HomeMy WebLinkAboutPermit Building 2006-5-18 (9)
.
. CITY OF SPRIN\JI'u'LD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 1210612004
EXPIRES: 11/30/2006
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
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:
Address:
PEACEHEALTH
PO BOX 1479
EUGENE OR 97440
NC'l'l""
x.. \~ \'(-~ ~S \,,\j\
,\ ~i-~\~ 9'C.\\~~ ~C'l\\
~';;. .-'l" ~\\''''-...Q \~;y- \\\\)\'\v
~\)'\\~\!~GONT'RACTOR INFORMATION I
\'(-\"0 ~W..- \j\" ,- ~.
Contractor ~'0\~?t-.\..~\J~~'{ ~~\\\C'l License
ANSHEN & A~R-~ .. -?,IJ \')\'
TURNER CONS'FRUCTION COMPANY
E C COMPANYt'"
TWIN RIVERS PLUMBING INC
Expiration Date
Contractor Type
Architect
General
Electrical
Plumbing
69988
49737
17695
11/09/2007
01/15/2008
03/11/2007
Phone
415-882-9500
503 229-6000
503-224-3511
541-688-1444
BUILDING INFORMATION 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:
.0
Occupant Load:
~u-..:;:"'\..'" ..~
n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION . ,,~~'<>~o'" ~e'\.'O~()"_, .
~.~ O,e ~e ~~');REQUlRED PARKING
~,'I> ""e '<.e<O ~ ,~e;- c:>,
Overlay Dist: ,,0 V)"." ,oS O~ ~e \ Total: ~
~e~ Ov e "" ",. c" ;.<)
# Street Trees Rqd~. 0 ~e; ,,~oCj ,.:;<:$ 0' ~\eHaniIicapped:
. ~. oR ," ~o . <0 '\." ."v
Paved Drive R'Id:) 'O-~ ~. () 'S' R'''' "S'''' "",lGompact:
% of Lot Cove....g~(" CJe~e ,,()'\ . '" cPo~e. .~'\.". ').1><\'
",v ,v V" .'lJ ,,," . ,~ n":!
~' ~ . 0'" ,,() '!:J' ~- \J 2:"
_,,0 f'Io."0 .ON ...\ 0 ~(),\. ....0<0 n.~
I PUBLIC IMPR(iYEMENis:f'-",c,e'~ 0":),,'0"
. . ~ (~~\C:;,.
~ ,,()~\) 'S,pQ, ~ ,0 Si~ewalk Type:
" c,'Ii '!:Je (fO'
"'.;:;(:' DownspoutslDrains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 1210612004
EXPIRES: 11130/2006
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
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
Description
Estimate
Estimate
Tvpe of Construction
Total Value of Project
$212,186,907.00
$248,000.00
$212,434,907.00
07/01/2005
06/08/2005
l.Fpp< PiiIU
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $443,476.63 12/6/04 2200400000000001481
Plan Review Fire & Life Safely $272,908.69 12/6/04 2200400000000001481
+ I % Seismic Fee $5,518.79 7/1/05 2200500000000000873
+ 100/0 Administrative Fee $55,187.86 7/1/05 2200500000000000873
+ 7% State Surcbarge $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 - 1st 50 Feet $90.00 7/6/05 1200500000000000955
Special Waste Connection $112.00 7/6/05 1200500000000000955
Deposit $10,000.00 7/8/05 2200500000000000902
+ 10% Administrative Fee $293.20 8122/05 2200500000000001132
+ 7% State Surcharge $205.24 8122105 2200500000000001132
Plan Review Plumbing (30%) $1,029.13 8122/05 2200500000000001132
Sanitary Sewer - 1st 50 Feet $45,00 8/22/05 2200500000000001132
Sanitary Sewer Each AddtlIOO' $560.00 8/22/05 2200500000000001132
Special Waste Connection $1,162,00 8/22/05 2200500000000001132
Storm Sewer - 1st 50 Feet $45.00 8/22/05 2200500000000001132
Storm Sewer Each AddtllOO' $1,120.00 8/22105 2200500000000001132
+ 10% Administrative Fee $14,201.30 9/2/05 2200500000000001211
+ 7% State Surcharge $9,940.91 9/2/05 2200500000000001211
Add, Alter, Extend Circ Ea Add $22,602.00 9/2/05 2200500000000001211
Low Voltage - Commercial Indus $63,585.00 9/2/05 2200500000000001211
Perm ServlFdr 1000 amps/volts $19,125.00 9/2/05 2200500000000001211
Perm ServlFdr 200 amps or less $15,057.00 9/2/05 2200500000000001211
Perm ServlFdr 201 to 400 amps $18,150.00 9/2/05 2200500000000001211
Perm Serv/Fdr 401 to 600 amps $1,375.00 9/2/05 2200500000000001211
Perm ServlFdr 601 to 999 amps $2,119.00 9/2/05 2200500000000001211
Plan Review Electrical (25%) $41,538.81 9/2/05 2200500000000001211
+ I % Seismic Fee $1,379.70 10/21/05 2200500000000001477
+ 10% Administrative Fee $13,796.97 10/21/05 2200500000000001477
+ 7% State Surcharge $9,657.88 10/21/05 2200500000000001477
Building Permit $137,969.68 10/21/05 2200500000000001477
+ 10% Administrative Fee $5.90 2/7/06 3200600000000000057
Paee 2 of5
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 AddtllOO'
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Special Waste Connection
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
