HomeMy WebLinkAboutPermit Building 2006-06-02LD
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: COM2006-00477ISSUED: 0610212006
APPLIED: 0412112006
EXPIRESz 1210212006VALUE: $ 25,000.00
SITE ADDRESS: 960 l6TH ST
ASSESSOR'S PARCEL NO.: 1703362204603
PROJECT DESCRIPTION: Remodel
Springfield TYPE OF WORK: Office
TYPE OF USE: Alteration Commercial
PhoneNumber: 541-343-9292
Phone
54t-342-65t1
503-747-4622
541-747-0811
Owner:
Address:
Owner:
Add ress:
Contractor Type
Architect
General
Electrical
Contractor
AFFOLTER WEST & JONES
HYLAND & SONS INC
L H MORRIS ELECTRIC
MCKENZIE PHYSICIANS SERVICES
960 N I6TH ST STE 304
SPRINGFIELD OR 97477
ROGER BULLOCK
3267I SKY HAWK WAY
EUGENE OR 97405
LLC
ATTEIv IIuIv uregon raw requtres you tofollow rulel adopted by ttre Oregon UtilityNotificationCenter.Those rules are set foril-in OAR 952-001_O0t 0 throughOAF0090Youmay obtain 95a001
NotificaUon
License tion Date
45839
01838 06/08/2007
telephone
# 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 lnstruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
7o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
B
VB
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
AUTHORIZED UND
COMMENCED OB
ANY 180 DAY PERIOD
L EXPIRE tF THE WORK
ER Tf,i$EPTHIfrYTTE NOT
lS AM0{O€il8&'80&n''
DEVELOPMENT INFORMATION
Notes:
Pase I of3
lrulLlJlNU rNruKlvlrryJ
CITY
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-126-3676 Fax
541 -7 26-37 69 I nspection Line
PERMIT NO: COM2006-00477ISSUED: 0610212006APPLIEDz 0412112006EXPIRES: 1210212006VALUE: $ 25,000.00
Valrr ation Descrintion
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$ 1.00 25,000.00
Total Value of Project
Amount Paid Date Paid
Value
$25,000.00
$25,000.00
Receipt Number
2200600000000000497
2200600000000000497
220060000000000071s
2200600000000000715
220060000000000071s
2200600000000001340
2200600000000001340
2200600000000001340
2200600000000001340
2200600000000001340
Date Calculated
04t2u2006
Fee Description
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
+ l0oh Administrative Fee
+ 87o State Surcharge
Building Permit
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
$145.86
$89.76
s22.44
$17.95
$224.40
$4.s0
$2.25
$3.60
$43.00
$2.00
$555.76
4tzu06
4t2y06
6t2t06
6t2t06
6t2t06
9t22t06
9t22t06
9t22t06
9t22t06
9t22t06
Fees Paid
Plan Reviews
Fire Department Review 0412412006 06t0U2006 0K GRG Plans Review: Office remodel. Jott
#COM2006-0047 7 . Occupancy
Classification: B. Construction
Type: V-B. Remodel affects 125 and
375 sq. ft.
Maintain address numbers and suite
numbers or letters in contrasting
color from the background
positioned plainly visible and legible
from the street or road fronting the
property (2004 Oregon Structural
Specialty Code 501.2 and 2004
Springfield Fire Code 505.1).
Provide or maintain fire
extinguishers with a minimum
rating of 2-A: l0-B:C every 75 feet ol
travel distance. The top ofthe
extinguisher(s) shall be between 3
and 5 feet above finished floor (2004
Springfield Fire Code 906).
Paee 2 of3
{
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: COM2006-00477ISSUED: 0610212006APPLIEDz 0412112006EXPIRES: 1210212006VALUE: $ 25,000.00
Initial Review
Plan Review Comments
Planning Review
Public Works Review
Structural Review
Structural Review
SUB Review
SUB Review
04t24t2006
04t24t2006
04t24t2006
04t24t2006
0610U2006
05115t2006
04t28t2006
04t24t2006
05/08/2006
05t04t2006
0s/08/2006
04t28t2006
06t0u2006
05n5t2006
05/08/2006
SKG
JMP
EMM
SB
JMP
IO
APP
APP
APP
WE
WI. Received response from Linn
West and faxed energy code forms
to Jack Foster.
Remodel only, no SDCs
Received with 3 projects 412812006.
See attached documents for 5
structural comments faxed to Linn
West.
Received final internal approval.
No energy code issues or inspections,
JMP requested energy code forms in
item 2 ofthe attached structural
comments.
