The URL can be used to link to this page

Home My WebLink AboutPermit Building 2010-10-25 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00389 IVR Number: 811158405062 Issued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/28/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726~3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 04/23/2011 $337,800.00 SITE ADDRESS: 3377 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004102 PROJECT DESCRIPTION: TI: 1,689 s.t. SCOPE: Tenant Infill WORK INVoLVED: Alteration TYPE OF STRUCTURE: Commercial Phone Number: OWNER: ADDRESS: PEACEHEALTH PO BOX 1479 EUGENE OR 97440 Contractor Type CONTRACTOR INFORMATION I Contractor Name l.A. KERSH ARCHITECTURE, INC. DORMAN CONSTRUCTION INC Lie Type ARCHITECT CCB Lic No 2518 68801 Lic Exp 06/30/2012 08/31/2012 Phone 541-984-0012 # of Units: Construction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type # of Bedrooms: Constwctwn.TI, vpe SpnnkJetftliul mng: Fire Alarms: Energy Path: o Type IIA Outpatient Clinic tenant improvement. S Business? professional/Service-ty pe Adjacent to TI: separated from B occupancy by 1-hour fire-resistive-rated fire walls. S2 Low Hazard Storage t~ellA Yes BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o 2010 Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard ArWlTICE:" .. Retaining Wall:THIS PERMIT SHALL EXPIRE IF THE WORK Soils Report Re,.~t'i\e~ORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 10/25/201 12:04:37PM I ATTENTION' Oregon law requires youto ~~~~i~~~~~~~~~~r:e~h~~hr~hl~i:~J~!gl~~ . OAR 952-001-0010 throug ~090 You may obtain copies of the rules by cali in the center. (Note: the telephone 9 f the Oregon Utility Notification number or ) Center is 1_800'332-2344 . Page 1 0(6 Sr~~N~~ ..~t;:~ . . ..OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00389 IVR Number: 811158405062 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield,or.us PROJECT STATUS: STATUS DATE: Iss ued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/28/2010 EXPIRES: VALUE: . 04/23/2011 $337,800.00 SITE ADDRESS: 3377 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004102 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: TI: 1,689 .J. Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: . Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value Springfield Building Permit 10/25/201 12:04:37PM Page 2 of6 5P. !lING,FIE~ ~l'_ ;:~ (~ ;'" . OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00389 IVR Number: 811158405062 225 Fifth St Springfield,OR 97477 Phone: 541 ~ 726~3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/28/2010 EXPIRES: VALUE: 04/23/2011 $337,800.00 SITE ADDRESS: 3377 RIVERBEND DR, Springfield, OR 97477-8800 ASSES OR'S PARCEL NO: 1703220004102 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: TI: 1,689 sJ. FEES PAID I' Description Structural Plan Review Fee Commercial SDC: Total Sewer Administration Fee Mechan1~,~~ermit fee (based an value of work) Fixture Water closet SDC: Reimbursement Cost - Local Wastewater .........- -. SDC: Im"provement Cost - Local Wastewater ._-,_., --"--..--" ~~~basin/lavatory~ Bui!9J~.