HomeMy WebLinkAboutPermit Building 2010-2-5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/08/2009
EXPIRES: 08/05/2010
VALUE: $ 3,107,231.00
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2073 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201100
Springlield TYPE OF WORK: Tenant Inlill
TYPE OF USE: Remodel Commercial
PROJECT DESCRIPTION: Tenant Improvement; complete building remodel of interior. Medical Offices and
Outpatient. (Demo., G.~~ Line; Fire Water line see #COM2009-1605)
Owner: LANE COUNTY
Address: ] 25 E 8TH AVE
EUGENE' OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
Front yard Setback:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
BUILDING INFORMATION I
# of Units: # ~btlN.t!fS:
Primary Occupancy Group: B eO.u"el!I~~..&iructure
Secondary Occupancy Group: ~ \e"" Oleri ~#~U:
PrimaryC?nstj-uction Ty~ Ol~~~~" \~eu,e'. ~~~
Secondary 'Constructi'1'k~... ',.6c1/-e "('(\O",e I <$- ~ ~C~~ti
# of Bedrooms: ...~;. tu'es ce,,\e" :\0 ~IO'\e' ~~~Il1l~
\0" ~~,o" J;j)\Jfj ~'" cO~e" ~~~tI;;ilding
,''''\1' - r'l; iii (\~ 'l'lO '~\"'l.'\
\ ~~:'(ou\~~ oe{\\o~eWEWMENT INFORMATION I
\)\Iw,,:,\~c;) .",\~e'aV'-" . .
""" l'.... ~el \\. ,,"', . " .
. ~~ Ce\'l Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
. % of Lot Coverage:
3
46.50
Lot Size:
Sq Ft 1st Floor: 6,830
Sq Ft 2rid Floor: 6,944
Sq Ft Basement:
Sq Ft Garage/Carport 1,380
Sq Ft Otber: 6,944
Occupant Load:
Yes
REQUIRED PARKING
Total:
',Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Description
Type of Construction
Sidewalk.Type': ,
:"':'""" :{..
, ' D<i';;~~\~~~:\
'X\?-t. \~ ~~ \C!l ~'i:,i.:
r~", ~f>..\.\. ~ '-\\S Vt.?I ~~ ~y.":'-'
,,\O\~V -~~ S ~?- ~{\ 'i:J~~\. ..'
\~.i!; l>~~I~'? \,~~ (..~~f>..~ .....
I Valuatio~\i)~~r'~'f.\)nl?-\~'i).
l,u(' \) \ii'r .
$ Per Sq Ft \I-~'l '\~qnare Footage
or multiplier or Bid Amount
Value
Date Calculated
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
_ "'0 ;Pa2e I of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
Fee Description
Plan Review CommlIndfPublic
Plan Review Fire & Life Safety
+ ]20Ic, State Surcharge
+ 5% Technology Fee
B~lckflow Device
Buildiug Permit
Deferred Submittal
Encroachment Permit
Fixture
. Mechanical-Value
Miscellaneous Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Drainage ImperviousArea
Total Amount Paid
Planning Review
Plannine: Review
Structural Review
01/20/2010
12/08/2009
Structural Review
Public Works Review
Structural Review
$1.00
Total Value of Project
3,107,231.00
F'Pp<, '.:iiIiLI
Amount Paid
$8,132,64
$5,004.70
$1,936.35
$813.79.._r.
$76.00 :
$12,951.31 .
$570.00
$139.50 '
$1,178.00
$1,880.91
$50.00
$4,887.48
$10,013.64
$10.00
$3,068.99
$297.72
$776.20
$37,849,28 .'
$10,384.69
$2,550.29
$17.96
$102,589.45
Date Paid
12/10/09
12/ I 0/09
2/5/10
2/5/10
2/5/10
2/5/1 0
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/08/2009
EXPIRES: 08/0512010
VALUE: $ 3,107,231.00
$3,107,231.00
$3,107,231.00
01/22/2010
Receipt Number
1200900000000001321
1200900000000001321
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
Plan Reviews I
WI Needs completion of MDS decision
DRC2009-00042 and Development
Agreement and DWP
(pharrnecuticals stored in building,
trash enclosure drains, etc.).
12/14/2009
12/11/2009
12/11/2009
12/23/2009
12/23/2009
12/24/2009
12/24/2009
APP MRM
10 KLK
APP EW
10 KLK
Paee 2 of 5
Client paid plan review fees,
12/10/09. Distributed plans to SUB,
Fire, Building and Planning/ Public
Works.
