HomeMy WebLinkAboutPermit Building 2006-5-18 (8)
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 12/06/2004
EXPIRES: 11/30/2006
VALUE: $ 212,434,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3333 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield TYPE OF WORK: Hospital
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Riverbend Hospital
Owner: PEACEHEALTH .
Address: PO BOX 1479
EUGENE OR 97440
Contractor Type
Architect
General
Electrical
Plumbing
I CONTRACTu" l!;rv"MATION I
AI I t.N Ilur\l: UIl::IjUII IOVV I v'1'"""....'" 1.......J. ~o
Contractor follow rules adopted by the Uiceii'seUtlilttxpiration Date
ANSHEN & ALI;~.Nification Center. Those rules are set forth
TURNER CONSiF.RJJGTION.(iJOMIiAiWlrougl(;99881952-001-
E C COMPANY 0090. You may obtain COpief49737e rules by
TWIN RIVERS PLlJM,BING,.JNGnter. (Note: ti-76<isephone
~ .1 ._. ."
11/09/2007
01/15/2008
03/11/2007
Phone
415-882-9500
503 229-6000
503-224-3511
541-688-1444
_ _ ~__ ..~.... . ......,." H' . """.. oVI .LI...................
'1"'BUILDINGl:NFORMA:nON'I~) ,
--..--.. .-
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1-1.1
B
IFR
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
_ _. n... _ ,_ .,-uC: \NnRK
. ~~I,Pi!B';I!v"MPRO'v~M.ENirS;I~\\1 IS NOT
AU1\10R11I::U UI~\'-S' ~BANOONEO FSi~ewalk Type:
MMENCED On
CO 0 DAY PERIOD. Downspoutsffirains:
ANY ~8
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
Paee I of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Estimate
Estimate
Fee Description
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
+ I % Seismic Fee
+ 100/0 Administrative Fee
+ 7% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Sanitary Sewer - Ist 50 Feet
Special Waste Connection
Deposit
+ 10% Administrative Fee
+ 7% State Surcharge
Plan Review Plumbing (30%)
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll 00'
Special Waste Connection
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Perm ServlFdr 401 to 600 amps
Perm Serv/Fdr 601 to 999 amps
Plan Review Electrical (25%)
+ I % Seismic Fee
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit,
+ 10% Administrative Fee
.
.U 1 i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 12/06/2004
EXPIRES: 11/3012006
VALUE: $ 212,434,907.00
I V~luation Descriotion J
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
212,186,907.00
248,000.00
Value
Date Calculated
07/01/2005
06/08/2005
$212,186,907.00
$248,000.00
Total Value of Project
Fpp< P"ilLI
Amount Paid
$443,476.63
$272,908.69
$5,518.79
$55,187.86
$38,631.51
$551,878.72
$21.60
$15.12
$14.00
$90.00
$112.00
$10,000.00
$293.20
$205.24
$1,029.13
$45.00
$560.00
$1,162.00
$45.00
$1,120.00
$14,201.30
$9,940.91
$22,602.00
$63,585.00
$19,125.00
$15,057.00
$18,150.00
$1,375.00
$2,119.00
$41,538.81
$1,379.70
$13,796.97
$9,657.88
$137,969.68
$5.90
$212,434,907.00
Date Paid
12/6/04
12/6/04
7/1/05
711/05
7/1/05
7/1/05
7/6/05
7/6/05
7/6/05
7/6/05
7/6/05
7/8/05
8/22/05
8/22/05
8/22105
8122/05
8/22/05
8/22/05
8122105
8/22/05
9/2/05
9/2/05
9/2/05
9/2/05
9/2/05
9/2/05
9/2/05
9/2/05
9/2/05
9/2/05
10/21/05
10/21/05
10/21/05
10/21/05
2/7/06
Receipt Number
2200400000000001481
2200400000000001481
2200500000000000873
2200500000000000873
2200500000000000873
2200500000000000873
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
2200500000000000902
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001211
2200500000000001477
2200500000000001477
2200500000000001477
2200500000000001477
3200600000000000057
Paee 2 of 5
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 Surcbarge
Fixture
Special Waste Connection
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
Plan Review CommlInd/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 AddtllOO'
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Eo 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
2/7/06
2/7/06
2/7/06
2/7/06
3/9/06
3/9/06
3/9/06
3/9/06
3/9/06
3/9/06
3/10/06
3/10/06
3/22/06
3/22/06
3/22106
3/22/06
3/22/06
3/22/06
3/22/06
3/22106
3/22106
3/22/06
3/22/06
3/22106
3122/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22106
3/22/06
3/22/06
3/22/06
3/22106
3/22/06
3/22106
3/22/06
5/15/06
5/15/06
5/15/06
5/15/06
Pace 3 of5
.CITY OF ~rK1r~'-'NJ<,LD .
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 12106/2004
EXPIRES: 11130/2006
VALUE: $ 212,434,907.00
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
I Plan Reviews ,
03/30/2006 03/30/2006 10 LLH Received permission from Philip
Farrington to recycle old plans.
