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Home My WebLink AboutPermit Building 2005-7-15 -~ ~ Status Issued CITY OF SPRINGFIJ'.LlJ' Building/Combination Permit PERMIT NO: COM2004-01292 ISSUED. 07/15/2005 APPLIED 10/19/2004 EXPIRES. 05/16/2008 VALUE: $ 788,000.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 498 Harlow Rd ASSESSOR'S PARCEL NO 1703220002800 Sprmgfield TVPE OF WORK Office TVPE OF USE New PROJECT DESCRIPTION Harlow Road ProfeSSIOnal Center, SUites 3,4,5 Commerc131 Owner ROGER BULLOCK Address 32671 SKV HAWK WAV EUGENE OR 97405 Contractor Type General ElectrIcal Engmeer Mechamcal Medical Gas Plumbmg Sewer Phone Number 541-343-9292 I CONTRACTOR INFORMATION I Contractor JOHN J MAHONE V SUNSET ELECTRIC INC OWEN GROVER SUNSET ELECTRIC INC 158859 SHAD CHASAN SURRETT 158295 SHAD CHASAN SURRETT 158295 EMERALD EXCAVATING INC 14173 AI I tN f10jl BUH"UIN@\/~MAJl;Iru.r. follow rule. Jf.U'JU I~ U1e~ Ji_ Notification C~~te""~ y u tJ regon Utility In OAR 952-001-0( I oilm\;\1lfiOles are setforth 2 0090. Itou may ob IB~,QA1l1!l52-001. 28 00 calj!1]9 the centem~~ the rules byElectrIc nunlli~ for the 0 -VJI~p.e telephone ElectrIc Center is. root!! _\It NOllfjcatlon ,nePi &344). Path I SprInkled BUlldmg nla License 59384 158859 ExpiratIOn Date 04/2112009 02127/2010 Phone 541-741-2249 541-915-4883 541-501-3430 541-915-4883 541-741-3553 541-741-3553 54 I -345- 1505 02/27/2009 0111412010 02114/2010 07/14/2008 # of Umts 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 A va"able Special InstructIOn Notes Lot SIze Sq Ft 1st Floor 6,504 Sq Ft 2nd Floor 720 Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load 73 I DEVELOPMENT INFORMATION I' REQUIRED PARKING Overlay Dlst # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage Total Handicapped Compact NOTICE: .... W""!' 'min:IWMrllmQkW~~~~IS NOT Au I nu ml.LU lA IL ',_.. .'. COMMENCED OR IS ABANDONE~.aQR.lk Type ANY 180 DAY PERIOD. DownspoutslDrams Page I of9 Status Issued 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescrIotlOn Type of ConstructIOn Eshmate Eshmate Use Bid Amount Estimate Estimate Pavmg Fee DescrIotlOn Plan Review CommfInd/PublIc Pldn Review Fire & LIfe Sdfety -Mechamcal Issuance Fee- + 10% Admmlstrahve Fee + 7% Stdte Surcharge Backllow Device Bmldmg Permit FIXture Furnace - up to 100,000 btu Heat Pump P dvmg Plannmg Fmal Occy Inspechon Samtary Sewer - 1st 50 Feet Samtary Sewer - Improvement Samtary Sewer - Reimbursement SDC MWMC AdmmlstratlOn SDC MWMC Improvement SDC MWMC Reimbursement SDC SamtarylStorm Admm SDC Transpo Admm SDC Transpo Improvement SDC Transpo Relmhursement Storm Dramage ImpervIOus Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addlll00' Vent Fan Water Lme - 1st 50 Feet + 10% Admlmstrahve Fee + 7% State Surcharge Temp Power 200 amps or less FIVe SF Fee - Non-Resldenhal Plan Revlew/Com,Ind,Pub Hourly + 10% Admmlstr dllve Fee + 8% State Surcharge CITY OF SrKmt.-FIELD Building/Combination Permit PERMIT NO' COM2004-01292 ISSUED. 07/15/2005 APPLIED 10/19/2004 EXPIRES 05/16/2008 VALUE: $ 788,00000 I ValuatJon Descriotion , $ Per Sq Ft or multiplIer $100 $100 $100 Squdre Footage or Bid Amount 718,15400 8,000 00 61,84600 Value Date Calculated $718,15400 $8,000 00 $6 I ,846 00 $788,000 00 06/23/2005 II1I5/2006 06/23/2005 Total Value of Project Fpp<, ~ Amount Pdld $1,804 17 $1,IIO 26 $10 00 $41959 $264 49 $28 00 $2,577 40 $868 00 $36 00 $36 00 $41745 $143 00 $45 00 $3,033 99 $3,991 25 $10 00 $5,389 88 $510 96 $606 81 $1,27522 $17,52648 $3,972 91 $3,205 09 $45 00 $56 00 $42 00 $45 00 $500 $350 $50 00 $600 00 $18000 $56 90 $45 52 Date Paid