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Home My WebLink AboutPermit Building 2008-4-22 1.; (}. ~ ~. l ;! f\~p~tI IF \"~/07 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 10/21/2008 VALUE: $ 29,769,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3355 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Medical Office TYPE OF USE: New Commercial PROJECT DESCRIPTION: Northwest Specialty Clinic Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing Contractor ROLAND UDENZE THE HASKELL CO A FLORIDA CORP CHRISTENSON ELECTRIC INC TTC COMMUNICATIONS INC FM SHEET METAL INC TWIN RIVERS PLUMBING INC License Expiration Date 147733 458 164114 89710 17695 05/11/2009 05/01/2009 04/11/2009 03/1512009 03/11/2009 Phone 904-791-4801 904-791-4674 541-688-6121 541-689-2650 541- 726-3000 541-688-1444 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ATTENTION. Oregon lflw requires you to fnllow rlJlp.<:: ::Jr!()ntAr! h\l 1 hA nrArll"ln IltJlJh, NOTICE: PUBLIC IMPROVE~'lon Center. Those rules are setforth IW$ fi>.~IM~IT SHALL EXPIRE IF . 52-00!-0010 through OAR 952-001- Street ImAUTHORIZED UNDER THIS PERMIT IS NOT 0090., You m~~~ 'E~~s of the rules by Storm Sewer. A vailabIe.:.. calling the rl=mt~bJ~~):t~s.!~lephone S 'I I l/yfmttl\J\.;tU OR IS ABANDONED FOR number for ffie Oregon'OtlITWNotiflcation peCIa ns~r..(cllfWD/W PERIOD. Center is 1-800-332-2344). Notes: Pal!e 1 of 5 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 + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Deposit Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Return - Deposit + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 1000 amps/volts Perm ServlFdr 200 amps or less Perm ServlFdr 201 to 400 amps Perm ServlFdr 401 to 600 amps Perm ServlFdr 601 to 999 amps Temp Power 200 amps or less -Mechanical Issuance Fee- CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 10/21/2008 VALUE: $ 29,769,000.00 I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 29,769,000.00 Value Date Calculated Total Value of Project $29,769,000.00 $29,769,000.00 06/19/2007 ~ Amount Paid Date Paid Receipt Number $2,268.92 $9,698.99 $4,849.50 $7,759.19 $96,989.90 $25,715.32 $60,930.94 $38,795.96 $10,201. 75 $13,418.47 $10.00 $122,046.85 $122,046.85 $1,812.30 $33,226.08 $353,019.54 $80,024.23 $5.00 $2.50 $4.00 $50.00 $-25,715.32 $10.00 $871.60 $5.00 $435.80 $8.00 $697.28 $3,225.00 $375.00 $1,953.00 $1,875.00 $1,125.00 $163.00 $100.00 $10.00 4/2/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 7/9/07 7/9/07 7/9/07 7/9/07 7/16/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 11/21/07 2200700000000000472 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 2200700000000001095 2200700000000001095 2200700000000001095 2200700000000001095 VOUCHER#121092 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001430 Pal!e 2 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit 10,000 & Ovr Appliance Not Listed Backflow Device Boiler/Comm 30-50 HP Boiler/Comp 3-15 HP Exhaust Hoods Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Plan Review Mechanical (25%) Plan Review Plumbing (30%) Sewage Ejector Pump Trap or Waste not Conn to Fixt + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 201 - 400 amps SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid Public Works Review Plan