HomeMy WebLinkAboutPermit Building 2008-5-14
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00379
ISSUED: 05/01/2008
APPLIED: 03/20/2008
EXPIRES: 11/14/2008
VALUE: $ 24,960.00
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: Interior
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Remodel Oregon Urology institute
Owner: HARLOW UROLOGY CENTER LLC
Address: 2400 HARTMAN LN 200
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
JOSHUA JAY MCLA WS
SCOFIELD ELECTRIC
License
159664
38702
Expiration Date
05/05/2008
12/21/2009
Phone
541-409-8734
541-686-8612
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
23,900
10,258
VA
Yes
I 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:
'e on law re0lWC;S yr>1j to
,ATTENTION. 0, q ,.: ,'M ",,,,,,,nil t.JilLty
I PUBLIC IMPROVEMENif~lN ~UI~Sc~~~:r:"T'h~lse rules are set too~~~
l!~. ca 10. _ W,through OAR 952-
in OAR 9~al~ta(rff;bp,es of the rules by
0090. You may 0 a ~ the telephone
calling ~~s gon utiiity Notification
numberci~~::~iS ~:800-332-2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available'
SpeciallnstructIJJTIC"E: K
THIS PERMIT SHALL EXPIRE IF THE WOR
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
^, NY 180 DAY PERIOD.
Pa!!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Comm/Ind/Public
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
Public Works Review
Plannine Review
Structural Review
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00379
ISSUED: 05/01/2008
APPLIED: 03/20/2008
EXPIRES: 11/14/2008
VALUE: $ 24,960.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
24,960.00
Value
Date Calculated
Total Value of Project
$24,960.00
$24,960.00
03/20/2008
~
Amount Paid Date Paid Receipt Number
$160.77 3/20/08 1200800000000000258
$24.73 5/1/08 3200800000000000252
$29.68 5/1/08 3200800000000000252
$12.37 5/1/08 3200800000000000252
$247.34 5/1/08 3200800000000000252
$98.94 5/1/08 3200800000000000252
$5.20 5/14/08 3200800000000000322
$6.24 5/14/08 3200800000000000322
$2.60 5/14/08 3200800000000000322
$48.00 5/14/08 3200800000000000322
$4.00 5/14/08 3200800000000000322
$639.87
I Plan Reviews I
03/21/2008
03/24/2008
APP LLH
03/24/2008
03/27/2008
APP JHJ
SDC worksheet. No New SDC's.
(JHJ)
03/24/2008
03/31/2008
APP EMM
03/24/2008
04/04/2008
APP LLH
Plans reviewed by Mick Nolte with
the Building Department under
contract with the City of Springfield
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2008-00379
225 Fifth Street, Springfield, OR ISSUED: 05/01/2008
541-726-3753 Phone APPLIED: 03/20/2008
541-726-3676 Fax EXPIRES: 11/14/2008
541-726-3769 Inspection Line VALUE: $ 24,960.00
Fire Department Review 03/24/2008 04/28/2008 OK GRG Plans Review: Remodel of reception
areas for Suites 100 and 200. Job
#COM2008-00379. Occpancy
Classification: B. Construction
Type: V-A Sprinklered. (Note:
Building was originally constructed
under the 1997 UBC/1998 OSSC as
a mixed B/I-1.3 occupancy with a
Type V-I hour-sprinklered
construction classification. See
COM2003-00610 dated 8/22/03).
Maintain fire extinguishers every 75
feet travel distance.
Contact Deputy Fire Marshal
Gilbert Gordon (phone:
541-726-2293) for inspections of any
fire sprinkler head relocations.
SUB Review 03/24/2008 04/30/2008 APP DH Energy forms included with plan
sent to SUB 3/24/2008(1h)
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouire~nsnections .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Ceiling Grid: After drywall approval but prior to cover.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00379
ISSUED: 05/01/2008
APPLIED: 03/20/2008
EXPIRES: 11/1412008
VALUE: $ 24,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Owner or Contractors Signature
Date
Pae:e 4 of 4
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:KAREN@SCOFIELD.NET
Receipt # EC530311
5/14/200812:08:24 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
~~vrJ'~
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~ 1lrY\ J cfL) ~ . -3 7~ .#l.d:)'il
This Authorization To Begin Work musl ~ C1~ 1I1e juu sile until replaN.Wb I a Permit
o New constructIOn
"iq~!<
~ AdditIOn/alteration/replacement
I,
o I or 2 family dwellmg
o Multi-family
[K] Commercial/Industrial
SITE1:iNFORMATION;ANOlt6cA1'io"N!', ~'f:;Jfl"r
, " ,^' 11<<"" ,,''^I''~'''lJi'''fI,n(,~'''**~lr!~'' 1> ,,",ofu,/>;g:::~ ~~,
Job no. 2008-054 I Job address. 2400 HARTMAN LN
I City/State/ZIP' SPRINGFIELD, OR 97477-1 I 18
I SUltelbldg./apt.no :
I Project name OREGON UROLOGY
Cross street/directions to Job site.
