HomeMy WebLinkAboutPermit Building 2005-7-28
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00820
ISSUED: 07/28/2005
APPLIED: 06/29/2005
EXPIRES: 01/28/2006
VALUE: $ 100,000.00
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 InfilI
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Tenant Improvements for Anethesia Services. (SUITE 200)
Commercial
Owner: AAA OREGON/IDAHO
Address: 939 HARLOW ROAD
SPRINGFIELD OR 97477
Phone Number: 541-741-8200
. - ..-. "'-.
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor
GLAS ARCHITECTURAL GROUP
SUMMIT INDUSTRIES INC
EUGENE ELECTRIC SERVICE INC
AIR RITE CONTROL INC
CASCADE PLUMBING CO
I CONTRACTOR INFORM;\'f\ON.I'ALL EXPIRE IF THE WORK
I nl0 r LO "..., -, I n THIS PERMIT IS NOT
AUTH(I3ic;D's~INOE~xpiration iPaf~JR Phone
COMMENCED OR \5 AtlANUUI~ u 541-686-2014
ANY 1 ~249\Y PERIOD, 01/25/2006 503-223-9703
90200 03/17/2007 541-344-3561
63302 12/29/2007 503-238-0388
120893 0210312007 503-544-7464
BUILDING INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
B Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq,Ft,Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled BlliIdip!l,; oIa Occupant Load:
ArTENTlnN' nrprnn I~w riPnlliriCIiC: \lnlt tn
I DEVELOPMEN~iNFORM)\"'IQN~11 by the Oregon Utility
"'~"!'v'{JJ, I \,,,,(,,.1,, Phose rules are REQIlIIRED PARKING
in.OAR 952-001-0010 through OAR Q'T52-n01-
Overlay O,l5tO' y, bt ' , f h Qfal:~
# St t T"u,," 'R oJJ may 0 am copies 0 t e !L1IP.~, ,v d
ree rees Ii,f1u:h Hano. appe :
Paved Driv~?R"d? t e center. (Note: the telelClrmnp'act:
% of Lot c~~~1!tg~!or the Oregon Utility Notification
Center is 1-800-332-2344),
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Pa!!e I of 4
.
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection cLine
I Valuation DescriDtion ,
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
100,000.00
Total Value of Project
~
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00820
ISSUED: 07/28/2005
APPLIED: 06/29/2005
EXPIRES: 01/28/2006
VALUE: $ 100,000.00
Value
Date Calculated
$100,000,00
$100,000.00
06/29/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $367.67 6/29/05 2200500000000000853
Plan Review Fire & Life Safety $226.26 6/29/05 2200500000000000853
-Mechanical Issuance Fe.... $10.00 7/28/05 2200500000000001005
+ 10% Administrative Fee $68.57 7/28/05 2200500000000001005
+ 70/0 State Surcharge $48.00 7/28/05 2200500000000001005
Building Permit $565.65 7/28/05 2200500000000001005
Fixture $56.00 7/28/05 2200500000000001005
Furnace - up to 100,000 btu $48.00 7/28/05 2200500000000001005
Gas Outlets 1-4 $4.00 7/28/05 2200500000000001005
Sanitary Sel\o'er - Improvement $292.43 7/28/05 2200500000000001005
Sanitary Sewer - Reimburs~ment $384.70 7/28/05 2200500000000001005
SDC Sanitary/Storm Admin $33.86 7/28/05 2200500000000001005
Vent Fan $12.00 7/28/05 2200500000000001005
Total Amount Paid $2,117.14
I Plan Reviews I
Fire Department Review'
07/21/2005
OK
06/30/2005
Pa2e 2 of 4
GRG
Plans Review: Tenant infill. Job
#COM2005-00820. Occupancy
Classification: B. Construction
Type: V-B.
Provide address and suite 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).
Fire extinguisher location shown on
Plan Sheet A I. Will verify on
location.
Exit light shown on Plan Shcet AI.
Will verify on location.
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00820
ISSUED: 07/28/2005
APPLIED: 06/29/2005
EXPIRES: 01128/2006
VALUE: $ 100,000.00
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review 06/30/2005 06/30/2005 APP LLH
Plannin2 Review 06/30/2005 07/06/2005 APP EMM Talked to John at GLAS
Architectural Group. This space is
office space only for Anesthesia
Group. No chemicals stored here or
work on equipment, just paperwork.
Public Works Review 06/30/2005 07119/2005 APP SB SDCs prepaid in 200 I. Only new
fixture SDCs added. No new square
footage or new paving.
Structural Review 06/30/2005 07/19/2005 WE JMP See attached 6 structural comments
faxed to James M. Lewis.
Structural Review 07/2012005 07/20/2005 10 JMP WI. Jonathan Price faxed the
response to the structural comments,
Structural Review 07/22/2005 07/22/2005 APP JMP Received final internal approval.
SUB Review 06/30/2005 07/13/2005 WE JF Failed lighting. Spoke to architect
and he will followup on correcting
plans/code forms for compliance.
Pass HV AC, no building envelope
issues.
SUB Review 07/14/2005 07/15/2005 APP JF JMP received fax from Keith Cobun
with lighting forms and layout and
forwarded them to Jack Foster for
his review and appronl.
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 wo'rking day, inspections requested after 7:00 a.m. will be made the following work
day.
L.~~?uired Insne<'t~
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
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
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.
Final Plumbing:' When all plumbing work is complete.
Rough Mecha,!ical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pagc30f4
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. CITY OF SPRINtJl'lJ<.LD '
'Building/Combination Permit
PERMIT NO: COM2005-00820
ISSUED: 07/28/2005
APPLIED: 06/29/2005
EXPIRES: 01128/2006
VALUE: $ 100,000.00
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information herenn 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 he 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 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 sel of plans will remain on the site at all
times during construction.
~.( / /
/ Iv-. '7 2'6/0)-
owner!r Conlr
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Date
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Page 4 of 4
225 Fifth .street
Springfield, Oregon 97477
541-~26-3759 Phone
.
Job/Journal Number
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
COM200S-00820
RECEIPT #:
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin '
Building Permit
Furnace - up to 100,000 btu
Vent Fan
Gas Outlets 1-4
-Mechanical Issuance Fee-
Fixture
+ 7% State Surcharge
+ ]()% Administrative Fee
Payments:
Type of Payment Paid By
Check SUMMIT CONSTRUCTION
7/28/200S
~
ttiii,.ty of Springfield Official Receipt
.velopment Services Department
Public-Works Department
2200500000000001005
Date: 07/28/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Recei\'ed
ddk 37449 In Person
Payment Total:
Page I of I
2:29:45PM
Amount Due
384,70
292.43
33,86
S6S,6S
48,00
12,00
4,00
10.00
S6.00
48,00
68,S7
$1,523.21
Amount Paid
$1,S23,21
$1,523.21