HomeMy WebLinkAboutPermit Building 2000-11-13
'.
'.
.
e
_.
.
I Job# 00-01097-01 I
Page 1 of 3
TRANS#:01-0003768
DATE:NOV 13 2000
AMT RECD:2 $ 9819.19
CHANGE:
CASHIER:059
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01097-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1011 Harlow Rd Spr
Assessors Map#: 17032200
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 02503
Subdivision:
Pacific Continental Bank
1011 Harlow Road
Phone Number: 541-686-8685
City/State/Zip:
Springfield, OR 97477
Value: $200,000
Scope Of Work: Tenant Infill Remodel
Dental offices for Brian T. Work, DMD
tenant improvements for 2nd floor suite
Contractor Type
Architect
General Contr
Electrical Contr
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Varvitsiotis Architecture PC
111 W 7th Avenue, Suite 320, Eugene,
OR 97401
John Hyland Construclion Inc
Po Box 7867, Eugene, OR 97401-0033
New Way Electric Inc
Po Box 21503, Eugene, OR 97402-0409
Harvey & Price Co
Po Box 1910, Eugene, OR 97440.1910
Registration # Expiration Date
Phone
541-342-1795
7/11/00
lVorIC~.
51088 IHISPEA~i27/01 541-686-2365
AU1HOA/Z;: SHALL EXp
77 COMMErvCE:,1Oij'1'/09R71t IRE'IF'5;4i~-~6-1621
ANy 180 DA v ~~A IS A.8A^~~~EAMIT /~ ^~~!5
"'IUD. -'YCUFOR
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
46071
541-726-8081
1CNW
Office Use
Land Use: Dental Services
Zoning Code: GO
Bedrooms: ., . '
Range: ;", ,
. I ~ , .
r'Il/f """"'./.. ,
To request an inspection call the .24 hour ~ecording at72~~376~',)~1!i~nspectip})~'.reique~!~~,\>efore:7:00
a.m. Will be made the same working day, inspections requeste(!.~fter 7.:0q.~;If1,rwllI b~,,~adethet!.9,1I9wlng
working day. I:l0,/I1111J '1fT/'JI' nt1b/1 t,ilfOI/"hOIA'"e SelIc
nu . '/', I, 'I'll ," "1R9 I
. ;"hJ3Jo'& .' I~JfM II . tJ 1;-),(,;, 1\1 .. '5~"'-'1
ReqUired Inspections () ,. 'VI,' l'^ .,,~ ru/
,... '''~ fe w. "" " 9s
" , BuildinQ-C-l/reri.~I" c~onUti/ity~"'/~f.'!hone O.
'D-3a2-2~t/f/cation
~.
Framing
Drywall
SUB Weatherization
Ceiling Grid
SUB-
Miscellaneous/Special
SUB - Final
Final Fire
- Prior to cover.
- Prior to taping.
-When all Fire Department requirements have been met.
'.
e
,
I Job# 00-01097-01 I
.
Page 2 of 3
Required Inspections
I Buildin!! I
- When all required inspections have been approved and the building is complete.
Electrical
,.
Final Building
Rough Electrical
Electrical Service
Final Electrical
- Prior to cover.
- Must be approved to obtain permanent power.
- When all electrical work is complete.
Plumbin!!
Rough Plumbing
Backflow Device
Final Plumbing
- Prior to cover.
-After device is installed but before backfilling trench,
-When all plumbing work is complete.
Mechanical
Rough Mechanical
SUB - Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
Zoning: GO
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Ove.rlay District:
# of Street Trees:
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq. Feet)
I Main: Accessory:
Fee
Commercial Plan Check
Additional Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Flood Plain FEMA:
# Of Stories:
Current Units:
Census Code: Does not apply
land Use: Dental Services
Pave Driveway? D
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plan Check
07/13/2000 0002565
11/13/2000 3768
Buildin!!
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
Value/Quantity
150.000
73
200,000
Fee Amount
$354.58
$73.12
$427.70
$658.00
$46.06
$19.74
$723.80
,
-
.
Job# 00-01097-01
Page 3 of3
f.ee
Paid On Receipt#
Plumbing
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Backflow Prevention Device
Plumbing Administrative Fee
Total Plumbing
4
$.00
$210.00
$17.50
$40.00
$7.50
$275.00
21
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
AlterlAdd to ea Appl Unit or System
Miscellaneous Mechanical
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768.
