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Home My WebLink AboutPermit Building 2006-5-18 (5) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 1210612004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 SITE ADDRESS: 3333 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Hospital TYPE OF USE: New Commercial PROJECT DESCRIPTION: Riverbend Hospital ou\U I CONTRACTOR INFORMATION_Illes'! u\\\\\':l II} \~'l' . - Ot6~0" ~ \ot\~ Contractor ~Ote~OQ'Ciye'il'je e9 eE-X~t)lfu Date ANSHEN & ALLEN b..~~~\\O ~dOQ\e '(\0'06 tU\ Ol'f' 9' :e'O '0:. TURNER CONSTRUCTI'?~6\QNf~~~,,\et.~~tllll)Uc;)'(\ 0\ \'(\6 n'gp.@007 E C COMPANY \0 ~~\\O" ..oO,\..oO~~:lj'09\9S s\s\eat' ~8 SECURE COM INC ~O~,P,,::~ 9~2 ~'IJ o~Phl\~s,\e" ~~\'J ~lfb~fi9/2006 TWIN RIVERS PLUMBIN't&,no: "IoU.~..~(\\~~~" U!..._.,~3/11/2007 , BUlLlliN@iNEJRM~:T~is...Oo'''~- II lUI.. 1 "U' ,- GEl' ,... # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement:D?-" ... ,'r\t. ,. ...~ Range Type: Sq..... Garage/Carpgr.t Ce.. c"... ,\'\'- ,,\ \;:l' Energy Path:.ln"'i\.... C;>\r..\.\. <"JSq Ft-Ot~'er: Sprinkled Buildi'ng:nc?-\\\l1 n/~,,,c?- "'0'C~~~~td..l9ad1\\ "'fIJ'''j \~ _,.-n \\''IluL. _ k~\\'\.}\"\... I DEVELOPMENT INFORMA:TiON"lj?- I'.J ';" C.'2~"'\""~ Dr..'\ 1''C.?-ICl . Overlay Dist: i..I;'\ '\ 0 # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Owner: Address: PEACEHEALTH PO BOX 1479 EUGENE OR 97440 Contractor Type Architect General Electrical Low Voltage Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1-1.1 B IFR Phone 415-882-9500 503 229-6000 503-224-3511 541-988-3585 541-688-1444 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Paee I oft7 . . CITY OF ~rK1r"hHELD . Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 12/06/2004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Estimate Estimate Tvpe of Construction Estimate Estimate $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 212,186,907.00 248,000.00 Value Date Calculated Total Value of Project $212,186,907.00 $248,000.00 $212,434,907.00 07/01/2005 06/08/2005 l...lrP< P'litIJ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $443,476.63 1216/04 2200400000000001481 Plan Review Fire & Life Safety $272,908.69 12/6/04 2200400000000001481 + 1 % Seismic Fee $5,518.79 7/1/05 2200500000000000873 + 100/0 Administrative Fee $55,187.86 7/1/05 2200500000000000873 + 7% State Surcharge $38,631.51 7/1/05 2200500000000000873 Building Permit $551,878.72 7/1/05 2200500000000000873 + 10% Administrative Fee $21.60 7/6/05 1200500000000000955 + 7% State Surcharge $15.12 7/6/05 1200500000000000955 Fixture $14.00 7/6/05 1200500000000000955 Sanitary Sewer - 1 st 50 Feet $90.00 7/6/05 1200500000000000955 Special Waste Connection $112.00 7/6/05 1200500000000000955 Deposit $10,000.00 7/8105 2200500000000000902 + 10% Administrative Fee $293.20 8/22105 2200500000000001132 + 7% State Surcharge $205.24 8/22105 2200500000000001132 Plan Review Plumbing (30%) $1,029.13 8/22/05 2200500000000001132 Sanitary Sewer - 1st 50 Feet $45.00 8/22105 2200500000000001132 Sanitary Sewer Each AddtlIOO' $560.00 8/22105 2200500000000001132 Special Waste Connection $1,162.00 8/22/05 2200500000000001132 Storm Sewer - 1st 50 Feet $45.00 8/22105 2200500000000001132 Storm Sewer Each Addt1100' $1,120.00 8/22105 2200500000000001132 + 10% Administrative Fee $14,201.30 9/2/05 2200500000000001211 + 7% State Surcharge $9,940.91 912105 2200500000000001211 Add, Alter, Extend Circ Ea Add $22,602.00 912105 2200500000000001211 Low Voltage - Commercial Indus $63,585.00 912105 2200500000000001211 Perm Serv/Fdr 1000 amps/volts $19,125.00 912105 2200500000000001211 Perm ServlFdr 200 amps or less $15,057.00 912105 2200500000000001211 Perm Serv/Fdr 201 to 400 amps $18,150.00 912105 2200500000000001211 Perm ServlFdr 401 to 600 amps $1,375.00 912105 2200500000000001211 Perm ServlFdr 601 to 999 amps $2,119.00 912105 2200500000000001211 Plan Review Electrical (25%) $41,538.81 912105 2200500000000001211 + 1 % Seismic Fee $1,379.70 10/21/05 2200500000000001477 + 10% Administrative Fee $13,796.97 10121/05 2200500000000001477 + 7% State Surcharge $9,657.88 10121/05 2200500000000001477 Building Permit $137,969.68 10121/05 2200500000000001477 + 10% Administrative Fee $5.90 2/7/06 3200600000000000057 Paee 2 of 17 . -u;:~,' ; ~,../ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 8% State Surcharge Plan Review Plumbing (30%) Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll 00' + 10% Administrative Fee + 7% State Surcharge Fixture Special Waste Connection Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' Plan Review Comm/lnd/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit 10,000 & Ovr Air Handling Unit Up to 10,000 Appliance Not Listed Appliance Vent Backflow Device Evaporative Coolers Exhaust Hoods Fixture Furnace - more than 100,000 Furnace - Unit Heater Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Inspection - Preliminary Medical Gas Base Fee Medical Gas Each Inlet/Outlet Medical Gas Plan Review Not Covered Mechanical Plan Review Electrical (25%) Plan Review Mechanical (25%) Plan Review Plumbing (30%) Plan Review Plumbing (30%) Sanitary Sewer - 1st 50 Feet Sewage Ejector Pump Special Waste Connection Trap or Waste not Conn to Fixt Vent Fan Water Line - 1st 50 Feet Water Line - Each Addt1100' + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Temp Power 201 - 400 amps . $4.72 $159.30 $45.00 $14.00 $14.30 $10.01 $56.00 $14.00 $45.00 $28.00 $125.58 $77.28 $10.00 $10,748.00 $7,523.60 $435.00 $112.00 $28,260.00 $288.00 $210.00 $72.00 $90.00 $37,450.00 $90.00 $300.00 $18,804.00 $4.00 $6.00 $264.00 $45.00 $219.00 $14,625.00 $4,453.20 $540.00 $-6,035.53 $12,334.50 $-149.53 $12,992.40 $45.00 $112.00 $4,172.00 $1,260.00 $18.00 $45.00 $14.00 $9.00 $7.20 $21.00 $69.00 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 1210612004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 2/7/06 217/06 2/7/06 2/7/06 3/9/06 3/9/06 3/9/06 3/9/06 3/9/06 3/9/06 3/1 0/06 3/1 0/06 3/22106 3/22106 3/22106 3/22106 3/22106 3/22/06 3/22/06 3/22106 3122/06 3122/06 3122/06 3/22106 3/22106 3/22/06 3/22/06 3/22/06 3/22106 3/22/06 3/22106 3/22/06 3/22106 3/22/06 3/22106 3/22/06 3/22106 3/22/06 3/22/06 3/22/06 3/22/06 3/22/06 3/22/06 3/22106 3/22/06 5/15/06 5/15/06 5/15/06 5/15/06 3200600000000000057 3200600000000000057 3200600000000000057 3200600000000000057 2200600000000000287 2200600000000000287 2200600000000000287 2200600000000000287 2200600000000000287 2200600000000000287 1200600000000000285 1200600000000000285 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000366 2200600000000000602 2200600000000000602 2200600000000000602 2200600000000000602 Paee 3 of 17 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 8% State Surcharge Low Voltage - Commercial Indus Plan Review Electrical (25%) Refund - Admin Fee Refund - Electrical Refund - Surcharge + 10% Administrative Fee + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 8% State Surcharge + 8% State Surcharge Fixtu re Not Covered Plumbing Plan Review Plumbing (30%) Plan Review Plumbing (30%) Plan Review Plumbing (30%) Refund - Admin Fee Refund - Plumbing Refund - Surcharge Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl100' Special Waste Connection Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Total Amount Paid . $900.00 $720.00 $9,000.00 $2,250.00 $-2.10 $-21.00 $- 1.68 $11.50 $11.80 $137.20 $96.04 $9.20 $9.44 $1,344.00 $28.00 $34.50 $35.40 $481.57 $-137.20 $-1,853.57 $-96.04 $45.00 $45.00 $28.00 $42.00 $45.00 $28.00 $13.50 $6.75 $10.80 $135.00 $274.50 $137.25 $219.60 $2,745.00 $1,919,607.13 . CITY OF SPRING1<lJ'.LD Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 1210612004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 5/18/06 5/18/06 5/18/06 5/18106 5/19/06 5/19/06 5/19/06 6/8106 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 6/8/06 8/9/06 8/9/06 8/9/06 8/9/06 1214/06 1214/06 1214106 1214/06 1200600000000000678 1200600000000000678 1200600000000000678 1200600000000000678 VOUCHER #104418 VOUCHER #104418 VOUCHER #104418 1200600000000000829 1200600000000000829 1200600000000000827 1200600000000000827 1200600000000000829 1200600000000000829 1200600000000000827 1200600000000000827 1200600000000000829 1200600000000000829 1200600000000000827 VOUCHER # 105568 VOUCHER # 105568 VOUCHER # 105568 1200600000000000829 1200600000000000829 1200600000000000829 1200600000000000829 1200600000000000829 1200600000000000829 1200600000000001228 1200600000000001228 1200600000000001228 1200600000000001228 1200600000000001719 1200600000000001719 1200600000000001719 1200600000000001719 I Plan Reviews I Initial Review 03/30/2006 03/30/2006 10 LLH Received permission from Philip Farrington to recycle old plans. Structural Review 06/02/2005 06/03/2005 10 LLH Forwarded revised structural fill drawings to Clair Structural Review 06/19/2006 06/19/2006 APP AC ASII06R.1 - Approved with Conditions Structural Review 06/19/2006 06/19/2006 APP AC Proposal Request #35R.3 and #35R.4 - Approved with Conditions Structural Review 06/19/2006 06/19/2006 APP AC Proposal Request #52 - Approved Paee 4 of 17 -iif4ii . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 06/19/2006 06/19/2006 APP AC Proposal Request #63 - Approved Structural Review 06/19/2006 06/19/2006 APP AC Proposal Request #80 - Approved with Note to Inspector Structural Review 07/0112006 07/03/2006 APP AC Deferred Submittal No. 0485-05510-DFO - Stair No.7, 9, 10, and II - 1st Back Check - Approved with Notes to Inspector Structural Review 07/01/2006 07/03/2006 APP AC Deferred Submittal No. 0625-03450-DFO - 3rd Floor Precast Bracket Panel Reinforcing Drawing, wi Calculations (APS) - Approved with conditions Structural Review 07/01/2006 07/17/2006 APP AC Deferred Submittal Package No. 0707-03450-DFO - 3rd Floor West Elevation Sills (between bracket panels) reivsion (APS) - Approved with Notes to Inspector Structural Review 07/01/2006 07/17/2006 APP AC Deferred Submittal Package No. 0624-03450-DFO - Connection RDE-I and RDE-3 for panels SP1 and SP3 (west elevation) (APS) - Approved with Notes to Inspector Structural Review 07/01/2006 07/17/2006 APP AC Deferred Submittal Package No. 0557-03450-DFO-1 - Parapet and Bay Windows - Hospital (APS)- Approved with Notes to Inspector Structural Review 07/01/2006 07/17/2006 APP AC Deferred Submittal Package No. 0675-03450-DFO - Corner Window sills reinforcing, Level 4 Hospital - including shop drawings (APS) - Approved with Notes to Inspector Structural Review 07/01/2006 07/17/2006 APP AC Deferred Submittal Package No. 0676-03450-DFO - Precast Window Sills Reinforcing - OHVI - shop drawings (APS) - Approved with Notes to Inspector Structural Review 07/01/2006 07/17/2006 APP AC Deferred Submittal Package No. 0632-15000-DF1 - Seismic Bracing- Level 2. (Previously submitted plans for this submittal were taken and stamped by KPFF and returned to CLAIR 7/11/06 for the back check t( our first review of this submittal) - Approved with Notes to Inspector Structural Review 07/01/2006 07/17/2006 APP AC Proposal Request #37 - Approved Structural Review 07/01/2006 07/17/2006 APP AC Proposal Request #97 - Approved Structural Review 07/01/2006 07/17/2006 APP AC Construction Change Directive #52 - Approved with Conditions Structural Review 07/01/2006 07/17/2006 APP AC Construction Change Directive #10- Approved Paee 5 of I7 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 07/01/2006 07/17/2006 APP AC Construction Change Directive #53 - Approved with Notes to Inspector Structural Review 07/01/2006 07/17/2006 APP AC Construction Change Directive #70 . Approved with Conditions Structural Review 07/01/2006 07/17/2006 APP AC Construction Change Directive #55R2 - Approved Structural Review 07/01/2006 07/17/2006 APP AC ASI #111 - Approved Structural Review 07/01/2006 07/17/2006 APP AC ASI #61 - Approved Structural Review 07/3112006 08/01/2006 APP AC ASI #62 approved 7/31/06 Structural Review 07/3112006 08/01/2006 APP AC ASI #115RI, 115R3, adn 115R4- Approved on 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC ASI 120 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC ASI 130 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC ASI134 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC. ASI133 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC CCD 12 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC CCD 13 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC CCD 71 - Approved with notes to inspector 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC CCD 48 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC CCD 28 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC PR 65 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC PR 34 - Approved 7/31/06 Structural Review 07/31/2006 08/01/2006 APP AC Deferred Submittal #0704-03450-DFO - 1st Floor Precast Sills (plan and reinforcing) - OHVI . Approved 7/31/06 Structural Review 08/0112006 08/03/2006 APP AC Deferred Submittal #0777-08810-DFO - West Elevation Window Systems Floors 1-3 - Approved with conditions Structural Review 08/01/2006 08/09/2006 APP AC ASI 122 - Approved