HomeMy WebLinkAboutPermit Building 2010-7-12
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00691
ISSUED: 07/12/2010
APPLIED: OS/28/2010
EXPIRES: 01/12/2011
VALUE: $ 1,171,000.00
Status
Issued
SITE ADDRESS: 3995 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1702200000700
Springfield TYPE OF WORK: Office
TYPE OF USE: New
PROJECT DESCRIPTION: New Outpatient/Office Building and associated site work
Commercial
Owner: MENTAL HEALTH FOR
Address: 3995 MARCOLA RD
SPRINGFIELD OR 97478
Phone Number: 541-726-1465
I CONTRACTOR INFORMATION I
Contractor Type
Engineer
Contractor
SS & W INC - ENGINEERS
BUILDING INFORMATION i
License
Expiration Date Phone
541-485-8383
# of Units: liAr. S-'-i>ries:
Primary Occupancy Group: B -~eight'ofStructure
--,'
Secondary Occupancy Group:. ----.-.. , Type Of Heat:
Primary Construction Type _ VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: 'IOl:I \(t:nergy Path:
. Otegon la'll teq~~n Util rinkled Building: No
1QlloW ruleS ad~et. 'those tule~ M ENTIN FORMA TION
Notl1ieatlon ~~ -00\0 \tItough 0' \tie tu
~' ij62.-vv ......1.. coll'SS AI hone .
Frontyar awu may OI"....\No\e: \tie t...ePC8l@wrlay Dist:
Side 1 Set ;;:;.,iln9 \tie cent~t. gon UtilitY NO~\1I # Street Trees Rqd:
Side 2 Setba~itlbet 10t the ~-800..a32.-2.344I' .' ~aved Drive Rqd:
Rearyard S~acl<: center \8 , % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
183,823
5,137
79
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I PUBLIC IMPROVEMENTS I
-,-.,i-'-^'~''''''-
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
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I : : ." . . lIuJ1'IOI NDONED fO ~,~::'.
Valuation Descr~nn NeED OR IS ABA . . ,,,>.>i ~'.'i '
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$ Per Sq Ft ~~trJ ~g0941 p . . . .
It' I' B'd A t Value Date Calculated
or mu Ip lef or I mOlln
Notes:
Paee 1 of5
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
'i.IotaJ, Y~lue of Project
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1,171,000.00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00691
ISSUED: 07/12/2010
APPLIED: OS/28/2010
EXPIRES: 01/12/2011
VALUE: $ 1,171,000.00
$1,171,000.00
$1,171,000.00
OS/28/2010
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $3,294.02 5/28/10 1201000000000000582
+ 12% State Surcbarge $724.41 7112/10 1201000000000000814
+ 5% Technology Fee $304.74 7/12/10 1201000000000000814
Addressing Assignment $38.00 7/12/10 1201000000000000814
Backtlow Device $19.00 '7/12/10 1201000000000000814
Building Permit $5,067.72 7/12/10 1201000000000000814
Copies - Ea Addtl @ 50 Cnts Ea $31.50 7/12/10 1201000000000000814
Copy 6th @ 75 cents $0.75 " ,\" 7/12110 1201000000000000814
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Deferred Submittal $456.00 7/12/10 1201000000000000814
Demolition $58.00 7/12/10 1201000000000000814
Fire SF Fee - Non-Residential $513.70 7/12/10 1201000000000000814
Fixture $475.00 7/12/10 1201000000000000814
Plan Review Fire & Life Safety $2,027.09 7/12/10 1201000000000000814
Sanitary Sewer - 1st 100 Feet $76.00 7/12/10 1201000000000000814
Sanitary Sewer - Improvement $877.24 7/12110 1201000000000000814-
Sanitary Sewer - Reimbursement $1,797.32 7/12/10 1201000000000000814
Sanitary Sewer Each AddtllOO' $38.00 ,_ T. '.;) ~;:.:pl 'i ,: , . 7112/10 1201000000000000814
SDC MWMC Administration $IO.OiL.:. 7/12/10 1201000000000000814
SDC MWMC Compliance Cbarge $29.42:;i~ 'I }~; ~ 7/12/10 1201000000000000814
SDC MWMC Improvement $1,733.65:;:.,1,;,' . I, .. 7/12/10 1201000000000000814
SDC MWMC Reimbursement $132.56' 7/12/10 1201000000000000814
SDC Sanitary/Storm Admin $198.02 7/12110 1201000000000000814
SDC Transpo Improvement $1,011.47 7/12110 1201000000000000814
SDC Transpo Reimbursement $277.52 7/12/10 1201000000000000814
SDC Transportation Admin $95.44 7/12/10 1201000000000000814
Storm Sewer - 1 st 100' $76.00 7/12110 1201000000000000814
Storm Sewer Each Addtl 100' $171.00 7/12/10 1201000000000000814
Water Line - 1st 100' $76.00 7/12/10 1201000000000000814
Water Line - Each Addtll 00' $38.00 7/12/10 1201000000000000814
Total Amount Paid $19,647:?7'" .
I Plan Reviews ~
SUB Review
06/0112010
Initial Review
06/01/2010
06/0112010
APP LLH
GRG
See attached document for Fire
Department Plans Review
comments.
