HomeMy WebLinkAboutPermit Plumbing 2010-1-12
[q./1oD
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Commercial Plumbing Authorization To Begin Work
69600-BPB-10-00002
Approval Code: 012886 1/12/2010 2:42 pm
E-mailedTo:lrobinson@msi-systems.com
SPRINGFIELD
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I D New Construction
IRJ Addition/alteration/replacement
o Reclaimed wastewater
D Chemical drainage waste
and vent systems
o Multicpurpose Fire sprinkler
system
D Water service with inside
.diameter or nominal pipe size
of 2" or more except 2"
systems designed/stamped
by licensed Oregon engineer
Please check all that apply:
D Med gaslvacuum system or
health care facility
D Vacuum drainage wasle and
vent system
D Commercial booster pump
D Addition of a new motor load
Installation of multi-purpose
fire sprinkler systems
D Wastewater pretreatment
system
I;.,
rt..
I D 1 or 2 family dwelling D Multj-fa~iIY IZl Commercial D Accessory
I" .'#~qj.1,~~',;,:,.i0i3'SltEqN,,6RMAtI6N?AND,i..OCAff6N'~;:,.'>,p;,~;;i"'~"'!
Job Address: 445 HARLOW RD
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: Radiology Associates
,
Cross Street/directions to job site:
[ Description
I Qty, Total
$19.00 $19.00 I
$19.00 $19.00 I
$19.00 $19.00
5 $19.00 $95.00
$1~.OO $19.00
2 $19.00 $38.00
I Tax map/parcel no.:
1703224407200
. I Ejectors!..s.ump
I Garbage disposal
lice maker
I Sink/basin/lavatory
I Tub/shower/shower pan
I Water closet
I Water ~eater
Plumbing for tenant improvement
"::~~~;~
I Name: Lanell Robinson
I Phone: 503-466-2222
$19.00 $19.00
.,'~"'l":-/.';
Fax: 503.466-2211
I Subtotal $228.00
I Stale surcharge (12% of permit $27.36
total) .
I Technology fee (5% of permit total) $11.40
I TOTAL PERMIT FEE $266.76
Email:
I Plumb lie. no.: 34-434PB cca lie. no.: 158286
I Business Name: PMSI LLC
I Contact:
I Add'.ss. 21 N,Qlil::C6l;REEN PKWY ST' 204 . ~' . . ,."
I .' I HIS "/-KI"III "HALL l:Af'lnEr.: ,lIE /lEi,,!,
Clty/State/ZIP:'HIL~SBOO~,"Cl'R' 9'1'12'4' T I~ NOT
;':';':;-II;:;~~;::[::; ~{I~J:r: Tlllt ?EDMI, ....._
I Phon. 5034~~ft.i~n:~'(,:11 'JR Ie; AI'\~NnONED FOR :"
I Em.;" ANY 180 DAY PERIOD.
I Metro lie. no.: City lie. no.:
Upon review and approval by your local Jurisdiction, your p~rmit ~II be e-malled or faxed
wilhln one business day, with instructlons on how 10 schedule your In spectlon.
CLl- \lOD IGfL \/12- /1,0
ATTENTION: Oregon law requires you to
follow rutes adopted by the Oregon UtIlity
Notification Center. Those rules are set forth
In OAR 952-001-001 0 through OAR 952..Q01.
0090. You may obtain copies of the rules by
ceiling the center. (Note: the telephone
number for the Oregon Utility Notiflcallon
Center Ia 1-800.332-2344).
NOTE; This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
The local building department may determine that an Authorlutlon To Begin Work Is null and
void if It does not meet applicable land .use laws and local ordinances.
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
,;.
Status
In Review
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: COM2009-01700
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11/25/2009
. 07/12/2010
$ 655,000.00
SITE ADDRESS: 445 Harlow Rd
ASSESSOR'S PARCEL NO,: 1703224407200
Springfield TYPE OF WORK: Medical Office
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Tenant Improvement for Radiology, Existing Building Plans #COM2004-00568,
Owner: RLS HOLDINGS LLC
Address: 3356 KING EDWARDS CRT
EUGENE OR 97401
Phone Number: 541-520-9022
I CONTRACTOR INFORMATION I
Contractor Type-
Architect
Plumbing
Contractor
TONY KOACH ARCHITECTS
PMSI LLC ,... " !
