HomeMy WebLinkAboutPermit Building 2009-8-18 (2)
Status
Iss u ed
CITY OF SPRINljl'l.ELD
Building/Combination Permit
PERMIT NO: COM2009-00847
ISSUED: 08/18/2009
APPLIED: 06/11/2009
EXPIRES: 02/18/2010
VALUE: $ 2,069,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 304 Q ST
ASSESSOR'S PARCEL NO.: 1703262401600
Springfield TYPE OF WORK: Medical Office
TYPE OF USE: New
PROJECT DESCRIPTION: New Building for Springfield Dialysis, LLC
Commercial
Owner: SPRINGFIELD DIALYSIS LLC
Address: 3355 RIVER BEND DR STE200
SPRINGFIELD OR 97477
Phone Number: (541) 485-6478
I CONTRACTOR INFORMATION.
Contractor Type
Architect
Contractor License
CHRISTOPHERKIDD AND ASSOCIATES, L
BUILDING INFORMATION I
Expiration Date Phone
c.kidd@ckiddar
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
SI
VB
# of Stories: I
Height of Structure
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type:
Energy Path:
Sprinkled Building: Yes
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
43,996
10,349
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: , 0 law requires you to : TlCE'
hTTi=NTION, regon _ , ,.""" , _ .
follow rUlesC~~~~r[8~r~Ys~I~p.ii~b-i(i!IMP.R0VEMENTS-(;H/lIlIT SHALL EXP
Noliflcatlon "..."n <>~,,-vv ,IZEfl/fMfl_ ,IRE IF TH
Street Improvem~~~;\R 952_001-0010througn ufth rules by "C;~CESidewalkl1J5;p,e: PE E WORK
"'100 You may obtain caples 0 e \ 0 U OR I" ~" . ,v RMIT IS N
Storm Sewer Available: the center. (Note: the telephone ,<.0 DA),q.owns'poutsfQi:]iL'\~:ED DT
speciallnstruction~C~~1~2r for the Oregon Utility Notification, tN/GO, FOR
Center is 1_800-332-2344).
Notes: '
Total:
Handicapped:
Compact:
I Valuation DescriDtio.n I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 5
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Business
Estimate
Mechanical CII
B VB Business
Estimate
,Use Bid Amount
Fee Description
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Mountain gale Impervious Area
Plan ReviewICom,Ind,Pub Hourly
Reversal - Plan ReviewlCom,Ind
Reversal - Sanitary Sewer - 1m
Reversal- Sanitary Sewer - Re
Reversal - SDC MWMC Admiriistr
Reversal - SDC MWMC Improveffio
Reversal - SDC MWMC Reimburse
Reversal - SDC SanitarylStorm
Reversal- SDC Transpo Improve
Reversal - SDC Transpo Reimbur
Reversal - SDC Transportation
Reversal - Storm Drainage Impe
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC SanitarylStorm Admin
SDC Transpo Improvement
SDC Transpo Improvement
SDC Trans po Reimhursement
SDC Transpo Reimbursement
SDC Transportation Admin
SDC Transportation Admin
Storm Drainage Impervious Area
Storm Drainage Imperviuus Area
+ 12% State Surcharge
+ 5% Technology Fee
Backtlow Device
Building Permit
Fire SF Fee - Non-Residential
Amount Paid
$5,672.32
$3,490.66
$829.96
$58.00
, $-58.00
$-631.1 0
$-829.96
$-10.00
$-6,I14.13
$-593.13
$-903.04
$-49,694.58
$-13,634.67
$-3,432.37
$-15,200.65
$631.10
$631.10
$829.96
$10.00
$10.00
$6,I14.13
$6,I14.13
$593.13
$593.13
$903.04
$903.04
$49,694.58
$49,694.58
$13,634.67
$13,634.67
$3,432.37
$3,432.37
$15,200.65
$15,200.65
$1,287.53
$536.47
$76.00
$8,726.65
$1,034.90
$104.20
$1.00
$1.00
10,349.00
2,069,800.00
77,000.00
Total Value of Project
FpP~. P"lW
Date Paid
6/16/09
6/16/09
7/20/09
7/20/09
7/20/09
7/20/09
7/20/09
7/20/09
7/20/09
7/20/09
7120109
7/20/09
7120109
7/20/09
7/20/09
7/20/09
7/20/09
7/20/09
7/20/09
7/20109
7120109
7120/09
7/20/09
7/20/09
7/20/09
7/20/09
7/20/09
7120/09
7120/09
7/20/09
7/20/09
7/20/09
7120109
7/20/09
8/18/09
8/18/09
8/18/09
8/18/09
8/18/09
Pa2e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00847
ISSUED: 08/18/2009
APPLIED: 06/11/2009
EXPIRES: 02118/2010
VALUE: $ 2,069,800.00
$1,078,365.80
$2,069,800.00
$77,000.00
$3,225,165.80
06/11/2009
06/11/2009
07/30/2009
Receipt Number
3200900000000000460
3200900000000000460
2200900000000000822
2200900000000000820
2200900000000000821
2200900000000000821,
2200900000000000821
2200900000000000821
2200900000000000821
2200900000000000821
2200900000000000821
2200900000000000821
2200900000000000821
2200900000000000821
2200900000000000821
2200900000000000820
2200900000000000822
2200900000000000820
2200900000000000820
2200900000000000822
2200900000000000820
'2200900000000000822
2200900000000000820
2200900000000000822
2200900000000000820
2200900000000000822
2200900000000000820
2200900000000000822
2200900000000000820
2200900000000000822
2200900000000000820
2200900000000000822