Structural Review 08/01/2006 08/09/2006 APP AC ASI 91 - Approved with Notes to Inspector Structural Review 08/01/2006 08/09/2006 APP AC ASI 123 - Approved Structural Review 08/01/2006 08/09/2006 APP AC CCD 46 - Approved Structural Review 08/0112006 08/09/2006 APP AC CCD 81 - Approved Structural Review 08/01/2006 08/09/2006 APP AC PR #21 - Approved Structural Review 08/0112006 08/09/2006 APP AC PR 42 - Approved Structural Review 08/01/2006 08/09/2006 APP AC Deferred Submittal Package No. 0373-15000-DFI - Larsen VR-1818 Fire Hose Valve Cabinet - product datalcut sheets - Approved Structural Review 08/01/2006 08/09/2006 APP AC Deferred Submittal Package No. 0553-15000-DFO -Interior Accoustical Caulking for Non Fire-rated Wall Penetrations - Tremco Product Data. (Lane-Douglas) - Approved Paee 6 of17 . . CITY OF SPRI~t..l'mLIJ Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 08/01/2006 08/09/2006 APP AC Deferred Submittal Package No. 0558-15000-DFO - Seismic Pipe Bracing - Calculations (JH Kelly). Including Structural Calculations b) Miller Consulting dated 3/21/06 and Supplemental Structural Calculations by Miller Consulting dated 4/26/06 - Approved with Notes to Inspector Structural Review 08/01/2006 08/14/2006 APP AC ASI 116 - Approved Structural Review 08/01/2006 08/14/2006 APP AC ASI 121 - Approved Structural Review 08/01/2006 08/14/2006 APP AC ASI 69R2 - Conditions of Approval Structural Review 08/01/2006 08/14/2006 APP AC ASI 141 - Approved Structural Review 08/01/2006 08/14/2006 APP AC CCD 16 - Approved Structural Review 08/01/2006 08/14/2006 APP AC CCD 3 - Approved Structural Review 08/01/2006 08/14/2006 APP AC CCD 75 - Approved Structural Review 08/01/2006 08/14/2006 APP AC CCD 2 - Approved Structural Review 08/01/2006 08/14/2006 APP AC CCD 78 - Notes to inspector Structural Review 08/01/2006 08/14/2006 APP AC CCD 67 - Approved Structural Review 08/01/2006 08/14/2006 ' APP AC CCD 15 - Condition of Approval Structural Review 08/01/2006 08/14/2006 APP AC CCD II - Notes to Inspector Structural Review 08/01/2006 08/1412006 APP AC CCD 20 - Approved Structural Review 08/01/2006 08/14/2006 APP AC CCD 48RI - Approved Structural Review 08/01/2006 08/14/2006 APP AC CCD 25 - Approved Structural Review 08/01/2006 08/14/2006 APP AC Deferred Submittal 0899-15000-DFO - Seismic Anchorage and Restraints Hilti Kwik Bolt TZ Wedge Anchor- Product DatalCut Sheets - Approved with Notes to Inspector Structural Review 08/01/2006 08/14/2006 APP AC Deferred Submittal - 0843-15000-DFO - OHVI - Seismic Bracing of Suspended Utilities (Twin Rivers) - calculations (ISA T) - Approved with Notes to Inspector Structural Review 08/01/2006 08/14/2006 APP AC Deferred Submittal 0613-15000-DFO - Seismic Bracing - Levell (JH Kelley) - including shop drawings and calculations - Approved with Notes to Inspector Structural Review 08/01/2006 08/21/2006 APP AC ASI #119 - Approved Structural Review 08/01/2006 08/21/2006 APP AC ASI 91 R - Approved Structural Review 08/01/2006 08/2112006 APP AC ASI142 - Approved Structural Review 08/01/2006 08/21/2006 APP AC CCD 45 - Approved Structural Review 08/01/2006 08/21/2006 APP AC CCD 27 - Approved Structural Review 08/01/2006 08/21/2006 APP AC CCD 24 - Approved Paee 7 of 17 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 08/01/2006 08/21/2006 APP AC Deferred Submittal 0779-15900-DFO - Parking Garage Ventilation Controls Deferred Submittal - including product datalcut sheets and shop drawings (Johnson Controls) - Approved with notes to inspector Structural Review 08/28/2006 08/28/2006 APP AC ASI123RI - Approved Structural Review 08/28/2006 08/28/2006 APP AC ASI 139 - Approved Structural Review 08/28/2006 08/28/2006 APP AC ASI147 - Approved Structural Review 08/28/2006 08/28/2006 APP AC CCD 9R1 - Approved Structural Review 08/28/2006 08/28/2006 APP AC CCD 6 - Approved Structural Review 08/28/2006 08/28/2006 APP AC CCD 8 - Approved Structural Review 09111/2006 09/11/2006 APP AC ASII18 - Approved with Notes to Inspector Structural Review 09111/2006 09/11/2006 APP AC ASI 44 - Approved with conditions Structural Review 09111/2006 09111/2006 APP AC CCD 43 - Approved with conditions Structural Review 0911112006 09/11/2006 DEN AC Deferred Submittal 0684-15000-DFO - Seismic Anchorage and Restraint (Superior Air Handling) - Shop Drawings - Not Approved Structural Review 09/1112006 09/1112006 