HomeMy WebLinkAboutPermit Building 2010-2-3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01700
ISSUED: 02/03/2010
APPLIED: 1l/2512009
EXPIRES: 08/0312010
VALUE: $ 655,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 445 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703224407200
Springfield TYPE OF WORK: Medical Office
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Tenan! Improvement: Radiology Clinic. 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
General
Plumbing
Contractor
TONY KOACH ARCHITECTS
BURTON WALTER
PMSl LLC
License
Expiration Date
114163
158286
OS/24/2010
01/14/2012
Phone
503-358-4602
541-744-7017
503-466-2222
,BUILDING INFORMATION I
# of Units: # of Stories: '
Primary Occupancy Gronp: B Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Constructio~ Type IlIB Water Type: to
Secondary ConstructIOn Type: 0 on ~!lfll\~~'lity
# of Bedrooms: A1TENTlON: d r~ed bft\11ll~lSliWP.~. ~orth
. tolloYl rules a 0 Tho!eqtn1lelitf iw.:,
.. '\'" .d',,!, center. I. .., ... n~f\ -\IV .
~()AR952.obl' ''''''!~~~'iN~ATlON I
Q09O. '(CUm nt NUL'~! t~!!. L~"on'
ceiling the ce ef. lJ\i1itY NotilRiOM
I\IIlfIb8f tor \he. Oleg~~!!L~'
Center i81~Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~~ ;....."...;:a:;~.w..,J.:.
2
21.00
Lot Size:
Sq Ft 1st Floor: ' 11,287
Sq Ft 2nd Floor: 7,368
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 201
No
REQUIRED PARKING
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearya~d Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
.' .~ ....-,;.. ~~;;.;, ' "-
, .' DownspoutslDrains:'" VJORI<.
NOT'CE~ EXPIRE 1f1\\E i'
11-115 PERMIT SH~i~Il'\IS PERMIT \S NO :.'
AU11-10f\IZEO UN IS ^BANDONEt) fOR :;:';
COMMENCED OR , " '"
ANY 180 DAY PERIOD. ,
Sidewalk Type:
Notes:
Pa2e 1 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
Estimate
Estimate
Fee Description
Plan Review Comm/lnd/Public .
Plan Review Fire & Life Safety
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Deferred Submittal
Demolition
Penalty Fee - BWOP Building
Plan Review Minor - Planning
Plan Review/Com,lnd,Pub Hourly
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
Structural Review
Structural Review
1l/30/2009
12/30/2009
SUB Review
11130/2009
Initial Review
11125/2009
Initial Review
11130/2009
.', ;,:......~, 1 '" 0,
I, Va,luation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square. Footage
or Bid Amount
655,000.00
Total Value of Project
L-~rp'i P'WU
1'"-'''
Amount Paid
Date Paid
$1,928.94
$1,187.04
$27.36
$1I.40
$228.00
$363.07
$160.13
$2,967.60
$29.00
$0,75
$912.00
$58.00 '
$58.00
$II 9.00
$232.00
$250.64
$513.52
$10.00
$8.46
$9,566.67,. .
$731.49 "
$554.04
11125/09
11125/09
1112/10
1112/10
1112/10
2/3/10
2/3/10
2/3/10
2/3/10
2/3/10
2/3/10
2/311 0
2/3/10
2/3/10
2/3/10
2/3/10
2/3/10
2/3/10
2/3/10
2/3/10
2/3/10
2/3110
$19,917.11
I Plan Reviews I
10
11125/2009
WE LLH
1l/30/2009
APP LLH
Pa2e 2 of4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I700
ISSUED: 02/03/2010
APPLIED: 11/25/2009
EXPIRES: 08/03/2010
VALUE: $ 655,000.00
Value
Date Calculated
$655,000.00
$655,000.00
1I/25/2009
Receipt Number
2200900000000001328
2200900000000001328
1201000000000000036
, 1201000000000000036
1201000000000000036
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
120\000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000tOO
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
DJB
Received res po use from Tony Koach
(arch.) to comments dated 12/20/09.
Requested energy forms/llh
Waiting for plan review fee to route
plans.
Plan revi'ew payment received
CITY Vt< ~PRINGFIELD
" Building/Combination Permit
Status Issued PERMIT NO: COM2009-01700
225 Fifth Street, Springfield, OR ISSUED: 02/03/2010 .
,. APPLIED: 11/25/2009
541-726-3753 Phone
541-726-3676 Fax EXPIRES: 08/03/2010
541-726-3769 Inspection Line VALUE: $655,000.00
Plan nine: Review 11/30/2009 12/0112009 APP EMM All tenant uses must be those listed
as permitted uses in the
Neighbo~hood Commercial zoning
district. Replace failed landscaping
plants as shown on approved
landscaping plan.
