HomeMy WebLinkAboutPermit Building 2007-02-05Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210s12007APPLIED: 1211412006
EXPIRES: 08/0512007VALUE: $ 225,000.00
SITE ADDRESS: 1981 Mohawk Blvd
ASSESSOR'SPARCELNO.: 1703251300500
Springfield
PROJECT DESCRIPTION: Tenant infill - Oregon Community Credit Union
TYPE OF WORK: Tenant Infill
TYPE OF USE: Remodel
Phone Number: 54f -345-4860
Expiration Date
07t2U2007
03fi4t2008
08t08t2007
06t27t2007
0sfizt2008
Commercial
Phone
541-343-7143
541-687-5770
541-521-2837
s4t-726-0100
541-607-8879
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
M & M LAND COMPANY LLC
36986 CAMP CREEK RI)
SPRINGFIELD OR 97478
Contractor License
MCKENZIE COMMERCIAL CONTRACTOR45s39
JB ELECTRIC 104929
SECURETECH INC 156618
COMFORT FLOW 460
TOMS PLUMBING SERVICE INC 159425
CONTRACTOR INFORMATION
# 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:
Overlay Dist:
# Street Trees ffiflgg
REQUIRED PARKING
Total:
Handicapped:
Compact:
HE Ii: THE WORK
B
VB
3,039
40
-;:",1r'J:,"1ffi,;l
RMIT SHALL EXPI
IZED UNDER THI
AY PERIOD
Sidewalk Type:
SPE
NED FOB
DEVELOPMENT INFORMATION
Notes:
Paee 1 of5
Downspouts/Drains:
Owner:
Address:
taw requires
bythe
# of Storibbtification Center.
Height o10€4fiil852-001 -001 0
setfortl
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-0I610ISSUED: 0210512007
APPLIEDz 1211412006EXPIRES: 08/0512007VALUE: $ 225,000.00
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 225,ooo.oo
Total Value of Project
Amount Paid Date Paid
Value
$225,000.00
$225,000.00
Date Calculated
12n412006
Fee Description
Plan Review Comm/Ind/Public
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 57o Technology Fee
+ 87o State Surcharge
+ 87o State Surcharge
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Low Voltage - Commercial Indus
Miscellaneous Mechanical
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Total Amount Paid
Receipt Number
1200600000000001757
12007000000000001 16
2200700000000000170
12007000000000001 16
2200700000000000170
1200700000000000116
2200700000000000170
1200700000000000r 16
12007000000000001 16
12007000000000001 16
12007000000000001 16
2200700000000000170
12007000000000001 16
1200700000000000116
12007000000000001 16
1200700000000000116
1200700000000000r16
1200700000000000116
1200700000000000116
1200700000000000116
1200700000000000116
r 200700000000000r 16
12007000000000001 16
$631.74
$10.00
$4.s0
$101.69
$2.25
$50.85
$3.60
$81.3s
$971.90
$24.50
$0.7s
$45.00
$45.00
$388.76
$4r5.59
$546.63
$10.00
$1,836.71
$r74.99
$s0.26
$2,307.23
$36,004.31
$8,161.64
t2fi4t06
2t5/07
2t5t07
2t5t07
2t5107
2t5t07
2t5t07
2/st07
215107
2t5t07
2t5t07
2t5t07
2t5t07
2t5t07
2t5t07
215107
2t5t07
2t5t07
2t5t07
2t5t07
2t5t07
2/5t07
2t5t07
$51,869.25
Fees Pe
Plan Reviews
Paee 2 of 5
V alu ationDeseripdon--l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007
APPLIEDT 1211412006EXPIRES: 08/0512007VALUE: $ 225,000.00
Fire Department Review 1212012006 0111412007 OK GRG
0u25t2007 IO JMP
12t20t2006 12t22t2006 APP EMM
t2t22t2006 APP JHJ
Plans Review: Tenant infill for
Oregon Community Credit Union.
Job #COM2006-01610. Occupancy
Classifi cation : B. Construction
Type: V-B. Submitted as 3,039 sq.
ft.; review calculated as 3,365 sq. ft.
Occupant Load: 40.
