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Home My WebLink AboutPermit Building 2009-11-23 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01687 ISSUED: 11/23/2009 APPLIED: 11/23/2009 EXPIRES: OS/23/2010 VALUE: $ 25,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO:: 1703223300400 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: 575 sf remodel 4 offices to 6 oflices Owner: Address: WILLAMETTE MEDICAL CENTER LLC 541 WILLAMETTE.ST #106 e u\res yOU to' EUGENE OR 97401 'M'ENlION: Oregon \aWthre~regon Utility AJ' J--'~" hV' _.,+"rt\1 . . fn\\OW rUI\""_~-:;~. Ihase'rUle'~' - -2-001- . I CON~tlJ:I'~Rll~1"_iIJO'N),O~~e9;Ules by . In 1:)1''' O"~ .. obtain CO\-)l~' 0 \ep\1One Contractor 0090. '(ou ~~~nteJ..,il,tei\'fe.t~e ~MiJ!I'iion Date MElLI CONSTRUCTION c~~:.\:~~;t~", th~O~g~r~~~I~~4'; 02/12/2010 I . BUILDING INfl0RMAlfU)NI Phone 541-485-1417 Contractor Type General Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Selbacks: # of Stories: Lot Size: B Height of Structure Sq Ft 1st Floor: Type of Heat: . Sq Ft 2nd Floor: lIB Water Type: Sq Ft l!asement: Range Type: Sq Ft Garage/Carport Energy Path: .., Sq Ft Qther: Sprinkled Building: Yes, Occupant Load: I DEVELOJ'.lWBtiT INFORMAT~OO?t \f1l'\~ ~~~~ "v' ,'. tp.MI'I' ~rl~\"'~ Ii\S pf.?lJ\\1 \5 REQUIRED PARKING J~~~'j~f\llEtl \l~D~~ ~B~~OO. ~t.O fO~ , Total: #lS~tMJ~~lIDIlj}!\ I . .,' , Handicapped: p~e(jJl'JrSlf6-i\'I:pE.R\QQ. Compact: %Ai~){ol 'Cbverage:'- , i . . # of Units: Primary Occupancy Group:, Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: I ~UBLIC IMPROVEMENTS I I I I I I Sidewalk Type: Downspouts/Drains: NOtes: I I Valuation Descri'otion I Description Type of Construction $ Per Sq Ft or mult!plier Square Footage or Bid Amount Value Date Calculated Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Mechanical C/I Use Bid Amount $1.00 Total Value of Project. fpp< ~ Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Mechanical-Value Amount Paid $40.83 $17.01 $282.25 $58.00 Total Amount Paid $398.09 Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01687 ISSUED: 11/23/2009 APPLIED: 11/23/2009 EXPIRES: OS/23/2010 VALUE: $ 25,000.00 2,000.00 $2,000.00 $2,000.00 1112312009 Date Paid Receipt Number 11123/09 11123/09 11123/09 11123/09 , 1200900000000001282 1200900000000001282 1200900000000001282 1200900000000001282 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:\)0 a.m. will be made the following work day. ~irp:rllrw'P('tion~ I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After allr"equired inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 _~'.R.'_~"N~I;I'I1!,n~. ...... .1...... -" ~. . "', ,;->>, """"J !,: JiiL" . ;; " ..! ~ .j. " ." . ""'.' .''- . ~ ,.-. ."" "'" ,I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01687 ISSUED: .11/23/2009 APPLIED: 11/2312009 EXPIRES: OS/23/2010 VALUE: $ 25,000.00- 225 Fifth Street, Springficld, 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 all required inspections are requested at the proper time, that each address is readable from the street, Ihat 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. ~~ Owner or Contractors Signature /1-2.~- oC] Date Paee 3 of 3 St,ructural Permit Application - *\ Fifth Street. Springfield, OR 97477. PH(\41)726-37\3 . FAX(541)726-3689 I' DEPARHlIIEt.JTcUSEONi.V< Permit no:{~9 -Ib f7 . I Date /(/23'IOt This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ofis~uance 6r if work is , suspended for 180 days. I~r':'_: ;{I~.;;i~'~;)~~i::X,:G(j~GA~~,:"?:3'QY~t~-N M_~~Jj~~~rAR.p,~~9YAgf~~}#:~fAt~!