HomeMy WebLinkAboutPermit Building 2003-5-14
.
Status
Issued
. CITYOFSrK1j~vN~L1J'
NOTICE: Building/Combination Permit
1Mli fl~D"'T t'U~VDIDI: II: T~DIt
AUTHORIZED UNDER THIS PERMIT IS>~IT NO: COM2003-00086
COMMENCED OR IS ABANDONED FOftlSUED: 05/14/2003
ANY 1&0 DAY PERIOD. APPLIED: 02114/2003
EXPIRES: 11/14/2003
VALUE: $ 235,130.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1007 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300400
TYPE OF WORK: Medical Office
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Medical Office Building
Owner: WILLAMETIE MEDICAL CENTER LLC
Address: 975 OAK ST # 780 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Mechanical
Owner
Plumbing
Contractor
AFFOLTER WEST & JONES
MElLI CONSTRUCTION CO
CHRISTENSON ELECTRIC INC
COMFORT FLOW
WILLAMETIE MEDICAL CENTER LLC
ROBINSON PLUMBING INC
License
Expiration Date
63771
458
460
0211212004
05/0112007
06/27/2003
Phone
541-342-6511
541-485-1417
541-688-6121
541-726-0100
107124
07/13/2003
541-345-6909
BUILDING INFORMA nON I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
1-1.2
VNSpr
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
Frontyard 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'
Street Improvements: ATTENTION:Oregon law requires you to
S S A 'I bl follow rules adopted by the Oregon Ulility
Stormi IIewetr tVial a e:Notiflcation Center. Those rules are set forti
pec a ns ruc on:
in OAR 952-001-0010 through OAR 952-001-
Notes: 0090. You may obtain copies of the rules b;
calling the center, (Note: the telephone
nURlber for the Oregon Utility Notification
Center Is 1-800-332-2344).
Paee 1 of6
Sidewalk Type:
DownspoutslDrains:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Foundation Onlv
Paving
Tvpe of Construction
Estimate
Use Bid Amount
Use Bid Amount
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00086
ISSUED: 05/14/2003
APPLIED: 02/14/2003
EXPIRES: 11/1412003
VALUE: $ 235,130.00
I Valuation Descriotion I
$ Per Sq Ft
$1.00
$1.00
$1.00
Square Footage
1,965,750.00
235,130.00
159,675.00
Total Value of Project
Value
$1,965,750.00
$235,130.00
$159,675.00
$2,360,555.00
Date Calculated
02114/2003
04/18/2003
04/1812003
I Fpp< P~W
Fee Description Amount Paid Date Paid Receipt Numher
Plan Review CommlIndlPuhlic $3,941.93 2/14/03 1200200000000000702
Plan Review Fire & Life Safety $2,425.80 2/14/03 1200200000000000702
+ 100/0 Administrative Fee $76.07 4/21/03 1200200000000001039
+ 10% Administrative Fee $214.13 4/21/03 1200200000000001039
+ 7% State Surcharge $96.65 4/21103 1200200000000001039
Fixture $112.00 4/21103 1200200000000001039
Foundation Permit $1,007.65 4/21/03 1200200000000001039
Paving $760.65 4/21103 1200200000000001039
Planning Final Occy Inspection $118.00 4/21/03 1200200000000001039
Sanitary Sewer - 1st 50 Feet $45.00 4/21/03 1200200000000001039
Sanitary Sewer Each Addtll00' $28.00 4/21103 1200200000000001039
Storm Sewer - 1st 50 Feet $45.00 4/21103 1200200000000001039
Storm Sewer Each Addtll00' $70.00 4/21103 1200200000000001039
Water Line - 1st 50 Feet $45.00 4/21/03 1200200000000001039
Water Line - Each Addtll00' $28.00 4/21103 1200200000000001039
+ 10% Administrative Fee $591.76 5/14/03 2200200000000000849
+ 7% State Surcharge $414.23 5/14/03 2200200000000000849
Add, Alter, Extend Circ Ea Add $546.00 5/14/03 2200200000000000849
Building Permit $3,883.60 5/14/03 2200200000000000849
Low Voltage - Commercial Indus $45.00 5/14/03 2200200000000000849
Perm Serv/Fdr 200 amps or less $630.00 5/14/03 2200200000000000849
Perm ServlFdr 201 to 400 amps $525.00 5/14/03 2200200000000000849
Perm ServlFdr 401 to 600 amps $125.00 5/14/03 2200200000000000849
Perm ServlFdr 601 to 999 amps $163.00 5/14/03 2200200000000000849
SDC Sanitary/Storm Admin $637.60 5/14/03 2200200000000000849
Storm Drainage Impervious Area $12,752.04 5/14/03 2200200000000000849
Total Amount Paid $29,327.11
I Plan Reviews ,
Page 2 of6
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
.
