HomeMy WebLinkAboutPermit Building 2006-6-15 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-00549
ISSUED: 06/15/2006
APPLIED: 05/10/2006
EXPIRES: 12/15/2006
VALUE: $ 128,000.00
SITE ADDRESS: 1011 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300200
Springfield TYPE OF WORK: Office
PROJECT DESCRIPTION: Suite 300 Tenant Improvement.
TYPE OF USE: . Alteration
Commercial
Owner:
Address:
NOT'CE~ SH,\LL EX~[elpliiJ)\~eWO~-984-2287
THIS PERMIT UNDER THIS PERMIT IS NOt ;
'\UTHOR'Z~~t' (V) '" ~Rf1NnONEO fOR
\,UMIVIt:I'ULV C', . .
I CONTRACTOR INFORMl\!rIIC!lNYfIOO.
PACIFIC CONTINENTAL BANK INC
PO BOX 10727
EUGENE OR 97440
~ License
.. .
Expiration Date
Phone
541-686-2014
541-688-8973
541-747-2213
541-942-8339
Contractor Type
Architect
General
Electrical
Mechanical
Contractor
GLAS ARCHITECTURAL GROUP
JACK WORMDAHL
ALERT ELECTRIC INC
MICHAEL GRIFFIN
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
26679
12772
150189
03/1212008
OS/2212007
01/23/2007
BLILum~ INFORMATION I
# of Stories: Lot Size:
B "eight of Structure Sq FtIst Floor:
Type of Heat:ATTENTION: Oregon 'a~IJ~~~f~~Ho
v A Water Type: follow rules adopted by !l1l..,\\!)It'l1W~~lity
Range TYP<t.jotification Center. Thos&91.1f~fllrl!lL,*fMRl\rt
Ene.rgy Pat~:;. O(lR 952.001.001 0 thr&l!Jf1tc9A~,e~t2-001-
Sprmkled Bl!ddmg;'ou may on/aal'n co,9cculJanteLoad: b
......\..1""..... , i.)t ,,,,.Ie:::. CI 1I1 f'lUIt:$ Y
,-,...". ,. ,>> .....".'r. l'~Ole: me lelepnone
I DEVELOPMENT INFORMATION., Ut'I't NT'
. regon II y 'REQtJrRlw PARKING
Cenler IS 1.800.332.2344),
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Pal!e I of3
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 CommlInd/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 80/0 State Surcharge
Building Permit
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
Fire Department Review
05/11/2006
Initial Review
Plan Review Comments
05/11/2006
Plannine Review
Public Works Review
05/1112006
05/11/2006
Structural Review
05111/2006
Structural Review
06/13/2006
SUB Review
05/11/2006
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
128,000.00
Total Value of Project
~PP:~, p",W
Amount Paid
$426.82
$262.66
$10.00
$70.17
$56.13
$656.65
$12.00
$4.00
$29.00
$1,527.43
Date Paid
5/10/06
5/10/06
6/15/06
6/15/06
6/15/06
6/15/06
6/15/06
6/15/06
6/15/06
I Plan Reviews ,
06/1 0/2006
05/1112006
06/08/2006
05/1212006
06/01/2006
05/16/2006
06/13/2006
06/05/2006
OK GRG
APP LLH
10 JMP
APP EMM
APP SB
WE JMP
APP JMP
APP JF
Paee 2 of 3
. CITY OF ~rKll~lJl'lJi,LD
Building/Combination Permit
PERMIT NO: cOM2006-00549
ISSUED: 06/1512006
APPLIED: 05/1012006
EXPIRES: 12/15/2006
VALUE: $ 128,000.00
Value
Date Calculated
$128,000.00
$128,000.00
05/10/2006
Receipt Number
2200600000000000579
2200600000000000579
2200600000000000845
2200600000000000845
2200600000000000845
2200600000000000845
2200600000000000845
2200600000000000845
2200600000000000845
See attached document for Fire
Department Plans Review
comments.
WE. Received partial responses.
Called Wally Greslto request
information from items 2, 3, and 4.
He said he will try to get them next
week.
SDCs previously paid. No new
plumbing fixtures. No SDC's.
See attached documents for 4
structural comments faxed to Reid
O. Anderson.
Received contractor data, Special
inspection forms, and seismic
calculations.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00549
ISSUED: 06/15/2006
APPLIED: 05/10/2006
EXPIRES: 12/15/2006
VALUE: $ 128,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
IRe(Jui~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Firewall: Located and constructed according to plans.
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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 shan 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, 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.
