HomeMy WebLinkAboutPermit Building 2006-3-22
.
. CITY OF SPRINGFIELD"
Building/Combination Permi(
PERMIT NO: COM2004-01488
ISSUED: 03/22/2006
APPLIED: 12/06/2004
EXPIRES: 09/22/2006
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
Hospital
TYPE OF USE: New
Commercial
. PROJECT DESCRIPTION: Riverbend Hospital
Owner:
Address:
PEACEHEALTH
PO BOX 1479
EUGENE OR 97440
-
I'
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
Architect ANSHEN & ALLEN 415-882-9500
General TURNER CONSTRUCTION COMPANY 69988 11/09/2007 503 229-6000
Electrical ECCOMPANY 49737 01/15/2008 503-224-3511
Plumbing TWIN RIVERS PLUMBING INC 17695 03/1112007 541-688-1444
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
1-1.1
B
IFR
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Other:
Occupant Load:
I'
n/a
,
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback: Overlay Disl:
Side I Sethack: # Street Trees
Side 2 Sethack: Paved Drive Rqd:
Rearyard Sethack: % of Lot Coverage:
Solar Setbacks:T~' T
'" ""I ION: Orecon law reauires VOl) to
10:. ow rUICO adopted by the C \PUBLlC:'NMPROVEMENTSI
Notlf1cutlon Center. Those rulbw _. _ __, .v'..,
Street in OAR 952-001-0010 through OAR 952,001-
nnC'n ":-" I rn bt' , I h
Storm Sewer Avallable:ay 0 aln copies 0 t e rules by
Special Instriictii.~n: the center. (Note: the telephone
number lor the Oregon Utility Notilication
Center is 1-800-332,2344).
Total:
Handicapped:
Compact:
Sidewalk Type:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
DownspoutsfDraios
,.
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I of 5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 03/22/2006
APPLIED: 12/06/2004
EXPIRES: 09/22/2006
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
Estimate
Estimate
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 212,186,907.00
$1.00 248,000.00
Total Value of Project
Value
Date Calculated
Description
Estimate
Estimate
Type of Construction
$212,186,907.00
$248,000,00
$212,434,907,00
07/0112005
06/08/2005
l..Fpp. PiWLI
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $443,476.63 12/6/04 2200400000000001481
Plan Review Fire & Life Safety $272,908,69 12/6/04 2200400000000001481
+ I % Seismic Fee $5,518,79 7/1105 2200500000000000873
+ 10% Administrative Fee 555,187.86 7/1105 2200500000000000873
+ 7% State Surcharge $38,631.51 7/1/05 2200500000000000873
Building Permit $551,878.72 7/1105 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 8/22/05 2200500000000001132
+ 7% State Surcharge $205.24 8/22/05 2200500000000001132
Plan Review Plumbing (30%) $1,029.13 8/22105 2200500000000001132
Sanitary Sewer - 1st 50 Feet $45.00 8/22/05 2200500000000001132
Sanitary Sewer Each AddtllOO' $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 8/22/05 2200500000000001132
+ 10% Administrative Fee $14,201.30 9/2/05 2200500000000001211
+ 7% State Surcharge $9,940.91 9/2/05 2200500000000001211
Add, Alter, Extend Clrc 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 ServlFdr 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 10/21105 2200500000000001477
+ 10% Administrative Fee $5.90 2/7/06 3200600000000000057
2 of 5
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued PERMIT NO: COM2004-01488
225 Fifth Street, Springfield, OR ISSUED: 03/22/2006
541-726-3753 Phone APPLIED: 12/06/2004
541-726-3676 Fax EXPIRES: 09/22/2006
541-726-3769 Inspection Line VALUE: $ 212,434,907.00
+ 8% State Surcharge $4.72 2/7/06 3200600000000000057
Plan Review Plumbing (30%) $159.30 2/7/06 3200600000000000057
Storm Sewer - 1st 50 Feet $45,00 2/7/06 3200600000000000057
Storm Sewer Each AddtllOO' $14.00 2/7/06 3200600000000000057
+ 10% Administrative Fee $14.30 3/9/06 2200600000000000287
+ 7% State Surcharge $10.01 3/9/06 2200600000000000287
Fixture $56.00 3/9/06 2200600000000000287
Special Waste Connection $14.00 3/9/06 2200600000000000287
Storm Sewer - 1st 50 Feet $45.00 319/06 2200600000000000287
Storm Sewer Each AddtlIOO' $28.00 3/9/06 2200600000000000287
Plan Review CommlIndlPublic $125.58 3/1 0/06 1200600000000000285
< Plan Review Fire & Life Safety $77.28 3/10/06 1200600000000000285
-Mechanical Issuance Fee- $10.00 3/22/06 2200600000000000366
+ 10% Administrative Fee $10,748.00 3122/06 2200600000000000366
+ 7% State Surcharge $7,523.60 3122/06 2200600000000000366
Air Handling Unit 10,000 & Ovr $435.00 3/22/06 2200600000000000366
Air Handling Unit Up to 10,000 $112.00 3122/06 2200600000000000366
Appliance Not Listed $28,260.00 3/22/06 2200600000000000366
Appliance Vent $288.00 3/22/06 2200600000000000366
Backflow Device $210.00 3/22/06 2200600000000000366
Evaporative Coolers $72.00 3122/06 2200600000000000366
Exhaust Hoods $90.00 3/22/06 2200600000000000366
Fixture $37,450.00 3122/06 2200600000000000366
Furnace - more than 100,000 $90.00 3122/06 2200600000000000366
Furnace - Unit Heater $300.00 3122/06 2200600000000000366
Furnace - up to 100,000 btn $18,804.00 3/22/06 2200600000000000366
