HomeMy WebLinkAboutPermit Building 2008-6-26
.....- -,
~-
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Line
SITE ADDRESS 123 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO 1703154001100
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO, COM2008-00444
ISSUED. 06/26/2008
APPLIED' 04/0112008
EXPIRES 12/26/2008
VALUE $ 934,200 00
Springfield TYPE OF WORK Intenor
TYPE OF USE
PROJECT DESCRIPTION Pathology Consultants tendnt Improvement
Owner
Address
PEACEHEALTH
I 23 INTERNATIONAL WAY
SPRINGFIELD OR 97477
AlteratIOn
CommerCial
Phone Number 541-686-7198
I CONTRACTOR INFORMATION I
Contractol Type
ArchItect
General
Contractor
TDG ARCHITECTS & PLANNERS1INC
JOHN HYLAND CONSTRUCTION INC
LIcense
ExpIratIOn Date Phone
541-687-1010
07/11/2008 54 I -726-8081
46071
BUILDING INFORMATION I
# of UUltS
Pnmdry Occupancy Group
Secondary Occup,lUcy Group
Pnmary ConstructIOn Tvpe
Secondary ConstructIOn Type
# of Bedrooms
B
# of Stones
HeIght of Structure
Type of Heat
Wdter Type
Range Type
Energy Patb
Spnnkled BUIlding
IA
2 Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gdrage/Carport
Sq Ft Other
Yes Occupant Load
2,950
6,982
60
,- -
I DEVELOPMENT INFORMATION I
Front yard Setbdck
SIde I Setback
SIde 2 Setbdck
Rearyard Setback
Solar Setbdcks
Overlay Dlst
# Street Trees Rqd
P dll~!JIte Rqd
N Or"CJon la'll re~~oU~Jj(jJn\'erage
A\TeNTIO do ~Ied bY 1\'18 I ir~'5et lorth
l\~ ., ~~I~L!:: a P "t"1.........c:.A ru\es _ __n "1"\1..
~ l ~l\\'-" .... .,~.\.....~-
\ 'oll\I'"~\\~n 0'0" _0010 tl',PUBI,;IQ I~JtR{'}:VEMENTS 10
\9o?-' 'II I
h'O~\ - btalti....-. \IUII-
Street Improvements 0'090 'Iou may 0 (Note t\'18 te ePI atlon
t\'18 center UtIlity Notl IC
Storm Sewer A vallable ca\lln~llor the oregon 33'2-'2344).
Spec..IInstluctlOn numb center IS 1-800-
REQUIRED PARKING
Total
HandIcapped
Compact
S,dewalk Type
DownspoutslDralUs
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Notes
Page I of 4
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Status
Issued
225 F,fth Street, Sprmgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DescrIptIOn
Tvpe of ConstJ uctlOn
Esllmate
EstImate
Fee DescriptIOn
Plan RevIew Comm/lndlPubhc
+ 100/0 Adnllmstratlve Fee
FLS Safety Systems RevIew
-Melh Iss 2+ Apphdnce.-
+ 10% Admmlstratlve Fee
+ 12% State Snrcharge
+ 5% Technology Fee
AIf Handhng UllIt Up to 10,000
BUlldmg PermIt
Deferred SubmIttal
DemohtlOn
FIXture
Gas Outlets 1-4
Plan RevIew Fife & LIfe Safety
Sallltary Sewer - Improvement
Sallltary Sewer - ReImbursement
SDC SallltarylStorm Admm
Vent Fdn
Total Amount PaId
Imhal Review
04/0212008
Pubhc Works RevIew
04/04/2008
Planmn2 Review
04/04/2008
I V~luatJon DescrJotJon I
$ Per Sq Ft
or multJpher
$100
Square Footage
or BId Amount
934,200 00
Total Value of Project
F",,<. P~ltlJ
Amount PaId
Date PaId
$2,34789
$48 00
$480 00
$40 00
$42431
$509 18
$212 16
$45 00
$3,612 14
$10000
$50 00
$496 00
$500
$1,44486
$1,999 60
$2,629 67
$23146
$35 00
4/1/08
615/08
615/08
6/26108
6/26108
6/26/08
6/26108
6126/08
6/26108
6126/08
6/26/08
6/26108
6/26/08
6/26/08
6/26/08
6126/08
6126/08
6126/08
$14,71027
I Plan Reviews I
04/04/2008
APP LLH
04109/2008
APP JHJ
0411412008
WE EMM
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED'
APPLIED'
EXPIRES
VALUE'
COM2008-00444
06/26/2008
04/0112008
] 2'26'2008
$ 934,200 00
Value
Date Calculated
$934,200 00
$934,200 00
04/01/2008
ReceIpt Number
2200800000000000385
2200800000000000832
2200800000000000832
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
2200800000000000978
EXlstmg square footage - Fife Fee
does not apply
Attached SDC Worksheet (JHJ)
Sent letter out regardmg DWP
apphcatlOn or exemptIOn request
Will need mformatlOn from
apphcant and dpproval from Amy a1
SUB before slglllng off on permIt
See letter under attached
documents
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO. COM2008-00444
225 FIfth Street, Spnngfield, OR ISSUED: 06/26/2008
541-726-3753 Phone APPLIED, 04/0 1/2008
54 t. 726-3676 Fax EXPIRES. 12/26/2008
541-726-3769 InspectIOn Lme VALUE $ 934,200.00
Structural RevIew 04/04/2008 04/1412008 APP LLH Plans revIewed by Mlck Nolte WIth
the Bulldmg Department under
contract WIth tbe Cltv of Spnngfield
Occupant Load = 1st - 30, 2nd - 30
LISted as 60 10 TIdemark (only one
field WIll accept occupancy
mformatlOn)
Fire Deoartment Review 04/04/2008 0413012008 APP GRG See attached document for FIre
Department Plans RevIew
comments
SUB RevIew 04104/2008 05/05/2008 APP JF See attached documents for plan
review approval
Fire Department Review 06/04/2008 06104/2008 APP GRG Plans RevIew Spnnkler head
addItions and relocatIOns on 1st and
2nd floors for Pathology
Consultauts tenant mfill Job
#COM2008-00444 DeSIgner Myles
Knebel Contractor. Omlld and
Swmney Occupancy Hazard
ClaSSIficatIOn II (no change from
ongmal deSIgn denSIty)
Plans submItted shows use of I lOch
pIpe and hanger., Tyco TY -FRB
model number 3231,155 degree
5 6K rated pendant heads (69 on
first floor, 29 on second floor) along
WIth Tyco TY-FRB model number
3331 155 degree 5 6K honzontal
SIdewall heads mstalled 10 skylight
areas (5 In first floor, 2 lD second
floor).
