 In Person
INC
dange TWIN RJVERS PLUMBING djb In Person
u, INC
:i,
'0 Payment Total:
Job/Journa. Number Description
COM2006-00211 Inspections - Investig. Plumb
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
,
Check TWIN RJVERS PLUMBING djb 25620 In Person
INC
~range TWIN RJVERS PLUMBING djb In Person
- INC
Payment Total:
t"
't:
1
1-1
-,
,
J
~~
t"
q.
..
t
11
,:
"
~'I
'~
3/31/2006
Page I of!
2:32:40PM
Amount Due
45,00
$45.00
Amount Paid,. :
$53.05
($8.05)
$45.00 '
Amount Due
45,00
$45.00
Amount Paid
$53,05
($8.05)
$45.00
f'
"\Btatus In Review
Vl"/'
:~' 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. L11 l' OF ~rK11~u1<mLD
Building/Combination Permit
PERMIT NO: COM2006-00211
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
10/01/2006
$ 80,000.00
SITE ADDRESS: 939 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300500
'I
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant improvement - NW Medical
AAA OREGON/IDAHO
600 SW MARKET ST \: 'tJG\\'f..
PORTLAND OR 972,?1 'l'~'/.' ~ \ I I;;~?I\\~;~:~\ IS ~Gi
\,,;~ " "II "." ' 1'-'\:> \ ~' n '\'I
C' I'\:\\'''-.ro" . ..~" ru
i\-ll" G\\ll~N-TRAeT,@B!'INFriRMATION I
f>.lii\-l C't.D tW ,!
ContraC!QMWI;~ r.r>-'< 1''t.\\IGG. License
EUGENE~c:mrc SERVICE INC 90200
TWIN RIVERS PLUMBING INC 17695
Owner:
" Address:
.)
'.
b~,
.v
Contractor Type
Electrical
Plnmbing
# of Units:
Primary Occupancy Group:
I, Secondary Occupancy Group:
, Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,
'..'
i'.
.
. "
"
!II: Frontyard Setback:
~'Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,
Street Improvements:
. Storm Sewer Available:
: Special Instruction:
Notes:
ro'
:""00
. i'
"
il\l
'!( ,
Phone Number: 503-222-6900
-
\
Expiration Date
03/17/2007
03/1112007
Phone
541-344-3561
541-688-1444
BUILDING INFORMATION'
# of Stories: Lot Size:
B Height of Structure Sq Ft 1st Floor:
SI Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft OJlter:
Sprinkled Building: nla occu-p'imt:\I;oad:
_r\u,\\..... ~<'"\ \)\.'. _.,\'(\
I DEVELOPMENT INFORMATION"r,-:l\~~ O\e~e ",e\'JJ:J\-
~ V' - -eO o'l \\:'W"'OI>-~ c:IffimirtU:D PARKING
(\\0 ',>,O\!\! .."(\o",e i(\ e \\:". e
Overlay Dist: <;;.~ 'e'" '3-U ..e\, , ",\o\:,g 0\ \~ Totalf' ~
1'01' ,,', {\' ()\I' \e'" \!e'...'y \,0"
# Street Tr,e'\~d~qd: (\ Ce .()()\, Co\! ,\"(\e ,I!{\!!dlcapped:
Paved DriVe'Rq!!:~IO<:>'2.'()()\ o'O\'3-I{\ ~o\e. '~\'l ""Compact:
% of Lot Gov~'r,ge~ \'I''3-'l (\\e\' o{\ 1,)\1~'2.~o.L\,)'
\{\ J () '-to\:' i(\e ce O\eg O.~'?i
,,(\'?J '" ^(\ \! , ,>;<,e . }r}J
I PUBLIC IMPROVEMEijj;s'l ~e{\\e\ ,-
Sidewalk Type:
Downslloutsmrains:
-
I
Pallelof3
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
, Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Aller, Extend Circ Ea Add
:. Perm ServlFdr 200 amps or less
Inspections - Investig. Plumb
+ 10% Administrative Fee
+ 8% State Surcharge
Total Amount Paid
.
