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Home My WebLink AboutPermit Building 2003-4-21 . Status Issued 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 PROJECT DESCRIPTION: Medical Office Building Owner: WILLAMETTE MEDICAL CENTER LLC Address: 975 OAK ST # 780 EUGENE OR 97401 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 04/21/2003 APPLIED: 02/14/2003 EXPIRES: 10/21/2003 VALUE: $ 235,130.00 TYPE OF WORK: Medical Office TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Mechanical Owner Plumbing Contractor AFFOLTER WEST & JONES MElLI CONSTRUCTION CO CHRISTENSON ELECTRIC INC COMFORT FLOW WILLAMETTE MEDICAL CENTER LLC ROBINSON PLUMBING INC License Expiration Date Phone 541-342-6511 541-485-1417 541-688-6121 , 541-726-0100 63771 458 460 02/12/2004 05/0112003 06/27/2003 107124 07/13/2003 541-345-6909 BUILDING INFORMATION 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 , DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ., nT." r:. . . . i 11::1\( IIUIIl:uregor"aw requires you to Street Improvew~~~~ 'ollow ~61.';~~~.:;l:~g5:by the Oregon Utili:y Storm Sewer 1ffii!lftligMIT SH,ALL EXPIRE IF THE WORK \lotificalDiiwD'SjIillitSlfililffils:rules are sAtforth Special InstrlM'i1ipi:ORIZED UNDER THIS PERMIT IS NOTn OAR 952-001-0010through OAR 952-001- COMMENCED OR IS ABANDONED FOR ~Ogo. You may obtain copies of the rules by Notes: ANY 180 DAY PERIOD. callinglhe center. (Note: the telephone , I ~umber for the Oregon Utility Notification CAnter is 1.800-332-2344). 'I " Paee 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Foundation Onlv Pavine Tvpe of Construction Estimate Use Bid Amount Use Bid Amount Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge Fixture Foundation Permit Paving Planning Final Occy Inspection Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtl 100' Total Amount Paid . I Valuation Descrintion I $ Per Sq Ft $1.00 $1.00 $1.00 Square Footaee 1,965,750.00 235,130.00 159,675.00 Total Value of Project lfp:p~ P':JilLl Amount Paid $3,941.93 $2,425.80 $76.07 ' $214.13 $96.65 $112.00 $1,007.65 $760.65 $118.00 $45.00 $28.00 $45.00 $70.00 $45.00 $28.00 $9,013.88 Date Pai 2/14/03 2/14/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 I Plan Reviews I Paee 2 of5 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 04/21/2003 APPLIED: 02/14/2003 EXPIRES: 10/2112003 VALUE: $ 235,130.00 Value $1,965,750.00 $235,130.00 $159,675.00 $2,360,555.00 Date Calculated 02/14/2003 04/18/2003 04/18/2003 Receipt Number 1200200000000000702 1200200000000000702 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 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 03/18/2003 OK Paee 3 of5 . CITY OF SPRINGFlELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 04/21/2003 APPLIED: 02/14/2003 EXPIRES: 10/21/2003 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 for review and approval An emergency generator sball be installed and tested in accordance with NFPA 1l0. Testing documentation sball conform to NFPA 110 and be provided to the Springfield Fire Marshal's Office for approval prior to occupancy. Duration of power supply shall be not less tban 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 tbe 1 footcandle requirement along paths of egrcss per 1998 Oregon Structural Specialty Code Section 1003.2.9. Test shall be completed prior to final occupancy. Submit in fill plans for review and approval by Springfield Fire Marshal's Office and Springfield Building Official Submit electrical plans for review and approval by tbe Springfield Fire Marshal's Office and Springfield Building Official Entry road shall be widened to 24 foot two way witb no parking on eitber side as stated in tbe Site Plan CITY OF SPRINGFIELD' Building/Combination Permit . . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-00086 ISSUED: 04/2112003 APPLIED: 02/14/2003 EXPIRES: 10/2112003 VALUE: $ 235,130.00 Status Issued Initial Review Initial Review 02/2112003 04/03/2003 APP APP RJB LLH 04/03/2003 Plannine Review 0212112003 04/2112003 APP EMM Public Works Review 04/18/2003 04/18/2003 APP PJO Public Works Review 04/18/2003 WE Structural Review 02/21/2003 03/27/2003 WE JMP Structural Review 04/0312003 04/18/2003 APP JMP SUB Review 02/2112003 Review dated February 26, 2003 (Journal #DRC2002-11359-Findlng #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) 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 Document attached with 20 listed issues was faxed to architect today. 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. UeollireCUn~nec.tion~ 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 filling 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. Paee 4 of5 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 04/21/2003 APPLIED: 02114/2003 EXPIRES: 10/21/2003 VALUE: $ 235,130.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 16 Sanitary Sewer Line: Prior to filling trench 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, fire line now 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. 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 agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, th 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 d ng co~structio r 11 -17. ^ /JI.ff/ lr( c.v8i"'J en o.v --+/Zl /O~ Date Paee 5 of5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 Receipt #: 1200200000000001039 Date: 04/21/2003 Description Paving + 10% Administrative Fee Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Peet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Pee Planning Final Occy Inspection Foundation Permit Page I of2 4/21/2003 2:03:41PM . . City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 760.65 76.07 112.00 45.00 28.00 45.00 28.00 45.00 . 70.00 96.65 214.13 118.00 1,007.65 Line Item Total: $2,646.15 cReceiptrpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Payments: Type of Payment Check Paid By WILLAMETTE MEDICAL CENTER Receipt #: 1200200000000001039 Date: 04/21/2003 Received By Check Number Confirm No djb Page 2 of2 4/21/2003 2:03:4IPM . City of Springfield Development Services Department Public Works Department Official Receipt . How Received Amount Paid In Person 2,646.15 Payment Total: $2,646.15 . cReceipLrpt