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HomeMy WebLinkAboutPermit Building 2011-5-27 . CITY OF SPRINGFIELD SP~.l\.N G.~~l;ij t?~~~ ~~(~:;~ OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-00226 IVR Number: 811133500251 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued OS/27/2011 ISSUED: APPLIED: OS/27/2011 02/11/2011 EXPIRES: VALUE: 11/22/2011 $25,000.00 SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004102 SCOPE: Hospital WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Occupancy Change from 'B' to '1.2'; 2-hour Fire-Rated Occupancy Separation Added Phone Number: OWNER: ADDRESS: PEACEHEALTH PO BOX 1479 EUGENE OR 97440 Contractor Type CONTRACTOR INFORMATION ~ Contractor Name BERRY ARCHITECTS,P.C. JOHN HYLAND CONSTRUCTION lNC Lie Type ARCHITECT CCB # of Units: BUILDING INFORMATION , # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o Construction Type Occupancy Type Occupancy Comments Type 1 B 1-2 3rd Floor Change to Occupancy Separation # of Bedrooms: Sprinkled Building: Yes Fire Alarms: Yes Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 2822 46071 Lic Exp 06/30/2012 07/11/2012 Phone 541.726-8081 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 49 2008 2010 2010 2008 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: , 5 'IOU to re Ol\ laW reqUIre ol\ Utility I'-TTI".'.NlI0N', 0 ~ed by the Oreg set lortl\ 101l0W ruleS ~~~~r. lMse rules ~~ 952-001- Notilica\i~l\ gOI-001 0 through ~1 the rules by il\ Ol'-R 902- a obtail\ cOpies telepMl\e 0090. 'IO~:e Jel\ter. (Not~~i;ft~ Notilication call1l\g the oregOl\ 2344). l\umber lor . 1_800-332- cel\ter IS .n'.:. IRI: IFI\-II: \NOR~ If,)'\ ,'-".. '\-Il\llI:X\' \lAll IS NO I THIS pc~i~6 ~NOI:R 1\-11~~~~I:O FOR l\'Jl\-10 ' CI:O OR IS f.\Bf.\ CO\IAMI:N 1:1'1100, Spnng',eld Bwldmg Perm" M-l'{ \ 80 Of.\'{ P 5127/2011 1331GPM Page 1 of4 . SP~IIN~.L.~ ~(~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00226 IVR Number: 811133500251 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: OS/27/2011 02/11/2011 EXPIRES: VALUE: 11/22/2011 $25,000.00 OS/27/2011 SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477-8800 ASSES OR'S PARCEL NO: 1703220004102 PROJECT DESCRIPTION: SCOPE: Hospital . WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Occupancy Change from 'B' to '1-2'; 2.hour Fire-Rated Occupancy Separation Added Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION i Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvpe of Construction NA Unit Amount Unit Tvee 25,000.00 Bid U nit Cost 1.00 Value 25,000.00 25,000.00 FEES PAID ~ Description Structural Plan Review Fee Commercial State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Building Permit Fee Fire, Life, Safety Plan Review Total Amount Paid Amount Paid $183.46 $33.87 $14.11 $282.25 $112.90 $626.59 Date Paid 02/1112011 OS/27/2011 OS/27/2011 OS/27/2011 OS/27/2011 Reciot # 2011000272 2011001338 ----- 2011001338 2011001338 2011001338 Springfield Building Permit 5/27/2011 1:33:16PM Page 2 of 4 5P.. ~ I.,N ~..~. D', ~_.- h.