~!,ermit ~""_,_,. Fire, Life, Safety Plan Review State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $1,090.32 $29.40 $474.99 $57.00 $38.00 ~~--~~ $395.15 $192.87 $57.00 $1,677.41 $670.96 $276.53 $115.22 $5,074.85 Date Paid Receiot # 09/28/2010 374422 10/25/2010 374692 10/25/2010 374692 ,._~".._-~.. 10/25/2010 374692 10/25/2010 374692 10/25/2010 374692 ---~---------- 10/25/2010 374692 10/25/2010 -~--'---37469~ _..~._..-~.. -,-..----.. ----- 10/25/2010 374692 10/25/2010 374692 10/25/2010 374692 10/25/2010 374692 Springfield Building Permit 10/25/201 12:04:37PM Page3of6 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00389 IVR Number: 811158405062 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 1 0/25/2010 10/25/2010 09/28/2010 225' Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us EXPIRES: VALUE: 04/23/2011 $337,800.00 SITE ADDRESS: 3377 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004102 SCOPE: Tenant Infill WORKINVOLVED:- Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: TI: 1,689 sJ. Plan Review ~ Deoartment Application Acceptance Received Due Date ComDleted 09/28/2010 09/28/2010 09/28/2010 Result Application Accepted Reviewer Kip Kaufman Energy Code Review 09/28/2010 09/28/2010 Planning Review 09/28/2010 09/28/2010 10/04/2010 Approved Comments: Received from building 9/28110. Passed on to Engineering 10/4/10. Electrical Review 09/28/2010 09/28/2010 10/06/2010 Approved Liz Miller Bryan Richardson Structural Review 09/30/2010 09/28/2010 10/14/2010 Add'llnfo Required Kip Kaufman Comments: 1) Mechanical engineer will call back with information concerning duct smoke detector per OMSC Section 606.2.1. 2) Permit Issuance 10/22/2010 10/22/2010 10/25/2010 Issued Springfield Building Permit 10/25/201 12:04:37PM Nancy Machado Page 4 of 6 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00389 IVR Number: 811158405062 pennilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 10/25/2010 09/28/2010 EXPIRES: VALUE: 04/23/2011 $337,800.00 10/25/2010 SITE ADDRESS: 3377 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004102 SCOPE: Tenanllnfill WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: TI: 1,689 s.t. INSPECTIONS REQUIRED I Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Ceiling Grid: After drywall approval but prior to cover. 1540 Gypsum Board/LathlDrywall 1600 Ceiling Grid 1710 Fire Sprinklers 1800 Emergency Egress Lighting 1829 Special Inspection 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appllance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas 2999 Final Mechanical 3500 Rough Plumbing 3810 Fixture Cap 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 8999 Final Fire Hold Downs Installed Bolts Installed in Concrete 1740 Fire Alarm Final 8610 Fire Sprinkler Rough 8690 Fire Sprinkler Final 8710 Fire Alarm System Test 8999 Final Fire Springfield Building Permit 10/25/201 12:04:37PM Page 5 of 6 S!.!~~N.:-..FIE~... ~tiJ ~.OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00389 IVR Number: 811158405062 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: 155 ued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/28/2010 EXPIRES: VALUE: 04/23/2011 $337,800.00 SITE ADDRESS: 3377 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004102 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: TI: 1,689 s.f. 