I SubdivISion' 1 Lot no :
1 Tax map/parcel no. 1703223300600
I I' Ir3'itl::iI'<<1I':VVJl)'~1!'DESCRIPTIONOF WORK":','
> "'1 ,f~Mr1, i I f"""pdj\ " J
REMODEL RECEPTION DESK AREA
IName
I Phone
I Emall
ERIC SCOFIELD
(541) 686-8612
1 Fax: (541) 686-8696
escofield@scofield net
"0;,,. 8m' 'I%!I"~ "'?x~,),>> ,'1:1
""J~,:h/itj;2~:ill _.,yqt)lT~CT,OR~:', j
I CCB hc. no..
38702
EI. hc. no 20- I C
I Busmess Name SCOFIELD ELECTRIC CO
I Contact ERIC SCOFIELD
Address' PO BOX 2765
CIty/State/ZIP EUGENE OR 97402
I Phone. (541)6868612 1 Fax. None
I Emall KAREN@SCOFIELD NET
I Metro hc. no I CIty hc no.'
I Supervlsmg electrlcmn's hc no 4218S
ISupervlsmg electrlcmn's name ERIC SCOFIELD
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed within one bUSiness day,
With instructions on how to schedule your inspection
NOTE ThiS AuthOrizatIon To Begin Work expires Within 180
days If a permit is not obtained
The local bUilding department may determine that an
AuthOrization To Begin Work IS null and VOid If it does not
meet applicable land use laws and local ordinances.
FEE:SCHEOULE /{' .
" " '" "" I!, I>>>.I~' ,,,,~,,,,,,\M~"I Itl ;'1'11
IQty lEa
nia!~i-f~":,i1Y
)j~~ft "
I'
I
Description
~t~~~~~lta.tiSJ~~E
.attache~.gara.g~~!:!:..
11,000 sq ft or less
I Ea addl 500 sq ft or portion
I/Limlted.Ene..gy~ ~~?11:' '
4iM'I)!~,III~r~h0# "-yo,'I,,," f
- Limited energy, reSidential
(with above sa ft)
- Limited energy, multIfmmly
reSidential (with above sq ft)
I-Limited energy, commercial
(with above sq ft)
I - Stand-alone limited energy,
reSidential
I - Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial
I Se~lceS OR feeders instal!atl?D, alter~tlOD; AND/OR relocation
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
TE~ORARy'servltes 'OR'feeders' installatIOn, alteration, .
% (... I ,~,,, "M~>l\",,;;:<" ~ "t '47' Y !t 1.~, ';4' 1~~A. ~ ~ ,'t, ';:' , .
>AND/gl\!el~~~~!?0"~,*1!:w~~!:!:II/, M'>fTdP/:)'y ;!'.1_\ . .~'I~ ,1'1'.
1200 amps or less
1201 amps to 400 amps
I 40 I amps to 599 amps
l'IBranChlc.rcui~jjlNEW;:iIierahon"OR'extension~per'pan~1 {' '..,
, " II't,:;:" "", 1"'i,"," ) , '
A Fee for branch CirCUits with
service or feeder fee, each
branch CirCUit
B Fee for branch CircUits
WithOUt service or feeder fee,
first branch CirCUit,
I each addl branch CirCUit
Total
I
I
I
I
y
$48 00
$48 00
$400
$400
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
Pump or lITIgation Circle
Sign or outline Iightmg
Signal clrcUlt(s) or Iimlted- not offered onlme at thiS JUrisdiction
energy panel, alteratIOn. or
extension
I
I
I
I
,
· City Of Springfield
. I E[E9iT~tCAL PERMIT ~EES PI . I
Subtotal I $52 00 I
State Surcharge (12% of pemllt fee) $6 24
City Of Sprmgfield fees ., $7 80
TOTAL PERMIT FEE I $6604
10% Local Admin Fee, 5% Local Technology Fee
:Aa: 03:SS3::lO'ild
:03SS3::)O'ild 3:.LVa
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00379
COM2008-00379
COM2008-00379
COM2008-00379
COM2008-00379
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000322
Date: 05/1412008
Description
Add, Alter, Extend CJrc
Add, Alter, Extend CIrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmIstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
NJM
ONLINE SCOFIELD Onlme
Payment Total:
Page 1 of I
1 :06:00PM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
5/14/2008