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Home My WebLink AboutPermit Building 2005-8-4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00772 ISSUED: 08/04/2005 APPLIED: 06/21/2005 EXPIRES: 02/04/2006 VALUE: $ 65,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 860 BELTLINE RD ASSESSOR'S PARCEL NO.: 1703153000900 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration PROJECT DESCRIPTION: Relocate interior partition wall for Oregon Imaging Commercial Owner: Address: SYCAN B CORP 840 BEL TUNE RD STE 202 SPRINGFIELD OR 97477 Phone Number: 541-746-8444 Thp f,...IInwil1(l nrnipr.t PI" <1l/h,.,.,i',DrI h~~ th~ '~I'~"';nn Contractor Type General Electrical Contractor DORMAN CONSTRUCTION JB ELECTRIC (\~'7y'?QC':<::' K ;'J:,u> ~ '}',;c(;;'," EXPIRE IF THE WOK -. ,," nrD ",,IT c::.HALL_ ," c, UYf \111'-' . -" 1"'OER 1H\l...: r'ttilVIII Iv ,"v ., ,~""""1rClI 1\1 v I CONTRACTOR INFORMATIJ:)N 'tR IS ABAI\jOONED FOR l1U IV: :~IL.I"V ~~ ANY ':reitettls~ PERi&piration Date' 68801 08/31/2006 104929 03/14/2008 Phone 541-984-0012 541-687-5770 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: 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: VA n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFOiM.^~~5f:,j Oregon raw requires you to . . I, dopted by the ~ljJNmifP,ARKING NotifIcatIon Center. Those r ~~ Overlay Dist: in OAR 952-001-0010 th ~'~tii~ set forth # Street Trees R(g!l.;tO. You may obt' ro~g~lii~Qt).1. . am caples el.fthQJ:lIln b Paved Drive Rqd:calling the ce t (N ~mplloowS y % of Lot Covera~e: b f n er. ote: the telephone .urn er or th~ Oregon Utility Notification Center IS 1-8nn-~~?_.,~" "). I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of3 .. Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2005-00772 ISSUED: 08/04/2005 APPLIED: 06/21/2005 EXPIRES: 02/04/2006 VALUE: $ 65,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 65,000.00 Value Date Calculated Total Value of Project $65,000.00 $65,000.00 07/14/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $120.51 6/21/05 1200500000000000882 + 10% Administrative Fee $6.40 7/25/05 2200500000000000975 + 7% State Surcharge $4.48 7/25/05 2200500000000000975 Add, Alter, Extend Circ $43.00 7/25/05 2200500000000000975 Add, Alter, Extend Circ Ea Add $21.00 7/25/05 2200500000000000975 -Mechanical Issuance Fee- $10.00 8/4/05 2200500000000001046 + 10% Administrative Fee $47.42 8/4/05 2200500000000001046 + 7% State Surcharge $33.19 8/4/05 2200500000000001046 Building Permit $429.15 8/4/05 2200500000000001046 Miscellaneous Mechanical $45.00 8/4/05 2200500000000001046 Plan Review Comm/Ind/Public $158.44 8/4/05 2200500000000001046 Plan Review Fire & Life Safety $171.66 8/4/05 2200500000000001046 Total Amount Paid $1,090.25 I Plan Reviews I Fire Department Review 06/22/2005 07/14/2005 OK GRG Plan Review: remodel for replacement of CT scan. Job #COM2005-00772. Maintain fire extinguishers with a minimum rating of 2-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 (2004 Springfield Fire Code 906). Initial Review Planninl! Review 06/22/2005 06/22/2005 06/22/2005 06/24/2005 APP LLH APP EMM Interior only. No planning reveiw required. No new s.f., No new utilities, No SDCs Public Works Review 06/22/2005 06/29/2005 APP SB Pal!e 2 of 3 '. _~eRU"'(';iI!llI:q;l".Q; '1.. ~i el Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00772 ISSUED: 08/04/2005 APPLIED: 06/21/2005 EXPIRES: 02/04/2006 VALUE: $ 65,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 06/22/2005 06/26/2005 OK TCM JMP left message for Lee Kersh requesting plans and energy code forms for SUB's review and approval and a verification of the value from the contractor. Received requested drawings and forwarded to Jack Foster. Received valuation from Lee Kersh. Project qualifies for energy code 13131.2.2.4 exemption. No inspections required. Structural Review 06/30/2005 06/30/2005 10 JMP Structural Review SUB Review 07/14/2005 06/22/2005 07/14/2005 07/13/2005 APP APP JMP JF 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. L-Reouired Insoections . Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Ceiling Grid: After drywall approval but prior to cover. 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. 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. 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 ofany 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 ti~7ZS;~ _ g-4.0S Owner or Contractors Signature Date Pae:e 3 of 3 ATTACHMENT A JOURNAL OR JOB NUMBER: C~~~~~~~;;~LD SYSTEMS DEVELOPMENT CHARGI NAME OR COMPANY: Oregon Imaging LOCATION: 860 Beltline Rd MAP & TAX LOT NUMBER: 17 03 15 30 00900 DEVELOPMENT TYPE: Interior wall removal NEW DEVELOPED AREA (ST): EXISTING DEVELOPED AREA (ST): TOTAL IMPERVIOUS SURFACE (ST): XSHEET ITE: ITE: LOT SIZE (ST): L STORM DRAINAGE IMPERVIOUS SQ, FT. 0 $ 0.310 PER SF x TOTAL STORM DRAINAGE SDC:l 2, SANITARY SEWER-CITY A, REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) o x $ 24,04 PER DFU x $ ] 8.28 PER DFU o TOTAL LOCAL SAN-SEWER SDC:' $ I $ 3, TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0,000 x 0 x $ ]8.30 PER TRIP x 0 NTF 1$ B. IMPROVEMENT COST: 0,000 x 0 x $ 80,72 PER TRIP x 0 NTF 1$ EXISTING A. REIMBURSEMENT COST: 0,000 x 0 x $ ]8.30 PER TRIP x 0 NTF 1$ B. IMPROVEMENT COST: 0,000 x 0 x $ 80,72 PER TRIP x 0 NTF 1$ TOTAL TRANSPORTATION REIMBURSEMENT SDC: $ TOTAL TRANSPORTATION IMPROVEMENT SDC: $ TRANSPORTATION SDC:' $ I $ <t, SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,000 B. ]MPROVEMENT COST: NUMBER OF FEU's 0,000 x $0,00 PER FEU 1$ 1$ x $0,00 PER FEU EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's B, IMPROVEMENT COST: NUMBER OF FEU's $0,00 PER FEU 1$ 0,000 x $0,00 PER FEU 1$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) I INDUSTRlAL STRENGTH INCREASE . $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ , $ I 0,000 x TOTALMWMC SDC:' $ SUBTOTAL (ADD ITEMS 1,2,3, & 4) , $ 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ x 5% $ TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SEWER ADMINISTRATION FEE: #DIV/O! #DIV/O! steveV\, W. f;eCludr1::j f;ClrV\,es ~b~ Imaging, 860 Bellline,xls I NONE 6/29/2005 DATE TOTAL SDC CHARGES 1 JULY 2004 225 ,Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00772 COM2005-00772 COM2005-00772 COM2005-00772 COM2005-00772 COM2005-00772 COM2005-00772 Payments: Type of Payment Check I CreditCard Job/Journal Number COM2005-00772 COM2005-00772 COM2005-00772 COM2005-00772 \ COM2005-00772 COM2005-00772 COM2005-00772 Payments: T:ype of Payment CJ1eck - 'I CreditCard 8/4/2005 "ity of Springfield Official Receipt /evelopment Services Department Public Works Department RECEIPT #: 2200500000000001046 Date: 08/04/2005 Description Miscellaneous Mechanical -Mechanical Issuance Fee- Plan Review Comm/Ind/Public Building Permit + 7% State Surcharge + 10% Administrative Fee Plan Review Fire & Life Safety Paid By DORMAN CONSTRUCTION INC ROBERT BUSS Received By ddk ddk Description Miscellaneous Mechanical -Mechanical Issuance Fee- Plan Review Comm/Ind/Public Building Permit + 7% State Surcharge + 10% Administrative Fee Plan Review Fire & Life Safety Paid By DORMAN CONSTRUCTION INC ROBERT BUSS Received By ddk ddk Page 1 of I Item Total: Check Number Authorization Batch Number Number How Received 169362 In Person 155537 In Person Payment Total: Item Total: Check Number Authorization Batch Number Number How Received 169362 In Person 155537 In Person Payment Total: 9:S3:22AM Amount Due 45.00 10.00 158.44 429.15 33.19 47.42 171.66 $894.86 Amount Paid $874.86 $20.00 $894.86 Amount Due 45.00 10.00 158.44 429.15 33.19 47.42 171.66 $894.86 Amount Paid $874.86 $20.00 $894.86