HomeMy WebLinkAboutPermit Building 2004-3-3
.
Status
Issued
*
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00130
ISSUED: 03/03/2004
APPLIED: 01/30/2004
EXPIRES: 09/03/2004
VALUE: $ 208,000.00
'~:.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2280 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1703251301800
Springfield TYPE OF WORK: Medical Office
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: TENANT INFILL AND STORAGE UNIT
Owner: SPFLD FAMILY PRACTICE LLP
Address: % PROP TAX PO BOX 739 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
\~
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor
NAGAO PACIFIC ARCHITECTURAL P.C.
MElLI CONSTRUCTION CO
NEW WAY ELECTRIC INC
COMFORT FLOW
ROBINSON PLUMBING INC
License
Expiration Date
63771
51088
460
107124
02112/2008
06/27/2005
06/27/2004
07/13/2005
Phone
541-687-9600
541-485-1417
541-686-2365
541-726-0100
541-345-6909
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group: B
Secondary Occupancy Group:
Primary Construction Type VNSpr
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:.
Impervious Surface Area:
SETBACKS
I DEVELOPMEN I m~ul<J>fATION I
.,
.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I
. _ I-W requireS you to
ATTENTI~l<<!~~kJl)ype: Utility
_"'^,-,t"rl hV the Oregon
follow ruleDownspoutslDrains:leS are set fort
, C ter 1 nose IU
~otificatlOn en 001 0 through OAR 952-00
n OAR 952-001- tain copies of the rules l
J090. you may ob Note: the telephone
calling the cen~r. (on Utility Notification
number;~~:~:;_ :~2n(\_~~2-2344).
Storm $H,~~~lable:
Special1lmr'f'tiRP.IIT SHALL EXPIRE IF THE WORK
Notes' AUTHORIZED UNDER THIS PERMIT IS NOT
. COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
~,
Paee 1 of5
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
\
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70/0 State Surcharge
Building Permit
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Plan Review CommlIndlPublic
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 TrBnspo Reimbursement
Storm Drainage Impervious Area
Vent Fan
Total Amount Paid
. c
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
208,000.00
Total Value of Project
Fpp<. tIilIJ
Amount Paid
Date Paid
5511.32
$314.66
$10.00
$lll.57
$78.10
$916.65
$154.00
$12.00
$4.00
$17.00
$84.50
552.00
$481.88
5633.92
510.00
55.29
57.77
559.00
$1.63
526.00
55.89
$41.76
$12.00
1/30/04
1/30/04
3/3/04
313/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
$3,550.94
Plan Reviews I
Pal!e 2 of5
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00130
ISSUED: 03/03/2004
APPLIED: 01130/2004
EXPIRES: 09/03/2004
VALUE: $ 208,000.00
Value
Date Calculated
$208,000.00
$208,000.00
03/01/2004
Receipt Number
2200400000000000075
2200400000000000075
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
1200400000000000266
. . CITY 01< ~r Klf'iI\JJ:'1Ji.LlJ .
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00130
225 Fifth Street, Springfield, OR ISSUED: 03/03/2004
541-726-3753 Phone APPLIED: 01130/2004
541-726-3676 Fax EXPIRES: 09/0312004
541-726-3769 Inspection Line VALUE: $ 208,000.00
Fire Department Review 02/0212004 02119/2004 OK GRG Plan Review: doctor's offices-tenant
infill. Job #COM2004-00130.
Occpancy classification: B.
Construction type: V -N Sprinklered.
Building area: 12,533 sq. ft. Tenant
infill area: 1356 sq. ft.
Plan sheet A-2 shows fire
extinguisher cabinet locations and
type of fire extinguishers. Will verify
on inspection.
Information from phone call with
Tom Meili indicates sprinklers
already in place with drop downs
through ceiling. Will verify on
inspection.
Provide illuminated exit sign age
meeting requirements of Oregon
Structural Specialty Code 1003.2.8.
Provide means of egress illumination
meeting requirements of OSSC
1003.2.9.
Vestibule doors shall have lock or
latch mechanisms open able from the
inside without the use of a key or
any special knowledge or effort per
OSSC 1003.3.1.8.
Initial Review 02/02/2004 02/0212004 APP RJB
Planninl! Review 02/02/2004 02/05/2004 APP EMM
Public Works Review 02/0212004 02/10/2004 APP SB SDCs for the storage unit are
included in fees.
Revised Plan Review - Fir 02/20/2004 03/03/2004 OK GRG Plan Review: detached storage shed.
Job #COM2004-00130. Occupancy
classification: S-2. Construction
type: V-No 153 sq. ft.
