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Home My WebLink AboutPermit Building 2007-6-29 (2) ,~ \ CITY OF SPRINGFIELD Building/Combination Permit Status Issued . PERMIT NO: C0M2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 02/06/2009 VALUE: $ 29,769,000.00 225 Fiftb Street, SprinJ:field, 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: NorthwestSpecialty Clinic Owner: PEACE HEALTH Address: PO BOX 1479 EUGENE OR 97440 I ,CONTRACTD.R INFORMA nON . Contractor Type Arcbitect 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 lNC TWIN RIVERS PLUMBING INC LiCense Expiration Date 147733 458 164114 89710 17695 05/11/2009 05/01/2009 04111/2009 0311512009 03/11/2009 Phone 904-791-480 I 904-791-4674 541-688-6121 541-689-2650 541-726-3000 541-688-1444 BUILDING INFORMATION 1 # 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: I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 135,205 n/a 1,706 I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I Overlay Dist: : # Street Trees ~qd: Paved Drive Rqd: % of Lot Coverage: I I . ^TTC~ITlrHd. r\~"...",."" I"'H1 ~J"'\"'" ,i.......... "...., , +..... ,___. _.- I PUBLIC IMPROVEMENry'" rules adopted by the Oregon Utility , . ,. w",,,vatlon Center, Those rules are set forth J in OAR 952~i<Jf)f,'!l~jftYPSugh OAR 952-001- I 0090, You roo\VIl~Jlijirt{fD'i'~jgf'f the rules by calling the center, (Note: the telephone , number forthe Oregon Utility Notification Center is 1-800-332-2~~~OCO ~~~ 'v~ Total: Handicapped: Compact: Street Improvements: JlnTIr.!:. " Stor. ~S~et'~adabgf.tALL EXPIRE IF THE WORK SpCClallin~tP.F.:~A~\T T IS NOT \UTHORIZED UNDER THIS,PERMI Notes;,":OMIVlENCED OR IS ABANDONED FOR :\NY i 80 DAY PERIOD. 'Page I of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit ,,' PERMIT NO: COM2007-00469 ISSUED: ' 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 02/0612009 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541_726-3676 Fax 541-726-3769 Inspection Line I Valu~tion ne~cri~tion ,I Estimate Estimate $ Per Sq Ft . or multiplier $1.00 , Square Footage or Bid Amount ; 29,769,000.00 Value Date Calculated DescriDtion Tvoe of Constructioo Total Value of Project $29,769,000.00 $29,769,000.00 06/19/2007 ~: Fee Descriotion Amount Paid Date Paid Receipt Numher Plan Review Comm/lnd/Pnhlic $2,268.92 4/2/07 2200700000000000472 + 10% Administrative Fee $9,698.99 6/29107 1200700000000000842 + 5% Technology Fee $4,849.50 6/29/07 1200700000000000842 + 8% State Surcharge $7,759.19 6/29/07 1200700000000000842 Building Permit $96,989:90 6/29/07 1200700000000000842 Deposit $25,715.32 6/29/07 . 1200700000000000842 Plan Review Commlind/Public $60,930.94 6/29/07 1200700000000000842 Plan Review Fire & Life Safety $38,795.96 6/29/07 1200700000000000842 Sanitary Sewer - Improvement $10,201.75 6/29/07 ' 1200700000000000842 Sanitary Sewer - Reimbursement $13,418.47 6/29/07 1200700000000000842 SDC MWMC Administration $10.00 6/29/07 1200700000000000842 SDC MWMC Improvement $122,046.85 6/29/07 1200700000000000842 SDC MWMC Reimbursement $122,046.85 6/29/07 1200700000000000842 SDC Sanitary/Storm Admin $1,812.30 6/29/07 1200700000000000842 SDC Transpo Admin $33,226.08 6/29/07 1200700000000000842 SDC iranspo Improvement $353,019.54 6/29/07 1200700000000000842 SDC Transpo Reimbursement $80,024.23 6/29/07 1200700000000000842 + 10% Administrative Fee $5.00 , 7/9/07 2200700000000001095 + 5% Technology Fee $2.50 , . 7/9/07 2200700000000001095 + 8% State Surcharge $4.00 7/9/07 2200700000000001095 Low Voltage - Commerciallndns $50.00 7/9/07 2200700000000001095 Return - Deposit $-25,715.32 7/16/07 VOUCHER#121092 + 10% Administrative Fee $10.00 10/31/07 1200700000000001355 + 10% Administrative Fee $871.60 10/31/07 1200700000000001355 + 5% Technology Fee $5.00 10/31/07 1200700000000001355 + 5% Technology Fee $435.80 10/31/07 1200700000000001355 + 8% State Surcharge $8.00 10/31/07 1200700000000001355 + 8% State Surcharge $697.28 10/31/07 1200700000000001355 Add, Alter, Extend Circ Ea Add $3,225.00 10/31/07 1200700000000001355 Perm Serv/Fdr 1000 amps/volts $375.00 10/31/07 1200700000000001355 Perm Serv/Fdr 200 amps or less $1,953.00 10/31/07 