2200900000000000820
2200900000000000822
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000591
Status
,-
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fixture
Mechanical-Value
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each AddtllOO'
Storm Sewer - 1st 100'
Storm Sewer Each Addtl 100'
Water Line - 1st 100'
Water Line - Each AddtllOO'
+ 5% Technology Fee
Curbcut Permit
Encroachment Permit
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Total Amount Paid
Plannin2 Review
06/17/2009
Structural Review
06/1712009
Initial Review
06/17/2009
Fire Department Review
06/17/2009
Structural Review
07/01/2009
SUB Review
06/17/2009
Initial Review
07/15/2009
Public Works Review
06/17/2009
$855.00
$596.74
$76.00
$57.00
$76.00
$152.00
$76.00
$38.00
$16.27
$88.00
$139.50
$88.00
$10.00
$114,136.67
8/18/09
8/18109
8/18/09
8/18/09
8/18/09
8/18/09
8/18/09
8/18/09
8/27/09
8127/09
8127/09
8/27109
8/2 7/09
Plan Reviews 1
WI
06/17/2009
06/25/2009
07/01/2009
07/09/2009
07/15/2009
07/20/2009
APP LLH
APP GRG
WE KLK
APP JF
APP LLH
DON CTM
Page 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00847
ISSUED: 08/18/2009
APPLIED: 06/1l/2009
EXPIRES: 02/18/2010
VALUE: $ 2,069,800.00
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000591
3200900000000000609
3200900000000000609
3200900000000000609
3200900000000000609
3200900000000000609
Final Site Plan submitted 6/15109.
Waiting for Mark's review and
signed Development Agreement,
DWP application.
Okay to keep 304 Q Street as
address
See attached document for Fire
Department Plans Review
comments.
First Plan Review Completed. See
. review letter in documents.
See attached documents for energy
code plan review approval.
Revisions submitted 7/15/09-
Distributed to Gilbert Gordon in
Fire Marshals Office and Kip
Kaufman, Plans Examiner
, _.serllE,:t'!tr~~I~!:?i"'"
'; ,,;
,
"--" ,. " -~ ,~,~
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
Structural Review
Structural Review
Planninf! Review
Structural Review
Fire Department Review
07/15/2009
07/28/2009
07/29/2009
07/30/2009
08/03/2009
08/05/2009
07127/2009
07/28/2009
07/29/2009
07/30/2009
08/03/2009
08/05/2009
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00847
ISSUED: 08/18/2009
APPLIED: 06/11/2009
EXPIRES: 02/18/2010
VALUE: $ 2,069,800.00
, APP GRG
Revisions submitted 7/15/09.
Revised Plans Review: Medical
building for kidney dialysis. Job
#COM2009-00847. Occupancy
Classification: B. Construction
Type: V-B (sprinklered). Square
footage: 10,349 square feet-single
story. Occupant Load: 132. Plans
reviewed under the 2007 Springfield
Fire Code and 2007 Oregon
Structural Specialty Code.
No further fire department
comments for this submittal. Refer
to original plans review comments
dated 6/24/09.
WE KLK
Completed second plan review.
Contacted Architect by phone to
discuss corrections sent by email.
10 KLK
Revision Per Engineer to Shear Wall
Schedute for Hold Downs.
APP EMM
Call Mark Metzger at 726-3775 for
Final Site I nspection before Final
Occupancy. To be constructed per
Final Site Plan DRC2009-0014.
APP KLK
Pending: Architect to Revise I-Hour
Rated Smoke Barrier Wall Details:
Sheet A600, Details 10 and 22, Sheet
A605, Detail 15.
. APP GRG
Plans Review: Hazardous Materials
Inventory Statement. Job
#COM2009-00847. No further
permits required other than the
operational permit for flammable
and combustible liquids because of
the diesel generator. Plans reviewed
under the 2007 Springfield Fire
Code,
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, inspections requested after 7:00 a.m. will be made the following
work day.
Paf!e 4 of5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00847
ISSUED: 08/18/2009
APPLIED: 06/1112009
EXPIRES: 02/18/2010
VALVE: $ 2,069,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insnections 1
Encroachment: After item(s) have been removed to inspect condition of public right of way.
'Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 011 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.
c/I~~
Owner or Contractors Signature
&ld.7/~~
Date
Paee 50f5
"
, .. .' , , ''''10 tnMn'll" " , , '. "
~ '.," .' ,.'. ".', :' ,,~ . rU' I' . . ',-' '" .' .' ". . ....' ".",t;j~p
<<.: '. >t: ,::~ <~ ",:,,:,,',~>:... ">;, :":':-".::.: ~.: ,>~ ' ,:_~' ~<::,-' oi' :).:::.,!:~,;;~,l
~':: ,; (, i 'DRIVEWAY/SIDEWALK '., ;'~" ",;:-- PERMIT APPLICATION ,..:,"\~1Y;
,.