Provide fire extinguishers with a
minimum rating of2-A:10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (Springfield Uniform Fire
Code 1002.1).
Revised Plan Review - PIa 02/20/2004 02/24/2004 APP EMM
Revised Plan Review - Pu 0212012004 03/01/2004 APP SB
Pal!e 3 of5
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00130
ISSUED: 03/03/2004
APPLIED: 01130/2004
EXPIRES: 09/03/2004
VALUE: $ 208,000.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Revised Plan Review - Str
03/01/2004
03/01/2004
APP
JMP
Revlscd Plan Review - Str
02/20/2004
JMP
WE
02/20/2004
Revised Plan Review - SU
Structural Review
SUB Review
03/02/2004
02/04/2004
02/10/2004
JF
JMP
JF
02/20/2004
02/02/2004
02/04/2004
APP
APP
WE
SUB Review
02/23/2004
02/23/2004
APP JF
Larry Greenman faxed revised
valuation. JMP revised fees.
JMP called Larry Greenman and he
agreed to fax the value of the work.
SUB requested from electrical and
mechanical contractors new code
forms to comply with 10/03 changes
in Chapter 13. 2/12/2004 received
some updated code forms for review.
2/17/2004 JMP requested building
envelope energy code forms from
Larry Greenman with Meili
Construction and gave a progress
report on reviews by the different
departments.
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.
l1?p~
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Wall Insulation: Prior to cover.
3 Ceiling Insulation: Prior to cover.
4 Drywall: Prior to taping.
5 Ceiling Grid: After drywall approval but prior to cover.
6 Final Fire Department. After all requirements of the Fire Department have been met.
7 Final Building: After all required inspections have been requested and approved and tbe building is complete.
8 Rough Plumbing: Prior to cover and including required testing.
9 Final Plumbing: When all plumbing work is complete.
10 Rough Mechanical: Prior to Cover
II Final Mechanical: When all mechanical work is complete.
12 SUB Final: After all required energy inspections have been requested and approved.
13 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
14 SUB Ceiling Grid: Interior Lighting
15 SUB Exterior Lighting
Pal!e 4 of5
-~
.
.
LIl i' OF ~rK11~GFIELD-
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00130
ISSUED: 03/03/2004
APPLIED: 01130/2004
EXPIRES: 09/0312004
VALUE: $ 208,000.00
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 aU 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
~
__ "7
r Owner or Contractors Signature'---/
3 - 3-DC/
Date
Page 5 of5
225 Fifth Street Jl
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00130
COM2004-00 130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004-00130
C0M2004-00130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004'00130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004-00130
COM2004-00 130
C0M2004-00130
Payments:
Type of Payment
CreditCard
~~F1_n, ..
Ilfi,....h".,"".."'..'='m............. .'..i
"; i
. ,
~~.,~' .,. '!
,~,.,~",,,,.. . ..-.- .- , ''''''',:<
Receipt #: 1200400000000000266
Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Fixture
Furnace - up to 100,000 btu
Vent Fan
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Traospo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transpo Admin
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Paid By
DENNIS W MElLI
Received By
dIm
Check Number
Batch Number Authorization Number
000321 003589
~" City of Springfield Official Receipt j'
Development Services Department
Public Works Department
Date: 03/03/2004 9:17:39AM
Amount Paid
Item Total:
84.50
52.00
916.65
78.10
111.57
154.00
12.00
12.00
4.00
17.00
10.00
633.92
481.88
5.89
26.00
7.77
5.29
10.00
1.63
59.00
41.76
$2,724.96
.
How Received
In Person
Payment Total:
Amount Paid
$2.724.96
$2,724.96
.
A AlTACHMENT A
CITY ~NGFIELD SYSTEMS DEVELOPMENT CHARGE
JOURNAL OR JOB NUMBER C0M2004-o0 130
NAME OR COMPANY: SPRINGFIELO FAMILY PRACTICE
LOCATION: 2280 MARCOLA
MAP & TAX LOT NUMBER: 17 03 25 13 01800
DEVELOPMENT TYPE: MEDICAL OFFICE UPGRADE & STORAGE
NEW DEVELOPED AREA (S.F.): 144.00 STORAGE
EXISTING OEVELOPEO AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F.):
SHEET
151
720
o
ITE:
ITE:
LOT SIZE (S.F.):
.