1200700000000001355 Perm Serv/Fdr 201 to 400 amps $1,875.00 10/31/07 1200700000000001355 Perm Serv/Fdr 401 to 600 amps $1,125.00 10/31/07 1200700000000001355 Perm ServlFdr 601 to 999 amps $163.00 10i31/07 1200700000000001355 Temp Power 200 amps or less $100.00 10/31/07 1200700000000001355 -Mechanical Issuance Fee- . , $10.00 11/21/07 1200700000000001430 Palie.2 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit 10,000 & Ovr Appliance Not Listed Backflow Device Boiler/Comm 3D-50 HP' Boiler/Comp.3-15 HP Exhaust Hoods Fixture Furnace - Unit Heater Fnrnace - up to 100,000 btu Plan Review Mechanical (25%) Plan Review Plumbing (30%) Sewage E.jector Pump Trap or Waste not Conn to FOot + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 201 - 400 amps SDC Transpo Improvement SDC Transpo Reinibnrsement SDC Transportation Admin + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commerciallndns + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Lo~ Volta~e - Commercial Indus + 10% Administrative Fee + 12% State Surcharge + 5r. Technology Fee' Low Voltage - Commercial Indus Total Amonnt Paid Pnblic Works Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: C0M2007-00469 ISSUED: 06/29/2007 APPLIED: 03/3012007 EXPIRES: 02/0612009 VALUE: '$ 29,769,000.00 $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 . $5.00 $6.00 $2.50 $50.00 , $5.20 $6.24 $2.60 $52.00 11/21/07 11/21/07 J 1/21/07 11/21/07 i 11/21/07 , . 11121/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21107 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 ,4121/08 7/22/08 7/22/08 7122/08 7/22/08 9/4/08 9/4/08 9/4/08. . 9/4/08 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 2200800000000001125 2200800000000001125 2200800000000001125 2200800000000001125 3200800000000000628 3200800000000000628 3200800000000000628 3200800000000000628 $738,695.40 06127/2007 I Plan Reviews. .1 06/14/2007 APP JLP Entered SDC fees based on DFU calcs in memo provided by CLAIR dated 6/8/07 as directed by Ken.'JLf Pa!!e 3 of5 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: C0M2007-00469 ISSUED: 06129/2007 APPLIED: 03/30/2007 ,EXPIRES: 02/06/2009 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Review Comments 06/29/2007 06/29/2007 10 LLH , Check dated 6126/2007 from Haskell exceeded the cnrrent amonnt dne on the project. I have requested the amonnt placed in the deposit acconnt today (6/29/07) $25,715.32 be retnrned to the payee as soon as possible. Information forwarded to Kaye Wilson. IIh 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. UenlJirptUJL~np('tjon~ , , Ufer Electrical Gronnd: Install gronnd rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Slab: To be made after all inslab hui1ding service equipment, conduit piping and other equipment items are in place bnt prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been ,approved. WallInsulation: Prior to cover., Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Masonry: Bolts Installed in Concrete: City Building Inspector. / To be done by a State Certified Special Inspector. Provide inspection test reports to Roof She3thinglNailing: Before covering sheathing with finish materi~1. High Strengtb Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection resnlts 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 hut prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measnres are installed. Structural Concrete: In eXCess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Epoxy Anchors: To be done by Certified Spciallnspector. Provide In~pection results to City Building Inspector. Final Fire Department. After all reqniremenls of the Fire Department'have been met. Final Building: After all reqnired inspections have been requested and approved and the building is complete. 