Provide an address (numbers a min
4" high) for the business in such a
position as to be plainly visible and
legible from the street or road
fronting the property. (IFC 505.1.1)
Provide fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet oftravel distance. The
top ofthe extinguisher(s) shall be
befween 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
Mechanical System Drawings
Address fee and Fire fee collected on
C6-00865 for shell.
WE. Made a courtesy call to
Jonathan Stafford reminding him
that we are still waiting for the
responses to the structural
comments. He said he is working on
them and will respond as soon as he
completes them.
No occupancy until building Final
Site Plan inspection has been
approved. Conditions 20 and 2l of
the Site Plan Approval are attached
regarding Drinking Water
Protection requirements before
occupancy can occur. Also
completion of PIP plan requirments
shall be met before occupancy.
Added SDC's (JHJ)
Initial Review
Initial Review
Plan Review Comments
Plannins Review
0u1912007
12n5t2006
0u19t2007
12n9t2006
APP
APP
LLH
LLH
Public Works Review 12t20t2006
Page 3 of5
h
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
F SPRIN FIELD
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007
APPLIEDz 1211412006
EXPIRES: 08/0512007VALUE: $ 225,000.00
Structural Review
Structural Review
Structural Review
SUB Review
SUB Review
12n9t2006 12t28t2006 WE JMP
0u19t2007 0u1912007 Io JMP
02t02t2007
See attached documents for 14
structural comments faxed to
Jonathan Stafford.
Mechanical System Drawings.
Distributed to SUB for energy code
review.
Received responses to structural
comments from Jonathan Stafford.
See item 9 ofthe attached structural
comments by JMP for requested
energy code forms and worksheets
for the TI Interior Lighting systems.
BE and HVAC passed energy code
review under the shell permit
Com2006-00865.
JMP received Lighting information
from JB Electric and faxed the
forms to Jack Foster.
JMP
t2t20t2006
0ut7/2007 0ut9t2007 APP JF
02t02t2007
0u05t2007
APP
WE JF
To Request an inspection call the24 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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
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 Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
Page 4 of 5
Reouired fnsnecfions
id
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54l-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007APPLIED: 1211412006
EXPIRES: 08/0512007VALUE: $ 225,000.00
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Low Voltage: 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.
Owner or Contractors Signature Date
Paee 5 of 5
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit" of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT #: 2200700000000000170 Date: 0210512007 2:01:33PM
Job/Journal Number
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-0 t 610
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ l}Yo Administrative Fee
Amount Due
45.00
2.25
3.60
4.50
Item Total:$ss.3s
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard SECURETECH INC djb 0951 19 In Person
Payment Total:
$55.3s
-ffi
cReceint I Page I of I 2/512007
ffiffi
SPR!NGFIELD ZON CC.
INITIALS
DATE
SOURCE225 FIFTH STREET o SPRINGFIELD,OR97477 o PHt(541)726-3753 . FAX: (541)725-3689
ELE:CTRI CAL P E RMIT AP P LICATT ON
City Job Number ( Ol,^./\Z<x>Q - Ot Lt O
1.3.
/181 /t/)ohaJ\ 5?A
LEGAL DESCNPTION:
l?O3 ZSt3 c'>os-c'(>
Date a ls lot
A.
JOB DESCRIPTION:
fnclnll 3e.,-r^,'l-.t a Cqrynly*rn
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
,|
Electrical Contractor
Address {/ rJa,sm,Vi)
tolto
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
I Amps to 400 Amps
I Amps to 600 Amps
200 Amps
201 Amps to 400 Amps
401 Amps to 600 Amps
$s0.00
$ 63.00
$ 7s.00
$12s.00
$r63.00
ttlU to _ $37s.00
or 1000 Volts see "B" above.
$106.00
$ 19.00
I i.
Wr
B.
,ultL
i:rIes
Ciry F;^c,rt Phone
Supervisor License Number
Expiration Date /o
Expiration Date ?-t
$ s0.00
N,
4
Over 600
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Alteration or Extension Per Panel
with
$ 43.00
$ 3.00
$ s0.00
$ 50.00
$ 25.00
/ $ 45.00
uf
-----< /fi-
ownersName tltl /r,'t U*J
City SFf\ phone
=U
f-\86O pumporirrigation
Address 286 (x,,, a (<-
OWNERINSTALLATION
The installation is being made on properfy I own which
is not intended for sale, lease or rent.