APP AC Deferred Submittal 0814-08600-DFO - Skylights - Lobby Atrium and Entry Vestibule - including shop drawings and calculations- Approved with conditions Structural Review 09/1112006 09/11/2006 APP AC Deferred Submittal 0836-03450-DFO - Hospital - Bay column, windows, and sills reinforcing - shop drawings. (APS) - Approved with conditions Structural Review 09/1 1/2006 09111/2006 APP AC Deferred Submittal 0677-15000-DFO - OHVI - HV AC Seismic Bracing for Suspended Equipment - Product Data Only (FM Sheet Metal) (ISAT) - Approved with conditions Structural Review 09111/2006 09111/2006 DEN AC Deferred Submittal 0902-15000-DFO - Hospital - HV AC Ductwork Seismic Bracing - SMACNA/IBC Comparison - Not Approved Structural Review 09/11/2006 09/11/2006 APP AC Deferred Submittal 0845-15000-DFO - Hospital - Seismic Bracing - Level 3 (Less Keyplan Areas C, G, K & Q) (JH Kelly) - including shop drawings and calculations- Approved with conditions Paee 8 of 17 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 09111/2006 0911112006 DEN AC Deferred Submittal 0379-15000-DFO - HV AC Dry Side - Seismic Product Data - responses and submittals to CLAIR's 1st plan review of submittal #0379-15000-DFO including (5) sets of original submittal, (5) sets of ISA T Quality Assurance Plan, (5) sets ISA T Technical Bulletin with Oregon Stamp on cover page, and (5) sets of missing sheets of ISA T seismic bracing as indicated in the 1st plan review. - Not Approved Structural Review 09/01/2006 09/25/2006 APP AC Deferred Submittal 0839-15000-DFO - Fire Department Valve Cabinet. - Approved Structural Review 09/01/2006 09/25/2006 APP AC Deferred Submittal- 1st Back Ched - 0376-15000-DFO - Seismic Product Data Only - Medical Gas Systems. (Mason Industries) - Approved with conditions Structural Review 09/01/2006 09/25/2006 APP AC Deferred Submittal - 1st Back Ched - 0538-15000-DF1 - Response to 1st plan review of submittal no. 0538-15000-DFO (Seismic Locations and Details on the 1st Floor Key Plan Drawings "Q" and "T" (JH Kelly) - Approved with Notes to Inspector Structural Review 09/01/2006 09/25/2006 APP AC Deferred Submittal - 1st Back Ched - 0581-15000-DFI - Response to 1st plan review of submittal no. 0581-15000-DFO (Seismic Bracing- Parking Level (JH Kelly) - Approved with Notes to Inspector Structural Review 09/01/2006 09/18/2006 APP AC Deferred Submittal 0792-14210-DFO - Final Drawings for Elevators 5-6 and 18-19 - including shop drawings and procedureslqualifications - Approved with Conditions Structural Review 09/0112006 09/18/2006 APP AC Deferred Submittal 0339-14210-DFO - Electric Elevators 3, 4, 10, II, 12, Car, Machine Room and Hoistway plans with IBC Calculations- Approved with Conditions Paee90fl7 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 09/0112006 09/18/2006 APP AC Deferred Submittal 0335-14240-DFO - Hosp - Hydraulic Elevators - Cars, Machine Room, Hoistway and Entrance - Drawings with IBC Calculations - Elevators I, 2, 7, 22 & 23 - Approved with Conditions Structural Review 09/0112006 09/18/2006 APP AC Deferred Submittal 0781-14240-DFO - Hosp - Hydraulic Roped Elevators #8 and #9 IBC Hoist, Car and Machine Room - Approved with Conditions Structural Review 09/0112006 09/25/2006 APP AC ASI #63R - Approved Structural Review 09/0112006 09/25/2006 APP AC ASI #73R2 - Approved Structural Review 09/0112006 09/25/2006 APP AC ASI #68 - Approved Structural Review 09/01/2006 09/25/2006 APP AC ASI 148RI - Approved Structural Review 09/0112006 09/25/2006 APP AC ASI137 - Approved Structural Review 09/0112006 09/25/2006 APP AC ASI 151 - Approved Structural Review 09/0112006 09/25/2006 APP AC ASI143 - Approved Structural Review 09/0112006 09/25/2006 APP AC CCD 7 - Approved Structural Review 09/0112006 09/25/2006 APP AC CCD 41 - Approved Structural Review 09/0112006 09/25/2006 APP AC CCD 76 - Approved Structural Review 09/01/2006 09/25/2006 APP AC CCD 85 - Approved Structural Review 10/0112006 10/0112006 APP AC ASI 145 - Approved Structural Review 10/0112006 10/0112006 APP AC ASI1I5RI - Approved Structural Review 10/0112006 10/0112006 APP AC CCD 21 - Approved Structural Review 10/0112006 10/01/2006 APP AC PR 12 - Approved wi Notes to Inspector Structural Review 10/01/2006 10/01/2006 APP AC Deferred Submittal - 0382-14240-DFO - Hydraulic Elevators 7, 22, 23 & 32 - Panels, Hoistway and Cab Details- Approved wi Notes to Inspector Structural Review 10/0112006 10/0112006 APP AC Deferred Submittal - 0435-14210-DFO - Cab Interiors Electric Elevators 3, 4, 5-6,18-19, 20-21,24-25,26-27 - Approved wi Notes to Inspector Structural Review 10/0112006 10/0112006 APP AC Deferred Submittal - 0532-14240-DFO - Hydraulic Elevator #1, 2, Entrance, Cab, Controls, Lanterns - Approved wi Notes to Inspector Structural Review 10/01/2006 10/01/2006 APP AC Deferred Submittal - 0564-14240-DFO - Elevators 8-9, Cab, Control Panel and Hall Signal Drawings - Approved wi Notes to Inspector Paee 10 oft 7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review Structural Review . 