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 Laws of the State or 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 S~fety. 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 times during construction. ow:2~~ature -. _10 ( /!-r;;(~ t Date Springfield Building Permit 10/25/201 12:04:37PM Page 6 of 6 ~~ Q i ~) , ~~ It :r.1! Ie ~ .. . .. .. . . . . . . . . . .. . .. . ... .. . ... . .. .. .. ... . . . . . . . . . ......... . .. .. .. . ~ 1~= ~ ~ ~ ~ ~ ~ i= ,~ fl~ il I ~ g ~ ~i ~I ~[& Ii: . I f i I~ tf f~~ i I I g ! i ~ 1~ ii ~~~ ~ ~ ~ r G ~ ~~ ~a [~~ ~ i f ~ ~ ~ i i~ Ii] ~f~ i i ~ f i i ft ii If llHl i ~ i ~ -g. ~ t sg oe: f 8.'" ("l ~. i .j ! g; :s !.. i[ ~~~ ~ ~ 6 ~ ; ~ ~ ~~ it ~~~ ~ ~ l ~ 1 g - o~ ~o !:5'~ i It i' i I: i i~ !.~ [~= i ~ 1 ~ i i i ~I !J ;i~ I ~ I ; lit ~. .~ ir~,,~ ~i ~ ~ f ( i Ii If ~ [~~ i E i i ~ S. ~ ~! jg '_ q~0 ~ ~ 5 I . r J l~ ~ ;11 i ~ I r f ~ ~ g 'Jf r ~J~ ~ I i ~ ~ I, 1 i ~J I :l _. a lr ; ~ ; ~ l!. ~ "0',&,, "'ill'lf it.:I" 'll !>' ~'Il.... i~1 it; j 1 I f II ~ fh: I ~ "Ii.> a. ~ ! ~~ ! ~a~ ~ ~ ~ g a - ~ (t!rfi. 5' t Ii 5 ::; I!!: :;~a =- ... Ii .. a .'% o~ ~ ~ i. Ii- R ~. g ~llif Ii "e: II Ii' 'g.g,lll g 5' f :v Sl...s 8. 1 r !" ' ~ s j .h~ ~ i ~. l~~ s li 5' ~~ ~ ~ a ~fi I ! f rU 8 ~ . .<Ui ! .. :.i'~m. ! f . . fir J ~ ~m i ~ ... . it ~ '8 :: ~d6 [, r ... . g n If '. , rl C"l "(lJ 51 "I'J.g ~ a n ~85"i:j5~, ~o~~~o ........ It -T1 ~ .:;:-u;p:s;\C'.g> -..l"'ol:i":!~ N= ft' en rf 5' Z;>:I.,~"~ il'T'~~!:?g, \0 w...... < Q.. "-J...,J -. \11 ~. ., 0 := o -1!t .. ~ ~ CD '" .; ~ g;- I:J C = o ~ ~ oj ~ o -;0 ~ a i B ~- rj g 9 ~ '" ~ o z o ... -< ~ .. .~-- , . g II 8 II i :l' gil' \') ~ ~l If ~ al~ ~... 8 it g ... 18' !i ~ u S! ~ II t.J. ~ ii 8~ j Jr' " g :l'n ~ - !, u 0 ~ ~ g ~ ... ;:: ~ n d l r' ~ "" iUl8 ~ !l".f( ; Ii Ii!' f.l : }. o ~ i\!l( Ii' Q g n' ::; nt'" il'~I> I - ....~l!:8"!l.g;S<' g; II:! n ~QO 0 hi~lr!r~'i""il-lf ;.0"""0...." ~!!dii_..,. rill [ Ill. ii . ~ 1" Q"'nli'l1i:'iB' ~ [l;!~~'~! I~.gll~ ~1~'I~llt 8 II' lJ 5' il' "r.~~'~ [[ Ils: !!.!!i .If ::2 it I la $< Ii C ~ ~ ~ i .. . ~ ~ n ~ O. 2l ~ ;a 11111111 I~I ~11115 ~ fr"'t"j:( !:iHrri ilHIH iiUfi ~w~ ~. , Ii Illl!~1 1:!nJI'i~I!lliB Ir_ll~ li!i i U nH I': ~h:~ ;tg l!~ ~-1~~ ! ~J!I ~u:f f !li'~U-I:):t1'181 ri~ I ~ 8.F'a~; [~~'. f ~.fR.l!<liil!. 8~" i ~ "" "" ~t~i~ I I a ~Brfg fif~i! o' ; ~. "~ :": g. ii~f ~. o;! J " i. U~III ! t ~ ~ "" .."" i r;-l.. ~ ~:!!:!! i i' -l"'! ...ll:ll:.! :""":- t:'" ":!~ TI~ ~ ":" - 1..,1... ... .. . . .. ... .. . ....... .. ..- . o .. . .. . ... ....... ... . .. . .. .. .. ... . .. ......... . .. ......... ... . .. .. .. . ... ~ 11 8 i ... ~ DEPARTMENT USE ONLY '8t! - 9'~?-8 ~ Permit no.: 3. Date: .cr - 7--:'2~ L.er This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Structural Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689 LOCAL GOVERNMENT APf>ROVAL This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: DYes D No CATEGORY OF CONSTRUCTION D Government Commercial Subdivision:~ Reference: Phone: State: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: Business name: Address: 3'0'3 City: Fb Phone: $~I.