Owners Signature:
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
8% State Surcharge
l0% Administrative Fee
5% Technology Fee
3q9D
ZZf
L{f
s53,
Inspection Request: 726-37 69
4.
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06.doc
,ffiTY ORtrGON
CAMPLETE FAfi SCHEDULE BELOW
New Residential - Single or Multi-Family per dwelling unit.
or Feeders - Installation, Alterations or Relocation:
5tt.,fei)-Rh J^rc- .,.
Constr. Contr. Number 2c-'{16Cit $ 6e.00
$100.00
' rrc.'
not included) -Each Installation
sIJETorAr. gp ABQ\,IE:.-
(>
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
SITE ADDRESS: 1981 Mohawk Blvd
ASSESSOR'SPARCELNO.: 1703251300500
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Remodel
PhoneNumber: 541-345-4860
PROJECT DESCRIPTION: Tenant infill - Oregon Community Credit Union
Commercial
Phone
54t-343-7143
s4t-687-5770
s41-726-0100
541-607-8879
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
M & M LAND COMPANY LLC
36986 CAMP CREEK RD
SPRINGFIELD OR 97478
Contractor E:
MCKENZIE
JB ELECTRIC
COMFORTFLOW AUT HORIZED UND
)NTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
TOMS PLUMBING
VB
OR
# of Stories:
Height of Structure:
Type of Heat:
Water
Paved Drive Rqd:
oh oILot Coverage:
Lot Size:
Sq Ft lst Floor:B 3,039
bythe
Those
Sidewalk Type:
Downspouts/Drains
arport
Total:
Handicapped:
Compact:
PARKING
tsi
PUBLIC IMPROVEMENTS
Notes:
Paee I of 5
PERMIT NO: COM2006-01610ISSUED: 0210512007APPLIEDi 1211412006
EXPIRES: 08/0512007VALUE: $ 225,000.00
tOH o6t27t2oo7
# Street Trees
05n2t2008
40
law
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 02105/2007
APPLIEDT 1211412006
EXPIRES: 08/0512007VALUE: $ 225,000.00
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 225,000.00
Total Value of Project
Amount Paid Date Paid
Value
$225,ooo.oo
$225,000.00
Date Calculated
12n4t2006
Fee Description
Plan Review Comm/Ind/Public
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Miscellaneous Mechanical
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo lmprovement
SDC Transpo Reimbursement
Total Amount Paid
Receipt Number
r200600000000001757
I 2007000000000001 I 6
12007000000000001 16
r2007000000000001 16
12007000000000001 r6
12007000000000001 l6
12007000000000001 16
12007000000000001 16
12007000000000001 l6
I 2007000000000001 r 6
12007000000000001 r6
1200700000000000116
12007000000000001 16
12007000000000001 16
12007000000000001 16
1 2007000000000001 16
r2007000000000001 16
12007000000000001 l6
r2007000000000001 16
$631.74
$10.00
$r01.69
$50.85
$81.35
$971.90
$24.50
$0.75
$4s.00
$388.76
$415.s9
$546.63
$10.00
$1,836.71
$174.99
$s0.26
$2,307.23
$36,004.31
$8,161.64
t2n4t06
215107
215107
2t5t07
2tst07
2t5t07
2t5107
215107
2tst07
2t5t07
2t5107
2tst07
2t5t07
215107
2t5t07
2t5107
2t5t07
2t5107
2t5t07
$51,813.90
Fees Peid
Plan Reviews
Page 2 of5
Valuation DeseriBtion l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 lnspection Line
Building/C ombination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007APPLIED: 1211412006
EXPIRES: 08/0512007VALUE: $ 225,000.00
Fire Department Review 12120/2006 0U14t2007 OK GRG
0u25t2007 Io JMP
12t20t2006 12t2212006 APP EMM
APP JHJ
Plans Review: Tenant infill for
Oregon Communify Credit Union.