Strnctural Review 12/10/20Q9 12110/2009 .10 KLK Completed'lst structural plan
review, and emailed comments to
Architect.
Structnral Review 12/2412009 12/24/2009 10 KLK Received"new plan documents in
response to 1st plan review letter.
Fire Department Review 1II30/2009 01/0412010 WE GRG Waiting on basic emergency
generator information.
Fire Department Review 01108/2010 01108/2010 APP GRG See attached docnment for Fire
Department Plans Review
comments.
Structural Review 01/1212010 01112/2010 WE KLK Completed 2nd structural review,
and emailed comments to architect.
Structural Rcview 01127/2010 01127/2010 WI KLK Public Works
Public Works Review 11130/2009 02/0112010 DON CTM
Structural Review 0210112010 02/0112010 APP KLK
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.
l..i,l&n.IJ;r:,~ In'.nPp~
Rough Plumbing: Prior to cover and including, required testing.
Final Plumbing: When all plumbing work is complete.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building servicc equipment, conduit piping and other equipment items are in
place but prior to concrete.
Concrete Tilt Up Panels: Prior to placement of concrete with all steel reinforcement in place.
Post and Beam: Prior to 11001' insulation or decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Page 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
,
Status
Issued
PERMIT NO: C,OM2009-01700
ISSUED: 02/03/2010
APPLIED: 11/25/2009
EXPIRES: 08/03/2010
VALUE: $ 655,000.00
225 Fifth Street, Spririgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Roof Sheathing
Drywall: Prior to taping. " ;
Firewall: Located and constructed according'to plans.'
LathlPlaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Bnildinglnspector.
Cciling Grid: After drywall approval but prior to cover.
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector.
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
Special Inspection: Weld Inspection: To be done during construction by a State Certified Special Inspector with
approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Bnilding: After all required inspections have been requested and approved and the building is complete.
SUB Final: After all required energy iuspections have been requested and approved.
UnderOoor Plumbing: Prior to insulation or decking.
Shower Pan, PriOl' to covering and Including requir~d,testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
" ,
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete,
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 all work' performed shall be done in accordance with
the Ordinances of the City of Springfield and the Linvsof the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure wiWout permission of the Community Services Division, Bnilding Safety,
I further certify that only contractorsand 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'ih'e proper time, that each address is readable from the
street, that the permit card is located at the front of" the property"artd .the)pproved set of plans will remain on the site at all
times during construction. ':r '. ";'>.::.'. r',;':;~.~:~ "":.. >'
~~~
~. J,
;/
., ;'~!
~t'20J /0
'.",
e. c.--- ,.,.-
Owner or Contractors Signature
"'\
D'ate
.-
Pa2e 4'of 4"
.~, ';
.,,'!
! /:';1
,
',"
I" Di::PARTMENT US~9NtY ]
. i
pennitno~A~ I
I Date: \\ .1.. 'b. c:Y\ 1
This p'ermit is' issued under OAR 918-460-0030. Permits expire if work is not started within lSO.days of issuance or if work is
suspended for 180 days. '
Str"iIct:l1"al Permit Application,
~'.PR'NG~~~
" " , , , . · ; ,1"""""~-A'
225 Fifth Street. Springfield, OR 97417. PH(S41)726-3753 t FAX(541)726~3689 ...... .,
"
\. ". '. ".,;..,....: ,,~0,CAt,. ,i39itgfflil~.$J.(1j';iIiSR~yii!\t\Wj,0j;j0~tc;i
I This project has finalland~use approvaL. .
,~ Signature: Date:
.1:!h.iS projec~ ha::; OEQ approval.,
.. Signature: - - . - . Date:
\ Zoning approval verified: 0 Yes 0 No
Property iswlthin floodplain: 0 Yes 0 'f'..!o
t~ij;f;f!#\;:A.tEG('jE,YJ[li1~0N5iPliljcIDl~~ii't~ii~B:.0
.0 Residential I '0 Government r 0 Commercial .