Two SDC Worksheets Attached
Completed 1 st plan review.
Status,
Issued
225 Fifth Street, Springfield, OR
541"726-3753 Phone
541-726-3676 Fax
541"726"3769 Inspection Line
Structural Review 12/28/2009 12/28/2009
Structural Review 01/04/2010 01104/2010
SUB Review 12/08/2009 . 01/05/20 I 0
Structural Review 01/14/2010 01/14/2010
Structural Review 01/15/2010 01/15/2010
Fire DeDartment Review 12/08/2009 01/22/2010
Structural Review 01/22/2010 01/22/2010
Structural Review
01/25/2010
01/25/2010
01/29/2010
Public Works Review
01/29/2010
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12108/2009
EXPIRES: 08/05/2010
VALUE: $ 3,1071231.00
10
KLK
Emailed 1st structural re,:iew letter
to Architect, includes Addendum #1.
Received.'Addendum #2: ronted to
Building and Fire.
Received Architect's Memorandum;
Completed 2nd plan review.
Received wet-signature
memora~dum from architect.
See attacbed.document for Fire
Department Plans Review
comments.
OK to issue per the Building
Omcia!. Electrical Per.mit NOT
Issued,
Okay to Issue per Eric Walters via
Kip Kaufman. Do not issue permit
until SDC credit issue has been
resolved. Eric Walters should have
information nec.ded either by the
end of the working day today or
Monday; February 1,2010.
Resolved per Eric Walters 2/1/1 O.lIj
To Request an inspection call the 24 !)our 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.
10
KLK
APP JF
WI KLK
IO KLK
APP GRG
APP KLK
APP KLK
IO
LLH
~eollirecUnsnef'tions I
Underslab Plumbing: Prior to filling the trench and including required testing.
Underground Plumbing: Prior to filling the trench and including required testing.
Underfloor Plumbing: Pri9r to insulation or decking.
Underfloor Drain: Prior to cover or'placemerit of concrete.
Rough Plumbing: Prior to cover and including reqnired testing.
Shower Pan. Prior to covering and including required testing.
Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Paee 3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/08/2009
EXPIRES: 08/05/2010
VALUE: $ 3,107,231.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Site Inspection: To be made after e~cavation but prior to setting forms.
.. "
Slab: To be made after all inslab building serVice equipment, conduit piping and other equipment items are in
place but prior to concrete.
Post and Beam: Prior to floor insulation or decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Roofiug: Prior to installing any roof covering.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Bolts Installed in Concrete: To be done" by a State Certified Special Inspector. Provide insp,ection test reports to
City Building Inspector.
Ceiling Grid: After drywall approval but prior to cover.
Special Inspection: Weld Inspection: To be done during construction by a State Certified S'pecial Inspector with
approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield.
Special Inspection: Ultrasonic 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. ',': ,
Structural Welds: To be done during construct.ion by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be
requested and approved prior to reqnesting any occupancy approval.
Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This
inspection is required prior to any combustible construction.
Fire Department Access. Inspection to assure access is available to site for construction project. This inspection is
required prior to any combustible construction.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building Is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
SUB Final: After all required energy inspections have been requested and approved.
Underfloor Mechanical. Prior to insnlation o('deck,ing,'arid including required testing.
Page 4 of5
._ > ,~J.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
U 1 Y OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/0812009
EXPIRES: 08/0512010
VALUE: $3,107,231.00
Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is iustalled and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Fiual Gas: When all ,gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Low Voltage: Prior to cover. ?~;l ..~ "t
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 furtherccrtify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structu~e 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 tha all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card' 10Q"ted 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
(JJ!kUA-vV\' o. 7€TP~- .
=-J
Pal!e 5 of5
~. Gi VlJ{D
Date
Structural Permit Application
DEPARTMENT- USE ONLY
Permit 110.: C'f- 1-153
I Date 12-- J.8-~
This permit is issued under OAR 918-460-0030. Permits expire if work is not started ""ithin 180 days of issuance or if work is
susp'ended for 180 days.
