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Home My WebLink AboutPermit Building 2009-11-18 Building/Combination Permit PERMIT NO: COM2009-01544 ISSUED: 11/18/2009 APPLIED: 10/21/2009 EXPIRES: 05/18/2010 VALUE: $ 136,000.00 -.1'4:.,:....,.'",',' .,f ~.' ~, .~,,~./" J Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SrKmU:l'lELD SITE ADDRESS: 3355 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Medical Office PROJECT DESCRIPTION: Remodel pathology lab TYPE OF USE: Alteration Commercial Owner: NSC PROPERTlES,LLC Address: 3355 RIVERBEND SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMA TlON I Contractor License JOHN HYLAND CONSTRUCTION INC 46071 OREGON ELECTRIC CONSTRUCTION INC 203 FM SHEET METAL INC 89710 TWIN RIVERS PLUMBING INC 17695 BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path' spriMlding: Yes ~' .., ~df . ~JINFORMATlON I " ~\c.~'. :(I: S'\I'\.\ \~\ ~~'ii,L. " Front yard Setback)G \S ?t.'i\~~\l ~~~t: S ",'Or>-~~verlay Dist: Side 1 Setback: \1:'1 :\1:'iC\'i\\t ~\) O?< 'I \). # Street Trees Rqd: . Side 2 Setback: i'-IJ ~t.~C ?'t:.v>\C\ P,aved Drive Rqd: Rearyard Setback: c.C\~ '\ 'OC\ \l~ % of Lot Coverage: Solar Setbacks: iI-~'{ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 12 B IB Expiration Date 07/11/2010 07/01/2010 03/1512011 03/11/2011 Phone 541-726-8081 503-535-2652 541-726.3000 541-688-1444 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 180 Occupant Load: 2 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEM~ on law requires you.t.O ,." , -, . '.' g tho t:lrWRn UtilIty follow rules adopted SW.,...,nt, itl'lr tforth Notification Center. ThHse rul~t. ~O~~R ~;u2~~~-~g~~~ c= of the rules by caliing the center. (Not~~':~ye ~e~~g=:n number for the Oregon II MAA) Center is 1-800-332-"'7 . Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page I of 4 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 Mechanical C/I Use Bid Amount Use Bid Amount Fee Description Plan Review Commllnd/Public + 12% State Surcharge + 5% Technology Fee Building Permi( Fixture Mechanical-Value Minimum/Adjustment Plumbing Sanitllry Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Initial Review 10/22/2009 Structural Review 10/22/2009 SUB Review 10/22/2009 Planning Review 10/2212009 Structural Review H104/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01544 ISSUED: 11/18/2009 APPLIED: 10/21/2009 EXPIRES: 05/18/2010 VALUE: $ 136,000.00 I Valuation Descrintion I. $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 136,000.00 59,000.00 Value '- Date Calculated $136,000.00 $59,000.00 $195,000.00 10/27/2009 10/2712009 Total Value of Pruject Fpp< P1LIU Amount Paid $555,93 $ t 70.68 $71.12 $855.27 $57.00 $509.08 $1.00 $313.30 $641.90 $47.76 $3,223.04 Date Paid Receipt Number 2200900000000001205 1200900000000001264 1200900000000001264 1200900000000001264 1200900000000001264 1200900000000001264 1200900000000001264 1200900000000001264 1200900000000001264 1200900000000001264 10/21109 11118/09 11118/09 11118/09 11/18/09 11118/09 11118/09 11118/09 11118/09 11118/09 10/22/2009 Plan Reviews I APP LLH 10/27/2009 10/30/2009 11/0212009 11/04/2009 WE CJC Contacted architect and engineer fOl fire damper information (Recieved 11/4/09) APP JF Energy forms attached to plans for Springfield Utility Boards energy review.llh No inspections required per Springlield Utility Board/llh 1111109 APP EMM Construction and material storage must adhere to conditions and Hazardous Materials Management Plan of Dl'inking Water Protection ,Overlay review DRC2007-00073. Amy Chinitz from SUB Water Quality to inspect before occupancy. WI CJC Approved pending Fire approval Page 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 'COM2009-01544 ISSUED: 11/18/2009 APPLIED: 10/21/2009 EXPIRES: 05/18/2010 VALUE: $ 136,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 10/22/2009 11105/2009 AI'P EW SDC Worksheet Attached. After building permit is issued, a credit will be processed to Peace Health for , $313.30. Fire Department Review 10/2212009 1111212009 APP GRG Plans Review: remodel of 5th floor recycling and mail areas to a single histology laboratory room. Job #COM2009-01544. Occupancy Classification: 1-21B/A-2. Construction Type: I-B. Area of remodel: 180 sq. ft. Occupant Load: 2. Contact Deputy Fire Marshal Gilbert Gordon (541-726-2293) for visual inspection of sprinker head relocations. Contact DFM Gordon for visual inspection and testing of smoke detector relocations. Structural Review 11113/2009 11/13/2009 APP CJC as noted on plans 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. I ~wv\,:rr,t In<.nppHnn<. I Framing Inspection: Prior to cover and after all rough in' inspections have been approved. Firewall: Located and con~tructed according to plans. Drywall: Prior to taping. Ceiling Grid: After drywall approval but prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is com~lete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Page 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01544 ISSUED: 11/18/2009 APPLIED: 10/21/2009 EXPIRES: 05/18/2010 VALUE: $ 136,000.00 225 Fifth Street, Springlield, 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 Springlield 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 all required inspections are requested at the proper time, that eacb 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. ~n~p~ \ \.18.09 ~ Owner or Contractors Signature Date Page 4 of4 ~."i'~'~I~Q "FJ""IlLO"..,~., .iI, ~,"_ i~ "..:.." -; " ~.',~ ~"-~'"..- City of Springfield Official Receipt Development Services Department Public Works Department 225' Fifth Street Spriu'gfleid, Oregon 97477 541~726-3759 Phone Job/Journal Number COM2009-0 I 544 COM2009-0 1 544 COM2009-0 I 544 COM2009.0 I 544 COM2009-0 I 544 COM2009-0 1 544 COM2009-0 1 544 COM2009-0 I 544 COM2009-0 I 544 Payments: Type of Payment Check cReceioll RECEIPT #: 1200900000000001264 Date: 11/18/2009 9:30:15AM Description Building Penn it Mechanical-Value Fixture Minimum/Adjustment Plumbing Sanitary Sewer - Reimbursement. Sanitary Sewer - Improvement SDC Sanitary/Stonn Admin + 5% :Technology Fee + 12% State Surcharge Amount Due 855.27 509.08 57.00 1.00 641.90 3 13.30 47.76 71.12 170.68 $2,667.11 Paid By EUGENE GASTROENTEROLOGY Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb In 'Person $2,667.11 1679 Payment Total: $2,667.11 \ Page I of i 11/18/2009