li<',;;::;;: ;;':;;'jeB;"srtE}tN€0RMAt:j0'fJ~ij(NDiitO'G:i\'fjef,j,f;(~I~lf!:t,jid
Jo~sitea~~;~~s.i is t1 A:ci:Owru~A-iw',., ...,. '1
I City: SPl111\b R 'I-U,\ I State: rrL 1 ZIP: 1
I Subdivision: I Lot no.: (')72-00 I
I Reference: I Taxlot:"" -0:' - Z:z....- 4-4- j
y'l' , ' , P,ROPERTYQW,~E~..'I
I Name: rZLS Hol&..ll\QS, LLc.../ l2<J.\..eCC<L,-5+e.vnd 1
I Address: 3:\$"1. I{,'",":. ~J. J..=rcL (11- 1
I City: I::U0 <-"'^- J State: olt. \ ZIP: 97'10 I :
I Phone:S'-II.~".lO -CfO::l."J., Fax: '
I E.mail: .~h.V1-......lA6) ~Ovv<.Lf~'''\-, ,1\, \-. 1,
This installation is being made on residentiaJ or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Y Sign here: . K ;t' ..<ft-lM 'Z< )
i " CONTRAC:IP~ .r~StALLATIClNi,,'
i Business name: AJY\ 1l>/Wt1V 10
I Address:
I City:
I Phone:
E~mail:
-I CCB license no.:
I Print name:
I Signature:
I State:'
Fax:
I ZIP:
M'Pl..., U'<:1\.l\ :
-roAM \~'trK I jW.ctt l ~\
-z.~ClI fv\t..) ~tU'1/Vl.J\" <;.lAr Ct:IL
p~'"1.1\N01 CNL q.., "Lt ()
Iwa~h4t\~,WVV\
,C,1'l.. - '<. co.- 4 (,.,cn
;JV J ....,..,\-' ""-..
ly;;-.\;:I,,':\'I;};:iFEE'~j'l::HEDlii'.i(;:l:~ . , ,; ,':1
r'f~}.M~l~~-!l.~:n:',ipf4r4'1~:t~~";;,'~q:~'tY~~:~~.~1~;>:;'i",!::.:j,i;~:r::~}/( H,;':'r:t,:'~2 ;~'~;~;~'J;~'
I (a) Joh description:, \" ~t\M.,t--hf-"'1J\I'U\'tfMJS '
I Occupancy B I
I Construction type: \ II - lIJ JdJ/J <;(,lQ I ,uLU=:I'J 1
I Square feet 10, to 55 I,
'1 Cost persquare foot: ~ '3!;;.\ \ (g, (p 5e;. /JCJ() \ r
j Other information: I
I Type of Heat: I2LlJf- ~ G,fI:, PI\C-{U; 1
I Energy Path:c.e:: I'1ErhMUItl.. ~'-P&.-ED ~qf,;I1I.J....,
I 0 new Ralteration 0 addltion l' "'-
\ (h) Foundation-only permit? 0 Yes ~No
I Total valuation:' ,-
~;~Jll,~~la.t~~~~~~M~?~U.~ft'i1~i;~}~,t:h~~;;~:J~:';}:;:!~,
I. (a) Permit"fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): , $ . 1
11'~:I~~;~~;"o~f.fees.~b~, ~~v:~::"~~~;:;;';~:'\."l\":~'.l;,~~. .",~,-.,:",,.I
'J~,;-':(r;,Uln!reVJ.' e I~ (t>'2".of:~v~..""",,~r~.;~;;z~'tl~~l'~. ~- B~-i-,,,~~,~:t1
I (a; ~1';;.r~vi~:-(6';% x~;:~'i~e'[;:;;'~' :':~. ,..,';\ qU;~q~~
I (b) Fire and life safety (40% x permit fee [2a]): $\ \ ~1.~
11 11~~~;~t,~~~~~~::;:~i:~~~~~.~j~:'~~i\;'i';j} "';i;~~!:,\:~:~ ~
j 1'(:) ~~i;~ic ;~~:;;:~:;'x"'p~';i;~c:e [;~J; ,.." '$" "1
1 I TOTAL feesund surcharges (2<+3C+4'): $ 1
1
.1
"IS(, ,~I>. oo:i
.,/;;:,~,; i'.'H,,":;''''1
$
$
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
~~
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000100
Date: 02/03/2010
Description
Plan Review Minor - Planning
Demolition
Penalty Fee - BWOP Building
Building Permit
Copy 6th @ 75 cents
Copies - Ea AddtJ @ 50 Cnts Ea
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin'
SDC MWMC Compliance Charge
Plan Review/Com,lnd,Pub Hourly
Deferred Submittal
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
,
Item Total:
Check Number Authorization
Received By Batch Number Number now Received
25863
RADIOLOGY ASSOCIATES PC DJB
I n Person
Payment Total:
Page I of r
II :43:23AM
Amount Due
119.00
58,00
58,00
2,967.60
0.75
29,00
513.52
250,64
731.49
9,566,67
10.00
554,04
8.46
232,00
912.00
363,07
160,13
$16,534.37
Amount Paid
$16,534,37
$16,534.37
2/3/20 I 0