Job #COM2006-01610. Occupancy
Classification : B. Construction
Type: V-B. Submitted as 3,039 sq.
ft.; review calculated as 3,365 sq. ft.
Occupant Load: 40.
Provide an address (numbers a min
4" high) for the business in such a
position as to be plainly visible and
legible from the street or road
fronting the property. (IFC 505.1.1)
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
Mechanical System Drawings
Address fee and Fire fee collected on
C6-00865 for shell.
WE. Made a courtesy call to
Jonathan Stafford reminding him
that we are still waiting for the
responses to the structural
comments. He said he is working on
them and will respond as soon as he
completes them.
No occupancy until building Final
Site Plan inspection has been
approved. Conditions 20 and 2l of
the Site PIan Approval are attached
regarding Drinking Water
Protection requirements before
occupancy can occur. Also
completion of PIP plan requirments
shall be met before occupancy.
Added SDC's (JHJ)
Initial Review
Initial Review
Plan Review Comments
Planning Review
0y19t2007
12n5t2006
0u19t2007
12n9t2006
APP
APP
LLH
LLH
Public Works Review 12t20t2006 12t2212006
Pase 3 of 5
Provide fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet oftravel distance. The
top ofthe extinguisher(s) shall be
befween 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007APPLIEDz 1211412006
EXPIRES: 08/0512007VALUE: $ 225,000.00
Structural Review
Structural Review
Structural Review
SUB Review
SUB Review
02t02t2007
12t20t2006
02t0212007
0u05t2007
APP JMP
12n9t2006 12t28t2006 wE JMP
0u1912007 0u19t2007 IO JMP
See attached documents for 14
structural comments faxed to
Jonathan Stafford.
Mechanical System Drawings.
Distributed to SUB for energy code
review.
Received responses to structural
comments from Jonathan Stafford.
See item 9 ofthe attached structural
comments by JMP for requested
energy code forms and worksheets
for the TI Interior Lighting systems.
BE and HVAC passed energy code
review under the shell permit
Com2006-00865.
JMP received Lighting information
from JB Electric and faxed the
forms to Jack Foster.
WE JF
0u17t2007 0u19t2007 APP JF
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.
Framing Inspection: Prior to cover and after alt rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling lnsulation: Prior to cover.
Firewall: Located and constructed according to plans.
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 Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Insulation Vapor Barrier: To be cailed for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
Paee 4 of 5
Reouired lnsDectrons I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2006-01610ISSUED: 0210512007
APPLIEDz 1211412006EXPIRES: 08/05120A7VALUE: $ 225,000.00
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover
SUB Ceiling Grid: Interior Lighting
SUB Exterior 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 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.
2- s- 07
"*r.r * ar* r^"roo{s(o*rl"Date
Page 5 of 5
L
SPrtINGFIELD
ACIG{OIYLEDGEIVIETTTS
B&[{l,,a \q:$(t^a6E-
()wncr Narnc (Itinhd)
tt&Hrqcl =t-;*r68\rcrro
Flngineer r:l Architecl Finn (Prinlcd)
NA
(-'ilr ot Spring.l r.: lr{
(lt-irrrn:rrnily Scrviccs [)rvisittn
225 Fitth.Str ecr
Spriugficld, OR 974??
Tclcphole: (54 l) 726-l?59
Fax: (541) ?26-3G89
lluildirrg Perrrr jt #
(rcCL) rAoutawr
AUIcoG: otolo _@:z-,@1
lhlr
Bcr+*rcH
I'rojtct f itle
R l\4r1ruK
I'rojerr Atldrcss
Special lnspec(ion and Tcsting
To ?Plirrt of F|Frt!..qti?i\s sD.cii itlt.lisn o.r.di^g.rr.r s.ctinr 1704 of th. or!€on stndtdat sp.ciotrr cod.. fl.e revick !t* itr.tntion b.tow. ittxn ).oo rkernirtt !d,.dr'o|'1643!.t| o'rdc.{.'rdins o, UE i,fofrdiE b}, *}iing bctov. lnd ]tttr" mt 6* t O.Ciry.'
gl, aor rcvi.av Etd +Fvj t'i' f.rm cr'ptdd on bo.h thc rft lni t cr_
TIE orvrE -r, GaE l cq'L..lr' ah.It lppliobl.. #l .ho !.kDNl dsc .tc fotbrrhE codirioE ,rptic.flc .o sFcint tiq,.ciio.| r#,rol Trning.
l. Conl *lor L lt ponibtc aorptop.r noaifEcis fu[L lrlt'clrio,t o. TdiE af ilcs ti3rd.