. CITY OF ~rtuNGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00211
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
10/01/2006
$ 80,000.00
,
'"
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
80,000.00
Value
Date Calculated
Total Value of Project
$80,000.00
$80,000.00
02/22/2006
)?pp<. PlWLI
Amount Paid
Date Paid
Receipt Number
2200600000000000235
2200600000000000235
2200600000000000378
2200600000000000378
2200600000000000378
2200600000000000378
1200600000000000387
1200600000000000405
1200600000000000405
:
$316.97
$195.06
$9.90
$7.92
$36.00
$63.00
$45.00
$4.50
$3.60
2122/06
2/22/06
3/23/06
3123/06
3/23/06
3/23/06
3/31/06
4/4/06
4/4/06
,
$681.95
I Plan Reviews I
Fire Department Review 02/24/2006
Initial Review 02/24/2006 02/24/2006 APP SKG
Plan Review Comments 03/31/2006 10 JF MV AC code forms received. See
attached document
Plan nine Review 02/24/2006 03/02/2005 APP EMM
Public Works Review 02/24/2006 03/21/2006 APP SB Medical Office Infill, SDCs
(difference) added. I
Structural Review 02/24/2006 03/01/2006 WE JMP See attached documents for 12
structural comments faxed to James :
:. M. Lewis. .
.
SUB Review 02/24/2006 03/06/2006 WE JF See Item 7 of JMP's structural
comments attached for request of
energy code forms.
SUB Review 03/17/2006 03/17/2006 10 JF WE. Received lighting forms 3/17.
Still waiting for HV AC and BE
forms. Received MV AC worksheet
form 4a & mech. plan, forwarded to
SUB 3/27/06 dim
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.
Paee 2 of3
.
. CITY OF ~r1Ul'\j\d<u'LD I
Building/Combination Permit
Status
In Review
PERMIT NO: COM2006-00211
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
10/01/2006
$ 80,000.00
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Renuiretllnsnertinn'LI
,.
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 Plumhing: 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.
Electric Service: Approval required prior to utility company energizing service.
Underslab Plumbing: Prior to filling the trench and including required testing.
,
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 uscd 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
times during construction.
~tj~
Lf/ t./-/oG
Datl (
"
Owner or Contractors Signature
Paee 3 of3
,
, I
~:~,
~i'~
it5 Fifth Street'
Springfillld, Oregon 97477
541-726-3759 Phone
.r
'y:Job/Journal Number
COM2006-00211
COM2006-00211
: ~1
. Payments:
"
t~ Type of Payment
~~~Cash
b\i r 1
"Change
. ~r
^'
,.> i~'
, Job/Journal Number
..
, C~M2006-00211
COM2006-00211
Payments:
Type of Payment
Cash
,i,Change
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4/412006
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RECEIPT #:
8r~-I!~'~,~!ELD'-'-""" ~..__ .._., ~,I,
It\i:'
, ~
',",";;' ".. 1:
____~' ,.' I'
1200600000000000405
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TWIN RIVERS PLUMBING
TWIN RIVERS PLUMBING
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TWIN RIVERS PLUMBING
TWIN RIVERS PLUMBING
Received By
djb
djb
Received By
djb
djb
Page I of 1
Check Numher
Batch Number
Check Number
Batch Number
"""'ity of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 04/04/2006
Item Total:
Authorization
Number How Received
In Person
In Person
Payment Total:
Item Total:
Authorization
Number How Received
In Person
In Person
Payment Total:
2:14:2IPM
Amount Due
3.60 '
4.50
$8.10
Amouut Paid i: '
,
$10,00 ~
($1.90)
$8.10
Amount Due'
3.60
4.50
$8.10
Amount Paid '
$10.00
($1.90)
$8.10
!!