Review Comments $645.80 $322.90 $516.64 $75.00 $720.00 $14.00 $44.00 $22.00 $99.00 $3,304.00 $120.00 $1,836.00 $729.00 $1,062.60 $14.00 $210.00 $7.60 $9.12 $3.80 $76.00 $-185,823.12 $-42,123.31 $-11,397.32 $5.00 $6.00 $2.50 $50.00 $738,565.86 I Plan Reviews I 06/27/2007 06/14/2007 06/29/2007 06/29/2007 Pae:e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 10/21/2008 VALUE: $ 29,769,000.00 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 1/31/08 1/31/08 1/31/08 1/31/08 4/17/08 4/17/08 4/17/08 4/21/08 4/21/08 4/21/08 4/21/08 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200800000000000090 1200800000000000090 1200800000000000090 1200800000000000090 VOUCHER#00132313 VOUCHER#00132313 VOUCHER#00132313 1200800000000000385 1200800000000000385 1200800000000000385 1200800000000000385 APP JLP Entered SDC fees based on DFU cales in memo provided by CLAIR dated 6/8/07 as directed by Ken. JLF 10 LLH Check dated 6/26/2007 from Haskell exceeded the current amount due on the project. I have requested the amount placed in the deposit account today (6/29/07) $25,715.32 be returned to the payee as soon as possible. Information forwarded to Kaye Wilson. IIh CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 10/21/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~eouiredJnsnections I Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Electric Service: Approval required prior to utility company energizing service. Low Voltage: Prior to cover. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Roof Sheathing/Nailing: Before covering sheathing with finish material. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City BuIlding Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. Final Fire Department. After all requirements of the Fire Department have been met. Pal!e 4 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 10/21/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. 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. 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 Mechanical: Prior to Cover 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 times during construction. Owner or Contractors Signature Date Page 5 of 5 City of Springfield Electrical Authorization To Begin Work E-mailedTo:deborah.perdew@christenson.com Receipt # EC529053 4/21/200811:04:36AM Check on status of permit By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us ", ,""'11 (1)l,)iill/l(" 'TYPE OF WORK '" ' "" I ~, [X] New construction D AdditIOn/alteratIOn/replacement ,'~ 'I~ 0.-'"0"" 'J0~l'i 11(11""'" " " I ~ "P~"fP~<<pl,:!W';,:IP+:!'+,CA1:EGORY,OF CONSTRUCTION <I %, ,'~111"1,1~, 'h'III'8h~,'11"<'I"lii'1p~~ D I or 2 family dwellmg D Multi-famIly [X] Commercial / Industnal If ,'I ,. I j , ,1<< 11'11<<11 <>IIi 'I 1'(, I P'_""',-/i~gf:t~I:rE I~~ORMATION 'ANDL.:OCATION, Job no 40063 I Job address: 3355 RIVERBEND DR I City/State/ZIP SPRINGFIELD, OR 97477 I SUlte/bldg /apt.no.: I Project name. NW SPECIALTY Cross street/dIrectIons to Job site: I SubdIVISIOn: I Lot no.. I Tax map/parcel no.: 1703220000902 I :, DESCR!r:TIQf'! O~ WORK LOW VOLTAGE SYSTEM - HVAC CONTROL WIRING I"!, I I Name' JOSEPH GOAD Phone: (541) 221-6037 EmaJl: ,,' SITE CONTACT 'I" ,'I, I" IFax: ~ '" ,k'~ CQNT~~:r9~, . lEI. hc. no.: 26-34C I CCB hc. no.: BUSIness Name: CHRISTENSON ELECTRIC