2 TdiE hborr' ijrir! Lr..ppmDn'rr. srprcs .i r,nrF.t t.m to [Ei.i.bor.tory filrFloq.yirL*tbror r.stihg-
. CQi.sof .ll ldor sylr Drt! ond iEDiclio.E al. to tc r(ilt ro . Cii, ry ft. T.lritE r\Bcicy.
L SFtil fnp.crkn Agarc, k to rr{m:l .c. lrd +.Ufi.5tions ofo$,ritE StEciit lrljlccb.s ao 6. Ctty fo. T|xorl.
a- SF.bl l, A..ic Jrldl |l.o{lL iEp.ctioi laTodr ro tE bu ilding ofkit oa.t L ttri0dion adirirl:.
J. con'!'.dor i: irf,tr .slalo ao rcr*:u rh. cirv appr .d rrafi for lddirio-r in lccrimo, r""riE ,uqun..r.E rt.r o.y hc i.r.d.
int crion htE h.or tunld a.d rEortcd d EE ro rt s.s or rh.ira.o.'i r"o.*ig., in -i",.*...:rr o'..mto'r.o pr.,i, +-iii-;""J Eppricruc i6rk1,rn$ipt'roYi'lon nlot jlta'.ottlrd n or in'plril shdl b. rer.d ia r*.ricrEc6r. Tr'Grt;rt k.o6ca$'ntuGd r"tL iiy priJr"ilt
"-i r.ri#r r*p*,i*'
hfr,
Owncr
Eugirrccr or Sigralure
hL,L
ltActb..crr*
Crn. Conlractor |tirm Narne iPrinlcd)
,{
e (Prfuxcrl)
Cotxractor SigJraturc
ra.:IEsruoao Is_a&
S- Tcsling Laboralory N;rnrc (Irinled)1 esting l,atrorakrry Rep- Signalurc
I hrs
[ficiel Name (Printud]
1A Ervn^
Concrc!e Guni!e Grout Mortar'
Test of l\.lix
Reinforci Test
Cerl. ritlix
Reintbrci Placement
Continuous Batch Plant
P
Com 'fesli
Concrcte:
Piles Post-Tens Pre-Tens Cladding
Aggregalc Tests
Tesls
Tendon Test
Mix
Reintb Placement
lnsert Placernent
Batchi
Concrete Placemenl
lnstallatiorr
Cast les
on Tes(s
SI'E CIAL I NS PE C'r I ON ..IND'I' U S'TI N G SC TIU D t-iI,I,;
I
l.
t!
t
E
c
o
f
!'