02121/2003
03/1812003
OK
Pal!e 3 of6
. CITY OF ~rKll~lJN1!,LD
Building/Combination Permit
PERMIT NO: COM2003-00086
ISSUED: 05/14/2003
APPLIED: 02/14/2003
EXPIRES: 11114/2003
VALUE: $ 235,130.00
GRG
COM2003-00086. Plan Review:
Medical Office Building; Type V-N
Sprinklered: Band 1-1.3 Occupancy,
Shell plan only.
Submit sprinkler plans to
Springfield Fire Marshal's Office fOI
review and approval
Submit fire alarm plans to
Springfield Fire Marshal's Office fOl
review and approval
An emergency generator shall be
installed and tested in accordance
with NFPA 1l0. Testing
documentation shall conform to
NFP A II 0 and be provided to the
Springfield Fire Marshal's Office for
approval prior to occupancy.
Duration of power supply shall be
not less than 90 minutes (OSSC
308.9)
Provide special inspection
certification and testing
documentation to Springfield Fire
Marshal's Office from an
Oregon-registered electrical
engineer verifying egress lighting
meeting the 1 footcandle
requirement along paths of egress
per 1998 Oregon Structural
Specialty Code Section 1003.2.9.
Test shall be completed prior to final
occupancy.
Submit inml plans for review and
approval by Springfield Fire
Marshal's Office and Springfield
Building Official
Submit electrical plans for review
and approval by the Springfield Fire
Marshal's Office and Springfield
Building Official
Entry road shall be widened to 24
foot two way with no parking on
either side as stated in the Site Plan
Building/Combination Permit
PERMIT NO: COM2003-00086
ISSUED: 05/14/2003
APPLIED: 02/14/2003
EXPIRES: 11/14/2003
VALUE: $ 235,130.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
04/30/2003
05/07/2003
OK
GRG
Initial Review
Initial Review
02/2112003
04/03/2003
04/03/2003
APP RJB
APP LLH
Plannine Review
02121/2003
04/2112003
APP EMM
Public Works Review 04/18/2003 04/18/2003 APP PJO
Public Works Review 04/18/2003 05/05/2003 WE PJO
Public Works Review 05/05/2003 05/09/2003 APP PJO
Public Works Review 05/09/2003
Structural Review 02/2112003 03/27/2003 WE JMP
Structural Review 04/03/2003 04/18/2003 APP JMP
Structural Review 04/30/2003
Paee 4 of6
. l..11 if 01< 1)r'K1j~uNJ'.,LD'
Review dated February 26, 2003
(Journal #DRC2002-11359-Finding
#12)
Provide address numbers plainly
visible and legible from the street or
road fronting the property (OSSC
502 and Springfield Uniform Fire
Code 901.4.4)
6 revised drawings.
COM2003-00086. Revised Plan
Review: Medical Office Building;
Type V -N SprinkIered; Band 1-1.3
Occupancy. Shell plan only.
Plans show correction of entry road.
Road widened as directed in Site
Plan Review (February 26, 2003)
and Fire Plan Review (March 18,
2003) to 24 feet.
All other plan review comments
mentioned earlier (March 18 and
April 16, 2003) still apply.
Only two sets submitted, both given
to pearson
Sarah Summers Planner. Final Site
Plan Submitted. Development
Agreement Signed.