~~f11 i f~g:: :::,:::::wro." ~Z ::: I :;~~~:~~~~~~~!~~;~;;;;:~~~i I Zoning approval verified: D Ves D No 'iJpr 1 Occupancy f-> I Property is within flood plain: D Ves D No Nl\ 1 Construction type: Il-P.> Sf'IZ>t->l'ClL)LCO liilii:'''~i'''''~!*~!ii''rcAirEG'bRy.10Ft'coNsIRiJc'fiiYN'~'-,:i:J\:":;"'?t}"-,~jfl I~~~~~:~:~~"'" ..... - TD'~~~~~e~t' ..' ... ,. 'J ~~::;:;~~:I'-~"I ~:~:;e~ese;uare foot: ?l~~ 1~',f~~f~~;;,:~:fDI;i~:~~I~t.$7 ,1NJf91{MATiQ'~~~A~Qr~O_GA:tT9N~1e~~fV~~1 Other information: 7 I.lobsite address: I DO I I+/'IvtUlw ROM So I \EO 1-00 1 I Type of Heat: NI\ 1 City: ;S1'~1\~(o vla.o 1 State: olt. 1 ZIP: 1 I Energy Path: '/J'f"; I-Subdivision: I Lot no.: I ! 0 new t&[ alteration 0 addition I ,Reference: 1 Taxlot: 1 I . . l<7f \'''' '." . P.ROPERTY OWNER,. ;: I I (b) FoundatIOn-only permit? 0 Ves AJ No 1 'ame W c2M..oew lIS"'" LU. / hJ+& ' P/1.l.>p-mnO 1 ,T2'~Bta,I'~I'd.I,U~~i~"'~:"">"""'>'''''';'i\ii"'''"''''c:"... ':;". . _,' ,,$1f.(~':.. - , -. . ....~.. ib 1 ,;. ;" UI Ing<leeS"~.i~j\'iill,~u?,i'Q~s.l"f1,"~""';;i,;--.-~~},-., 'l';'V'~P)';:'~'_ <' "f''i".~ ': :'.,~ ddress: 5\11 IN'l\...l.1TtV\X.lVt ",. . '- ,. ... ,..... ;,,-. ..~~--".f:.,.......t1c.,.'.""'_~'" ,.,~,:<.' r=",t<r.'" '.',",1 . ,-"._.".-,.,.~. .-!" '- ",,,::,~,:,,;'1,.. C ,," ,. , ~'" I t! I I (a) Permit fee (use valuation table): $ .?-.?,;;l., '),- City: ~ State: Vl~ ZIP:-{7.1f6J I i.d_ 1 (b) Investigative ree (equal to [2a]): $ Phone: -"'''''"' 1'601 Fax: ' 1 I (c) Reinspection ($ per hour): E-mail: (number of hours x fee per hour) This installation is being made on residential or farm property owned by I (d) Enter 12% surcharge (.12 x (2a+2b+2c]): me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010, fJ{'r I (e) Subtotal of fees above (2a through 2d): S 1 ~<'i~'" ""It,j,....~:>'-:>r;r-'""-:-- "",:,.~~. '-<i;.:o;;'t~;.'(~7't~~~:;':j;'{"I:Sii~~~.r:tti-?'<;''J.D~-:>''::2b) <1'?'.fJ[ffi~fj{-';",1; ',r~~:~.~~.lJlreY_I_E:~)[~~~~'illffi~z.4i~&ffH~b~l~\~~?t'~;~F..~t!!.,m'~it~~~~~ 'I 1 (a) Plan review (65% x permit fee [2a]): 1 $ I 1 (b) Fire and life safety (40% x permit fee [2a]): 1 S I 1 (c) Subtotal of fees above (3a and 3b): I $ 1 ZIP '11't<l1 I 1:(4Y'Mim"'a1ie.6:i1sJf~etl:trr~S,o/,,~~wt('f8:t":;ili~;1i,;:"i'4:,!it!,;::.1 I I (a) Seismic fee, 1% (.01 x permit fee pal): $ I 1 I TOTAL fees and surcharges (2e+3c+4a): S -;<;"0 :~ij; 1 1 I $ S 3J' Ii..:..:-J Sign here: 1 ' . CONTRAqOR.I~S'r:Al:.LATIi:>N"",,;, ... 1 Business name: \J\eIL\ Cot-l~oo0 La I Address: I~. V P<N 001<.0) I' City: '[",",tv-< I Phone: -'-/rs; 1'1,1 1 E-mail: I CCB license no.: I Print name: I Signature: I State: Fax: OIL- Il't<Wd;;"Ki?'if~~f$U~';_G0tfT;BAGJbFfl_N~,O.RrJlA1JQ~~~JJj1J{I~f.~!'l 1 Name CCB License Number Phone Number I I Electrical I I Plumbing I I Mechanical I' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ,j' Job/Journal Number COM2009-0 1687 COM2009-0 1687 COM2009-0 1687 COM2009-0 1687 Payments: Type of Payment Check cReceinll RECEIPT #: Description Building Permit Mechanical- Value + 5% Technology Fee + 12% State Surcharge Paid By SARA BERGSUND :it.: RI~Q;;..' ..: -- '-,' ' ,-. ... -',. --... - 1200900000000001282 City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/23/2009 2:41:25PM Amount Due 282.25 58.00 17.01 40.83 $398.U9 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc -:.~--"'- ,. Paee I of I 1387 ....,..... Amount Paid In Person Payment Total: $398.09 $398.09 11/2312009