$ t
~~t
e--
O!~
1 STORM nRArN~
IMPERVIOUS SQ. FT.
x
$ 0.290 PER SF
144
TOTAL STORM DRAINAGE SIX:' $
41.76 1070
? SANITARY SFWF.R-CITY
A. REIMBURSEMENT COST:
NUMBER OF DWs 28
B. IMPROVEMENT COST:
NUMBER OF DWs 28
(SEE REVERSE SIDE)
.
~ ~
,,~
.lia
x $ 22.64 PER DFU , $ 633,92 ['\09"
'-- --- ~
, $ 481.88 _._~
x $ 17.21 PER DFU ! 1092
L
TOTAL LOCAL WASTEWATER SDC:' $ 1,115.801
3 TRANSPORT~
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A. REIMBURSEMENT COST:
0.144 x 2.5 x $ 17.23 PER TRIP x 0.95 NTF 1$ 5.891
B. IMPROVEMENT COST:
0.144 x 2.5 x $ 76.01. PER TRIP x 0.95 NTF 1$ 26.00 I
EXISTING
A. REIMBURSEMENT COST:
0.00 x 36.13 x $ 17.23 PER TRIP x 0.85 NTF 1$
B. IMPROVEMENT COST:
0.00 x 36.13 x $ 76.01 PER TRIP x 0.85 NTF 1$
TOTAL TRANSPORTATION REIMBURSEMENT SIX:' $
TOTAL TRANSPORTATION IMPROVEMENT SIX:' $
TOTAL TRANSPORTATION SDC:' $ 31.891
-
4 SANITARY SEWF.R _ MWMr
NEW:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.144 x $53.94 PER FEU 1$
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.144 x $36.72 PER FEU 1$
EXISTING:
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0.00 X $359.58 PER FEU 1$
B. IMPROVEMENT COST:
NUMBER OF FEU's 0.00 X $244.83 PER FEU 1$
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5.89 ft093l
26.00 G~~~ ~
7.771
5.291
I
,
$
TOTAL MWMC REIMBURSEMENT FEE: $
TOTAL MWMC IMPROVEMENT FEE: $
MWMC ADMINISTRATIVE FEE: $
TOTAL MWMC SDq $ 23.06 ~
7.77
5.29
10.00
SUBTOTAL (ADO ITEMS 1,2.3, & 4)
, $
1.212.51 ~
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$
1,212.51 x 5% $ 60.63
TOTAL TRANSPORTATION ADMINISTRATION FEE:I $
TOTAL SEWER ADMINISTRATION FEE:' $
stevei'\. w. BeO"~Y!:j BOri'\.tS 2/2412004
cll~O\i.\!b!!WJ~J!-AMIL Y PRACTICE, 2280 MAR~S
TOTAL SDC CHARGES
1,63
59,00
, $
~--
1054
r~
\105~
? '
'1056'
,-
l078t
~.~c
1079
1,273.14
JULY 2001
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXllJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) !.
SPRINGFIELD FAMILY PRACTICE
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASElOIUSOLlOS/ETC.
INfERCEPTORS FOR SAND/AUTO W ASHlETC.
"LAUNDRY TUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER" 3 OR MORE (EA)
MOBD..E HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DlSHWASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL. RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIOOUBLE LA V A TORY
SINK: SINGLE LA V A TORY/RESIDENllAL BAR
URINAL, STALL/WALL
TOILET. PUBLIC INSTALLATION
TOILET. PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
7
2
2
NUMBER OF EDU'S.
UNIT
EOUIV ALENT
3
I
3
3
6
2
3
6
12
I
3
2
2
3
2
2
1
5
6
3
TOTAL DRAINAGE FIXTURE UNITS~
.EDU (Equivalent DwellinR; Unit) is a discharm: CQuivalent to a sinRle family dwellinl!: (20 DFU) set at 167 ~lons per day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
14
2
o
12
o
o
o
o
28
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AITER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED V AWE ANNEXED ASSESSED VALUE
1979 or before $ 4.92 1990 $ 2,06
1980 $ 4.83 1991 $ 1.64
1981 $ 4.77 1992 $ 1.45
1982 $ 4.64 1993 $ 1.31
1983 $ 4.47 1994 $ 1.13
1984 $ 4.30 1995 $ '0.97
1985 $ 4.09 1996 $ 0.82
1986 $ 3.78 1997 $ 0.63
1987 $ 3.41 1998 $ 0.41
1988 $ 2.98 1999 $ 0,22
1989 $ 2.52 2000 $ 0.04
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE X $0.00
IMPROVEMENT (IF AITER ANNEXATION DATE) X $0.00
CREDIT TOTAL $0.00
COM2004-ll0130, SPR. FAMILY PRACTICE, 2280 MARCOLAxls
JULY 200.1