'Pa!!e 4 of5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 , APPLIED: 03/30/2007 EXPIRES: 02/06/2009 'VALUE: $ 29,769,000.00 I , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 'Line Rough Gradinl(: After l(ravel is in place but ,prior to placing concrete. Final Paving: After paving is complete. Roul(h Plumbinl(: Prior to cover and including required testing. .sanitary Sewer Line: Prior to filling trench and includinl( reqnired teSting. Storm Sewer Line: Prior to fillinl( trench. Final rlnmbing: 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 !esting. Presure test done at this point. Rough Mechanical: Prior to Cover Final Cas: 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 enerl(izinl( service. Low Voltage: Prior to cover. By sil(nature, I state and al(ree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I fnrther 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, Buildinl( 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 al(ree 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 constrnction. Owner or Contractors Signature Date Pa!!e 5 of5 City of Springfield Electrical Authorization To Begin Work E-mailedTo:jeannemasser@hotniail.com Receipt # RC537356 9/4/2008 1 :47:24 PM Check on status of permit By Pbone: (541)726-3753 or Email: permitcente~@ci.spririgfield.or.ns I [K] New construction D Addition/alteration/replacement I ~=C_&h';~:f:J-<:A;rJ;GJlRY:cl~c:Q~SiRUC:f1i:l~: ':;;~*.:'::"':;;~;;-\.:;I j 0 1 or 2 family dwelling D Multi-f'ar!lily [K] Commercial/Industrial ~ I Description I Qty. I Ea. 1 Total :Residmtial;SL.~GLE~'OR;mulli;'f8'mily~dwtliiilg'~unit..'hiCli.ilJ.es; ;~#!rb;t'g'~~~g~~~;~St':;'fJ~~~~~~l~~g2~~~~;:' ":.;~.~::;~,., , 1,000 sq. ft. or less I Ea.- add] 500 sq, ft. or portion no.: Expeditor IJob addrtss: 3355 RlVERBEND DR ICitylS'atdZlP: SPRINGFIELD, OR 97477 jSuiteJbldg.lapt.no.: I Project Dame: Riverbend Surgery Center Cross strtetldirectioDS to job site: Ncar Game Farm Rd. ~ Adjacent Hospital- 1st :;'Ioor . I-Limited energy, residential (with above SQ. fl:.) I-Limited energy, multifamily residential (with above so. ft.) I . Limited energy, commercial (with above so. ft.) I - Stand-alone limited energy, I residential I . Stand-alone limited energy, I multi-family 1 - Stand-~one limited energy, 11 $52.001 $52.001 commerCia] Il~il!,[e;{;Sf~1fe~i!ii,:!#j!!~J~~t~llt!~iE!~r~~,~Lg_~~~1~~~!~;oD'.~;i];:,J;::m;1 I 200 amps or less I j201 amps to 400 amps I 40 I amps to 599 amps I 1',TI!:MpORARYistiVicU'Olffffiler;'in.~tallaiion;:alirritiOri,hlQ-: ,;;. :&~!uQR-:re.~~a:~~~~~~~i~~4l~/ I 200 amps odess I I I I I 201 ampsto 400 amps I I I 1401 ampsto 599 amps I I I I 1:!i~r~!tA,!,Ul!~!E~W,;!!!~~~]~!~;Ql{!~~t!ili_~_ih~;p~~:Jli~~~l#:t~:. ,,,,;. I A. Fee for branch circuits with I service or feeder fee, each branch circuit. I B. Fee for branch circuits I without service or feeder fee, first branch circuit I each addl branch circuit I I Subdivision: ITBI map/parcel no.: 1703220000902 . I Lot no.: We wil be installing a Nurse Call System IName: Jeanne Masser of Custom Telcom IPhon" (503) 580-7500 [mail: jeannemasser@hotmail.com I Fax: (503) 399-8332 IEL lie. no.: 24-397CLE ICCBlit. DO.: 127754 I Business Name: JEANNE M MASSER I Contact: Jeanne Masser dba Custom Teleom jAddress: 4785 TEXTRUM crSE" I CitylSta'dZlP: SALEM OR 97302 I Phone: (503)5807500 I Fa" None I Emait: jeannemasser@hotmail.com ! Metro lie. no.: I City lie. no.: I Supervising eledritian's lie. no.: 4227LEA I Supervising electritian's name: JEANNE M MASSER I Service reconnect only lEach manufactured or modular dwelling, service and/or feeder I Pump or irrigation circle I Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances. Subtotal $52,00 I State Surchame (12% ofoermit fee) $6.24 I Ci~ OfSpri~~field fees' $7.80 I I TOTAL PERMIT FEE , -,~6604 I . City Of Springfield fees: 10% Administration Fee; 5% Technology Fee This Authorization To Begin Work must be posted at the'job site until replaced by a Permit. 225 Fifth Street Spi:ingfield, Oregon 97477 541-726-3759 Phone Job/Journlll Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: ift~~;~", :, . Ii" ., ._., t' _: ........w..."...............; ., 3200800000000000628 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Departmeut Public Works Department Date: 09/04/2008 2:19:59PM Amount Due 52,00 2,60 6,24 5,20 $66.04 Item Total: Check Number Authorization Received"By Batch Number Number How Received ddk ) Page I of I Amount Paid ONLINE JEANNE M Online MASSER Payment,Total: $66,04 $66.U4 9/412008