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
1
$4.50
$,00
$2,04
$15.00
$45.00
$3.50
$10.00
$4.76
$84.80
5
3
4
Sanitary Sewer
SDC Administrative Fee
Medical Office - Vetinarian Services
Medical Office - Transportation
Total System Development
System Development
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
11/13/2000 3768
46
3
3
$2,293.56
$412.50
$849.83
$5,106.58
$8,662.47
$10,173.77
Grand Total
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-C/I/P
Engineering-C/I/P
Structural-CII/P
Fire Marshal-C/I/P
Lisa Hopper
Pam Ownby
Lome Pleger
AI Gerard
07/14/2000
09/05/2000
09/01/2000
07/27/2000
Plan review #00-01097-01
- Tenant Improvement for dental office
1. Provide sprinkler plans for review oif >20
heads affected
2, Provide as built sprinkler drawings if <20
heads affected
3, Submit documentation for deficiencies
noted on as N on medical gases plan review
checklist(attached)
4. Extinguishers max travel 75'
5. Provide water flow alarm in office area
UFC1003.3.2
6. Provide suite number at entry and in lobby
By signature, I state and agree that 1 have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and 1 further certify lhat any and all work
performed shall be done in accordance wilh the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project 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.
d~~
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00.01097.01
NAME OR COMPANY: Brian T. Work, D.M.D.
LOCATION: lOll Harlow Road
TAX LOT NUMBER 17-03.22.0002503
DEVELOPMENT TYPE: Medical Office
USE # I NEW DEVELOPED BUILDING AREA (S.F,):
USE # 2 NEW DEVELOPED BUILDING AREA (S.F.):
EXIST DEVELOPED BUILDING AREA (S.F.):
TOTAL DEVELOPED BUILDING AREA (S,F.):
J
~,
~ ..,~
.
T STORM DRAINAGE
.
2775
TYPE OF USE: Medical Office
TYPE OF USE:
Vacant
LOT SIZE (S,F.):
$0.00 I
$0.240 PER SQ, FT.
IMPERVIOUS SQ, FT,
6. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
0.00
x
x
$49.86 PER PFU
$2.293.56 I
46
- -
3. TRANSPORTATION
~
USE#1
USE # 2
2.775
o
, 3.66
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
x $502,79 PER TRIP
x $502,79 PER TRIP
$5, I 06.591
$0,00
$5,106.59 I
TOTAL TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
USE#1
USE # 2
NUMBER OF FEU's
NUMBER OF FEU's
2.775
o
R IMPROVEMENT COST:
USE # 1 NUMBER OF FEU's 2.775
USE # 2 NUMBER OF FEU's 0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
x
x
$277.44 PER FEU
PER FEU
$769.90 I
$0.00
x
x
$25.20
$69.93 I
$0.00 I
$0,00 I
$10.00 I
$849,83 I
PER FEU
PER FEU
TOTAL MWMC SDC
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
x
0.05
)amela J. Ownbe
SDC COORDINATOR
09/0512000
DATE
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
$8.249.98 I
$412.50 I
TOTAL SDc CHARGES I $8.662.481
,.
.I ,.,:-,""
.
.
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURES
NEW OLD
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLlDS/ETe.
INTERCEPTORS FOR SANDIAUTO WASHIETe.
LAUNDRY TUB/CLOTHESWASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERATORIW A TER ST A TION/ETe.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETe.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALUWALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
11
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
o
o
o
o
o
o
6
o
I
o
o
o
22
o
3
6
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS= I 46
3
I
2
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
RATE PER $1,000
ASSESSED VALUE
$4.74
$4.65
$4.59
$4.46
$4.30
$4.14
$ 3.93
$ 3.63
$ 3.26
$ 2.85
$2.40
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXA TION DATE)
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
RATE PER $1,000
ASSESSED VALUE
-
$1.96
$ 1.55
$ 1.36
$ 1.23
$ 1.05
$0.90
$0.75
$0.57
$0.35
$0.15
x
x
=
$0,00
$0.00
CREDIT TOTAL $0,00