Plans appear to meet code
requirements
Imt..l ReVIew 06112/2008 06/12/2008 APP LLH Addendum for secondary
contamment
Public Works ReVIew 0611212008 06/16/2008 APP JHJ No Changes to SDC's
Structural ReVIew 06112/2008 06/19/2008 APP LLH Addendum for secondary
contdlDrnent Plans reVIewed by
Mlck Nolte WIth the Bulldmg
Department under conti act WIth the
CIty of Sprmgfield
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO. COM2008-00444
ISSUED' 06/26/2008
APPLIED, 04/01/2008
EXPIRES, 12/26/2008
VALUE' $ 934,20000
225 Fifth Street, Sprmgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
PlanOlng Review
06/12/2008
06/25/2008
APP JPD
Addendnm for secondary
contamment Approved See
attached documents
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, mspectlOns requested after 700 a m. will be made the followmg
work day
I ReoUlred TnsnectlOn~ I
Shear Wall Nailmg Before covenng sheath 109 WIth timsh matenals
Frammg InspectIOn Pnor to cover and after all rough 10 mspectlOns have been approved
Drywall Pnor to taplllg
Under"oor Plumblllg Pnor to msulatlOn or deckmg
Rough Plumbmg Pnor to cover and mcludmg reqUired testmg
Rough Gas After Ime IS mstalled and reqUired testmg and cdpped If not attached to an apphance
Rough Mechamcal Pnor to Cover
Fmal Gas When all gas work IS complete
Fma! Mechamcal When all mechamcal work IS complete
Fmal Plumbmg When all plumbmg work IS complete
Fmdl BUlldmg After all requIred mspectlOns have been requested and approved and the bUlldmg IS complete
By signature, I state and agree, that I hdve carefully exammed the completed applicatIOn and do hereby certIfy that all
mformatlOu hereon IS true and correct, and 1 further certify that any and all work performed sh.dl be done In accordance With
the Ordmances of the City of Sprmgtield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure WIthout permISsIOn of the Commumty Services DIVISIOn, Buildmg Safety
I further certIfy that only contrdctors and employees who are 10 comphance With ORS 701 005 WIll be used on thIS project
I further dgrce to ensure that dll requIred mspectlOns are requested at the proper lime, that each address IS readable from the
street, thdt the permit card IS located at the front of the property, and the approved set of plans Will remam on the site at all
times durmg construction
~\.(-'A c\ ,'~ Xl
( __ Owner ~r Contract~rs Signature
\ O.\?5U.. \l'l'i
Date
Page 4 of 4
225 Fifth Street
Spnngfiefd, Oregon 97477
541-726-3759 Phone
iFtij
City of Sprmgfield Official Receipt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
COM2008-00444
Payments
Type of Payment
Check
,
cRecclOtl
RECEIPT #,
2200800000000000978
Date 06/26/2008
DescnptlOn
Plan RevIew Fire & L,fe Safety
Sanitary Sewer - ReImbursement
Sanitary Sewer - Improvement
SDC SanItary/Stonn Admm
BUlldmg PermIt
DemolitIOn
Fixture
Air Handlmg Unit Up to 10,000
Vent Fan
Gas Outlets 1-4
-Mech Iss 2+ Appliances-
Deferred Submittal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Item Total
Check Number AuthoflzatJOD
Received By Batch Number Number How ReceIVed
PaId By
JOHN HYLAND CONSTRUCT
nJm
1004351
In Person
Payment Total
Page] of I
2 42 38PM
Amount Due
1,444 86
2,629 67
],99960
23] 46
3,6]214
5000
496 00
4500
3500
500
4000
10000
212 ]6
50918
42431
$11,83438
Amount Paid
$11,83438
$11,83438
6/26/2008