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.~
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~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',
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~-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