-SOI. E-mail: CCB license no.: Print name: ~''''E' State:OCL. Fax: Signature: . . ,'::: :':'SUB-CONTRP';CTOR:INFiORMA'fIOff:' Name Electrical Plumbing Mechanical CCB License Number Phon --- .:.-- - -'------.... (Nt"'(.: Le~ ~e-Q.."f>\"" ---------. SI.t/-334-b40'? .' ") -----~ ---- -=-----,--~-- =-----==-'"".--._- FEE SCHEDULE 1. Valuation information (a) Job description: 1 ~ p.I-J 1 I M 1"(2.l\l~(;: /1 (.~Ji Occupancy -e. Construction type: II -A Square feet: I C. ~'1 Cost per square foot: ~~O.o Other information: Type of Heat: . Energy Path: Dnew "ti(J alteration D addition (b) Foundation-only penn it? DYes 'iSlNo Total valuation: '. $ 31 ~ 80 O. .2. Building fees (a) Permit fee (use valuation table): $ (h) Investigative fee (equal to [2a]): $ _,._'u (c) Reinspection ($ per hour): , $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (el Subtotal of fees above (2a through 2d): $ 3..Plan.review fees $ 10 rroJ (a) Plari review (65% x permit fee [2a]): ~ (b) Fire and life safety (40% x pennit fee [2a]): $ (c) Subtotal of fees ahove (3a and 3h): $ 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ - " , .1 . ' . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR20 10-00389 3377 RIVERBEND DR CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield,or.us RECEIPT NO, 2010000656 RECORD NO, 811.SPR2010.00389 DATE,10/25/2010 'DESCRIPTIO"j!"'7.; .' . '" ';!iL:ii~.j ,. ','!i;";"'. '..:, '7'"';;:',''' . "'A'C"C' '0',. u. 'NT:CO"D"E'j"c',,:":,' ,'A,'MO. u, NT'D' 'u E' ;' ''k ..:'...~...i t __. _._._~___~._-"'L.___".__.:J.~_~~..~- . ,."",-Y~~",~""",--"-..................",,,..,~.... ." ~ .. ....'._ '". ,.. '.. ....~.~.h_.................._..........._..,. '"._. _. .............__, '''__n_''_ .._~ J sac: Total Sewer AdministrationFee 719.00000.426604 $29,40 - -~------- !Jechanical Permit fee (based on value of wo~kL-_._.. 224.00000.425604 $474.99 Fixture 224.00000-425603 $57.00 Water closet 224-00000-425603 $38.00 sac: Reimbursement Cost - Local Wastewater 442-00000.448024 $395.15 ~OC: Improvement Cost:.Local Wastewater 443-00000-448025 $19287 .~k/b~~in/la~,,~y" ,,,''''''''''_'_ 224-00000.425603 $5700, Building PermitE~~ 100-00000-425602 $1,677,41 !:ire,_,=!fe, Safety Plan Review 100-00000-425602 $670.96. ~tate 01 Ore90n ~~9.!:J120/~fJ!pplicable. fe~) 821-00000-215004 ,.....,.~__ $276.53 Tec.~nology fee (~l?"C.mit total) 1 00-00000,425605 .__'_.. $115,22. TOTAL DUE: $3,984.53 b~E&:fMEJlllk:'tAY.RE"'i!~I,e8YQBt,:,'i~HrER",rMAcHA66'?:,&QMMEi'lft$;r€,j,b;t.",;~,,:, ~,. i, ""28M9.lJf':lt~IQ ..,:;":';' ..g,,~ J Credit Card 08790c Lee Allan Kersh LA Kersh Architecture, Inc. $3,984,53 $3,984.53 www.cLspringfjeld.or.us TRANSACTION RECEIPT 811-SPR2010-00389 3377 RIVERBEND DR CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEIPT NO: 2010000416 RECORD NO: 811-SPR2010-00J89 DATE: 09/28/2010 li:ii::S:(::RI!,TIO~ ,:;"';;- "', "i? ;~!*1c:~".!U!:;J;;:::' ,,;,,' t.:f-'i, '~~~.:L~C;;.c:_O:UN;i:i.CQDE1"'t4:' "V; :-~~;M9j.fNLPJJJ~: f;':.'<~ : .'-'::.:! Structural Plan Review Fee Commercial 100-00000-425602 $1.090.32 TOTAL DUE: $1,090.32 t:J,.:PA,(MENT-T:,(pEI;;:~pA'(OR" "--C;A.SHIE~;KKiiu'MbN~i.I':<f0MMEI'!T$!\i,~i:.fr'-";'----';;-' -:;4.l: .;c.AM@J!NT l?.A.iD~::;:'-t : - - '.1 Credit Card 04545C Lee A Kersh TI: hospital $1,090.32 $1,090.32