10/01/2006 10/01/2006 10/0112006 10/01/2006 10/01/2006 10/01/2006 10/01/2006 10/01/2006 10/01/2006 10/01/2006 10/01/2006 10/01/2006 10/0212006 10/0212006 10/0212006 10/0212006 . CITY OF ~rKmt..1<mLD - Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 12/06/2004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 APP AC Deferred Submittal - 0830-16000-DFO - Seismic Bracing of Center Hung Cable Tray (EC) (ISA T) - Approved wi Conditions Deferred Submittal - 0830-16000-DFO - Seismic Bracing of Center Hung Cable Tray (EC) (ISA T) - Approved wi Conditions Deferred Submittal - 0833-16000-DFO - Single Anchorage of Electrical Seismic Bracing (EC) (ISA T) - Approved wi Conditions Deferred Submittal - 0891-15000-DFO - Seismic Calculations for Pipe Shaft Riser Supports (Mason) - Approved with Conditions Deferred Submittal - 0373-15000-DF2 - Parking Level Fire Sprinkler Seismic Bracing - Calculations (Western StateslWDY) - Approved wi Conditions Deferred Submittal- 0384-14210-DFO - Electric Elevator Car, Hall and Panel Drawings - including Elevator #3, 4, 10, II, 12, 14,15,18,19,20,21,24,25,26,27 - Approved wi Notes to Inspector Deferred Submittal - 0386-14210-DFO - Electric Elevator Power Requirements - Elevators 3, 4,5,6,10-12,14-14,18-19,20-21, 24-25, and 26-27. (Traction Elevator Power Form) - Approved Deferred Submittal - 0459-15000-DFI - Fire Protection Hospital and OHVI Standpipe Submittal (WSFP) - including Shop Drawings (Sheets FP-OO, 0.0, 0.1, FP _I-SPN, FP _l-SPS, FP _ISO-SP, FP_ROOF-SP, FP_SUPPLY) Hydraulic Calculations (Class #3, CSP #1, #2, #3, and #4), Standpipe Seismic Bracing Calculations, and responses to CLAIR's 1st plan review - Approved wi Conditions APP AC APP AC APP AC APP AC APP AC APP AC APP AC Paee II oft7 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 10/01/2006 10/0212006 APP AC Deferred Submittal - 0655-15000-DF1 - Fire Protection- Hospital Levell - including Seismic Bracing - Shop drawings, Hydraulic Calculations, Structural Calculations for Seismic Bracing (WSFP) - Approved wi Conditions Structural Review 10/0112006 10/03/2006 APP AC Deferred Submittal- 853-08810-DFO - Window Systems Shop Drawings and Calculations (Eugene Mirror and Glass) - Shop drawings and calculations - Approved wi Conditions Structural Review 10/01/2006 10/09/2006 APP AC ASI 71 - Approved wi Notes to Inspector Structural Review 10/01/2006 10/09/2006 APP AC ASI144 - Approved Structural Review 10/0112006 10/09/2006 APP AC ASI149 - Approved Structural Review 10/0112006 10/09/2006 APP AC CCD 91 - Approved Structural Review 10/01/2006 10/09/2006 APP AC CCD 32 - Approved wi Conditions Structural Review 10/0112006 10/09/2006 APP AC CCD 74RI - Approved Structural Review 10/0112006 10/09/2006 APP AC PR 93 and 93AI - Approved Structural Review 10/0112006 10/0212006 APP AC CCD 31R1 - Approved Structural Review 10/0112006 10/0212006 APP AC CCD 35 - Approved Structural Review 10/0112006 10/0212006 APP AC CCD 36 - Approved Structural Review 10/0li2006 10/0212006 APP AC CCD 77 - Approved Structural Review 10/01/2006 10/0212006 APP AC CCD 4 - Approved Structural Review 10/01/2006 10/0212006 APP AC CCD 79 - Approved Structural Review 10/0112006 10/0212006 APP AC CCD 14 - Approved Structural Review 10/0112006 10/16/2006 APP AC ASI162 - Approved Structural Review 10/01/2006 10/16/2006 APP AC ASI 125 - Approved Structural Review 10/0112006 10/16/2006 APP AC ASI160 - Approved Structural Review 10/0112006 10/16/2006 APP AC ASI 163 - Approved Structural Review 10/01/2006 10/16/2006 APP AC ASI146 - Approved Structural Review 10/0112006 10/16/2006 APP AC ASI166 - Approved Structural Review 10/0112006 10/16/2006 APP AC CCD 60 - Approved wi Notes to Inspector Structural Review 