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Home My WebLink AboutPermit Building 2004-9-3 - . . Status Issued ~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00962 ISSUED: 09/03/2004 APPLIED: 08/04/2004 EXPIRES: 03/03/2005 VALUE: $ 50,000.00 225 Fifth Street, Springfield, OR' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5781 MAIN ST ASSESSOR'S PARCEL NO.: 1702334103500 Springfield TYPE OF WORK: Medical Office Owner: OREGON MEDICAL GROUP Address: PO BOX 1648 EUGENE OR 97401 TYPE OF USE: PROJECT DESCRIPTION: Power and lighting for new tenant. Remodel. ATTENTiON: Oreoon Imv pOlli,,,s vnll!n follow rule,: adopted bph'O'i\{J.iurnbe,!:lliIS41-687-4900 Notification Center. Those rules are set forth in OAR 952-001-0010 throuah OAR !'ls:>.nn1_ PJ19.rl YPII m~tain copies of the rules by I CONTRACTOR INF.oRMA.TJ Ur. (Note: the telephone number for the OreQq!llJtility NoWicatiolL Contractor ~~ffJs 1.8&1-8!t2!~r.ate phone TBG ARCHITECTS & PLANNERSIINC. ' 541-687-1010 MElLI CONSTRUCTION CO 63771 02/12/2006 541-485-1417 CHRISTENSON ELECTRIC INC 458 05/0112007 541-688-6121 COMFORT FLOW 460 06127/2005 541-726-0100 BARON PLUMBING INC 147744 05/]4/2005 541-935-1081 Alteration Commercial Contractor Type Architect General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construetion Type Secondary Construction Type: # of Bedrooms: B BUILDING INFORMATION I # of Stories: NOTICE: Lot Size: Height of StruciliHiS PERMIT SHALL $q,~t~~ )i1qoJi: Type of Heat: AUTHORIZED UNOERSq)i'bDljr~I~,t: WORK Water Type: COMMENCED OR IS s'q~B.Is,~endS NOT Range Type: ANY iSWF~OO~€IUt'ilort Energy Path: 180 DAY PERIOOiq Ft Other: Sprinkled Building: nla Occupant Load: VN I DEVELOPMENT INFORMATION I Frontyard 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: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pagelof3 . CITY OF ;SrKll~u1<lJ!,LD Building/Combination Permit PERMIT NO: COM2004-00962 ISSUED: 09/03/2004 APPLIED: 08/04/2004 EXPIRES: 03/03/2005 VALUE: $ 50,000.00 i . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction 5 Per Sq Ft or multiplier 51.00 Square Footage or Bid Amount 50,000.00 Estimate Estimate Total Value of Project ~ Value Date Calculated 550,000.00 550,000.00 08/06/2004 Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee 510.00 8/4/04 1200400000000001182 + 7% State Surcharge 57.00 8/4/04 1200400000000001182 Add, Alter, Extend Circ 543.00 8/4/04 1200400000000001182 Add, Alter, Extend Circ Ea Add 557.00 8/4/04 1200400000000001182 Plan Review Comm!1ndlPublic $240.92 8/6/04 2200400000000001015 -Mechanical Issuance Fee- 510.00 9/3/04 3200400000000000233 + 10% Administrative Fee 541.57 9/3/04 3200400000000000233 + 7% State Surcharge 529.10 9/3/04 3200400000000000233 Building Permit 5370.65 9/3/04 3200400000000000233 Miscellaneous Mechanical 545.00 9/3/04 3200400000000000233 Total Amount Paid 5854.24 I Plan Reviews I Fire Department Review 08/10/2004 GRG 08/11/2004 OK Initial Review Public Works Review 08/10/2004 08/10/2004 08/1 0/2004 08/10/2004 OK RJB APP SB Structural Review 08/10/2004 08/1 0/2004 WI JMP SUB Review 08/10/2004 08/20/2004 WE DH Pae:e 2 00 Plan Review: Medical office remodel. Joh #COM2004-00962. Occupancy Classification: B. Construction type: V-No Fire Extinguisher shown on Floor Plan 2/A1. Will verify on inspection. No new SDCs. No new square footage, no additional plumbing fixtures. (in fact, potential credit for addition of future sanitary fixtures II instaUed within two years). swbb Waiting for SUB approval. Energy forms requested from contractor 8.10.2004 jmp. Received energy forms on 9/2/04 - OK to issue permit per David Harris. dim JMP requested energy code forms from Johu CabeUoro of Melli Construction. .. . . CITY 01' ~rKll'llJNELD Building/Combination Permit PERMIT NO: COM2004-00962 ISSUED: 09/03/2004 APPLIED: 08/04/2004 EXPIRES: 03/0312005 VALUE: $ 50,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review 09/03/2004 09/03/2004 APP DU Received Code forms - minor lighting changes, no bldg envelope or HV AC. OK to issue permit. dim for DU. 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. I Rl'ouirl'rlllI,'"l'dio.w.l Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. 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 Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 aU 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 ofany 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. ~A' t"'--- er or Contractors Signature . . q - -z, --{)L{ Date Pa~e3 of3 225' Fifth Street .' Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00962 COM2004-00962 COM2004-00962 COM2004-00962 COM2004-00962 Payments: Type of Payment Check 9/3/2004 RECEIPT #: ~~.-i.; ~! ... '., ~ of Springfield Official Receipt .elopment Services Department Public Works Department 3200400000000000233 Date: 09/03/2004 Description Building Permit Miscellaneous Mechanical -Mechanical Issuance Fee- + 7% Stale Surcharge + 10% Administrative Fee Paid By MElLI CONSTRUCTION Received By njm Page I of I Item Total: Check Number Authorization Batch Number Number How Received 19461 In Person Payment Total: 2:26:20PM Amount Due 370.65 45.00 10.00 29.10 41.57 $496.32 Amount Paid $496.32 $496.32