INC 458 Contact: Deborah Perdew IAddress. I I I SW COLUMBIA SUITE 480 I City/State/ZIP. PORTLAND OR 97201 I Phone: (541)6886121 I Fax (541)6886528 I EmaJl: deborah perdew@chnstenson com I Metro hc. no.: I City hc. no.: I SupervIsIng electncIan's hc. no' 4079S I SupervIsIng electncIan's name: PAUL E HORVATH Upon review and approval by your local jUnSdlctlon, your permIt WIll be e-malled or faxed WIthIn one bUSIness day, With Instructions on how to schedule your Inspection NOTE ThIS Authonzatlon To BegIn Work expires WithIn 180 days If a permIt IS not obtaIned The local bUIldIng department may determIne that an Authonzatlon To BegIn Work IS null and VOId If It does not meet applIcable land use laws and local ordInances >>1'" 'i,", ','"' ,It 'Iii '\ ~\ " I' :' fEE ~CH~I?,Uq:'" I DescnptlOn I Qty. I Ea. I Total Residential SrNGLE-,Olhnulti-family'dwelling unit,'Includes attached garage ", , ":';':,II\;:r/~>J/: / /< c 11,000 sq ft or less I Ea addl 500 sq ft or portion rGm;tedEn~rgy "' I-Limited energy, reSidentIal (With above sq ft) I-Limited energy, multifamily reSidential (With above sq ft) I-Limited energy, commerCial (With above sq ft) I - Stand-alone limited energy, reSidential I - Stand-alone limited energy, multi-family - Stand-alone limited energy, commerCial Services OR feeders Installation, a1ter~hon;'AND/OR relocation , , " , I I I I I I '" ~ ' > ,!; $50 00 $5000 200 amps or less 201 amps to 400 amps 40 I amps to 599 amps TEMPORARY services OR feeders Installation, alteratIOn, p~D/6ihelocatfon ' '" '"',/"",,, '" * \' " ',',' "I' <<", hi 1200 amps or less 120 I amps to 400 amps 140 I amps to 599 amps Branch cirCUits - NEW, alter'atlOn'; OR extension, per panel w'I'11 ,\<I ' A Fee for branch CircUits With service or feeder fee, each branch Circuit B Fee for branch CirCUits Without service or feeder fee, first branch Circuit, I each addl branch circuIt I Misceilaric!lus ' 1IA, 11 I Service reconnect only I Each manufactured or modular dwellIng. service and/or feeder I Pump or IrrigatIOn Circle I Sign or outlIne lightIng Signal clrcult(s) or IImlted- not offered online at thiS JunsdlctlOn energy panel, alteratIOn, or extensIOn 1,111'111!'11' I, I " I I I L.._,,-, TO.IAL..fERMlIFEE I $63 50 . * City Of Spnl)g(iili, d /9~ ~cal AdmIn Fee, 5% Local Technology Fee COM: r.J (')h., - '()( Jr" '1 RCPT#" \~(J/]O- Y6 bJ" fl~ - ELECTRICAL PERMIT FEES Subtotal I State Surcharge (12% of permit fee) City Of Spnngfield fees * I $5000 I $600 $750 PROCESSED BY: ' placed" o'y a Permit ThiS AuthOrization To Begin Work must be posted at me JOD City of Springfield Electrical Authorization To Begin Work E-mailedTo:deborah.perdew@christenson.com Receipt # EC529053 4/21/2008 ]]:04:36 AM Check on status of permit By Phone: (541)726-3753 or EmaIl: permitcenter@cLspringfield.or.us :11., : ' ~ " . '~'<hTYPE OF WORKf"j:::\fr 'i "r "t I'l;} < '"i [K] New constructIOn D AdditIon/alteratIOn/replacement r. 1.1:,/I\i"CATEGORY,OF'CONSTRUCTION"'I" '0 < ,,)' >>" _ " '"' 1>>> ' D I or 2 family dwelling D Multi-family [K] Commercial /Industnal I 'dl,lllrr"IJOB srrE'ii':fFORMATIONANO"t::.OCATION .. b''f ,'" ; IM~, "If "'~ ~ I >IIA,"" , ,~ 1,111'11,1 I Job no.: 40063 I Job address: 3355 RIVERBEND DR 1 City/State/ZIP: SPRINGFIELD, OR 97477 I SUlte/bldg /apt.no.: 1 Project name: NW SPECIALTY