/7/1 ~~
Owner or ~tractors Signature \
&Ir 0 (~
Date /
Paee 3 of 3
AITACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2006-00549
NAME OR COMPANY: Thorp, Purdy. Jewett, Urness. & Windinson Law Office
LOCATION: 1011 Harlow R<l3rd Floor. Suite 300
MAP & TAX LOT NUMBER: 17 03 22 33 00200
DEVEWPMENT TYPE: Expansion of existing tenant infill
NEW DEVELOPED AREA (S.F.): 4.119.50
EXlSTING DEVELOPED AREA (S.F.): 4.119.50
TOTAL IMPERVIOUS SURFACE (S.F.):
,1 STORM DRAJN1.QE No new square footage.
i "'
.
.
IMPERVIOUS SQ. FT.
lTE:
ITE:
LOT SIZE (S.F.):
x S 0.323 PER SF
750
710
TOTAL STORM DRAINAGE SDC:I
No new drainage ftxture units
:LSM!TTARY SFWER.CI1:Y
A, REIMBURSEMENT COST:
NUMBER OF DWs
B. IMPROVEMENT COST:
NUMBER OF DWs
(SEE REVERSE SIDE)
4 SANITARYSFWFR.~
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FE\Js
B, IMPROVEMENT COST:
NUMBER OF FE\Js
o
S 25.07 PER DFU
SO.OO I
S808.14 ~
S3,564.66 I
($779.13)1
(S3,436,69)1
TOTAL TRANSPORTATION REIMBURSEMENT SDq
TOTAL TRANSPORTATION IMPROVEMENT SDd
TOTAL TRANSPORT~T!ON SDC:I S
MWMC SDCs paid with permit #97-]006
S193.1O I
S2,036.94 I
(SI93.1O)1
(S2,036.94)1
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:, S
-.-.-.--
SUBTOTAL (ADD ITEMS 1,2,3,&4) S6.00')
lfO;- ,r .;~>;:. ....J,
>:l' '-l' -a,. ~, .
i! . 8 0, . g .15' ~
'_E'~Hc ~'-g
<0 ::>"t.L.lJJ' ,r:GU
SO.OO
SO.OO 1178,
i
i
SO.OO 'U83
SO.OO , ,
SO,OO ' 1184',
'",
o x S 19.07 PER DFU
S 44.14
TOTAL LOCAL W ASTEW A TER SDC:,
x
S 19.09 PER TRIP
x
LIMNSPORTATION Transportation SOCS paid with permit #97-1006
BLOG AREA TGSF x T1UP RATE x COST PER ADT x NEW T1UP FACTOR
NEW
A. REIMBURSEMENT COST:
4.12 x 11.42
B. IMPROVEMENT COST:
4,12 x 11.42
EXlSTING
A. REIMBURSEMENT COST:
-4.12 x 11.01
B. IMPROVEMENT COST:
-4.12 x 11.01
EXlSTlNG:
A. REIMBURSEMENT COST:
NUMBER OF FEU's -4.12
B. IMPROVEMENT COST:
NUMBER OF FEU's -4.12
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
x
0.9
NTF
x
S 84.19 PER TRIP
0.9
NTF
x
x
S 19.09 PER TRIP
0.9
NTF
x
x
S 84.19 PER TRIP
S 103.28
0.9
NTF
x
4.12
S46.88 PER FEU
x
4.12
S494.46 PER FEU
x
x
S46.88 PER FEU
x
S494.46 PER FEU
S29.01 'I \.73
S127.98 1094
S156.99
S
x 5% I SO,OO .
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL SEWER ADMINlSTRA TlON FEE:
TOTAL SDC CHARGES
&..... f(/ ~ 8.-
SIX COORDINATOR
6/112006
DATE
COM2006-0D549.xls
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NONE
1 JULY 2004
.
MitTiriiI""~"'~,.,.,"-'" ,',,' .',.
", ,~
, ,1. 'I
~. . ..' ,,: --." ....'
~ of Springfield Official Receipt
_elopment Services Department
Public Works Department
225 Fifth'Street
,.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Jonrnal Nnmber
COM2006-00549
COM2006-00549
COM2006-00549
COM2006.00549
COM2006.00549
COM2006-00549
COM2006-00549
Payments:
Type of Payment
Cred ilCard
cReceintl
RECEIPT #:
2200600000000000845
Date: 06/15/2006
Description
Building Permit
Furnace - u'p to 100,000 htu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JACK O. WORMDAHL
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
ddk 05551 B In Person
Payment Total:
Page I of I
1 :29:22PM
Amount Due
656.65
12.00
4.00
29.00
10.00
56.13
70.17
$837.95
Amount Paid
$837.95
$837.95
6/15/2006