10/0112006 10/16/2006 APP AC CCD 47 - Approved Structural Review 10/0112006 10/16/2006 APP AC CCD 50 - Approved Structural Review 10/0112006 10/16/2006 APP AC CCD 96 - Approved wi Notes to Inspector Structural Review 10/0112006 10/16/2006 APP AC CCD 8RI - Approved Structural Review 10/0112006 10/16/2006 APP AC Proposal Request 94 - Approved Structural Review 10/0112006 10/16/2006 APP AC Deferred Submittal 0872-15000-DFO - OHVllst floor HV AC Seismic Layout - Shop drawings (FM Sheet Metal) - Approved wi Conditions Paee 12 of 17 -iil~ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 10/0112006 Structural Review 10/0112006 Structural Review 10/0112006 Structural Review 10/0112006 Structural Review 10/0112006 Structural Review 10/0112006 10/16/2006 10/1612006 10/23/2006 10/16/2006 10/23/2006 10/23/2006 . CITY OF SPRINt..1< mLIJ Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 12/06/2004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 APP AC Deferred Submittal 0811-03450-DFO - Level 2 Parapets (north elevation at stair #1) - Hospital- Layout and reinforcing drawings (APS) - Approved wi Notes to Inspector Deferred Submittal 0908-15730-DFO - Seismic Structural Analysis Report for Fabricated Custom Air Handlin~ Units by 9/5/06 Turner Logistics- Approved wi Conditions Proposal Request 26 - Approved wi Notes to Inspector Deferred Submittal - 1st Back Ched - 0399-16000-DF1 - Resubmittal for Seismic Restraint of Suspended Electrical Conduit and Cable Tray - including responses to CLAIR's first plan review with copies of ISA T Technical Bulletin, ISA T QA Plan, EC QA Plan, and letter of Responsibility from EC - Approved wi Notes to Inspector Deferred Submittal 0513-16000-DFI - Resubmittal for Seismic Restraint of Fixed Electrical Equipment- including responses to CLAIR's first plan review with copies of ISA T Technical Bulletin, ISA T QA Plan, EC QA Plan, and letter of Responsibility from EC - Approved wi Conditions Deferred Submittal - 0666-15000-DFI - Fire Protection Systems - Level 2 (WSFP) - including shop drawings, Hydraulic Calculations (RA 1, 2, 3, 4: CSP 1,2, 3,4). Also includes cover sheet to seismic calculations, however, see submittal 655 for actual calculations - Approved wi Conditions APP AC APP AC APP AC APP AC APP AC Paee 13 of 17 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 10/01/2006 10/23/2006 APP AC Deferred Submittal- 0756-15000-DFO - Fire Protection Level 3 (WSFP) - including Shop Drawings (sheets FP-OO, 0.0, 0.14, SPRINK, 03-A, 03-B, 03-C, 03-D, 03-E, 03-F, 03-G, 03-H, 03-J, 03-K, 03-N, 0-3-P, 03-Q, 03-R, 03-S, 03-T) hydraulic calculations including Standpipe Supply CSP 1,2,3,4 and Level3RA 1,2,3,4 and Fire Protection Seismic Bracing Levels 3-9 - Approved wi Conditions Structural Review 10/0112006 10/23/2006 APP AC Deferred Submittal 0777-08810-DFO - received electronic copy of responses to I st plan review - Approved wi Notes to Inspector Structural Review 10/0112006 10/23/2006 APP AC Deferred Submittal 0812-03450-DFO - Level 4 Parapet - Hospital - Layoul and reinforcing drawings (APS) - Approved wi Notes to Inspector Structural Review 10/0112006 10/23/2006 APP AC Deferred Submittal 0813-03450-1 - Level 5 Parapet - Hospital (APS). (see submittal#955 for calcs) - Approved wi Conditions Structural Review 10/0112006 10/23/2006 APP AC Deferred Submittal 0836-03450-DFO - Received structural calculations (submittal no. 0643-03450-0) in reference to our plan review comment #168 for above referenced submittal (Hospital - Bay column, windows, and sills reinforcing ~ shop drawings - Approved wi Notes to Inspector Structural Review 10/01/2006 10/23/2006 APP AC Deferred Submittal 0877-03450-DFO - OHVI Project Bay Panels - Sheet OB5 missing from original submittal (APS) - Approved Structural Review 10/0112006 10/23/2006 APP AC Deferred Submittal 0955-03450-DFO - HospitaVOHVI Parapet Panel Calculations, Bay Window Connection Calculations (APS/Bright) - Approved wi Conditions Structural Review 10/0112006 10/23/2006 APP AC Deferred Submittal 0969-03450-DF1 - Hosp - DEI8 and DEI8A Precast Connections - Top of Bay Windows (APS) - Approved wi Notes to Inspector Paee140f17 . . CITY OF SPRI~t..1<mLIJ Building/Combination Permit Status Issued PERMIT NO: cOM2004-01488 225 Fifth Street, Springfield, OR ISSUED: 05/18/2006 541-726-3753 Phone APPLIED: 12/06/2004 541-726-3676 Fax