HomeMy WebLinkAboutPermit Building 2010-4-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00260
ISSUED: 04/14/2010
APPLIED: 03/01/2010
EXPIRES: 10/14/2010
VALUE: $ 8,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2260 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1703251301700
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Clinic remodel- Volnnteers in Medicine
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Mechanical
Plnmbing
Contractor License
BERRY ARCHITECTS
DORMAN CONSTRUCTION 68801
BUILDERS ELECTRIC INC 4296
HARVEY & PRICE CO 77
HARVEY & PRICE CO 77
BUILDING INFORMATION I
Expiration Date
08/31/2010
12110/2011
10/31120 I 0
10/31/2010
Phone
541-338-7696
541-984-0012
541-485-0922
541-746-1621
541-746-1621
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
j'........... "~<' ... ." '>" ,
. ,,~.~t:St9ri.~:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
Yes
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side I Setback: #.Street Tn\e.~.Rqd: Haudicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage: ATTENTION: Oregon law requires you to
Solar Setbacks: foU~w r~les adopted by the Oregon Utii'
OTICE' la' arese 0
" PUBLIC IMPROVEME!'\'ffi R 952-001-0010 through OAR 952-001-
Street 1m rJJ~lli PfBMIT SHALL EXPIRE rim: vvvnJ\ UU . YOllilM>'aW>M.P.opies of the rules by
I' AU I ~5'fnzED UNDER THIS PERMIT IS NOT calling flie center,' {Note: the telephone
Storm Sewer~~~'vlL~~'EED OR IS ABANDONED FOR . numberfWth!P@l~enatmllly Notification
Speciallnstruc\io~i\O DAY PERIOD. .';!Ii;!, "0, Center is 1-800-332-2344).
I DEVELOPMENT INFORMATION I
Notes:
...~"::: ,.'"
.~..,. ~"
11
Page I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Bid Amount
Tvpe of Construction
Use Bid Amount
Fee Descriotion
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Mechanical-Value
Plan Review Electrical (25%)
Plan Review Fire & Life Safety
Total Amount Paid
Phinnine:,Review
03/03/2010
Structural Review
Structural Review
03/03/2010
03/22/2010
Initial Review
03/02/2010
Fir:e Department Review
03/03/2010
Public Works Review
03/03/2010
I Valuation DescriDtion ~
$ Per Sq' Ft ":
or multip'lier"
$Loo
~1 ~,..
Square Footage
or Bid Amount
100,000.00
",'
Total Value of Project
~
Amount Paid
$460.69
$15.96
$6.65
$55.00
$78.00 .
$124.11
$51.71
$708.75
$209.00
$116.50
$33.25
$283.50
$2,143.12<'("
. :,";!:~
Date Paid
.311110
4/5/10
4/5/10
4/5/10
4/5/10
4/14/10
4/14/10
4/14/10
4/14/10
4/14/10
4/14/10
4/14/10
Plan Reviews I
WE
03/03/20 I 0
03/05/2010
03/11/2010
'.'.,
APP LLH
'.'WE GRG
APP EW
.: .':pa~e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00260
ISSUED: 04/14/2010
APPLIED: 03/01/2010
EXPIRES: 10/14/2010
VALUE: $ 8,000.00
Value
Date Calculated
$100,000.00
$100,000.00
03/01/2010
Receipt Number
1201000000000000186
3201000000000000121
3201000000000000121
3201000000000000121
3201000000000000121
2201000000000000353
2201000000000000353
2201000000000000353
220]000000000000353
2201000000000000353
2201000000000000353
2201000000000000353
Needs either a DWP overlay district
exemption or a DWP review. See
attached letter mailed to owner and
architect.
Plans submittal for remodel of clinic
(Job #COM2010-00260) held
(Waiting Information-External or
WE) until additional info is
submitted by Builders Electric for
exit and egress lighting.
SDC Credit 01'$1719.36 is onlile for
future development
,\~ 1(" :~, t- ,
iE" , ,.
."-}~ CITY OF SPRINGFIELD
.....'.' Building/Combination Permit
Status Issued PERMIT NO: COM2010-00260
225 Fifth Street, Springfield, OR ISSUED: 04/14/2010
541-726-3753 Phone APPLIED: 03/01/2010
541-726-3676 Fa. EXPIRES: 10/14/2010
541-726-3769 Inspection Line VALUE: $ 8,000.00
SUB Review 03/03/2010 03/12/2010 APP JF Energy forms sent to Springfield
Utility Board with Plans/lIh. Pass
energy code review no code issues n(]
inspections to be conducted.
Structural Review 03/16/2010 03/16/2010 10 KLK Received Addendums 1 and 2 from
architect. Routing copies.
Initial Review 03/22/2010 03/22/2010 APP LLH Received Addemum #1. Forwarded
all sets to Kip Kaufman for routing
..-+'" if needed.
, .-,-
Structural Review 03/30/2010 03/30/2010" . WI KLK Planning and Fire
....
,
Fire Department Review 04/01/2010 04/01/2010 WE GRG Waiting on information from
architect on number of sprinkler
heads affected.
Fire Department Review 04/01/2010 04/01/2010 APP GRG See attached document for Fire
Department Plans Review
comments.
Structural Review 04/01/2010 04/01/2010 WE KLK SUB Issue, WI Planning
Electrical Plan Review 04/05/2010 04/05/2010 APP BAR Still need electrical plan review fee
reflecting electrical permit
application.
Structural Review 04/05/2010 04/05/20] 0 WI KLK Electrical Plan Review
Structural Review 04/06/20 I 0 04/06/2010 WI KLK Planning
Plannine: Review 04/12/2010 04/12/2010 APP EMM Mark Metzger is planner for DWP.
Needs review to be completed and
inspections by SUB Water Quality
Protection Coordinator before tinal
.:; " occupancy is issued.
04/13/20]0 . . APP
Structural Review 0.4/13/20] 0 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.
~eollireCUnsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Ceiliug Grid: After drywall approval but prior to cover.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Page 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
).:"
,.
PERMIT NO: COM2010-00260
ISSUED: 04/14/2010
APPLIED: 03/01/2010
EXPIRES: 10/14/2010
VALUE: $ 8,000.00
Status
Issued
Final Fire Department. After all requirements of the Fire Department have heen met.
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 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 he made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only coutractors and employees who are in compliance with ORS 701.005 will be used on this project.
[ further agree to ensure that all required inspections are requested at the proper time, that each 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 . g construction.
II. -;;l;r-(j. 11--- -4 . i4 . I D
woe.. or Contractors Signature Date
.,;,-.\\,' <1 (:i".
,",,1- ;",1".
~J . "', .
Paee 4 of 4
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
IO:05:06AM
2201000000000000353
Date: 04/14/2010
Job/Journal Number
COM20] 0-00260
COM20 I 0-00260
COM20 1 0-00260
COM20 1 0-00260
COM20 1 0-00260
COM20 1 0-00260
COM20 1 0-00260
Payments:
Type of Payment
CreditCard
cRcceiotl
Description
Plan Review Fire & Life Safety
Building Permit
Fixture
Plan Review Electrical (25%)
Mechanical- Value
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
283.50
708.75
209.00
33.25
116.50
124.11
51.71
$1,526.82
Paid By
DORMAN CONSTRUCTION
Item Total:
,.'," ,,"", Check Number Authorization
R~"'c~!~ed By '1'" Batch Number Number How Received
Amount Paid
"njm
214130 In Person
Payment Total:
$1,526.82
$] ,526.82
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p~k'c 1 8r.1 "
4/14/2010
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