Cross street/directIOns to Job site: I SubdivIsIOn: I Lot no . I Tax map/parcel no.' 1703220000902 I Ib~~~,8~IPTION O~~~2RK LOW VOLTAGE SYSTEM - HVAC CONTROL WIRING "siTE CONTACT\,:;I.iilr;i' IH" 'j< , ,,~ ~ I 1 Name: JOSEPH GOAD I Phone: (541) 221-6037 !EmaIl: 1 , I EI. he no: 26-34C I CCB hc. no : I BuslOess Name. CHRISTENSON ELECTRIC INC I Contact: Deborah Perdew 1 Address III SW COLUMBIA SUITE 480 I City/State/ZIP. PORTLAND OR 9720 I 1 Phone' (541)6886121 I EmaIl: deborah perdew@chnstenson com I Metro hc. no : I SupervISIng electriCIan's hc. no: 4079S 1 SupervlslOg electriCIan's name: PAUL E HORVATH /Fax' , CONTRACTOR. \,ydl" ~ <I' ~u I 458 I Fax: (541)6886528 I City hc. no.: Upon review and approval by your local JUrISdiction, your permit Will be e-malled or faxed wlthm one bus mess day, With mstructlons on how to schedule your mspectlon NOTE ThiS AuthOrIzation To Begm Work expires wlthm 180 days If a permit IS not obtamed. The local bUlldmg department may determme that an AuthOrIzation To Begm Work IS null and VOid if it does not meet apphcable land use laws and local ordmances. I I . 'i FEE SC.HEDULE I DescnptlOn I Qty I Ea. I Total ResidentiafSm<;;LE~,OR multiifainily dwelling unitAncludes i''illlached garage < I' 0>;:1:" I ~ ~t1' ~: ij"1\J;Si;#t:" I~"<~ ",\~" ~'''' <,II~, I'i""">" 11,000 sq ft or less I Ea addf 500 sq ft or portIon l'I:lmlted Ene~Y:. 1',.... ' 1 . ,. . I-Limited energy, reSidentIal (With above SQ ft) I-LimIted energy, multifamily reSIdential (WIth above SQ ft) I-Limited energy, commercIal (wIth above SQ ft) I - Stand-alone hmlted energy, reSidentIal I - Stand-alone lImited energy, mullt-famllv I - Stand-alone lImited energy, $5000 $5000 I commercia] 1 Services' 6R::rf~eders installati~~f ~lteration, AND/OR relocation ,. '" '" ,~ , '" \,1" , AHIIi I ~ ~ 1 200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps . rEMP'OIDrnYserVtC~~.OR feedet"s installatIon;alter~~I~n, AND/OR relocatJbilft, " +i ".1+,.,'.1 ',' ' ;11 . J~' 'd", '" i'l'i' 4t\ t ; " I 200 amps or less 120 I amps to 400 amps 1401 amps to 599 amps /.. Bl;anch ClrCUlts' -'NEW, alteratIon;'OR extension;'per panel ~t"Y,i of ,~,I II J lill I 'f' I I " A Fee for branch CircuIts With service or feeder fee, each branch CIrCUit B Fee for branch CIrCUits WithOUt servIce or feeder fee, first branch CirCUit, I each addl branch CirCUit 1"Mlscellaneous.. " 1 ServIce reconnect only I Each manufactured or modular dwelling, service and/or feeder I Pump or lITIgation Circle I Sign or outlIne lIghting Signal clrcult(s) or IImlted- not offered onlIne at thIS Junsdlctlon energy panel, alteration, or extensIOn I ,I' "'1"" . I I . I' I ,I N';..;x/~i';+III:i:,i:."': j.;EtECTRICAL PERMIT FE.~~ft;;' I Subtotal $5000 I State Surcharge (12% of penmt fee) $6 00 I City Of Spnngfield fees * $7 50 I TOTAL PERMIT FEE $63 50 I * City OfSpnngfield 10% Local Admin Fee, 5% Local Technology Fee This Authorization To Begm Work must be posted at the Job site until replaced by a Permit 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 1200800000000000385 Date: 04/21/2008 Description Low Voltage - Commerctallndus + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJm ONLINE CHRISTEN Onlme SONINC Payment Total: Page 1 of 1 3:34:08PM Amount Due 5000 250 6.00 5.00 $63.50 Amount Paid $63 50 $63.50 4/21/2008