HomeMy WebLinkAboutPermit Building 2003-10-8
. \..,11 f OF ~rK11'1u1'lJ:!,LD
Building/Combination Permit
PERMIT NO: COM2003-00610
ISSUED: 10/08/2003
APPLIED: 07/0912003
EXPIRES: 04/0612005
VALUE: $ 5,294,728.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2400 Hartman Ln
ASSESSOR'S PARCEL NO.: 1703223300600
Springfield TYPE OF WORK: Medical Office
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Medical Building. TEMPORARY OCCUPANCY ISSUED 101404 good for 30 days.
ok'd per TCM.
2 Lot Size:
39.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant .Load:
f't.
I DEVELOPMENT INFORMATION I \t \~~ ~~ ~\:j\
~i.,?\\l-~ ~\l-*-v.. ~\:j~QUIRED PARKING
Overlay Dist:~ ~\>-\.\. \~fo '? f;j~~'\) Total:
# Stre~~~ . \!~ S'\l~'\)~\l- \>-'Q\>-~'\) Handicapped: .
paved'D~R :1\:.'\) \:j\l- fo f;j Compact:
% OfL6t~~~\!.~\:.'\) ,?~~\j .
~('(\~~~(\ '\)~
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I PUDL''- ,MPRO'\'EMENTS I
Owner: OREGON UROLOGY INSTITUTE
Address: 1180 PATIERSTON STREET EUGENE OR 97401
Contractor Type
Architect
General
Electrical
Mechanical
Medical Gas
Plumbing
Sewer
Contractor
AFFOLTER WES
MCKENZ1
SCOFIELD
HARVEY
TWIN RlV
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
B
1-1.2
V1hr
Electric
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-343-9250
Expiration. Date
. Phone
541-342-6511
541-343-7143
541-686-8612
541-746-1621
541-688-1444
541-688-1444
541-688-2233
07/21/2005
12/2112005
10131/2004
03/11/2005
03/11/2005
94,798
23,900
10,258
Sidewalk Type:
D~wnspoutsmrains:
Notes:
Paee 1 of7
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Use Bid Amount
Bid Amount
Bid Amount
Pavine
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Addressing Assignment
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Air Handling Unit 10,000 & Ovr
Air Handling Unit Up to 10,000
Backflow Device
Building Permit
Exhaust Hoods
Fixture
Furnace - more than 100,000
Furnace - Unit Heater
Gas Outlets 1-4
Not Covered Plumbing
Paving
Perm ServlFdr 1000 amps/volts
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Perm ServlFdr 401 to 600 amps
Perm ServlFdr 601 to 999 amps
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl100'
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
4,995,728.00
40,000.00
259,000.00
Total Value of Project
li'Pp< P~ilLI
Amount Paid
$11,247.05
$6,921.26
$8.00
$895.80
$551.26
$5.00
$3.50
$50.00
$10.00
$2,298.80
$1,533.40
$8.00
$15.00
$432.00
$42.00
$16,477.65
$9.00
$2,464.00
$45.00
$12.00
$4.00
$112.00
$1,082.40
$375.00
$126.00
$825.00
$375.00
$163.00
$-885.24
$-544.76
$45.00
$5,954.66
$7,833.44
$14.00
Date Paid
7/9/03
7/9/03
7/16/03
7/16/03
7/16/03
9/17/03
9/17/03
9/17/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
Paee 2 of7
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00610
ISSUED: 10/08/2003
APPLIED: 07/0912003
EXPIRES: 04/06/2005
VALUE: $ 5,294,728.00
Value
Date Calculated
$4,995,728.00
$40,000.00
$259,000.00
$5,294,728.00
09/22/2003
09/22/2003
11/24/2003
Receipt Number
1200200000000001735
1200200000000001735
1200200000000001772
1200200000000001772
1200200000000001772
1200200000000002143
1200200000000002143
1200200000000002143
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each AddtI 100'
+ 10% Administrative Fee
+ 7% State Surcharge
Low Vollage - Commercial Indus
Curbcut - Additional Driveway
Curbcut Permit
Curbcut Repair
Curbcut Repair
PW Mull Disc - 2nd Permit
PW Mull Disc - 3rd Permit
Temporary Occy CommlIndustrial
Total Amount Paid
Fire Department Review
12/03/2003
Fire Department Review
03/31/2004
Fire Department Review
07/10/2003
.