06/02/2005 06/03/2005 10 LLH Forwarded revised structural fill
drawings to Clair
06/03/2005 06/08/2005 APP AC Approved for Structural fill Only
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
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
+ 7% State Surcbarge
Fixture
Not Covered Plumbing
Plan Review Plumbing (30%)
Total Amount Paid
Initial Review
Structural Review
Structural Review
Structural Review
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 1210612004
EXPIRES: 11/30/2006
VALUE: $ 212,434,907.00
$900.00
$720.00
$9,000.00
$2,250.00
$-2.10
$-21.00
$- 1.68
$137.20
$96,04
$1,344,00
$28.00
$481.57
1200600000000000678
1200600000000000678
1200600000000000678
1200600000000000678
VOUCHER #104418
VOUCHER #104418
VOUCHER #104418
1200600000000000827
1200600000000000827
1200600000000000827
1200600000000000827
1200600000000000827
5/18/06
5/18/06
5/18/06
5/18/06
5/19/06
5/19/06
5/19/06
6/8/06
618/06
6/8/06
6/8106
6/8106
$1,917,806.70
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.
UeonirecUnsnections I
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Backllow Device: Prior to covering and provide a copy of the test report on site at tbe time of inspection.
Special: See Plan Review and/or Inspector Notes.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement,
Slab: To be made after all ins lab 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
Paee 4 of5
.
.CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 1210612004
EXPIRES: 11130/2006
VALUE: $ 212,434,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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 Spcial Inspector. Provide Inspection results to City Building Inspector.
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 shall be done in accordance witb
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 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.
ai~J 6-e-6b
Owner or Cont~actors Signlllure Date
Pa2e 5 of5
225 Fiftb Street
Springfield, Oregon 97477
541-726-3759 Pbone
. L~~'~~
WiL
Cwf Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1488
COM2004-0 1488
COM2004-0 1488
COM2004-0 I 488
COM2004-01488
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Fixture
Not Covered Plumbing
Plan Review Plumbing (30%)
Paid By
BOHEMIA PLUMBING AND
CONSTR INC
1200600000000000827
Date: 06/08/2006
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb
4237
In Person
Payment Total:
Page I of I
10:06:IOAM
Amount Due
96.04
137.20
1,344.00
28.00
481.57
$2,086.81
Amount Paid
$2,086.81
$2,086.81
6/8/2006
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CITY OF SPRINGFIELD PLUMBING PERMIT FEES TABLE 5
Temporary plumbing within hospital during construction
Submitted bV Bohemia Plbg 7 const. Inc.
TABLE No. :J-C
REFERENCE NO. DESCRIPTION
a One & Two Family Dweiiings - Not Applicable
b Single Plumbing Fixture
e Sanitary Sewer
(1) First 50 Ft.
(2) Each additional 100 Ft. or portion
d Water Service
(1) First 50 FI.
(2) Each additional 100 Ft. or portion
e Storm & Rain Drain
(1) Fin;! 50 Fl.
(2) Each adcfrtional100 Ft. or portion
f Sewage Ejector Pump
!l Special Waste Connection
h Manufactured Homes - Not Applicable
1 Bac1dlow Prevention Device
j Relocated Structure - Not Applicable
k Sanitary or Storm Sewer Cap
I Any Trap or Waste not connected to Fixture
m Any plumbing instaUation not listed in this schedule with sanitary waste or potable waler supply'
n Minimum Inspection Fee - Not Appucable
o Partial/nspeclion Foo (II
p Reinspection fee (2)
Q Inspections Not Covered By ScI1edule
r Inspections Outside Normal Business Hours
s Investigation Fee - Not Applicable
t Building Without PelTlln Penally - Not Ap.!'licable
u Accassible Minor Plumbing Labels NO LONGER AVAILABLE - Not Applicable
v Not Accessible ~~nor Piumbing Labels NO LONGER AVAILABLE - NOT APPLICABLE
w Hourly Inspection Fee lor Requests Not In PelTllll Table
7;'6-~"T77
FEE ~AMOUNT 1
$14.00
$1.:\44.00
$45.00
I. $14.00
I'
$45.00
I":::::: .
514.00 I
514.00 1
$14.00 1
I' , ." ':.:"'.1..,
$14.001
I:;',',:'".",.. ':',:-1"
$45.00 I
$14.00 I
$14.00 I
$45.00 I
$45.00 I
:145.00 l
S45.oo l
$67.50 l
S45.00 l'".:.,... ,..;.".
:.:. :"":,d" "..
r~'.:. .- ...,1:"
:.-':..,:.: . ;J;-':~'L'-:',
$45 .00 I
I
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96
..~. ."
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I
1
1
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$28.00
"'. 'I.
"'-"',.' ",
,"j.
,-. -,-c"
. ....
.,",.
;".
SUBTOTALI $1,372.00 I
State SurCharge: @ 7% $96.04 I
Administrative fe&~ @ 10% 5137.20 I
SUBTOTALl 51.005.24
Plan Review Fees:j @ 30% &481.57
TOTAl $2,086,81
NOTE 1: Assessment ot partial Inspection fees TBD .
NOTE 2: Two (2) inspections allowed, additional inspections required 10 cermet deficiencies at $45.00 each at the illSpector's discretion
For questions please call CLAIR at (800) 383-6855
Page: 1 of 1
CLAIR No.: 1141-002
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I Job No.:
I Owner:
Job Site:
Drawing of:
By:
.Date:
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