Plan Review Comm/Ind/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
Backtlow 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 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: 12106/2004
EXPIRES: 11/3012006
VALUE: $ 212,434,907,00
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
3/1 0/06
3/1 0/06
3/22106
3/22/06
3/22/06
3/22/06
3/22106
3/22/06
3122/06
3/22/06
3/22/06
3/22106
3/22/06
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
3/22/06
3/22/06
3/22/06
3/22106
3/22106
3/22/06
3/22/06
3/22106
3/22106
3/22/06
3/22/06
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 5
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
Fixture
Not Covered Plumbing
Plan Review Plumhing (30%)
Plan Review Plumhing (30%)
Plan Review Plumhing (30%)
Sanitary or Storm Sewer Cap
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO'
Special Waste Connection
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 1210612004
EXPIRES: 11130/2006
VALUE: $ 212,434,907.00
$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
$45.00
$45.00
$28.00
$42.00
$45.00
$28.00
5/18/06
5118/06
5118/06
5118/06
5/19/06
5119/06
5/19/06
6/8/06
6/8/06
6/8/06
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
6/8106
6/8/06
6/8/06
6/8/06
6/8/06
1200600000000000678
1200600000000000678
1200600000000000678
1200600000000000678
VOUCHER #104418
VOUCHER #104418
VOUCHER #104418
1200600000000000829
1200600000000000829
1200600000000000827
1200600000000000827
1200600000000000829
1200600000000000829
1200600000000000827
1200600000000000827
1200600000000000829
1200600000000000829
1200600000000000827
1200600000000000829
1200600000000000829
1200600000000000829
1200600000000000829
1200600000000000829
1200600000000000829
$1,918,151.54
I Plan Reviews ,
Initial Review 03/30/2006 03/3012006 10 LLH Received permission from Philip
Farrington to recycle old plans.
Structural Review 06/0212005 06/03/2005 10 LLH Forwarded revised structural fill
drawings to Clair
Structural Review 06/03/2005 06/08/2005 APP AC Approved for Structural fill Only
Structural Review 06/30/200S 06/30/200S APP AC Approved for foundation, shell and
core only. See attached documents
for plan review comments and or
conditions
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.
UeollirerUnsnections I
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.
Pa2e 4 ofS
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01488
ISSUED: 05/18/2006
APPLIED: 1210612004
EXPIRES: 1113012006
VALUE: $ 212,434,907.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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.
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 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times /!/ /}s~:tion. J J. , 11/h
(P~u ~) G."g-OC"
-' f
Owner or Contractors Signature Date
Paee 5 of5
.
~~
a of Springfield Official Receipt
~elopment Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 I 488
COM2004-0I488
COM2004-0I488
COM2004-0.l488
COM2004-01488
COM2004-01488
COM2004-0l488
COM2004-01488
COM2004-0I488
COM2004-0 I 488
COM2004-0I488
COM2004-0 I 488
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200600000000000829
Date: 06/08/2006
Description
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Special Waste Connection
Plan Review Plumbing (30%)
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Sanitary or Storm Sewer Cap
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Plumbing (30%)
Paid By
PHILIP FARRINGTON
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
djb 074148 In Person
Payment Total:
Page I of I
1l:31:04AM
Amount Due
45.00
28.00
42.00
34.50
9.20
11.50
45.00
28.00
45.00
9.44
11.80
35.40
$344.84
Amount Paid
$344.84
$344.84
6/8/2006
CITY OF SPRINGFIELD PLUMBING PERMIT FEES TABLE 5
Civil Site Storm Services
SHMC - Tax Lot 800 I Lot 1
I AtlLE No. JoG I I UMC AMOUNT_
REFERENCE NO. DESCRIPTION FEE QTY
a One & Two Family Dwellings - Not Applicable $14.00 I
blSingle Plumbing Fixture $0.00
clSanitary Sewer
1(1) First 50 Ft. $45.00
1(2) Each additional 100 Fl. or portion $14.00
d I Water Service
1(1) First50Ft. $45.00
1(2) Each additional 100 Ft. or portion $14.00 .