License
Expiration Date Phone
503-358-4602
01/1412012 503-466-2222
158286
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
IllB
2 Lot Size:
21.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
No Occupant Load:
II ,287
7,368
201
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
,Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.l'.111:1'IIIVI'I. VlttYUII Rl" It"-IUII~ yuu 'U
I PUBLICIMPROVEMENTS'IlIow rules adopted by the Oregon Utility
. Notificl!,lilt~~Wul..hose rules are set forth
In OAR 952-001.00~0 through OAR 952-001-
0090. ~1ltn'!i\fIlimpies of the rules by
. calling the center. (Note: the telephone
number for Ihe Oregon Utility Notification
Center Is 1-800-332-2344).
Street I~provements:
Storm Sewer Available.. :c
Speciallnstru.f!&Q,TI[;r:::' E WORK
THIS PERMIT SHALL EXPIRE IFTH
Notes: AUTHORIZED UNDER HilS PERMIT IS NOT '.
COMMENCED OR IS ABANDONED FOR:\;.
ANY 180 DAYPERIOD. , . '
Paee I of 3
. ,~-,
."".'
CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: .COM2009-0I700
ISSUED:
APPLIED:
EXPIRES:
VALUE:
,'.
....~; .. " ~".,
I Valuation Descriotion I
Description
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
655,000,00
Estimate
Total Value of Project,
Fee. PaW
Fee Description
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Amount Paid
Date Paid
$1,928,94
$1,187,04
$27,36
$11.40
$228,00
11/25/09
11/25/09
1/12/10
1/12/10
1/12/10
Total Amount Paid
$3,382,74 ",'
I Plan Reviews I
Public Works Review 11/30/2009
Structural Review 11/30/2009
Structural Review 12/30/2009
SUB Review 11/30/2009
Initial Review 11/25/2009
Initial Review 11/30/2009
Planning Review 11 /3012009
IO
DJB
11/25/2009
WE LLH
11/30/2009
APP LLH
12/01/2009
APP EMM
Structural Review
]2/10/2009
12/10/2009
IO
KLK
,.:,
Structural Review
IO
]2/24/2009
12/24/2009
KLK
Fire Depar,tment Review
WE
eRG
11/30/2009
01/04/2010
Page 2 of 3
11/25/2009
07/12/2010
$ 655,000.00
Value
Date Calculated
11/25/2009
$655,000,00
$655,000,00
Receipt Number
2200900000000001328
2200900000000001328
]201000000000000036
1201000000000000036
1201000000000000036
Received response from Tony Koach
(arch,) to comments dated 12/20/09,
Requested energy forms/llh
Waiting for plan review fee to route
plans.
Plan review payment received
All teuant uses must be those listed
as permitted uses in the
Neighborhood Commercial zoning
district, Replace failed landscaping
plants as shown on approved
landscaping plan,
Completed 1st structural plan
review, and emailed comments to
Architect.
Received new plan documents in
response to 1st plan review letter,
Waiting on basic emergency
generator information.
_~!J!~IN~I'!I!t~:,
~
Status
In Review
225 Filth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
0110812010
01108/2010
APP GRG
See attached document for Fire
Department Plans Review
comments.
,.;,
Structural Review
01/Iz/2010
WE
01112/2010
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01700
ISSUED:
ApPLIED:
EXPIRES:
VALUE:
11/25/2009
07/12/20 I 0
$ 655,000.00
KLK
Completed 2nd structural review,
and em ailed comments to architect.
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 R,enuired Insne~ti?,!,s I
Rough Plumhing: Prior to cover and including required testing. '
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do herehy 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, that the perniit card is located at the front of th,e property, and the approved set of plans will remain on the site at all
times during construction. . ~ '," .
-,";{ '1
Owner or Contractors'Signature
,:l
Pa~e 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000036
Date: 01l~212010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE PMSl LLC Online
Payment Total:
...;.
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':.,
Page 1 of 1
3:20:22PM
Amount Due
228,00
27.36
11AO
$266.76
Amount Paid
$266,76
$266.76
1112/2010