EXPIRES: 06/04/2007 541-726-3769 Inspection Line VALUE: $ 212,434,907.00 Structural Review 10/01/2006 10/2312006 APP AC Deferred Submittal 0987-15000-DFO - Seismic Bracing (JHK) - Level 3 (Key Plan Areas C, G, K, Q and T) - Approved wi Conditions Structural Review 06/03/2005 06/08/2005 APP AC Approved for Structural fill Only Structural Review 06/30/2005 06/30/2005 APP AC Approved for foundation, shell and core only. See attached documents for plan review comments and or conditions Structural Review 0611212006 06/1212006 APP AC ASI 87 plan review - approved 6/12/06 Structural Review 06112/2006 06/1212006 APP AC ASI 100 plan review - approved 6/12/06 Structural Review 0611212006 06/12/2006 APP AC ASI 60R.4 plan review - approved. Structural Review 06/12/2006 06/1212006 APP AC ASI 97 plan review - approved 6112106 Structural Review 06/1212006 06/1212006 APP AC ASI 109 plan review - approved 6112106 Structural Review 06/1212006 06/1212006 APP AC ASI 099R.1 plan review - approved 6/12106 Structural Review 06/12/2006 06/1212006 APP AC ASI 104 plan review - approved 6/12106 Structural Review 06/12/2006 06/1212006 APP AC Proposal Request #24 plan review - approved 6/12106 Structural Review 0611212006 06/1212006 APP AC Proposal Request #22 plan review- approved 6/12/06 Structural Review 0611212006 0611212006 APP AC Proposal Request #32 plan review- approved 6/12/06 Structural Review 0611212006 06/1212006 APP AC Proposal Request #67 plan review approved 6/12106 Structural Review 06/1212006 0611212006 APP AC Proposal Request #90 plan review approved 6/12/06 Structural Review 0611212006 06/1212006 APP AC Proposal Request #36 plan review approved 6/12/06 Structural Review 06/1212006 06/12/2006 APP AC Proposal Request #77 plan review approved 6112106 Structural Review 0611212006 06/1212006 APP AC Deferred Submittal #0623-15900-DFO - Levell and 2 Reheat Control Valves - plan review - approved 6/12/06 Structural Review 06/1212006 06/1212006 APP AC Deferred Submittal 0536-15000-DFO - Tremco Firestopping (Lane-Douglas) - plan review - approved 6/12106 Structural Review 0611212006 06/1212006 APP AC Deferred Submittal 0645-03450-DFO - Connection Detail DE-ll - plan review - approved with notes to inspector 6/12106 Paee 15 oft7 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 12/0612004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 06/19/2006 06/19/2006 WE AC Structural Review 06/19/2006 06/19/2006 APP AC Structural Review 06/19/2006 DEN AC 06/19/2006 Structural Review Structural Review APP AC APP AC 06/19/2006 06/19/2006 06/19/2006 06/19/2006 Deferred Submittal 0581-15000-DFO - Seismic Bracing - Parking Level (JH Kelly) - 1st plan review- Conditions of Approval Deferred Submittal 0598-15000-DFO - Seismic Bracing Parking Level Rev. #2 (JH Kelly) - 1st plan review - conditions of approval Deferred Submittal 0632-15000-DFO - Seismic Bracing Level 2 (JH Kelly) - 1st plan review - NOT APPROVED ASI 108 - Approved ASI 95 - Approved with note to inspector To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~lir,p"l~ Water Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Special: See Plan Review andlor Inspector Notes. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Special Inspection: Weld Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Paeel60f17 . . CITY'OF ~rKH\it..1<lELD Building/Combination Permit PERMIT NO: cOM2004-01488 ISSUED: 05/18/2006 APPLIED: 1210612004 EXPIRES: 06/04/2007 VALUE: $ 212,434,907.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector. Low Voltage: Prior to cover. Low Voltage: 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 shan be done in accordance with the Ordinances ofthe 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 Paee 17 of 17 , . 225 Fifth Street Springfield, .Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01488 COM2004-01488 COM2004-01488 COM2004-01488 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: . _'~. ,PI,......, '.,..'. Wil " i' : .. , I: , ;. '\ <~,. ~ - - . .c.,...., "'~, . ~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200600000000001719 Date: 12/04/2006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By LH MORRIS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 008458 In Person Payment Total: Paee I of I 1:53:55PM Amount Due 137.25 2]9.60 274.50 2,745.00 $3,376.35 Amount Paid $3,376.35 $3,376.35 12/4/2006