Gas Outlets 1-4 $4.00 3/22/06 2200600000000000366
Gas Outlets 4+ $6.00 3/22/06 2200600000000000366
Heat Pump $264.00 3/22/06 2200600000000000366
Inspection - Preliminary $45.00 3122/06 2200600000000000366
Medical Gas Base Fee $219.00 3/22/06 2200600000000000366
Medical Gas Each Inlet/Outlet $14,625.00 3/22/06 2200600000000000366
Medical Gas Plan Review $4,453,20 3/22/06 2200600000000000366
Not Covered Mechanical $540.00 3/22/06 2200600000000000366
Plan Review Electrical (25%) $-6,035.53 3122/06 2200600000000000366
Plan Review Mechanical (25%) $12,334.50 3122/06 2200600000000000366
Plan Review Plumbing (30%) $-149,53 3/22/06 2200600000000000366
Plan Review Plumbing (30%) $12,992.40 3122/06 2200600000000000366
Sanitary Sewer - 1st 50 Feet $45.00 3122/06 2200600000000000366
Sewage Ejector Pump $112.00 3/22/06 2200600000000000366
Special Waste Connection $4,172.00 3/22/06 2200600000000000366
Trap or Waste not Conn to Fixt $1,260.00 3/22/06 2200600000000000366
Vent Fan $18.00 3/22/06 2200600000000000366
Water Line - 1st 50 Feet $45.00 3/22/06 2200600000000000366
Water Line - Each AddtllOO' $14.00 3/22/06 2200600000000000366
Total Amount $1,902,768.47
3 of 5
.
. CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2004-01488
ISSUED: 03/22/2006
APPLIED: 12/06/2004
EXPIRES: 09/22/2006
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
Structural Review
06/02/2005
I Plan Reviews I
06/03/2005 10
LLH
Forwarded revised structural fill
drawings to Clair
Approved for Structural fill Only
Approved for foundation, shell and
core only. See attached documents
for plan review comments and or
conditions
Structural Review
Structural Review
06/03/2005
06/30/2005
06/08/2005 APP
06/30/2005 APP
AC
AC
. To Request an inspection caD 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. wiD be made the following
work day.
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 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 it State
Certified Special Inspector with approval from the City of Springfield. Copies of inspection resnlts 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 tbe 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.
4 of 5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 03/22/2006
APPLIED: 1210612004
EXPIRES: 09/22/2006
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
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 wiD be made of any structure without permission of the Community ServlcesDivision,
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 loc the front ofthe property, and the approved set of plans win remain on the site
at all times durin2 constructi ~__
.........- ~ --- ~ ~ 2.20 - AlAn ~ 2ZOG.
ow/:tt;Si~:c~ ~ ~
Date
5 of 5
;1
2~ Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
..
'1
J!,\,/Journal Number
d:iM2004-0I488
CbM2004-0 I 488
COM2004-0I488
COM2004-0l488
COM2004-01488
COM2004-0I488
COM2004-01488
COM2004-0 1488
COM2004-0I488
)
COM2004-0I488
.
COM2004-0 I 488
COM2004-0I488
COM2004-0 I 488
COM2004-0I488
'.
COM2004-0I488
,
GOM2004-0 I 488
COM2004-0 I 488
d~lM2004-0 I 488
COM2004-0 I 488
COM2004-01488
COM2004-01488
COM2004-0 I 488
COM2004-0 1488
COM2004-01488
COM2004-0 1488
CbM2004-01488
, dbM2004-01488
COM2004-0 I 488
COM2004-0 I 488
COM2004-0I488
C~M2004-0I488
CbM2004-0 I 488
COM2004-0 I 488
l
P,~yments:
Type of Payment
Check
:,
1
,
"
, :t
if
!\
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'[
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r
3/22/2006
.
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Wic' ",
,.,n; Ii :
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
2200600000000000366
Date: 03/22/2006
Description
SanitaIy Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Sewage Ejector Pump
Special Waste Connection
Backflow Device
Trap or Waste not Conn to Fixt
Fixture
Furnace - up to 100,000 btu
Furnace - more than 100,000
Furnace - Unit Heater
Air Handling Unit Up to 10,000
Air Handling Unit 10,000 & Ovr
Evaporative Coolers
Exhaust Hoods
Vent Fan
Appliance Vent
Gas Outlets 1-4
Gas Outlets 4+
Heat Pump
Inspection - Preliminary
Appliance Not Listed
Not Covered Mechanical
-Mechanical Issuance Fee--
Medical Gas Base Fee
Medical Gas Each Inlet/Outlet
Medical Gas Plan Review
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Plumbing (30%)
Plan Review Mechanical (25%)
Plan Review Electrical (25%)
Plan Review Plumbing (30%)
Paid By
PEACE HEALTH
Received By
lkw
I of I
Item Total:
LbecK Number Authorization
Batch Number Number How Received
00249571 In Person
Payment Total:
8:25:15AM
Amoo nt Due
45.00
45.00
14.00
112.00
4, I 72.00
210.00
1,260.00
37,450.00
18,804.00
90.00
300.00
112.00
435.00
72.00,
90.00
18.00
288.00
4.00
6.00
264.00
45.00
28,260.00
540.00
10.00
219.00
14,625.00
4,453.20
7,523.60
10,748.00
12,992.40
12,334.50 .
(6,035.53)
(149.53)
$149,356.64
Amount Paid
$149,356.64
$149,356.64