Receipt Number 10/18/04 10/27/04 7/15/05 7/15105 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15105 7/15/05 7/15/05 7/15/05 7/15105 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/1 5/05 7fI5/05 7/15/05 7fI5/05 7/15/05 7/15/05 8/8105 8/8/05 8/8/05 6/9/06 6/9/06 7/17/06 7/17/06 2200400000000001303 1200400000000001523 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000000938 2200500000000001057 2200500000000001057 2200500000000001057 1200600000000000835 1200600000000000835 1200600000000001077 1200600000000001077 Page 2 of9 -U;.;.~ ..... Status Iss u ed 225 Fifth Street, SprIngtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Medical Gas Base Fee Medical Gas Each InletlOutlet Medical Gas Plan Review + 10% AdmlDlstra!lve Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commerctal Indus Perm ServIFdr 401 to 600 dmps MedIcal Gas Plan Review + 10% AdmlDlstraltve Fee + 5% Technology Fee + 8% State Surcharge Medical Gas Base Fee Medical Gas Each Inlet/Outlet Medical Gas Pldn Review Temp Occy (RlAIA) C & I + 10% Admmlstra!lve Fee + 5% Technology Fee + 8% State Surcharge Add, Aller, Extend Ctrc Mlmmum/AdJustment ElectrIcal Temp Occy (RIA/A) C & I Temp Occy (RlAIA) C & I Temp Occy (RlAIA) C & I Temp Occy (RIA/A) C & I Total Amount PaId ImtJaI Review 10/19/2004 Planmnt! Review 10120/2004 Structural Review 10/1912004 Structural Review 10/29/2004 Fire Deoartment Review 10/20/2004 $21900 $350 00 $17070 $1700 $850 $13 60 $45 00 $125 00 $45 00 $23 90 $13 29 $19 12 $21900 $20 00 $26 70 $10000 $450 $225 $360 $43 00 $200 $10000 $10000 $10000 $10000 $50,282 03 CITY OF SPRINGF1J<.,LJ) . Building/Combination Permit PERMIT NO: COM2004-01292 ISSUED: 07/15/2005 APPLIED. 10/19/2004 EXPIRES 05/16/2008 VALUE' $ 788,000.00 7/17106 7/17/06 7/17106 812106 812/06 812106 812106 812106 11115/06 12/6/06 12/6/06 12/6/06 1216/06 1216/06 1216/06 1119/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 7/9/08 7/9/08 7/9/08 1200600000000001077 1200600000000001077 1200600000000001077 2200600000000001095 2200600000000001095 2200600000000001095 2200600000000001095 2200600000000001095 2200600000000001588 1200600000000001731 1200600000000001731 1200600000000001731 1200600000000001731 1200600000000001731 1200600000000001731 1200700000000000045 2200700000000001395 2200700000000001395 2200700000000001395 2200700000000001395 2200700000000001395 1200700000000001158 1200800000000000756 1200800000000000756 1200800000000000756 Plan Reviews I 10/19/2004 10/21/2004 10/27/2004 10/2912004 11/0312004 APP LLH APP EMM To be buIlt per approved site plan review DRC2003-00008 WE TCM Talked with Tracy Smith about reqUired mechamcal plan, and medical gas plan WE TCM 2nd request for mechamcal plan from Tracy, and also need copy of truss spec,s Energy mfoma!lon received and sent on to Jack Foster OK GRG See attached document for Fire Department Plan ReView Comments Page 3 of9 -Wi.~ Status Issued 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SUB Review Structural RevIew Structural Review PublIc Works Review Structural Review Structural Review Structural RevIew Structural Review Structural Review 10/29/2004 1111012004 11112/2004 10120/2004 11/2412004 12/08/2004 12/1412004 04/0512005 05/06/2005 11105/2004 11/10/2004 11112/2004 11/22/2004 1112412004 12/08/2004 12/14/2004 04105/2005 05/1112005 CITY OF SPKlJ~L.FIELD Building/Combination Permit PERMIT NO: COM2004-01292 ISSUED' 07/15/2005 APPLIED' 10/19/2004 EXPIRES: 05/16/2008 VALUE: $ 788,00000 WE JF Requested additIOnal mformatlOn and c1arIlicatlOn from general contractor 10 JMP WE Received HV AC mformatlOn f. om Tracy Smith