Ic
Rcinforced (iuni Grotrt and lrlorlar;
FIREPROOI'ING:
__Placement inspeclion
_Densit,v tests
_Tlrickness tesle
.-----lnspect batching
GR{DING, trXCAV,,IT t O N, A ND FTI,I,
r\cceptance tests i_pSF
Eslabtish linnl grarle
Fill placemenl inspcctionrcontinuous
Soit Density
STRUCI-I-rIt{.L STEELAV ELDI:'{G :
Sample and lsst (list specific membcrs bclorv)
Shop material irlenlification (rnil! cert]
Wetd iospectiorr ._Shrrp
--FieldUltrasonjc inspeclion _Shop Field
Hi_eh Srreogth Bolting_Shop _Fie hl
A3Z5 _N
-_XA490 -_-_N _X
iVletal deck rvekling inspection
Reinlbrcing Srret vr,elding inspectiun
Reinlorcing steel mill certilicntc
lvletal stud ruelding inspeclion
Concrele insert rvelding in.spection
lvlomenl resisting sleel t'rarnes
STRUCTURAL IYOOD:
Shear rvall nailing inspection
Shear rrnll anchors
Inspection of Glu-tam lab. *__ T/C psi
Iospection of tnrss joist Inb- --*-Sample and test curnponenls
Fabrication rrrlding of sleel accessories
ilIASONRY
No
0,g
o
F
F
S}IOKE CONTROL:
_Leakagc testing
'-Control Verification
c'
H
--t
C-rl
[!TlnHz
C:-rl
H
mr
t_-1
ROOFINGT
---- In sulation instal latiorurR-Vn I ue*
_Test stripVseams
ADDITIONAL INSR UCTIONS, OTIIER TEST, & INSPECTIONS:
SuSPsrour.r'u
Spccial inspeclion slresses used*_- l-m -_ l'g
Prelinrinary acceptanc€ tests lrns<,r-r.v r.rnits, unatl prisnrsl
Subserluenl rests (motta-r, grout, lleld wa!l prisorsi
Placernent inspeclion ol'unils, arrd reinlbrr:emclrt
Ivlasonrl'. mort.rr. grout, anrl rcinforcing steel ucrtit-icrles
Form Cornplcted by l)ale
C.er Crn-r
rPlaov IDE S'IRIING'I'II RI.]QUIRIID BY ARCIIITE,CT OIT I{NGINE,ER OIT CON'I'IU\C'I' DOCTJilI&:NI' 1,OC,\'rION OP'V,\I,IJr:S
TD
Ctrrl
6t*J
Aggregate
Cast Sarnples
Samp les (Picku p/Del ivered)
Pick-rur Samotes
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
orty of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT#: 12007000000000001r6 Date: 0210512007 l0:14:55AM
Job/Journal Number
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-016 r 0
coM2006-0r 610
coM2006-0r 6 t 0
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-0r610
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-01610
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Copy 6th @75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Plan Review Fire & Life Safety
Building Permit
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
s46.63
4 I 5.59
8,161 .64
36,004.31
174.99
1,836.71
t 0.00
50.26
2,307.23
0.75
24.50
3 88.76
971.90
45.00
10.00
50.85
8l .35
I 0l .69
Item Total:$51,182.16
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check OREGTON COMMUNITY
CREDIT UNION
djb 20033t7 I In Person
Payment Total:
$5 1, r 82.1 6
$51,182.16
cReceint I Page I of I 2t512007
((,
ZON
INITIALS
DATE
SOURCE225 FIF"TH STREET r SPRINCFIELD, OR 97177 . PH:(5,11)726-3753 o FAX: (541)726-3689
ELE CTRI CAL P ERM IT AP P LI CATI O N
AL DESCRIPTIONI ?o)3 A.
Ciff Job Number Co rr\ z- bL -oll"lD Date 2t
I. LOCATION OF INSTALI,ATION:3. CO\ITPLETE FEE SCHEDULE BELOI'+I
p8l M,,ko*,k
Nerv Residential - Single or ['{ulti-Famill'per dwelling unit.
\oo soo
JOB DESCzuPTION
/\/
Permits are non-transferatlle and expire if wo ts
not started within 180 days of issuance or if work is
Suspended for 180 days.
City
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect OnlY
$106.00
$ 19.00
$s0.00
2. - cortTIL{crOR TNSTALL{TTON ONLY B. Services or Feeders - Installation, Alterations or Relocation:
Electrical Contractor I UJ20O AmPs or less $ 63.00
$ 75.00
$ l 25.00
$ I 63.00
$375.00
$ 50.00
Address +t
pr,o"" 511- 721"?Zt4
Supen isor License Number ,12 4lL ill Nfi I {(;€. , Temporary services or Feeders
Expiration Date /o'o t-OY ail THORI
rr68Li&g;t ,lHurdMtH(IHIS PER
COMMEN
lS PERMIT lS NOT $ so.oo
N0S'JEDF,R- $6e.ooConstr. Contr. Number 5'/ 3Ns
Signarure of
Owners Name
Address
ciw 3
Electrician
Date
Y 180 [&oo Amps $ 100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit $ 43.00
Af T t N b[eil I{UAftiUnA[ Btruu{ptHttiH!yoTl5-
Installation
.,,sEfr itd GfhetuPgft,fr io re g o n ULuy $ 3.00
) -Each
fienienisde'80&68Pfrfl44t $ 2s.oo
LimitedEnergy/Commercial d $45.00 qf
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
q)-
CIEEIL
sp6\ , o a ?zqz &
ow"N ER rN s rAL LArIo\=jD 345 - 4 E7a O
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
r6
f,lrola@1
4. SL:BTATALOFABOVE
8% State Surcharge
l0% Administrative Fee
5% TechnologY Fee
---266-__1F_
Z?d
Er 35
o.
