HomeMy WebLinkAboutPermit Building 2007-6-29
po.
Status
Iss u ed
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
PROJECT DESCRIPTION: Northwest Specialty Clinic
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00469
ISSUED: 06/29/2007
APPLIED: 03/30/2007
EXPIRES: 12/29/2007
VALUE: $ 29,769,000.00
TYPE OF WORK: Medical Office
TYPE OF USE: New
Commercial
1 CONTRACTOR INFORMATION'
Contractor Type
Architect
General
Contractor
ROLAND UDENZE
THE HASKELL CO A FLORIDA CORP
License
Expiration Date Phone
904-791-4801
05/11/2009 904-791-4674
147733
BUILDING INFORMATION I
# 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:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
Frontyard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar setba~WemON: Oregon law requires yo~ t!~.
foBow rules aaOpl8Q UJ UIV c"v':"~'! l.'{jl..l .
Notification Center. Those rules MlWMPROVEMENTS I
Street Im~GS2-G01-OO10thrOU9h 0 -UU 1-
~i!ayobtaln copies of the rules by
Storm Se .iN . center. (Note: the tel~pho~e
Special Instil i' for the Oregon Utility Notification
Center 18 1-800-332-2344).
Notes:
Pa2e 1 of 4
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOTIIi1vnspoutslDrains: E WORK
THIS PERMIT SHAll EXPIRE IF TH
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
,',
~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00469
ISSUED: 06/29/2007
APPLIED: 03/30/2007
EXPIRES: 12/29/2007
VALUE: $ 29,769,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Type of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
29,769,000.00
Value
Date Calculated
Description
Total Value of Project
$29,769,000.00
$29,769,000.00
06/19/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $2,268.92 4/2/07 2200700000000000472
+ 10% Administrative Fee $9,698.99 6/29/07 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 Comm/Ind/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 Transpo Improvement $353,019.54 6/29/07 1200700000000000842
SDC Transpo Reimbursement $80,024.23 6/29/07 1200700000000000842
Total Amount Paid $982,814.79
I Plan Reviews I
Public Works Review
06/27/2007
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
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.
~eouirecLJnsoections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Pa2e 2 of 4
..-
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-00469
ISSUED: 06/29/2007
APPLIED: 03/30/2007
EXPIRES: 12/29/2007
VALUE: $ 29,769,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Footing: After trenches are excavated.
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 D~partment. 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 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
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.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00469
ISSUED: 06/29/2007
APPLIED: 03/30/2007
EXPIRES: 12/29/2007
VALUE: $ 29,769,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ermit card is locat~ at the front of the property, and the approved set of plans will remain on the site at all
timesdudng nst'"c~, t- '(J!f- tJ7
ow~r-o&tractors Signature Date
Pa2e 4 of 4
22~ Fath'" Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00469
COM2007 -00469
COM2007-00469
COM2007-00469
COM2007-00469
COM2007-00469
COM2007-00469
COM2007-00469
COM2007 -00469
COM2007-00469
COM2007-00469
COM2007-00469
COM2007-00469
COM2007-00469
COM2007 -00469
COM2007 -00469
Payments:
Type of Payment
Check
cReceint1
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000000842
Date: 06/29/2007
Description
Plan Review Fire & Life Safety
Building Permit
+ 8% State Surcharge
+ 5% Technology Fee
+ 10% Administrative Fee
Plan Review Comm/lnd/Public
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Deposit
Paid By
HASKELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 719 In Person
Payment Total:
Page 1 of 1
10:54:31AM
Amount Due
38,795.96
96,989.90
7,759.19
4,849.50
9,698.99
60,930.94
13,418.47
10,201.75
80,024.23
353,019.54
122,046.85
122,046.85
10.00
1,812.30
33,226.08
25,715.32
$980,545.87
Amount Paid
$980,545.87
$980,545.87
6/29/2007