Discussed many aspects 01 the applIcatIon and processmg outstandmg Items See attached fax WIth 19 structural comments sent to Tracy 10 JMP WE Left vOlcematl for Tracy SmIth requestmg contractor names and hcense mformahon APP SB CAS entered SDC tee's 11/22/2004 An Encroachment Permit IS reqUired for work performed m the street Right-of-Way or wlthm PublIc UtIlIty Easements LDAP reqUired ro JMP WE Received response and revised drawmgs from Tracy Smith Called Tracy and left a vOice mall message With a lIst of Items stIli outstandmg mcludmg the Signed drawmgs 10 JMP WE Received 5 Signed drawmgs out of a set of 15 10 JMP Left another message for Tracy Smith at 606-2721 askmg why only 5 drawmgs were Signed and when the halance of the requested mformatlO" Will be submitted ro JMP WE See attached document faxed to Roger Bullock at hiS request With the structural comments prevIOusly commumcated to Tracy Smith and we discussed other outstandmg Items mcludmg LDAP, SDCs, and energy code Issues ro JMP WE Received response to structural comments from Tracy Smith Left messages for Tracy at both phone numbers lIsted StIli need mechamcal contractor, site work value, and resolutIOn With SUE and LDAP from PW Page 4 ot 9 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01292 225 Fifth Street, SprIngfield, OR ISSUED' 07/15/2005 541-726-3753 Phone APPLIED' 10/19/2004 54 I -726-3676 Fax EXPIRES: 05/16/2008 541-726-3769 InspectIOn LlUe VALUE $ 788,000.00 SUB Review 05/31/2005 05/31/2005 WE JF Requested specific IIghtmg mformatIon from contractor Structur dl Review 06120/2005 06/20/2005 10 JMP WE ReceIVed fax from Tracy Smith with contractor datd and an update on their plans Stili walhng on all the other Items lIsted m 5/11/2005 note Called Tracy to tell him he left otf the CCB lIcense number for general contractor, and plumb lUg lIcense lIsted IS expired He said he Will get the balance of the mformatlOn Structural Review 06121/2005 06121/2005 10 JMP WE Received complete contractor data but mcomplete valuatIOn data Left vOtce mall tor Tracy to clarIfy the valuatIOn mformahon Structural ReView 06/23/2005 06/23/2005 10 JMP WI Received site work valuatIOn from John Mahoney Shll need SUB's approval Structural ReView 07/1312005 0711312005 APP JMP Shell only per Jack Foster Called and discussed With Roger Bullock He Will supply m,ssmg mformahon to Jdck Foster at a later date SUB ReView 07/1312005 07/1312005 APP JF OK to Issue permit for shell only Plan ReView Comments 04/20/2006 10 JMP Called John Mahoney to tell him the shell permit did not cover tenant mfills He Will delIver an applIcatIOn for the tenant mfills IDlltal RevlCw 04/2512006 04/2512006 APP LLH Tenant Improvements for shell under constructIOn ReVIsed Plan ReVIew - PIa 04/26/2006 04/2612006 APP EMM ReVised Plan ReView - SU 04/26/2006 05/01/2006 APP JF Medical Gas Plan ReView 05/0312006 05/03/2006 WE SKG Talked With Tracy Smith by phone, need responses to Dental air pipe Jomts to be brazed or soldered? Air compressorNacuum pump models proposed? Submitted review for SUite 5 only? Structural ReView 0412512006 05/05/2006 WE JMP Tenant Improvements for shell under construction Page 50f9 -.......... iiiI LM. : ~'5 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 InspectIOn Lme Revised Plan Review - Pu 04/2612006 Revised Plan Review - FIr 04/26/2006 05/10/2006 05/18/2006 CITY OF SrKll"ljul'1J:'.LD Building/Combination Permit PERMIT NO' COM2004-01292 ISSUED: 07/15/2005 APPLIED. 