<. '" ~-f ~ -~ . <;:':'" . OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00226 IVR Number: 811133500251 www.ci.springfield.or.us 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued OS/27/2011 ISSUED: APPLIED: OS/27/2011 02/11/2011 EXPIRES: VALUE: 11/22/2011 $25,000.00 SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477-8800 ASSESOR'S PARCEL NO: 1703220004102 SCOPE: Hospital WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Plan Review Occupancy Change from 'B' to '1-2'; 2-hour Fire-Rated Occupancy Separation Added ~ DeDartment Application Acceptance Received Due Date 02/11/2011 02/11/2011 Com DIeted 02/11/2011 Result Application Accepted eia! Review Planning Review ", '~'Q2(11i2011.,. 62Ill/20W~02!.1,1!201 . -.::~ "';-" ~r" . ";,,{,: ~ -";'"""';' , ""~"';~ - t'.~,. ";', . "'.';,F' 02/11/2011 02/11/2011 02/14/2011 Approved Reviewer Kip Kaufman <'>I$.!p,;K_aufl!.l~,i./ ';' l'" -< "r """ Liz Miller , ,02/11/2011 02/11/2Q)1. ',02/15/2011" App~o,v~d -. ; Gi!bert Gordon :Plans Review: Occupan~y .classifiqation ~han'ge,from B_to~lc1 and'9hange~~Jl to 2,Q.cur'rating in existing 'cardiac diagnostic center on third floor ~e~ to OHVI. JOb#SPR20;11~00226.New qccupancy Classification: 1-2. CO!.lstruction Type: IHB sprinkJered. Occupanlload f6r.thisarea;'52,.Plans review~d underthe ZQ1Q-SpringfieldFire Code and 2010 Oregon Structural Specialty COdE\ . "~ ",,~' :::-: ,',;: _" ';". ~ - . : " "'Wall se'paration r$ling Wi~'.use the"UL263 rated 2hou~ri~~~bearrng~Wall ass~mblywlth 90 minute rat~d'd69rs. \ "':::-~ ," .~'. .' "..~-~~;:'.;'"'t ...:~:' . ' . Plans 8p.pear to meet code re~uirements. ~. -- ,::','" -. Structural Review 02/11/2011 02/11/2011 02/16/2011 Add'llnfo Required Fire Review Comments: ~ Public Works Review ,02/11120U'. ~t!11/20.1L ,02/1~/20\1, ' Ap~oved. Comments: No SDC'changes. Structural Review 02/11/2011 02/11/2011 02/22/2011 Approved I I ] '., , , i I Kip Kaufman .M Greene', , ~e~mit]psyance,~j ,'- L ",-,; . . ,,02/22/2011_ ' 02/22/201.1:" OS/2.71201 ~ " Issued,., "" '- ,J:" ~':" ;'~,." ^ ;"'- ,~..,^' Kip Kaufman " . ", Nan~y M~9ha?.o ,', ,,,:,, ~ . '~O'." . -. ~'. Inspections 1260 Framing INSPECTIONS REQUIRED ~ Framing Inspection: Prior te cover and after all rough in inspectiens have been approved, Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interier and exterier are in place, but prier te plastering. Firewall: Lecated 'and constructed according to plans. 1540 Gypsum Board/lathlDrywall 1550 Firewall 1560 Firestop Assemblies 1600 Ceiling Grid 1999 Final Building Ceiling Grid: After drywall approval but prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. 8999 Final Fire Springfield Building Permit 5/27/2011 1:33:16PM Page 3 .of 4 5P~ING FIE~ ~1L- "~~ c\ OREGON CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00226 IVR Number: 811133500251 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued OS/27/2011 ISSUED: APPLIED: OS/27/2011 02/11/2011 EXPIRES: VALUE: 11/22/2011 $25,000.00 SITE ADDRESS: 3333 RIVER8END DR, Springfield, OR 97477-8800 ASSES OR'S PARCEL NO: 1703220004102 PROJECT DESCRIPTION: SCOPE: Hospital WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Occupancy Change from '8' to '1-2'; 2-hour Fire-Rated Occupancy Separation Added 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 or 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. 5-31~1\ Owne or Contractor Signature Date . Springfield Building Permit 5/27/2011 1:33:16PM Page 4 of 4 Structu.