elStorm & Rain Drain
1(1) First 50 Ft. $45.00 1 $45.00
j<2) Each additional 1 00 Ft. or portion $14.00 2 $28.00
f Sewage Ejector Pump $14.00
glSpecial Waste Connection $14.00 J $42.00
hi Manufactured Homes - Not Applicable
IIBacknow Prevention Device $14.00
i1Relocated Structure - Not Applicable
klsanilary or Storm Sewer Cap $45.00
I Any Trap or Waste not connected to Fixture $14.00
m supply $14.00
n Minimum Inspection Fee - Not Applicable 1 $45.00
o Partia/lnspeclion Fee (1) I $45.00
p Reinspection Fee (2) $45.00
q Inspections Not Covered By Schedule I $45.00
r Inspections Outside Normal Business Hours I $67.50 $0.00
s Investigation Fee - Not Applicable I $45.00
t Building Without Pennit Penally - Not Applicable I .
u Accessible Minor Plumbing Labels NO LONGER AVAILABLE - Not Applicable I 1
v Not Accessible Minor Plumbing Labels NO LONGER AVAILABLE - NOT APPLICABLE I I
w Hourly Inspection Fee for Requests Not In Permit Table $45.00 I $0.00
I I
1 i
SUBTOTALI $115.00
State Surcharqel ~ 8% $9.20
Administrative Feel @ 10% $11.50
SUBTOTALI $135.70
Plan Review Fees I @ 30% $34.50
TOTALI ~170.20
For questions please call CLAIR at (800) 383-8855
Page: 1 of 1
Sacred Heart Medical Center - Civil Site Storm Services,
Tax Lot 800, Lot 1
CLAIR No.: 1141-015
CITY OF SPRINGFIELD PLUMBING PERMIT FEES TABLE 5
Civil Site Sanitary Services
SHMC - Tax Lot 1100 - Lot 3
T ABLE No. 3-G
REFERENCE NO.
DESCRIPTION
a One & Two Family Dwellings - Not Applicable
b Single Plumbing Fixture
clSanitary Sewer
1(1) First 50 FI.
1(2) Each additional 1 00 FI. or portion
dlWater Service
(1) First 50 FI.
(2) Each additional 1 00 FI. or portion
e Storm & Rain Drain
(1) First 50 FI.
(2) Each additional 1 00 FI. or portion
f Sewage Ejector Pump
9 Special Waste Connection
h Manufactured Homes - Not Applicable
II Backflow Prevention Device
j Relocated Structure - Not Applicable
klSanitary or Storm Sewer Cap
IIAny Trap or Waste not connected to Fixture
mlsupply
nlMinimum Inspection Fee - Not Applicable
olPartiallnspection Fee (1)
p IReinspection Fee (2)
qllnspections Not Covered By Schedule
rllnspections Outside Normal Business Hours
sllnvestigation Fee - Not Applicable
tlBuilding Without Permit Penalty - Not Applicable
u Accessible Minor Plumbing Labels NO LONGER AVAILABLE - Not Applicable
vlNot Accessible Minor Plumbing Labels NO LONGER AVAILABLE - NOT APPLICABLE
wi Hourly Inspection Fee for Requests Not In Permit Table
I
~
SUBTOTALI
State Surcharge I
Administrative Feel
SUBTOTALI
Plan Review Fees I
TOTAll
___FEE_,I OTY
$14.00
$45.00 1
$14.00 2
$45.00
$14.00
$45.00 I
$14.00 I
$14.00
$14.00
$14.00
I
$45.00 I
$14.00
$14.00
$45.00
$45.00
$45.00
$45.00 I
$67.50 I
$45.00 I
I
I
I
$45.00 I
I
I
~ 8%
@ 10%
@ 30%
UMC AMOUNT
$0.00
$45.00
$28.00
.
$45.00
.'
$0.00
.
$0.00
$118.00
$9.44
$11.80
$139.24
$35.40
$174.64
For questions please call CLAIR at (800) 383-8855
Page: 1 of 1
Sacred Heart Medical Center - Civil Site Sanitary Services'
Tax Lot 1100, Lot 3
CLAIR No.: 1141-015