10/19/2004 EXPIRES: 05/16/2008 VALUE $ 788,00000 APP SB Remodel Removmg 16 smks, addmg back two hathrooms No new SDCs WE GRG Page 6 of9 Plans Review Revised submittal of second new medical/dental office bUlldmg Job #COM2004-0I292 Occupancy CIasstlicalton B ConstructIOn Type V -N 5,691 sq ft Note ThIS butldmg permit was approved under the 1998 Oregon Structural SpecIalty Code (applIcants had a chOice between 10/1/04 and 12/31104 on whether they could submit under the 1998 or 2004 OSSC) and 2004 Oregon Fire Code ReVISIOns on Plans Sheets 2 of 3 and 3 of 3 show a "gas locker" with I-hour rdted walls and venttlalton for an exterIor medical gas room The medIcal gas room shall be prOVided with at least one automatic sprmkler to prOVide con tamer coolIng 10 case of fire (2004 SFC 30062 I) PrOVide submittal documentalton to verIfy complIance with the automatic sprmkler reqUIrement PrevIOus plans review comments from 111312004 shall sltH apply Note called Norwood ConstructIOn Company, 741-2249, left vOice mati _..~.."m~ CITY OF ~rK11"lJNELD . WI.: , Building/Combination Permit Status Issued PERMIT NO: COM2004-01292 225 Fifth Street, Sprmgfield, OR ISSUED 07/1512005 541-726-3753 Phone APPLIED' 10/19/2004 541-726-3676 Fax EXPIRES' 05/16/2008 541-726-3769 InspectIOn Lme VALUE: $ 788,000.00 Fire Department Review 06/0212006 06/0812006 OK GRG RevIsed plan (Returned back to BUlldmg Dept on 6/1/06) Plans RevIew Revised submIttal of second new medical/dental office bUlldmg Job #COM2004-01292 Occupancy ClaSSIficatIon B ConstructIon Type V-N 5,691 sq ft Note ThiS buddmg permit was approved under the 1998 Oregon Structural Specialty Code (applIcants had a chOtce between 10/1/04 and 12131/04 on whether they could submit under the 1998 or 2004 OSSC) and 2004 Oregon FIVe Code RevIsIOns on Plans Sheets 2 of 3 dnd 3 of 3 sbow a "gas locker" wIth I-hour rated wdlls and ventIlatIon for an exterIOr medical gas room The medical gas room shall be prOVided with at least one automatIc sprmkler to prOVide con tamer coohng m case of fire (2004 SFC 30062 1) PrOVide submlllal documentatIOn to verIfy complIance with the automaltc sprInkler reqUirement (Submittal prOVided on 6/1/06) PrevIous plans reVIew comments from II/312004 shdll sltll apply StructurAl Review 06/02/2006 06/08/2006 APP JMP Received revised plan and mternal approval Medical Gas Plan RevIew 07/12/2006 07/1212006 APP SKG Dental Air and Vacuum Fire Department Review 1210112006 12/01/2006 OK GRG See attached document for FIVe Department Pldns Review comment, for medical gas submittal Medical Gas Plan Review 11/2712006 12104/2006 APP SKG Level 3 Oxygen and Nitrous OXide for SUite #4 Page 7 of9 CITY OF SPKll'llJl'IELD . Building/Combination Permit Status Iss u ed PERMIT NO' COM2004-01292 ISSUED. 07/15/2005 APPLIED: 10/19/2004 EXPIRES: 05/16/2008 VALUE: $ 788,00000 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00 a m WIll be made the same workmg day, mspectlOns requested after 7'00 a m. Will be made the followmg work day. ~rp<lI'\W~ptt'ln<, I SIte InspectIOn To be made after excavatIOn but prIor to settmg forms EroslOn/Gradmg InspectIon After all erosIOn measures are m place Ufer ElectrIcal Ground Install ground rod at footmg and call for mspectlOn m conjunctIon with footmg andlor foundatIOn lDspectJon Footmg After trenches are excavated FoundatIOn After forms are erected but prIor to concrete placement Post and Beam PrIor to tloor msulatlOn or deckmg Floor InsulatIon PrIor to deckmg Shear Wall Natlmg Before covermg sheathmg with fimsh materIals Frammg InspectIOn PrIor to cover and after all rough m mspectIons have heen approved Drywall PrIor to tapmg FIrewall Located and constructed accord 109 to pldns Hold Downs Installed Special InspectIon