HomeMy WebLinkAboutPermit Building 2009-6-5
Status
Issued
U I }' OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01502
ISSUED: 06/05/2009
APPLIED: 10/02/2008
EXPIRES: 12/05/2009
VALUE: $ 417,871.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 353 DEADMOND FERRY RD
ASSESSOR'S PARCEL NO.: 1703154003700
SPR1NGFIETYPE OF WORK: Medical Office
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: New medical office / birthing center
Owner:
Address:
PEACEHEALTH
PO BOX 1479
EUGENE OR 97440
ATTENTION: Oregon law requires you to
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il. CONTRACrOR,IN FORMATtONcl 2-001-
0090. You may obtain copies. of the rules by. .
Contractor calling the center. (Note:~~~e,I!~.!'phonEXPlratIon Date
ANDERSON DABR(jl,W.&KlrAR~I:IJr:E9gtSl Utility Notification
AN SLOW & DEGENEAL T Center is 1-800.332.2344).
REYNOLDS ELECTRtC 184921
MARSHALLS INC 25790
ABSOLUTE PLUMBING SERVICES INC 67664
01/021201 I
12123/2009
07/11/2009
Phone
503-239-7377
484-0070
541-343-7297
541-747-7445
54 I -345-3055
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
I BUILDING INFORMA TJON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: Lot Size:
NOTIlJt!!ght of Structure 23.58 Sq Ft tst Floor:
THIS pr~~rt "ffl{LL EXPIRE IF THE WOR~q Ft 2nd Floor:
Wateh1;Yp~\ q Ft Basement:
AUTHOR\lhgP~p'~: ER THIS PERMIT IS NO q Ft Garage/Carport
COMMH'.rr~pP-!fh!S ABANDONEiMhlil Sq Ft Other:
ANY 1 fSp6nkieBEBliffiimg: No Occupant Load:
47,699
4,057
VA
49
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Avail:Jble:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
,
Pa2e I of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description TVlle of Construction
Medical Offices V I-Hour
Fee Description
Plan Review Comm/lnd/Public
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety.
Plan Review Fire & Life Safety
Reversal - Plan Review Comm/ln
Reversal - Plan Review Fire &
***+ 100/0 Administrative Fee***
-Mech Iss 2+ Appliances-
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Vent
Boiler/Comp 3-15 HP
Building Permit
Fire SF Fee - Non-Residential
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Sanitary Sewer - 1st 50 Feet
San.itary Sewer - Reimbursement
Sanitary Sewer Each AddtllOO'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
SDC Transportation Admin
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01502
ISSUED: 06/05/2009
APPLIED: 10/02/2008
EXPIRES: 12/05/2009
VALUE: $ 417,871.00
I Va\uation Descrintion I
$ Pel' Sq Ft
01' multiplier
$103.00
Square Footage
01' Bid Amount
4,057.00
10/02/2008
Value
Date Calculated
Total Value of Project
$417,871.00
$417,871.00
FflP~.~
Amount Paid
Date Paid
Receipt Number
$1,183.08
$1,183.08
$728.05
$728.05
$-1,183.08
$-728.05
$280.21
$42.00
$317.54
$132.3t
$16.00
$52.00
$1,820.13
$156.00
$425.00
$30.00
$6.00
$52.00
$1,549.25
$34.00
$10.00
$1,761.43
$170.88
$9,720.05
$2,203.63
$201.05
$666.04
$52.00
$17.00
$56.00
$52.00
$34.00
10/2/08
10/2/08
10/2/08 .
10/2/08
10/2/08
10/2/08
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
1200800000000001030
1200800000000001032
1200800000000001030
1200800000000001032
1200800000000001031
1200800000000001031
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
2200900000000000615
$21,767.65
Pa2e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2008-01502
ISSUED: 06/05/2009
APPLIED: 10/02/2008
EXPIRES: 12/05/2009
VALUE: $417,871.00
Status
Issued
Initial Review
Plan Reviews ,
10/03/2008 APP LLH
10/02/2008
Public Works Review
10/07/2008
APP CTM
10/0212008
Structural Review
10/13/2008
APP CJC
10/0212008
Planning Review
11/03/2008
WE EMM
10/0212008
Fire Department Review
10/02/2008
APP GRG
1I/04/2008
SUB Review
10/03/2008
I t/20/2008
APP JF
Plan nine: Review
01/28/2009
01/28/2009
APP EMM
Sent letter to Anslow and
DeGeneault requesting energy
forms. See attached documents.
