HomeMy WebLinkAboutPermit Building 2006-2-7
.
0:::.
_ CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 02/07/2006
APPLIED: 12/06/2004
EXPIRES: 08/07/2006
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: PEACEHEALTH
Address: PO BOX 1479
EUGENE OR 97440
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 BUII1DlNG 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:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Imntovements:
I\lOllCF'
Storm SeW'f!lI~VF'~fflJfi'
SpecialIn$trqCti.Q: T SHALL EXPIRE IF THE WORK
AU I Hu IZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
, ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I::NTION: Oregon law requires you to
Ie ,ow ruISiite-QaikT~~~! the Oregon Utility
;otlf:~atlon Center. "I nose rules are set forth
n O"H' 95,DownspoutslDrains:, OAR 952-001-
i f""\ c..-VVI-...'VIVlIIlV\..ol~'
0090. You may obtain copies of the rules by
calhny tile center. (Note: the telephone
number for tile Oregon Utility Notification
Center is 1-800,332-2344).
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Estimate
Type of Construction
Estimate
Estimate
Fee Description
Plan Review CommlInd/Publlc
Plan Review Fire & Life Safety
+ I % Seismic Fee
" + 10% 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 - Ist 50 Feet
Sanitary Sewer Each AddtI 100'
Special Waste Connection
Storm Sewer - Ist 50 Feet
Storm Sewer Each AddtI 100'
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc Ea Add
Low Voltage - Commercial Indus
Perm ServlFdr 1000 amps/volts
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Perm ServlFdr 401 to 600 amps
Perm ServlFdr 601 to 999 amps
Plan Review Electrical (25%)
+ I % Seismic Fee
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
+ 10% Administrative Fee
'..
'. CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 02/07/2006
APPLIED: 12/06/2004
EXPIRES: 08/07/2006
VALUE: $ 212,434,907.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
212,186,907.00
248,000.00
Value
Date Calculated
$212,186,907.00
$248,000.00
$212,434,907.00
07/01/2005
06/08/2005
Total Value of Project
Fp.p.~ tlWU
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
Date Paid
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
12/6/04
12/6/04
7/1/05
7/1105
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
8/22/05
8122/05
8/22/05
8/22105
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
10/21105
2/7/06
Pal!e 2 of 4
..::.
'-e
.
- ,
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 02/07/2006
APPLIED: 12/06/2004
EXPIRES: 08/0712006
VALUE: $ 212,434,907.00
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 Addt11 00'
$4,72
$159.30
$45.00
$14,00
2/7/06
2/7/06
2/7/06
2/7/06
3200600000000000057
3200600000000000057
3200600000000000057
3200600000000000057
Total Amount Paid
$1,753,041.66
I Plan Reviews I
~
Structural Review
06/02/2005
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
10. Structural Review
Structural Review
06/03/2005
06/30/2005
06/08/2005
06130/2005
APP AC
APP AC
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.
Water Line: Prior to filling trench and Including required testing.
Storm Sewer Line: Prior to filling trench.
Backfiow Device: Prior to covering and provide a copy of the test report oil 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 alllnslab 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 MlII 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.
Pal!e 3 of 4
-
'.
. CITY OF ~"'Kll~GFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 02/07/2006
APPLIED: 12/0612004
EXPIRES: 08/07/2006
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
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.
By signature, I state and agree, that I bave 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
- ~ ~ ~4-v
Owner or Contractors Signature ()
Date
7r.JL~~
u
,-In,l,
,. r-
Paee40f4
'"
7'f? F~!th Street
Springfield, Oregon 97477
541-726-3759 Phone
\~
Job/Journal Number
COM2004-0 1488
COM2004-01488
COM2004-0 1488
COM2004-0 I 488
COM2004-0I488
Payments:
Type of Payment
Check
,
,I
'"
iI
:,
:(
I :P
'1-
~
:\
,I
, 'h
I
:'t
2/7/2006
RECEIPT #:
~.
~
, ~y of Springfield Official Receipt
~elopment Services Department
Public Works Department
3200600000000000057
Date: 02/07/2006
De,erlptlon
Storm Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Plumbing (30%)
Storm Sewer - 1st 50 Feet
Paid By
KPFF CONSULTING
Received By
lkw
Page 1 of I
Item Total:
Check Number Authorization
Batch Number Number How Received
3269
In Person
Payment Total:
10:39:2IAM
Amount Due
14.00
4.72
5.90
159.30
45.00
$228.92
Amount Paid
$228.92
$228.92