performed prIor to placement of concrete Provide report to City BUlldmg Inspector Fmal Butldmg After all ConditIOns have been completed as reqUired on Development Agreement Fmal Butldmg After all reqUired mspectlOns have been requested and approved and the bUlldmg IS complete SUB InsulatIOn Vapor BarrIer To he called for at the same tIme as the SUB frammg mspectIon SUB Fmal After all reqUired energy mspectlOns have been requested and approved Undertloor Plumbmg PrIor to msulatIon or deckmg Underfloor Dram PrIOr to cover or placement of concrete Rough Plumbmg PrIor to cover and mcludmg reqUired testmg Water Lme PrIor to fillmg trench and mcludmg required testmg Samtary Sewer Lme PrIOr to fillIng trench and mcludmg reqUired testmg Storm Sewer Lme PrIor to fillIng trench Fmal Plumbmg When all plumbmg work IS complete Backtlow DeVice PrIor to coverIng and provide a copy of the test report on site at the tIme of mspectlOn Rough Medical Gas PrIor to cover and mcludmg reqUired testmg Fmal MedIcal Gas When all medical gas work IS complete and certIficate IS provided to mspector from verIfier Undertloor Mechamcal PrIor to msulatlOn or deckmg and mcludmg reqUired testmg Page 8 of9 --_.~ Ilk ~ : CITY OF ~rKll....t.l'1J!,LD - Building/Combination Permit Status Issued PERMIT NO' COM2004-01292 ISSUED: 07/15/2005 APPLIED 10/19/2004 EXPIRES: 05/16/2008 VALUE: $ 788,000 00 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 InspectIOn Lme Rough Mechamcal PrIor to Cover Fmal Mechamcal When all mechamcal work IS complete SUB Mechamcal Followmg City Rough Mechamcal mspecltoll approval and prIor to any cover Rough ElectrIC PrIor to Cover ElectrIC Service Approval reqUired prIor to ultlIty company energIZIng service Fmal ElectrIC When all electrIcal work IS complete Low V ollage PrIor to cover SUB ExterIor Llghtmg Temporary ElectrIC Approval reqUired prIor to Utility Company energlzmg pole SUB Ceilmg GrId InterIor Llghtmg Undertloor MedIcal Gas PrIor to msulalton or deckmg Includmg reqUired testmg Eleclt IC Service Approval reqUired prIor to ultlIty company energlzmg servIce Low Voltage PrIOr to cover By signature, I state and agree, that I hdve carefully exammed the completed applIcalton and do hereby cerlIfy that all mformatlOn hereon IS true and correct, and I further ce, tlfy that dny and all work performed shall be done m accordance with the 01 dmances of the City of SprIngfield and the Laws of the State of Oregon pertammg to the work deSCrIbed herem, and that NO OCCUP ANCV Will be made of any structure WIthout permissIOn of the Commumty Services DIVISIOn, Buildmg Safety Ilurther cerltfy that only contractors and employees who are m complIance with ORS 701 005 will be used on thiS proJect I further dgree to ensure that all reqUired IIIspectlOns are requested at the proper tIme, that each address IS readahle from the street, that 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 /!,,;v #. )WJ,t,.)1/ r!r~ V- Owner ov~ntractors Signature '7/9/at Date Page 9 of9 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01292 COM2004-0 1292 COM2004-0 1292 Payments Type of Payment Check cRecemtl RECEIPT #: Description Temp Occy (RlNA) C & I Temp Occy (RIA/A) C & 1 Temp Occy (RlA/A) C & I Pald By SKYHA WK PROPERTIES LLC i:~ CIty of Sprmgfield Officml ReceIpt Development ServIces Department Public Works Department 1200800000000000756 Date. 07/09/2008 Item Total Check Number Authorization Received By Batch Number Number How ReceIVed dJb 1258 In Person Payment Total Page I of I 2 05 20PM Amount Due 10000 10000 10000 $300 00 Amount Paid $30000 $300 00 7/9/2008