Call Sarah for final Inspection
726-4611
APPROVAL IS FOR
FOUNDATION ONLY
Sent Memo requesting plumbing
plans for 2nd and 3rd floors.
SHELL APPROVAL ONLY
Document attached with 20 listed
issues was faxed to architect today.
6 revised drawings.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00086
ISSUED: 05/14/2003
APPLIED: 02/14/2003
EXPIRES: 1111412003
VALUE: $ 235,130.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
0212112003
05/0112003
APP JF
Per conversation with John Pearson,
architect plans to build shell only at
this time. Building envelope, hvac
and lighting specs to be determined
later. Code forms to be received
when specs become available. City
to issue permits for building shell
only. Energy code forms to be
provided as building occupied. Sce
email.
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.
~rprl Tn~,nections I
1 Site Inspection: To be made after excavation but prior to setting forms.
2 Erosion/Grading Inspection: After all erosion measures are in place.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
6 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
7 Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
8 Foundation: After forms are erected but prior to concrete placement.
9 Final Building: After all Conditions have been completed as required on Development Agreement.
10 Rough Grading: After gravel is in place but prior to placing concrete.
11 Final Paving: After paving is complete.
12 Underground Plumbing: Prior to lilling the trench and including required testing.
13 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
14 Rough Plumbing: Prior to cover and including required testing.
15 Water Line: Prior to filling trench and including required testing.
16 Sanitary Sewer Line: Prior to filling trcnch and including required testing.
17 Storm Sewer Line: Prior to filling trench.
18 Underground Electric: Prior to cover
19 Rough Electric: Prior to Cover
20 Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, lire line flow test.
21 Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This
inspection is required prior to any combustible construction.
22 Roofing: Prior to installing any roof covering.
23 Masonry:
24 High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
25 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
26 Final Building: After all required inspections have been requested and approved and the building is complete.
Paee 5 of6
.
May-14-03 03:01P
-~
.
Status
Issued
225 Fiab Slreet, Springfield, OR
541.726-3753 Pbone
541.726-3676 Fa.
541.726-3769 Inspection Line
P.07
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00086
ISSUED: 05/14/2003
APPLIED: 02/1412003
EXPIRES: 11/14/2003
VALUE: $ 235,130.00
By signalure, I slale and agree, Ihall have carefully examined tbe compleled applicalion and do hcreby certify lhal all
information bercon Is Irue and correcl, and 1 furtber cerlif)' Ibat any and all work performed shall be done in accordance wilb
Ibe Ordinances of Ihe City of Springfield and tbe Laws of Ibe Stale of Oregon perlalnlng to Ihe work described herein, and
Ibat NO OCCUPANCY wlU be made of any slruclure wltbout permission of tbe Cnmmunity Service. Division, Building Safety.
I furtber certify Ibat only contractors and employees wbo are In e<impliance with ORS 701.0OS will be used on this pruJect.
I furlber agree to ensure Ihat all required inspecUon5 are requested at the proper lime, that each address is readable from the
streel, tbal tb permit card is located at be front of Ibe property, and the approved set of plans will remain on the site at all
limes d ri nSlrucn
Paee 6 of6
sJ/4-/0"b
Dale
ELECTRICAL PERMIT APPliCATION
City Job Number ~.~ Date
r~~. ,.. .'- - . "-I ""-.-' "",-"~ -r"/ .~_.,~' -.. ~~""i",'- ~#4
1. ~f!i.(JCt1T!QIJAlf,.JM..S1.:~l~fflQNir;~;",:7.,;1JJ
\00'"\ .~nt.") Q~
LEGAL DESCRIPTION
\c)D~'L?~~ f'1:NXJ
. . \ \\ow\09
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726..3689 '1Ied""sl,,e ~ use "
. ee' as s\Jb~\ ec\\iC \an '. .
