HomeMy WebLinkAboutPermit Building 2001-8-3
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225 North Fifth Street
Springfield, OR 97477
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Job# 01-00682-01
Page 1 of 3
TRANS#:Ol-0006345
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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
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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