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HomeMy WebLinkAboutPermit Building 2001-8-3 ~- 225 North Fifth Street Springfield, OR 97477 fl- Job# 01-00682-01 Page 1 of 3 TRANS#:Ol-0006345 DA TE ~ AUG 0:3 2001 AMT REeD:2 '$ 1479~63 CHAt\rGE ~ C~1SHIER ~ 061 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00682-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 860 Beltline Rd Spr Assessors Map#: 17031500 Lot: Block: Addition: Owner: Address: Tax Lot #: 02400 Subdivision: Oregon Imaging Center 860 Beltline Road Phone Number: City/State/Zip: Remodel Springfield, OR Value: $250,000 Scope Of Work: Tenant Infill Contractor Type Architect General Contr Electrical Contr Mechanical Contr Slab Framing Drywall Final Fire Final Building MRI Facility Contractor L A. Kirsh Architecture Inc 1209 Pearl Street Suite B, Eugene, OR 97401 Dorman Construction Inc 32986 Roberts Ct, COburg, OR 97408-9495 L H Morris Electric Inc 483 Shelley St, Springfield, OR 97477-1966 Hatten/Johnson Associates 223 West 12th Avenue, Eugene, OR 97401 Registration # Expiration Date Phone 541-334-6408 A""~^,"'I . 68801 tv fO//owrl}/39J'ZOD2:Jn 541-984-0012 Otific . les ad, . c~on fa in 0 atlon C OPted b W reqUi 009i~ 95<_00e1nter. "'hos~ the O.regreOs You to , rou -n"1 e ru/,- n IJ,"" 1838 ca/Ii lfi3j&j~g5 0 thrOU c5'4i1rJ47-0Sty1 nUrn ng the Ce tain Co . Yh OAR Set fOrth berforthe nter. (Not'P!esOfthe 95<-001_ Cent OregO e, the t I rUles b Sr is 1-80017 Utility tv f5~~1!8j}9d871l8 , -33<_<:~ otiflcat' 1.)44), IOn Underground Plumbing Rough Plumbing Final Plumbing I Job# 01-00682-01 I . Required Inspections ,I Plumbing - Prior to filling the trench. - Prior to cover. - When all plumbing work is complete. Mechanical Page 2 of 3 Rough Mechanical Final Mechanical - Prior to cover. - When all mechanical work is complete. Zoning: FloodPlain? D Wetlands? D Journal numbers Overlay District: # of Street Trees: Land Use: Other Medical & Health S\ Pave Driveway? D 1 : Comments: 2: 3: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Flood Plain FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does hot apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plan Check 07/05/2001 6063 Value/Quantity Fee Amount Commercial Plan Check Total Plan Check 250,000 $500.83 $500.83 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 08/03/2001 6345 08/03/2001 6345 08/03/2001 6345 250,000 $770.50 $53.94 $23.12 $847.56 Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 08/03/2001 6345 08/03/2001 6345 08/03/2001 6345 08/03/2001 6345 2 17 $100:00 $34.00 $9.38 $4.02 $147.40 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Plumbing 08/03/2001 6345 08/03/2001 6345 08/03/2001 6345 5 $.00 $50.00 $3.50 Job# 01-00682-01 I Page 3 of 3 .~ Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing' Administrative Fee - Plumbing 08/03/2001 6345 $1.50 Total Plumbing $55.00 I I Mechanical Minimum Mechanical Permit 08/03/2001 6345 $.00 Administrative Fee - Mechanical 08/03/2001 6345 $.68 Less than 100,000 BTU 08/03/2001 6345 2 $12.00 Vent Fan to One Duct 08/03/2001 6345 1 $3.00 More than 100,000 BTU 08/03/2001 6345 1 $7.50 Mechanical Issuance 08/03/2001 6345 $10.00 State Surcharge - Mechanical 08/03/2001 6345 $1.58 Total Mechanical $34.76 System Development SDC Administrative Fee 08/03/2001 6345 $18.81 Sanitary Sewer SDC Reimbursement 08/03/2001 6345 10 $213.70 Sanitary Sewer SDC Improvement 08/03/2001 6345 10 $162.40 Total System Development $394.91 Grand Total $1,980.46 Plan Check Type Checked By I Date Completed Comment Initial Review-CIIIP Lisa Hopper Pam Ownby Tom Marx 07/09/2001 07/18/2001 07/11/2001 07/17/2001 Tenant Infill- remodel- Addition of MRI machine with office remodel - affected area 1000 sq ft - Type 5-1 hr, Group B, Engineering-CIIIP Structural-C/I/P Fire Marshal-CIIIP AI Gerard -Duct detectors in HV AC units shall be monitored -Ensure maximum travel distance to a fire I extinguisher does not exceed 75' By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true ctnd correct, and I further certify that any and all work performed shall be done in accordance with the IOrdinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I furt~er agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, that the permit card is located at the front of the property, and the aRproved set of plans will remain on the site at all times ?~~ r ~-]-()/ , Signature Date