$10.00
$721.36
$6,894.71
$1,829.87
$3,619.31
$54,880.71
$12,440.40
$20,248.38
$45.00
$224.00
$42.00
$45.00
$14.00
$4.50
$3.15
$45.00
$75.00
$75.00
$10.00
$10.00
$-30.00
$-30.00
$1,647.77
$161,333.38
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00610
ISSUED: 10/08/2003
APPLIED: 07/0912003
EXPIRES: 04/06/2005
VALUE: $ 5,294,728.00
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
10/8/03
6/28/04
6/28/04
6/28/04
7/1/04
7/1104
7/1/04
7/1/04
7/1/04
7/1/04
10/14/04
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200200000000002288
1200400000000000986
1200400000000000986
1200400000000000986
2200400000000000882
2200400000000000882
2200400000000000882
2200400000000000882
2200400000000000882
2200400000000000882
1200400000000001474
I Plan Reviews I
12/03/2003
03/31/2004
08/22/2003
OK
GRG
Plan Review: Fire Alarm system for
OUl. Job #COM2003-00610.
Contractor: SlmplexGrinnell.
OK
Additional strobes and/or horn
strobes shall be installed In the areas
of corridor numbers 022, 040, 045,
047, and 048 (NFPA 72-1999 Table
4-4.4.2.1 )
Plan Review: Sprinkler system
submittal for Oregon Urology
Institute. Job #COM2003-00610.
Contractor: Harvey and Price.
Designer: John Portz. Plans checked
via NFPA 13-1999.
GRG
OK
Provide exterior alarm bell on wall
outside sprinkler riser room.
See attached document
GRG
Paee 3 of7
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2003-00610
225 Fifth Street, Springfield, OR ISSUED: 10/08/2003
541-726-3753 Phone APPLIED: 07/09/2003
541-726-3676 Fax EXPIRES: 04/06/2005
541-726-3769 Inspection Line VALUE: $ 5,294,728.00
Fire Department Review 07/17/2003 08/25/2003 OK GRG Site and foundation only. Plan
Review: Medical office building;
revised plans-site and foundation
only. No changes from plan review
of 8/22/03.
Initial Review 07/17/2003 07/17/2003 APP LLH Site Work and Foundation Only
Initial Review 07/10/2003 07/10/2003 APP LLH
Medical Gas Plan Review 08/07/2003 08/11/2003 OK SKG Level 2 Medical Air, Oxygen,
Nitrous Oxide, and Medical Vacuum
Plan nine Review 07/17/2003 APP EMM Site and foundation only.
Plannine Review 0711 On003 APP Waiting for Final Site Plan
Approval and Development
Agreement. OK per Sarah
Summers 10/7/03
Public Works Review 07/10/2003 08/04/2003 APP SB 8/1/03 - Ken Vogeney routed full
plan set to Steve Barnes for review.
Public Works Review 07/17/2003 08/07/2003 APP SB Site and foundation only. 7-30-03:
Ken Vogeney routed plans to Steve
Barnes to reveiw.
Revised Plan Review - Fir 09/19/2003 09125/2003 OK GRG Response to 8/26/2003 structural
review. See attached comments.
Revised Plan Review - Str 09/19/2003 09/19/2003 WE JMP Response to 8n6n003 structural
review. Left message for Linn West
on 9/19/2003 requesting missing
information.
Revised Plan Review - Str 03/31/2004 04/01/2004 APP JMP Received fax from Linn West
proposing a concept to change the
configuration of the 2 hour
occupancy separation wall. Called
him to discuss after talking to Tom
Marx. Linn will refine and
formalize in drawings to be
submitted for approval.
Revised Plans ReceivedIRo 07/16/2003 07/16/2003 10 JMP Site and foundation only.
Structural Review 07/17/2003 08/11/2003 WE JMP Site Work and Foundation Only.
See attached fax sent 8/11/2003 to
Linn West requesting Special
Inspection and Testing forms. See
attached fax sent 8/13/2003 to Linn
West requesting Drainage Plan
revisions. Followed up with an
em ail request.
Structural Review 07/13n004 07/13/2004 WE JMP Received fax from Bob at Scofield
Electric of Light pole foundations by
Linn West. Called Linn to request
data on light poles, structural
calculations, and the added value to
the project.