'~hE..\O\\oVJ\ngJ~~~ 1'0\ reQ.ulre s~ '"
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r^le ---- ___
".- ':::Y,\l)a\ure
~_~'.~;M'i"J-'.'hl."?:i.6".~.A'{;.-t"t,r.w~;;;:<>""" n";'," .i\~ .". '.,,, '."""-"''''':;'-'' '- \," ("'" ....~ ",:"'..<:i," ~ -,.' "j
A. !,Ne~JR.!'~i~~t!aI!'irSj!!gl~r~r.:M~LtihF.Jfu.i'Y;p'er.~w~m,!g.~!!i(.:.~..
JOB DESCRIPTION
~~~e\n~~sfe~~~~~~~~\~
not started within 180 days of issuance or if work is
Suspended for 180 days.
~~~RAeTORliN.. -sifJtlfi!AifioMON'iJY:..':.'1l
2. .''' .".\illS.' ;.".. ,:,"'..".'.~ ..}.,,(V-'."(!>.'.......,.,.,,-.:t~,..:~,'.. .-.~~;i....",~;,~.: "~'~:~'A:'1
Electrical Contractor rhl"; c:;::rpnc::.nn F.l pr'_tri C'.
Address
1?QA Rptnpl Drivp
,City FJ1gpnp
Phone ~~1-hAA-h~
Supervisor License Number '.17SQS
Expiration Date
. 10/01/04
Constr. Contr. Number
?h-'~r.
Expiration Date
10/01/03
Signatufe of Supervising 'Electrician
" T ,,,.,.,, rnR[lnRn .a (J 1-
. r
Owners Name\ ..')\~1)!'M\t~-~
Address en ~ D<\1c.. ~~~\.. ~\PD '
City U~NU
OWNER INST ALLA nON
Phone
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726.3769 ""
:""-uP (j) \
, ~~ ~~~'<' CO.\~
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
p-.: ..\l'.'\<).'!~~.,.l<h2.r;-.;.,.:\.'fO;!;N.iGf._.ij,;. -~~t''':w:$~i,l.'..)....._. -It, "'5'4~. it. 'i "4,t;,';;if.~~~::>~'i.;.JJ0~'.';.r::-::,::J.>..~~~';~::.CG 'j
I:J: kq~~~x~~~~!1:,~~~~!fi~~Il!..~~.t~I,~,Pii~,~~~~~:~~,;~r;.J;t~~~~.~~!l:~~}
200 Amps or less
20 I Amps to 400 Anips '
40 I Amps to ,600 Amps
60 I Anips to 1000 Amps
Over 1000 AmpsNol~
Reconnect Only
~
t"t
\
,
~
n9.S .00
\ 2. ~OO
\ ln~.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Installation, Alteration or Relocation
200 Anips or less
201 Amps to.400 Amps
40 I Amps to 600 Anips
Over 600 Amps or 1000 Volts see "B" above.
D. ~BtNnfli}€'ftcuIt1:.~~~:n~~~~j~'f,~~$.I~~.~\~"r.~if\:~f,t,1.1:"r;;\~;i;'~4
~" .~"'~.....,,,.,.:_...D.~.....:I.tt,,~~~..~,>.I~1Lj.~~if;t~.:~bt!.~..:,Jl.JV..~".::-,(~.' :.lt~....",j ,';9
$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
, ex)
~O.
\~'2.
tg:1:...t;;.;J;...~'\,:~"':..:-...',!1 :,'.....~r~:-il:"~!f.,;( - j:J..~;.~.<;..!-.;c~';\'-'G<~'t....~.. :';',;"";l~' -~~-"~i - ,;:,,':- ,"-.J)!
E. ~~~M~9.!.?,:'t~~(~~~~f~~,.~EJ~9,t~~J,~,g,~~)):;-~~~~1~~~t~P~,.t.!PJ~~
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
~~po
\
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
f.t"''''-i''''':.,''-'~':!n:'''.f.i.''-_'~'''''''''_f1-~'''lt_""":~~i:'t'"",,r.?r.*{.~'t,..... ))j,. ': "r~" .Wi;;.......~.
