The URL can be used to link to this page

Home My WebLink AboutPermit Building 2004-6-23 (2) . . CITY OF ~rK11~lJJ<mLD Building/Combination Permit PERMIT NO: COM2003-01224 ISSUED: 06/23/2004 APPLIED: 12/08/2003 EXPIRES: 12/23/2004 VALUE: $ 611,268.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2510 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220002702 Springfield TYPE OF WORK:. Office TYPE OF USE: New Commercial PROJECT DESCRIPTION: Willamette Dental Owner: SKOURTES EUGENE C Address: 14025 SW FARMINGTON RD BEAVERTON OR 97005 Phone Number: 503-644-6444 I CONTRACTvn.u;rv"".tATION I Contractor MCINTYRE CONSTRUCTION W ATERLEAF ARCHITECT~ " MCINTYRE CONSTR!{~iO l\Ie 3550 10/08/2007 JB ELECTRIC . x.. ~ .,,\\ ,S 104929 03/14/2008 COMFORT ~'f9~~\"'\) ~\)~ 460 06/27/2005 TUCKER~~~ 109801 11/07/2004 <,\'~u~'ilf.~l'JMi>T,tr'(;l CO 109801 .\.1/07/2004 ~"v ~,,\\\ NSUl (iNi.~' ~~ ~ _ O'y~.E", ..~ _~ _~o .~,,~ .. '\~~~'(.\)~~~"~~-l.-~~W"" , BUILDING INFORMATION I 0o..s.\~~O~ ~0\."'~~~V \>1 ~~ ~ \)'f. \?;~ ~ 00\0 '11-0 b'l: s 'Q'\ # of Units: "'\),, \'0 # of Stories: ~o~ 'Q'\"S' J.e?O~~~: 0 Primary Occupancy Gr&~: B Height of Structri\0 ~00 CiO:ii~'(\ [\'li''Ft!3s'i'<t<lgfu': Secondary Occupancy Group: Type of He"l;.\O~'?;oO~ ~.'\~ .;s.\0'\.0? Oii~~J\~loor: Primary Construction Type VN Water~ ~0'iJ ve~\.0s;)~'~.~c.O~~e.~~~ement: Secondary Construction Type: Rang~~ ~ O~ s;)~V '$:J\.'IY ~O \)\Sq ~re~rage/Carport # of Bedrooms: Energy.1>)l~~'Il' 9';W ~?;'\ 0 10\.0\' 0~O~ #Ft Other: sprin~~iffin~ 0 (,0 ilia !o~~ Occupant Load: .^ ^ ""\: \~ ,,'('\ _\. ."'~ "'~.H I DEVELOPMENNN}l(')RMATIeN'1 ~~\' - Contractor Type Applicant Architect General Electrical Mechanical Medical Gas Plumbing Sewer License Expiration Date Phone 503-228-7571 541-687-2841 541-687-5770 541-726-0100 541-343-8008 541-343-8008 541-933-1020 6,120 9,760.00 REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer A vailahle: Special Instruction: Fullv Improved Yes Sidewalk Type: Downspoutsillrains: Curbside 5' To Storm Sewer Notes: Paee 1 of6 -11::'. .... ~"" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Medical Offices Pavine VN Use Bid Amount Fee Description Plan Review CommlInd/Public Plan Review Fire & Life Safety' + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Annexed 1996 Backnow Device Building Permit Fixture Furnace - up to 100,000 htu Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Paving Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 401 to 600 amps Plan Review CommlInd/Public Plan Review Fire & Life Safety Planning Final Occy Inspection Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area . I Valuation Descriotion I $ Per Sq Ft or multiplier $85.30 $1.00 Square Footage or Bid Amount 6,111.00 90,000.00 Total Value of Project Fpps. PiilLI Amount Paid $1,259.15 $774.86 $5.00 $3.50 $50.00 $10.00 $394.18 $239.06 $186.00 $-139.83 $28.00 $1,937.15 $518.00 $72.00 $4.00 $2.00 $72.00 $526.65 $126.00 $125.00 $190.12 $117.00 $118.00 $45.00 $1,221.91 $1,607.44 $42.00 $10.00 $1,498.37 $2,200.62 $470.55 $997.47 $ I 4,285.95 $3,238.35 $5,437.50 Date Paid 12/8/03 12/8/03 2/27/04 2/27/04 2/27/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 Paee 2 of6 . UJ i' OJ< ~rKJNGFIELD Building/Combination Permit PERMIT NO: COM2003-01224 ISSUED: 06/23/2004 APPLIED: 12/08/2003 EXPIRES: 12/23/2004 VALUE: $ 611,268.00 Value Date Calculated $521,268.30 $90,000.00 $611,268.30 12/08/2003 03/30/2004 Receipt Numher 2200200000000001847 2200200000000001847 1200400000000000250 1200400000000000250 1200400000000000250 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 ~tatus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Vent Fan Water Line - 1st 50 Feet Water Line - Each Addtll00' Inspections - Investig. Plumh + 10% Administrative Fee + 7% State Surcharge Medical Gas Base Fee Medical Gas Each Inlet/Outlet Medical Gas Plan Review Total Amount Paid Fire Department Review Fire Department Review Initial Review Medical Gas Plan Review Medical Gas Plan Review Planninl! Review Public Works Review Revised Plan Review - Fir Revised Pian Review - Pia Revised Plan Review - Pu Revised Plan Review - Str . 