Inspection Request: 726-37 69 TOTAL
Shared Drive(T: )/Building ForrnsiElectrical Penrrit Application 8-06 doc
OAR
Those fort
You may obtain of the rules b
$ 50.00
$ 50.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007APPLIED: 1211412006
EXPIRESz 0812112007VALUE: $ 225,000.00
SITE ADDRESS: 1981 Mohawk Blvd
ASSESSOR'S PARCEL NO.: r703251300500
Springfield
PROJECT DESCRIPTION: Tenant infill - Oregon Community Credit Union
TYPE OF WORK: Tenant Infill
TYPE OF USE: Remodel
PhoneNumber: 541-345-4860
Expiration Date
07t2u2007
0311412008
08/08/2007
06t2712007
0s11212008
Commercial
Owner:
Address:
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
M & M LAND COMPANY LLC
36986 CAMP CREEK RD
SPRINGFIELD OR 97478
Contractor License
MCKENZIE COMMERCIAL CONTRACTOR4ss39
JB ELECTRIC 104929
SECURETECH INC 156618
COMFORT FLOW 460
TOMS PLUMBING SERVICE INC 159425
D UNDER THI# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction TyPe:
# of Bedrooms:
Fronfyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Range Type:
Energy Path:
Sprinkled Building:
Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
nla Occupant Load:
iaw roquiras
Sidewalk Type:
Downspouts/Drains:
B
VB
IS ABA
l$
3,039
40
ARKING
Notes:
Page I ofS
Phone
541-343-7143
54t-687-5770
s4t-521-2837
541-726-0r00
541-607-8879
UUN I IUK F(rl(lvtAtlt l\ I
PERIOD.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007APPLIED: 1211412006
EXPIREST 0812112007VALUE: $ 225,000.00
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 225,000.00
Total Value of Project
Amount Paid Date Paid
Value
$225,000.00
$225,000.00
Date Calculated
12n412006
Fee Description
PIan Review Comm/Ind/Public
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 57o Technology Fee
+ 87o State Surcharge
+ 87o State Surcharge
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Low Voltage - Commercial Indus
Miscellaneous Mechanical
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Low Voltage - Commercial Indus
$631.74
$10.00
$4.50
$101.69
$2.25
$50.85
$3.60
$81.35
$971.90
$24.s0
$0.75
$45.00
$45.00
$388.76
$415.59
$546.63
$10.00
$1,836.71
s174.99
$s0.26
$2,307.23
$36,004.31
$8,161.64
$4.50
$2.2s
$3.60
$4s.00
l2n4t06
2t5t07
2t5t07
2t5t07
2t5t07
215107
2t5t07
2t5t07
2t5t07
2t5t07
2t5t07
2tst07
2t5t07
2t5t07
2t5t07
2t5t07
2t5t07
2t5t07
2tst07
2ts/07
2t5t07
2tst07
2t5t07
2t2u07
2tzu07
2t2u07
2/2u07
Receipt Number
1200600000000001757
r200700000000000r 16
2200700000000000170
12007000000000001 l6
2200700000000000170
r2007000000000001 16
2200700000000000170
I 200700000000000 1 I 6
I 2007000000000001 I 6
I 2007000000000001 I 6
12007000000000001 16
2200700000000000170
12007000000000001 16
12007000000000001 16
12007000000000001 16
1200700000000000116
12007000000000001 16
r2007000000000001 r6
12007000000000001 16
12007000000000001 16
12007000000000001 16
12007000000000001 16
I 2007000000000001 I 6
2200700000000000229
2200700000000000229
2200700000000000229
2200700000000000229
Total Amount Paid $51,924.60
Paee 2 of 5
Plan Reviews
Valuation Descriotion I
B ees Paid I
Buildin g/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2006-01610ISSUED: 0210512007APPLIEDz 1211412006
EXPIRESz 0812112007VALUE: $ 225,000.00
Fire Department Review 1212012006 0u14t2007 OK GRG
LLH
12t20t2006 12t22t2006 APP EMM
Plans Review: Tenant infill for
Oregon Communify Credit Union.