4. "SUBJ;OT.jfE OFi~OV,E;l'~""'\J1i"P/. tlJ,i~. ""Ii"
.:~'F.1~o"::'.i~.~r~~Vt~~t.~Y.f.t'>1:'.<ii~.~'ttfk~~~'~".t~w~
~~
\~-2. .SB
~O~ AO
'l.. 3'1Q .'l8
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)IBuilding Forms/Electrical Permit Application l-03.doc
- .~.. ..., ,. "l ' - I ' '"t I' t" .' ". \'
j'1Y'."':';' ,.--:" '.CITY'0FSllixtNGFIELD;'OR.EGON. . '\.> '.'
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAI,."PERMIT APPliCATION
City Job Number COrr, dO D ~ - DOOg{P Date 5 - I 4- D 2>
i. f7iOCATION;QJi[msf.jU5LAJY6N. ;'j\'71;;~,~}~:Jl
l't~,,-,. ,...."_.'"..,,,, ,..._ ,'. ,..,~" '.., .- ,n.. ~_ ,..,....._...-.. ~__._y:_~
I DOl ~ net
LEGAL DESCRIPTION
IIO~(),d.'61> DbYDO
JOB DESCRIPTION
~ c:k~ i>Jl Dt+-< c".u t6n cl. 0.,
Permits are non-tra~sYerable and exp~ if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1'160N:i'RAeTOiErivST~iION.'oNiyJl'
2. it,;-.J:,'-l.<"'l.-. :..;.....~-~: \"."JA, iJ~ '.:?J-":<"l' "'111':......'. :.~: ~.^'''' .d;lk'L'''n ''":!:~~
Electrical Contractor ('1,l""; C!h~T1C!nn F.l j::).("tr; ("
Address
1 ?QR Rp t..heLlh-i Vp
. City Vl10"cme>
Phone Sb1-hRR-h12L
Supervisor License Number 37 S9S
Expiration Date
Expiration Date
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769.
3. ~/p'QJ@I'Er~!EE.,11~seJ!iF:I)i!EE'~'gtPl!r: 'f::~1:.~,~ ,'rtici'ijJ~
",-.",:,7"'.. '"...;':, ,M~'.l$!$"''-'''';''.r,.".".t",~",,1'''''''''''''''' ":-!~"'-"',~. ~~',-""""'''''''-'' ".... '"OJ!. "J'_,~l
A. t~~.!tW;It.l!;~ii:l~n.ti!!:'t'.~ltigJ!i'(~riMi!I!!:FJ!mtIY;p'er'.~'!"~lmlg\~!!!~;~
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B. fb~:lt~;t#i?~'giJ1~. ,rI~riill~ititfrli;~it&itit;ri~~'it~-rR~fu'cati~h~:e~
. . ~,,,,,,,,~,~t-_,._..~. '__~~~"~~ ",_1'1' .'i'J;\~~~~::\.... .~rlt:\' ..~ ,.' -.., "":._' -,' ..:. ).,".-"~l'" "','., "",,;.' "\ -,:'~
I 0 $ 63.00 to ~D. OD
I $75.00 S;},S.bD
I $125.00 laS.on,
I $163.00 Ilo?:'. on
, $375.00
$ 50.00
$ 50.00
$ 50.00
$ 25.00
$ 45.00 U~. ()I.:L
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
lj;~.,.t~~,;.lI:\::J'>T~~:IS.~~''t,+.:'':lt.i:'''i'I.'C;. .t'-.""1.:r'~'~'''.''-t:-~5t$.'~(''fz". "'~~)1'~
4. fil':)CfD.H917JJ..Ei(?lEo;I;Alno~~.,~~~?-~~,,:'~{i,,)d..:t!1!i~,j r'\ ...,
til;;;tfW.i'!:~f~....~..t;..t,S.~~:I~.::.......::-~:t:!,.ct;:J:1~~~3f.;.J. ,'~:;' .-.J n .:'\LI. nO
7% State Surcharge
10% Administrative Fee
lL/ci.3<ii:
d. o?,. ~ 0.
d '?:>'l'1.I,~
TOTAL
- -Shared Drive(T:)lBuildingFormslElectrical Permit Applict:tion l-03.doc