LOCAL GOVERNMENT APPROVAL 1
I This project has final land-use approval. I 1
FEE SCHEDULE
Signature: .' Date:
I This project has DEQ approval. I I ~J. Valuatio,u'information I
Signature: Date: I (a) Job description: Interior Remodel t I
I Zoning approval verified: DYes DNa I I Occupancy Medical Clinic and Officf
I Property is within flood plain: DYes DNa I I Construction type: III-A Fire Sprinklered I
1 '. 'CATEGORY OF CONSTRUCTION 'I 1 Squarefeet: 22,098 Gross SF 16,342 Net ~F
I o Residential "I ~Govemment I DConimcrcial I I Cost per square foot $136 per gross sf I
I JO,B SIT, E' INF.O, RMATIONAND LOCATION. ,. 1 1 I
. Other infomwtion:
1 10bsiteaddress: 2073 Olympic Street 1 I G I
T:ype of Heat: . as
I City: SDrinofield 1 State: OR 1 ZIP: 974771 1 I
1 1 1 Energy Path:
Subdivision: Lot no.: 1
D new ~ alteration
1 Reference: 17 03 25 42 1 Taxlol: 01100 & 010001
1 (b) Foundation-only permit? DYes
1 PRP'PERTv OWNER..I
I I Total valuation: Estimated
Name: Lane Countv C/O David Suchart
!:~i B~i1diQg,(~es . . ,.0' ,'J
I Address: 125 East 8th Avenue
I (a) Permit fee (use valuation table):
City: Eugene I State: OR 1 ZIP: 97401
1 (b) Investigalive fee (equallo [2a)):
1 Phone: 54-1- 22 8 - 0669 Fax: 54-1- 6 82 -42 90
I (c) Reinspection ($ 'perhour):
I E-mail: David.S.SUCHART@co.lane.or.us (number of hours x fee per hour)
Thi "nstallation is being made on resirl~............ t'.~t-'I:...j UWIJI,;U t1'j 1 (d) Enter 12% surcharge (.12 x [2a+2b+2c]):
rme ~r a Ile'nts uI,d "zps ' ~'.Olloe ram. iIV"::yand is e"el1brom.l;,,"n~i~
1 (e) Subtotal offees above (23 through 2d):
A 1"3.,r~a!l revie~,fe~~,. "
Sign here: t.;It. ,
I (a) Plan review (65% x pemlit fee [2a1):
c;ONTRAc;'l"QR INSTALLATION,
',I (b) Fire and life safety (40% x permit f~e [2a]):
J Business name: Chambers Construction
J (c) Subtotal offees above (3a a'ud 3b):
1 Address: 3028 Judkins Road
: ~~t~I~e~~~~~:7_9445 I ~~a~e5~~_~8~Z~~:5/1qUji i"~~:~~;!af::,Q;;:f~1~;~;",;;~:~'[;:])
1 E-mail: rbraziel@chambersconstruction.cont I TOTAL fees and surcharges (2e+3c+4a): $
1 CClllicenseno.: ccb# 114258 1 \(](). \ (\ ,
1 Print name: J(oLJ r BEA cIEL- 1 ~ \,,,- ,,\0 \...\.>----
I Signature: M --r.- t!3_, _ , . 12_ . I
D addition
ijg No
Cost
$
$
$3,000,100
<"I
I
I
I
1
$
, 1 $
$
;,
.'j
I.
$
$
$
1
$
1'.'ittt"..1\::::ili'S.UB!l::,ONmAC;rOR:INFORMATjON;:r::<;;'
"
I Name
J Electrical
I Plumbing
I Mechanical
CCB License Number I
I
I
I
Phone Number
'? t T f5 V 7i vrr,!'!J fe{/-t1I'f e.ti 11. Z/JO'l -IJ (60S'
()glrO!.A 7/w rt:#-M II COM 7.<J6f1.4/(,05
,
.'~
225 Eifth, Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009,0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0l753
COM2009-0l753
COM2009-0 1753
Payments:
TYllC of Payment
Check
cReceintl
RECEIPT #:
~.~AI.NQI'lEtLD.. ~." ...'. ._....
f,jj. JJII' _ "
~---". ,
~.~.^,. .
....".. ""w_,' ,".~".., "."
Cily of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000105
Date: 02/05/2010
Description
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
Encroachment Penn it
Mechanical-Value
Building Penn it
Fixture
Backflow Device
Miscellaneous Plumbing
Deferred Submittal
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC Sanitary/Stonn Admin
SDC Transponation Admin
SDC MWMC Administration
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
LANE COUNTY
,
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1232
In Person
Payment Total:
-;i ~:
Page I of I
1:05:4IPM
Amount Due
17,96
10,013,64
4,887.48
139.50
1,880.91
12,951.31
1,178.00
76.00
50.00
570.00
10,384,69
37,849.28
297.72
3,068.99
776.20
2,550.29
10.00
1,936.35
813,79
$89,452.11
Amount P"id
$89,452.11
$89,452.11
2/5/20 I 0