Job #COM2006-01610. Occupancy
Classification: B. Construction
Type: V-B. Submitted as 3,039 sq.
ft.; review calculated as 3,365 sq. ft.
Occupant Load: 40.
Provide an address (numbers a min
4" high) for the business in such a
position as to be plainly visible and
legible from the street or road
fronting the properfy. (IFC 505.1.1)
Provide fire extinguishers with a
minimum rating of 2-A:10-B:C
every 75 feet oftravel distance. The
top ofthe extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
e06).
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
Address fee and Fire fee collected on
C6-00865 for shell.
Mechanical System Drawin gs
WE. Made a courtesy call to
Jonathan Stafford reminding him
that we are still waiting for the
responses to the structural
comments. He said he is working on
them and will respond as soon as he
completes them.
No occupancy until building Final
Site Plan inspection has been
approved. Conditions 20 and 21 of
the Site Plan Approval are attached
regarding Drinking Water
Protection requirements before
occupancy can occur. Also
completion of PIP plan requirments
shall be met before occupancy.
Added SDC's (JHJ)
Received responses to structural
comments from Jonathan Stafford.
Initial Review
Initial Review
Plan Review Comments
Planning Review
Public Works Review
Structural Review
12n512006
0u19t2007
12t20t2006
02t02t2007
t2^9/2006
07n9t2007
0u25t2007
12t22t2006
02t02t2007
APP
APP
IO
APP
APP
LLH
JMP
JHJ
JMP
Paee 3 of 5
h
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 lnspection Line
Building/Combination Permit
PERMIT NO: COM2006-0r610ISSUED: 0210512007
APPLIEDz 1211412006
EXPIRESz 0812112007VALUE: $ 225,000.00
Structural Review
Structural Review
SUB Review
SUB Review
12n9t2006 12t28t2006 WE JMP
0u19t2007 0U19t2007 Io JMP
12t20t2006 0y05t2007 WE JF
0u17t2007 0u19t2007 APP JF
See attached documents for 14
structural comments faxed to
Jonathan Stafford.
Mechanical System Drawings.
Distributed to SUB for energy code
review.
See item 9 of the attached structural
comments by JMP for requested
energy code forms and worksheets
for the TI Interior Lighting systems.
BE and HVAC passed energy code
review under the shell permit
Com2006-00865.
JMP received Lighting information
from JB Electric and faxed the
forms to Jack Foster.
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After alt 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.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Insulation Vapor Barrier: To be catled for at the same time as the SUB framing inspection.
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.
Pase 4 of 5
h
Reouired InsDecttons I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
CITY
Building/Combination Permit
PERMIT NO: COM2006-01610ISSUED: 0210512007
APPLIEDT 1211412006
EXPIRESz 0812112007VALUE: $ 225,000.00
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Low Voltage: 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.
Owner or Contractors Signature Date
Pase 5 of 5
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
r'1 of Springfield 0fficial Receipt
- -velopment Services Department
Public Works Department
RECEIPT #: 2200700000000000229 Date: 0212112007 2zt4z40PNt
Job/Journal Number
coM2006-01610
coM2006-01610
coM2006-01610
coM2006-01610
Description
+ 57o Technology Fee
+ 8% State Surcharge
+ 10o/o Administrative Fee
Low Voltage - Commercial Indus
Amount Due
2.25
3.60
4.50
45.00
Item Total:$ss.3s
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard NATIONALNETWORK
SERVICES
djb 020120 In Person
Payment Total:
$ss.35
$ss.3s
cReceint I Page I of I 212112007
Ifffi.tt