Fire Deoartment Review
06/03/2010 APP
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06/0112010
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Paee 2 of5
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I nspection Line
Plannine: Review 06/01/2010
Structural Review 06101/2010
Structural Review 06/2112010
Structural Review 07/07/2010
SUB Review 07/07/2010
Public Works Review 06/01/2010
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010700691
ISSUED: 07/12/2010
APPLIED: OS/28/2010
EXPIRES: 01112/2011
VALUE: $ 1,171,000.00
06/03/2010
ACL
Development Agreement signed, OK
to issue permits.
OK
06/17/2010 WE KLK
06/21/2010 10 KLK
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07/0712010 APP KLK
0710712010.' , IO KLK
..
07/08/2010 DON CTM
Completed first plan review and
emailed comment letter to architect.
Emailed plumbing comment from
Steve Graham to architect.
Routed non-residential energy form,
to SUB.
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.
UeolliredJnsnections ~
,
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Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prio,.r to c~.nc.r~te placement.
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Slab: To be made after all inslab building s~';Yi~e eq.~ipment, conduit piping and other equipment items are in
place but prior to concrete. H7/f(" i,~'
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
:"!'~ . . : ~.~I ,3.';';
Piling, Drilled Piers/Caissions: To be done by!". State Certified Special Inspector. Provide inspection test reports
to City Building Inspector.
Bolts Installed in'Concrete: To be done by a State Certified Special Inspec.!or. Provide inspection test reports to
City Building Inspector.
Paee 3 of 5
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CITY OF SPRINGFIELD
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Building/Combination Permit
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,I.
PERMIT NO: COM2010-00691
ISSUED: 07/12/2010
APPLIED: OS/28/2010
EXPIRES: 01/12/2011
VALUE: $ 1,171,000.00
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report 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.
Special Inspection: High Strength Bolting 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.
Special Inspection: Reinforcing Steel Mill Certificate 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. ".' I .
Special Inspection - Soils/Compaction: To b1"'i1,.i!n~;,a~;r;ilg construction by a State Certified Special Inspector with
approval from the City of Springfield. Cop!es of inspection results shall be provided to the City of Springfield.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Structural Masonry: To I!e done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
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.
SUB Final: After all required energy insp,ect\ons have been requested and approved.
Underslab Plumbing: Prior to filling the trench and including required testing.
Underground Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Drain: Prior t~ cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including reguired testing.
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Sanitary Sewer Line: Prior to filling trench.,~I1,d inclu,'F.ng required testing.
Storm Sewer Line: Prior to filling trench. "".
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
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Paee 4'of 5
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CITY OF SPRINGFIELD
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Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00691
ISSUED: 07/12/2010
APPLIED: OS/28/2010
EXPIRES: 01/12/2011
VALUE: $1,171,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Final Mechanical: When all mechanical woi-k\.i~ compl.ete:
I..:;,\';.\~. \....'~..
Ufor Electrical Ground: Install ground rod o't footing and call for inspection in conjuction with footing andlor
foundation inspection. .
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Temporary Electric: Approval required prior to Utility C.ompany energizing pole.
By signature, I state and agree, that I have carefully,examined ihe 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, 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
"md/;:A'/~-t'-~A'n'.; /-/2-/0
Owner or Contractors Signature ~ i,;;'t :i:.' , ' . Date
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Page 5 of5
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfleid; Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000814
1l:39:0IAM
Date: 07/12/2010
Job/Journal Number
COM20 I 0-00691
COM2010-00691
COM20 1 0-00691
COM20 10-00691
COM20 10-00691
COM20 1 0-00691
COM20 I 0-00691
COM20 I 0-00691
COM20 I 0-00691
COM20 I 0-00691
COM20 I 0-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM2010-00691
COM20 1 0-00691
COM20 I 0-00691
COM2010-00691
COM2010-00691
COM20 I 0-00691
COM20 1 0-00691
COM201 0-0069 I
Payments:
Type of Payment
Check
cReceintl
Description
SDC MWMC Improvement
SDC MWMC Compliance Charge
SDC Transportation Admin
SDC Sanitary/Storm Admin
+ 12% State Surcharge ,.; ...,
+ 5% Technology Fce .' .
Demolition
Fire SF Fee - Non-Residential
Copy 6th @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Building Permit
Plan Review Fire & Life Safety
Deferred Submittal
Sanitary Sewer - ReimbursemenJ..~:: .~~ ~&".'~' I .
Sanitary Sewer - Improvement t ~ /1 ~
SDC MWMC Administration !1~~:1! ~...;.lf ;>
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Addressing Assignment
Fixture
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each AddU 100'
Water Line - I Sl 100'
Water Line - Each Addtll00'
Storm Sewer - 1 Sl 100'
Storm Sewer Each AddU 100'
Backflow Device
SDC Transpo Reimbursem,nt
SDC Transpo Improvement
SDC MWMC Reimbursement
Amount Due
1,733,65
29.42
95.44
198,02
724.41
304,74
58,00
513,70
0,75
31,50
5,067,72
2,027,09
456,00
1,797.32
877.24
10,00
38,00
475,00
76,00
38,00
76,00
38,00
76,00
171.00
19,00
277.52
1,011.47
132,56
$16,353.55
Paid By
MENTAL HEALTH FOR
CHILDREN lNC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
In Person
$16,353,55
1005
Payment Total:
$16,353.55
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Page 1 of 1
7/12/2010