Paee 4 of7
. . CITY OF SPRING.. JJ!.LU
Building/Combination Permit
Status Issued PERMIT NO: COM2003-00610
225 Fifth Street, Springfield, OR ISSUED: 10/08/2003
541-726-3753 Phone APPLIED: 07/0912003
541-726-3676 Fax EXPIRES: 04/06/2005
541-726-3769 Inspection Line VALUE: $ 5,294,728.00
Structural Review 07/10/2003 08/11/2003 WE JMP See attached fax sent 8/11/2003 to
Linn West requesting Special
Inspection and Testing Forms. See
attached fax sent 8/13/2003 to Linn
West requesting Drainage Plan
revisions. Followed up with an
em ail request. See attached fax sent
8/19/2003 to Linn West requesting
verification of counts of plumbing
and mechanical units. JMP called
Linn West on 8/21/2003 to request
exiting plans and locations of rated
walls. See attached fax sent
8/26/2003 to Linn West with 30
structural review comments. JMP
called Larry McGinnis and Twin
Rivers Plumbing on 8/2612003 to
notify of undercount In sinks and thl
potential requirement to upsize the
sanitary line.
Structural Review 09/25/2003 09/30/2003 WE JMP Linn provided the exiting plans.
JMP called and faxed Linn for
clarification/corrections on 5 points.
Structural Review 10/07/2003 10/07/2003 APP JMP Linn stated that there are no
conflicts between the final site plan
documents and the building permit
drawings, deleted wall and door In
med gas room, added windows for
protection, stated that L2 should be
used for storm drains rather than
AI.l or C1, and corrected reference
for ceiling construction.
SUB Review 07/17/2003 08/15/2003 APP JF Site and foundation only. See
attached emall from Jack Foster on
7/24/2003 to John Pearson updating
review progress and then the
attached fax sent to Linn West
7/24/2003 by Jmp to request the
building envelope energy code forms
and worksheets.
SUB Review 07/10/2003 08/15/2003 APP JF See attached email from Jack Foster
on 7/24/2003 to John Pearson
updating review progress and then
the attached fax sent to Linn West
on 7/24/2003 by jmp to request the
huilding envelope energy code forms
and worksheets.
Paee 5 of7
.
. CITY OF .srK11'1t.l'l~LD
Building/Combination Permit
PERMIT NO: COM2003-006IO
ISSUED: 10/08/2003
APPLIED: 07/09/2003
EXPIRES: 04/06/2005
VALUE: $ 5,294,728.00
Status
Issued
225 Fifth Street, Sprhigfield, 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.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector. .
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Building: After all required inspections have been requested and approved and the building Is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
Undernoor Plumbing: Prior to insulation or decking.
Undernoor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumhlng: When all plumbing work is complete.
. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Medical Gas: Prior to cover and including required testing.
Final Medical Gas: When all medical gas work is complete and certificate is provided to inspector from verifier.
Undernoor Gas: After line is installed and required testing and capped if not attached to an appliance.
Undernoor Mechanical. Prior to insulation or decking and including required testing.
Undernoor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
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
Electric Service: Approval required prior to utility company energizing servIce.
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Low Voltage: Prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Paee 6 of7
.
. \...11 l' OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00610
ISSUED: 10/08/2003
APPLIED: 07/09/2003
EXPIRES: 04/0612005
VALUE: $ 5,294,728.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
SUB Final: After all required energy Inspections have been requested and approved.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Masonry:
Bolts Installed in Concrete: To he done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
Ceiling Grid: After drywall approval but prior to cover.
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, 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.
IWR~_~A'\.
10-14-",,-/
Date
Owner or Contractors Signature
Paee 7 of7
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.,~~.~.-.~ p.- . :...r..
Wit. ,
-.- ... .,..- {
___..~ Wi:
JjjJy of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200400000000001474
Date: 10/14/2004
1 :04:59PM
Job/Journal Number Description
COM2003-00610 Temporary Occy Comm/Industrial
Payments:
Type of Payment
Check
Paid By
MCCKENZIE COMMERCIAL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 60665 In Person
Payment Total:
Amount Due
1,647.77
$1,647.77
Amount Paid
$1,647.77
$1,647.77
10/1412004
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