Waiting for details as requested in
attached plan review letter (Reply
recieved 10/23/08)
10/27/08 waiting for fire approval
(APP 11/04/08)
Andy Limbird Planner - waiting on
DEQ Well injection permit in order
to sign Development Agreement
See attached document for Fire
Department Plans Review
comments.
Andy received DA on 1/26/08. To be
built per.approved Final Site Plan
Review, DRC2008-00042. Call
Andy Limbird at 726-3784 for Final
Site Inspection before Final Building
and Occupancy.
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, inspectio.ns requested after 7:00 a.m. will be made the following
work day.
I I?~nll.irprl tmnpPtinw
Erosion/Grading Inspection: Prior to gronnd distnrbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Pa~e 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01502
ISSUED: 06/05/2009
APPLIED: 10/02/2008
EXPIRES: 12/05/2009
VALUE: $ 417,871.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall tnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Roof SheathinglNailing: Before covering sheathing with finish material.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Undernoor Plumbing: Prior to insulation or decking.
Undernoor Drain: Prior to cover or placement of concrete.
Rongh Plnmbing: Prior to cover and including required testing.
Shower Pan. Prior to covering arid including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required.
Final Plumbing: When all plumbing work is complete.
Undernoor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Ruugh Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Paee 4 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01502
ISSUED: 06/05/2009
APPLIED: 10/02/2008
EXPIRES: 12/05/2009
VALUE: $ 417,871.00
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and f 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 tbe Community Services Division, Building Safety.
I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 furtber 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 un the site at all
times during construction.
, ~ ~~(~
I .
,
Owner or Contractors Signature
Paee 5 01'5
~!r- ~!
Date
225 Fiftl1 Strect
Springfield, Oregon 97477
541-726-3759 Phone
8.P.~~.I!:'l~F::I.IILD. ..1.,'
~,' ;,
! '
~.
City of Springfield Official Receipt
Development Services Department
Publie Works Department
Job/Journal Number
COM2008-0 I 502
COM2008-0 1502
COM2008-0 I 502
COM2008-0 I 502
COM2008-0 1502
COM2008-0 1502
COM2008-0 1502
COM2008-0 1502
COM2008-0 1502
COM2008-0 I 502
COM2008-0 1502
COM2008-0 I 502
COM2008-0 1502
COM2008-0 I 502
COM2008-0 1502
COM2008-0 I 502
COM2008-0 I 502
COM2008-0 I ?02
COM2008-0 I 502
COM2008-0 1502
COM2008-0 1502
COM2008-0 I 502
COM2008-0 1502
COM2008-0 I 502
COM2008-0 I 502
COM2008-0 1502
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
2200900000000000615
Datc: 06/05/2009
Description
Fire SF Fee - Non-Residential
Sanit~uy Sewer - Reimbursement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transportation Admin
Building Permit
Fixture
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Stonn Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Boiler/Comp 3.15 HP
Vent Fan
Appliance Vent
Gas Outlets 1-4
-Mech Iss 2+ Appliances-
+ 5% Technology Fee
+ 120/0 State Surcharge
***+ 10% Administrative Fee***
SDC Transportation Admin
Paid By
PEACE HEALTH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
353058
In Person
Payment Tntal:
Page I of I
9:31:42AM
Amount Due
156.00
1,549.25
2,203.63
9,720.05
170.88
1,761.43
10.00
666.04
1,820.13
425.00
52.00
34.00
52.00
34.00
52.00
17.00
30.00
52.00
56.00
]6.00
6.00
42.00
132.3 I
317.54
280.21
201.05
$19,856.52
Amount Paid
$19,856.52
$19,856.52
6/5/2009