225 FIF.TH STREET
SPRINGFIElO, OREGON 97477
ENGINEERING OIVISION
OFFICE TELEPHONE (503) 726-3753,
PERMIT NUMBER:
DATE ISSUED:
bmq- OO<Z:.J-7
';; -,9.. 7-0'1
APPLICATION DATE:
I' SITE iNFORMATION:
LOCA TlON OF \yORK:
~D~ cO ~
APPLICANT /I)..", 140111" fl..lI." t!J-:s
ADDRESS: ~ '2.'7 2.., gMit"U,,,....
OTY ~A"'Dt) STATE, Ou- ~ I
SUBDIVISION;
,OWNE",~P""~VFtA7#1
ADDRESS: I ~ M:J 11 /L :'~
P~ONE :{ ft / - .J. SS-:"f9 "7.3
TAY..MI<P:
/ fj'73~5"
ZIP;
TAX LOT:
PHONE 69/- ~~7q-
S~ATE: n-,<~.kJ ZIP:
Ll./~L 1I:s'~ ,.L-'''
~ CITY, tl!i.b1J-A.u.r-
REOUESTED PERMITS:
Ii SIDEWALK. ...., ..........,..,....
AMOUNT OF SIDEWALK IN'EXCESS OF 90FT.
,............,........ $88,00,
@$O,OB SF,
.... $15,50
..'........,.. ~$
=$
,..'=$
~<;
10_
lJ.,>
o SIDEWALK REPAIR:,
iii CURB CUTfORIVEWAY, NUMBER OF DRIVEWAYS----.L... X
rld,-
......,,:,.., $88,00 1 sl Cui = $ .,., 0
o MULTIPLE PERMIT OISCOUNT EA: ......, ..(MAX2},.. ...... ........,$30,00,
(MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION...ow...x
,,^PPLlES TO 2nd ANa 3rd PERMITS ONLY, NOT SIOEWALK REPAIR)
Gl 5% T~chnorogy Fee $ _ . TOTAL DUE WITI-l PERMIT $
o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERlYOWNER '
,2nd Cu~ ~$"(.
~$
1<;<'",--
1> lei <;" 30
CONTRACTOR INFORMATION:
CONTRACTOR,)I'-Rl.) rlt!J fJe ijlllt..lJ..n '"
ADDRESS ~"7 7_.... ~ ~uMJ ~ .J.. .!!S4,.,.,w /)"- -' ~7~ PHDNE,6'P)-.,2iS8-.3118
CONTRACTORREGtSTAATIONNO: ~ cr 311fit-s.- ,. EXPIAA1l0NDATE:
PROJECTSUPEAVlSOR: "Ai2~..II' ~J~ PHONE:
I' INSPECTIONS:
.
AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO
POUR. CURB CUT AND SIDEWALK INSPEC1l0NS CALL 726-3769 (RECORDER) STATE YOUR OESIGINATED CITY JOB
NUMBER/PEAMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND IM-iEN YOU WILL BE READY FOR INS PECTlON, CONTRACTOR'S OR
OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 AM, WIll BE MADE THE
SAME DAY, REOUESTS AFfER 7:00AM. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CAlLED IN
.AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PAlOR TO POURINq CONCRETE.
, YOU ARE REOUIRED TO CAll
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344
'8 HOURS BEFORE DIGGING
SIGNATURE: '
AMOUNT'RECEIVED:
RECEIPT NO:
DATE PAlO:
RECEIVED BY:
By signature, I slate and agee, thai I have c8Iefufly examined lhe compel~d appfication and do he reby cerUty that ~ infamalion haein is true
and correct and Ilurlher certilV that anj' and all work performed shall be done In accordanCll WIth the Ordinances 01 ' .
the Gily of Springfield, applicaDle Cay Standard specifications and Drawinqs, and the laws of the Stale 01 Oregon pertainil'lg to the work described herein. I furlher
certify thal.only contractas and employees who are in compliance With ORS 701.055 'Mil be used
on thlsprolea. -
The City may inspect_the work site described in this permil at any tune during a one year Period 10 ftowing the receipt by the City at nOlice 01 ~~Ielion of the
described work and speafy. ai, the Oly's sole discretioo any addllional_ restoration work required to relurn th,e site 10 a standard accep'\able to !he Cl . The
permittee will be nOlified in writing of any worX reQuired and will have,thlrty days (30) from the date of Ihe nOllce 10 complete thewori<. Work nol competed al the end
of the thirty days Will be performed by ltie City and I!le COSIS will be billed to the permittee.
I turthel agree to ensure Ihat all required inspectioos are requesled at the proper time, that proj ect address is readable tlom the
street, and the apprOVed s':l ot plans WIll remain on the sile al all limes durng construction, '
Signature
Date
-S 04-
Q 3T1t~~
"
~6JrJU
-r-
~
'tJew <:1J '
Jl)lU~
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