12/1112003 04/21/2004 12/1112003 04/09/2004 12/1112003 12/1112003 12/24/2003 12/24/2003 12/24/2003 12/24/2003 $45.00 $98.00 $42.00 $45.00 $28.00 $45.00 $48.40 $33.88 $219.00 $265.00 $145.20 $38,687.48 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/16/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 I Plan Reviews I 03/02/2004 OK 04/21/2004 OK 12/11/2003 04/14/2004 06/22/2004 03/12/2004 03/02/2004 03/18/2004 03/1212004 12/24/2003 APP RJB WE SKG OK SKG WE APP SB OK GRG APP EMM APP SB APP JMP Pal!e 3 of6 . CITY OF SPRI1~lJJ<1J',LD Building/Combination Permit PERMIT NO: COM2003-01224 ISSUED: 06/23/2004 APPLIED: 12/08/2003 EXPIRES: 12/23/2004 VALUE: $ 611,268.00 GRG GRG 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 2200400000000000331 1200400000000000495 1200400000000000965 1200400000000000965 1200400000000000965 1200400000000000965 1200400000000000965 See attached comments. Pian Review: Medical Gas suhmittal. Joh #COM2003-1224. Plan comments supplemental to Steve Graham's comments. Owner/occupant shall register with Springfield Fire Marshal's Office for hazardous materials program if total medical gas stored on premises exceeds 1500 cuhic feet (Springfield Uniform Fire Code Table 800t.15-A and Oregon Structural Specialty Code Tahle 3-D). Faxed plan review comments to contractor see attached document Needs to suhmit final site plan and then sign Development Agreement. Planner is Linda Pauly. Revised Plan Review: Wiiiamette Dental Clinic. Job #COM2003-01224. Occupancy Classification: B. Construction Type: V -N, non-sprinklered. 6,111 square feet. No change in plan review comments from 1/29/04 Easements need to be signed and recorded before occupancy issuance. JB Electric drawings El and E2. . . . CITY OF ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2003-01224 ISSUED: 06/23/2004 APPLIED: 12/08/2003 EXPIRES: 12/23/2004 VALUE: $ 611,268.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review 12/11/2003 12/19/2003 WE JF SUB Review 02/25/2004 03/17/2004 APP JF 12/19/2003 JMP called Dick Aanderud and requested all necessary code forms for Building Envelope, HV AC, and Lighting systems. 1/212004 JF requested from electrical contractor new code forms to comply with 10/03 changes in Chapter 13. Contractor to supply updated forms ASAP. 1/14/04 Pass lighting system review only. 1/20/2004 updated Aanderud on need for Building envelope and HV AC forms. Received energy code forms and Drawings Ml, M2, and PI. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. , Rpmlil;r'~ Tn.n"e,r~ Site Tnspection: To be made after excavation hut prior to setting forms. Erosion/Grading Inspection: After all erosion measures are in place. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Backt10w Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Rough Medical Gas: Prior to cover and including required testing. Final Medical Gas: When all medical gas work is complete and certificate is provided to inspector from verifier. . Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Concrete Slab: Prior to and following pour. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Plumbing: Following City Rough Plumhing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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 Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Pal!e 5 of6 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Ll1:r' OF ~rKll~lJJ<IELD Building/Combination Permit PERMIT NO: COM2003-01224 ISSUED: 06/23/2004 APPLIED: 12/08/2003 EXPIRES: 12/23/2004 VALUE: $ 611,268.00 Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Bolts Installed in Concrete: To he done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of 2500 psi. To he done during construction by a State Certified Inspector. Provide results to City Buiding Inspector RoofSheathinglNailing: 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. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have heen requested and approved and the huilding is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Underslab Plumbing: Prior to ftlling 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. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. 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 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 furthe~c rtl1N that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furthe gre{ to ensure that II required inspections are requested at the proper time, that each address is readable from the street,J at e p . c rd i ocated at the front of the property, and the approved set of plans will remain on the site at all times au ~g co c . / =-- dwner or Contractors Signature Paee 6 of6 c.. - z ~ - Ot( Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2003-0 1224 COM2003-0 1224 COM2003-0 1224 COM2003-0 1224 COM2003-0 1224 Payments: Type or Payment CreditCard 6/23/2004 RECEIPT #: ~~ Wt:- . ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000000965 Description Medical Gas Base Fee Medical Gas Each Inlet/Outlet Medical Gas Plan Review + 7% Slate Surcharge + 10% Administrative Fee Paid By RONALD R KREUTZ Received By jmp Page I of I Date: 06/23/2004 Item Total: Check Number Authorization Batch Number Number How Received 000418 023646 In Person Payment Total: 2:IO:38PM Amount Due 219.00 265.00 145.20 33.88 48.40 $711.48 Amount Paid $711.48 $711.48