HomeMy WebLinkAboutPermit Building 2007-8-14
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 07/24/2007
EXPIRES: 02/14/2008
VALUE: $ 180,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 123 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703154001100
Springfield
TYPE OF WORK: Interior
PROJECT DESCRIPTION: Sector F Mens and Womens restrooms
TYPE OF USE: Alteration
Commercial
Owner: PEACEHEALTH
Address: 123 INTERNATIONAL WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
JOHN HYLAND CONSTRUCTION INC 46071
OREGON ELECTRIC CONSTRUCTION INC 203
FM SHEET METAL INC 89710
TWIN RIVERS PLUMBING INC 17695
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: B Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: RRe. \lO
# of Bedrooms: . regon ,_ reI'A Ul\tt
A".EtmONad. 0 "",ted by the QJA _otttmng: n/a
1"'\8'11 ~"AIl VI'" _~r~M4.
Not\ficat\On ~~~.oo1J;~ ~RMA TION I
in oAR 952 btal<< cu"'... Ian
0090 'tou may 0 {Note: the~te'..1'"
cal\\ng the center. on U\ft\\'# :
number tor the O~~ge !frees Rqd:
center \8 Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-686-3828
Expiration Date
07/11/2008
07/01/2008
03/15/2009
03/11/2008
Phone
541- 726-8081
503-234-9900
541- 726-3000
541-688-1444
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE: EXPtRE IF THE WORK
~~~~~:~ ~:~ T"H!~!~=: ~S:Ot
COMMENCED OR IS !\DI\IW
ANY 180 DAY PERIOD. .
Notes:
Paee 1 of 4
~.sS?AIJNGIf,16"O ,.1/,\. ,"Il:/ilt. ;4t'
],
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Status
Issued
225 Fifth Street, Springfield, OR
,541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Comm/Ind/Public
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Mechanical
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
180,000.00
Total Value of Project
~
Amount Paid
Date Paid
$591.01
$40.00
$118.32
$59.16
$94.66
$909.24
$224.00
$50.00
$363.70
$836.57
$1,100.17
$96.84
7/24/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
8/14/07
$4,483.67
I Plan Reviews I
Pae:e 2 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 07/24/2007
EXPIRES: 02/14/2008
VALUE: $ 180,000.00
Value
Date Calculated
$180,000.00
$180,000.00
07/24/2007
Receipt Number
1200700000000000955
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
1200700000000001039
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
08/02/2007
Initial Review
Public Works Review
Structural Review
07/26/2007
08/01/2007
07/26/2007
08/02/2007
07/26/2007
08/01/2007
08/10/2007
OK
APP
APP
APP
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 07/24/2007
EXPIRES: 02/14/2008
VALUE: $ 180,000.00
GRG
Plans Review: Remodel of former
break room on 1st floor to enlarged
restrooms. Job #COM2007-01093.
Occupancy Classification: B.
Construction Type: II-B
sprinklered. 760 sq. ft.
1. Provide fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher's) shall be
between 3 and 5 feet above finished
floor (2007 Springfield Fire Code
906).
2. If more than 20 sprinkler heads
are added or require relocation,
submit sprinkler plans and
calculations to the City of
Springfield Development Services
Division Building Permit Technician
for Springfield Fire Marshal's OffiCE
review and approval. If less than 20
sprinkler heads are relocated,
provided submittal showing
relocation of sprinkler heads and
ensure system maintains compliance
with NFPA 13 requirements.
3. Fire alarm system changes and
relocations shown on Plans Sheets
E4.1 and E4.2. Additional devices
appear to be required for Areas B
and C to meet NFP A 72 standards.
Subcontractor shall contact Deputy
Fire Marshal Gilbert Gordon,
541-726-2293 for testing and
approval.
LLH
JHJ
DJP
Attached SDC Worksheet. (JHJ)
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.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01093
ISSUED: 08/14/2007
APPLIED: 07/24/2007
EXPIRES: 02/14/2008
VALUE: $ 180,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insoections I
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing I,nspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
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.
, 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 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
timesd"l?f"~ti:~ ~/t- J/~Io 1-
Owner or c~:~:1 Sig~ature Date
Pa2e 4 of 4
225 Fifth, Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
COM2007-01093
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001039
Date: 08/14/2007
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin'
Plan Review Fire & Life Safety
Building Permit
Fixture
Minimum! Adjustment Mechanical
-Mech Iss 2+ Appliances-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PHILIP FARRINGTON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 060220 In Person
Payment Total:
Page I of I
1:36:11PM
Amount Due
1,100,17
836.57
96,84
363.70
909.24
224.00
50.00
40,00
59.16
94.66
118.32
$3,892.66
Amount Paid
$3,892.66
$3,892.66
8/14/2007