-al Permit Application I @lJW@Ii~~~ 225 Fifth Street. Springfield, OR 97477. PI I(S'" I )726-3753. FAX(S<I\ )726-3689 I~ Date: This pel'mit is issued under OAR 918-460.0030. PerDlits expire ifworl{ is not slarted within 180 days of issuance or if worl, is suspended for 180 days. . LOCAL GOVERNMENT APPROVAL This project ha.. linallnnd-usc upprnval. Signature: Dale: This project has DEQ approval. Signature: Dale: Zoning npprovaJ verified: 0 Yes 0 No Property is within naod plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residelltial o Government Commcrciul Fax: E-m,i!: olf\- -{. . O/' This installation is being made on residential or fann property 0 cd by me or 0 member army immediate famil)', and is exempt from licensing requirements under ORS 701.010. Sign hCI'c: City: Phone: E.mail: CCB license no.: Print name: Signatun:: SUB-CONTRACTOR INFORMATION Name Elech'ical I)fumbing Meeh:mienf ceo Ucense Numher Phone Number I FEE SCHEDULE I. Valuation information (n)Jobdeseriplion: l/Uvt< ~JJc,'-r'" il'71 r/J.) Occupanq /.i- p, Construction type: I X T:13 S4'"'' reel: f.I / A, I Cost pt:r square fool: I f.J/A- -I; '2 '7, ~O() ?;1'A Other information: . . Type or Ileal: - Energy I)atb: - o new !W1 alterntioll o addition (b) Foundation-only permit? DYes ONo Tolal valuntion: $ 2. Iluilding fees (a) Permit fee (use valuation lable): $ (b) Investigative Ice (equal to [2aD: $ (c) Reinspeclion ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x 12a+2b+2eJ): $ (e) Subtotal of fees above (2n through 2d): S 3. Plan review fees (a) Plan review (65% x permit fee [2a)): $ (b) Fire lInd life safct), (40% x penuil fee (2nD: $ (e) Subtolnl offees uho\'C (33 nnd 3b): S 4. Miscellaneous fees (a) Seismic fee, 1% {.Of x permit fee (2a]): $ '1'01',\1. fees find surcharges (2c+JL-+-Ia): S I-. , I t:6t41'4q: BIL~...- Sf/Jf0-J !L.Of2-~ f3~ -f"(fZ.C-.lf-rp;;;?T ~1(. gri? - (or,,?;: bdl.?.,..) @.. b~/7 Cl'vl.. . c. Pilii' SP1:t.~L~ ~$'; ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00226 3333 RIVERBEND DR permitce nter@ci,springfield.or.us RECEIPT NO: 2011001338 RECORD NO: 811-SPR2011-00226 DATE: OS/27/2011 lDESCRIP.JION_L.... _.:_0..--.::.'------.2: . "'.' ~~ACc:OlJNTj:ODE-' - .'} ~. AMOlJNT~D.UE . j Building Permit Fee 224-00000-425602 282.25 Fire, Life, Safety Plan Review 224-00000-425602 112.90 State of Oregon Surcharge (12% of applicable fees) 821-00000.215004 33.87 Technology fee (5% of permit total) 100-00000-425605 14.11 TOTAL DUE: 443.13 I -PAYJ~~~.LTIPE PAy'Q~ .- CASHIER: "MACHADO" 'COMMENTS " AMOUNT PAID Credit Card BRENDA BARNES 443.13 034629 TOTAL PAID: 443.13 SP~~N::~ L~ . ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.cLspringfield.or.uS 811-SPR2011-00226 3333 RIVERBEND DR permilcenter@ci.springfield.or.us RECEIPT NO: 2011000272 IDESCRIP..TfON. . ";Ii, h ~ , ."".;';. '. Structural Plan Review Fee Commercial RECORD NO: 811-SPR2011-00226 'Co";" ......:;..,::ACCQUNT.C.ODE '; 224-00000-425602 TOTAL DUE: DATE: 02/11/2011 . AMOUNT.DUE 183.46 183.46 ArIIOUNT':AID " . 183.46 [:- ~YiVIEN:r.JXP.E: ,: , I"!<Y9~' CASHIER:.!SKAUFMAN' Credit Card William R Shaw 08011C ":'-. "'COMMENTS 'C' ~._.., .._~......-..- j TOTAL PAID: 183,46