APP
APP
WE
JMP
JF
JF
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.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 Iocated 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
Page 3 of3
Date
Kequrreo tnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;' ' of Springfield Official ReceiPt
L elopment Services DePartment
Public Works DePartment
RECEIPT #: 2200600000000001340 Date: 0912212006 3:31:4lPM
Job/Journal Number
coM2006-00477
coM2006-00477
coM2006-00477
coM2006-00477
coM2006-00477
Description
+ 5%o Technology Fee
+ 8%o State Surcharge
+ l\Yo Administrative Fee
Add, Alter, Extend Circ
M in imum/Adjustment Electrical
Amount Due
2.25
3.60
4.50
43.00
2.00
Item Total:$s5.3s
Check N umber AuthorizationPayments:
Type of Payment Received By Batch Number Number How Received Amount PaidPaid By
CreditCard LH MORRIS djb 012091 In Person
Payment Total:
$ss.3s
-ffi
cReceint I Page I of I 9t22/2006
arB&tioFt-Ltl
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-31 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00477ISSUED: 0610212006APPLIED: 0412112006
EXPIRESz 1210212006VALUE: $ 25,000.00
SITE ADDRESS: 960 16TH ST
ASSESSOR'S PARCEL NO.: 1703362204603
PROJECTDESCRIPTION: Remodel
Springfield TYPE OF WORK: Office
TYPE OF USE: Alteration Commercial
PhoneNumber: 541-343-9292Owner:
Address:
Owner:
Address:
Contractor Type
Architect
General
Electrical
MCKENZIE PHYSICIANS SERVICES LLC
960 N 16TH ST STE 304
SPRINGFIELD OR 97477
ROGER BULLOCK
32671 SKY HAWK WAY
EUGENE OR 97405
.{
Contractor
AFFOLTER WEST & JONES
HYLAND & SONS INC
L H MORRIS ELECTRIC
License
45839
01838
Expiration Date
06t08t2007
Phone
541-342-6511
503-747-4622
541-747-0811
# 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 ImproYements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
C\
B
VB
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
l,
)^\
:)
(
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: COM2006-00477ISSUED: 0610212006
APPLIEDz 0412112006
EXPIRESz 1210212006VALUE: $ 25,000.00
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 25,000.00
Total Value of Project
Amount Paid Date Paid
Value
$25,000.00
$25,000.00
Date Calculated
04t2u2006
Fee Description
Plan Review Commfl nd/Public
Plan Review Fire & Life Safety
+ lOoh Administrative Fee
+ 8%o State Surcharge
Building Permit
Total Amount Paid
$14s.86
$89.76
$22.44
$17.95
$224.40
4t2u06
4tzu06
6t2t06
6t2t06
6t2t06
Receipt Number
2200600000000000497
2200600000000000497
2200600000000000715
2200600000000000715
220060000000000071s
$500.4r
ees Paid
Plan Reviews
Fire Department Review 04/2412006 0610112006 OK GRG
04t24/2006
0s/08/2006
APP
05t04/2006 APP
Paee 2 of3
Plans Review: Office remodel. Job
#COM2006-0047 7. Occupancy
Classification: B. Construction
Type: V-B. Remodel affects 125 and
375 sq. ft.
Maintain address numbers and suite
numbers or letters in contrasting
color from the background
positioned plainly visible and legible
from the street or road fronting the
property (2004 Oregon Structural
Specialty Code 501.2 and 2004
Springfield Fire Code 505.1).
Provide or maintain fire
extinguishers with a minimum
rating of 2-A:10-B:C every 75 feet ol
travel distance. The top ofthe
extinguisher(s) shall be between 3
and 5 feet above finished floor (2004
Springfield Fire Code 906).
WI. Received response from Linn
West and faxed energy code forms
to Jack Foster.
Initial Review
Plan Review Comments
04t24t2006
IO
SKG
JMP
Planning Review 04t24t2006 EMM
Valuation Description I
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: COM2006-00477ISSUED: 0610212006
APPLTED| 04t2u2006EXPIRES: 1210212006VALUE: $ 25,000.00
Public Works Review
Structural Review
Structural Review
SUB Review
SUB Review
04t2412006
04t24t2006
06t0u2006
05n512006
04t28t2006
05/08/2006
04t28t2006
06t0u2006
05n5t2006
0s/08/2006
APP
WE
APP
APP
WE
JMP
SB Remodel only, no SDCs
Received with 3 projects 412812006,
See attached documents for 5
structural comments faxed to Linn
West.
Received final internal approval.
No energy code issues or inspections.
JMP requested energy code forms in
item 2 ofthe attached structural
comments.
JMP
JF
JF
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.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
nsnections
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 Springfietd 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
(a'2'o L
Signature Date
r
Pase 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit of Springfield Official Receipt
I :lopment Services Department
Public Works Department
RECEIPT#: 2200600000000000715 Date: 0610212006 l0:37:40AM
Job/Journal Number
coM2006-00477
coM2006-00477
coM2006-00477
Description
Building Permit
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
224.40
\7.95
22.44
Item Total:$264.79
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Creditcard LINN WEST jmp 0l 1283 In Person
Payment Total:
$264.79re
cReceintl Page I of I 6t2/2006
si$rasrt"o