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HomeMy WebLinkAboutPermit Building 2006-2-7 (2) ,e . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01488 ISSUED: 02107/2006 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: PEACEHEAJLTH 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 11109/2007 503 229-6000 Electrical ECCOMPANY 49737 01/15/2008 503-224-3511 Plumbing TWIN RIVERS PLUMBING INC 17695 03/11/2007 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 Structnre 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: nla I DEVELOPMENl m~uN..ATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I.lliQUIRED PARKING Total: Handicapped: Compact: Street Improvements: '" .,,,,, "'~. UI 1....-"jUI I lU.'-V ,...'1....".......... }~~.- I PUBLIC IMPROVEMENTS 11do)'Ec! ol' the Oregon Utility ". ,';'~111 Cc.,t8SidewalkType:aresetforth ,n 0;,-: 9~2,001,O[l1 0 throuah OAB 952,001- , Downsp.outslDrams: I b 0'130. Yau may obtain Cupl"~ VillI" 'u es I' c<:~"~Clthe center. (Note: the telephone numo;r for the Oregon Utility Notification Center is 1-800-332-2344). Storm Sewer Available: Special mFt!~: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED DR IS ABANDONED FOR ANY 180 DAY PERIOD. 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 Type of Construction Estimate Estimate Estimate Estimate Fee Description Plan Review CommlIndlPublic 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 - 1st 50 Feet Special Waste Connection Deposit + 10% Administrative Fee + 7% State Surcharge Plan Review Plumbing (30%) Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtllOO' Special Waste Connection Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' + 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%) + 1 % Seismic Fee + 10% Administrative Fee + 7% State Surcharge Building Permit + 10% Administrative Fee ,e " '. CITY OF ~rKJ.NGFIELD . Building/Combination Permit PERMIT NO: COM2004-0I488 ISSUED:' 02/07/2006 APPLIED: 1210612004 EXPIRES: 08/07/2006 VALUE: $ 212,434,907.00 I Valuation Descriotion I 5 Per Sq Ft or multiplier 51.00 $1.00 Square Footage or Bid Amount 212,186,907.00 248,000,00 Value Date Calculated $212,186,907.00 $248,000.00 5212,434,907.00 07/01/2005 06/08/2005 Total Value of Project Fp.p.s Pllirll Amount Paid $443,476.63 5272,908.69 55,518.79 $55,187.86 538,631.51 5551,878.72 521.60 515.12 514.00 590.00 5112.00 5 I 0,000.00 5293.20 $205.24 51,029,13 $45.00 5560.00 51,162.00 $45.00 $1,120.00 514,201.30 $9,940.91 522,602,00 563,585.00 519,125.00 $15,057,00 518,150,00 $1,375.00 52,119.00 $41,538.81 51,379.70 513,796.97 59,657.88 5137,969.68 55.90 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 7/1/05 7/1/05 7/1/05 7/6/05 7/6/05 7/6/05 7/6/05 7/6/05 7/8/05 8122/05 8/22/05 8/22/05 8/22105 8/22/05 8/22/05 8/22/05 8/22/05 9/2/05 9/2/05 9/2/05 9/2/05 9/2/05 9/2105 9/2/05 9/2/05 9/2/05 912/05 10/21/05 10/21/05 10/21105 10/21/05 2/7/06 Pal!e 2 of 4 '. '. 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 + 8% State Surcharge Plan Review Plumbing (30%) Storm Sewer - 1st 50 Feet Storm Sewer Each Addt1100' $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 .. Structural Review Structural Review 06/03/2005 06/30/2005 06/08/2005 06/30/2005 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 ftlling 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 Buidlng Inspector High Strength Bolting: To be done during construction hy 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. o Paee 3 of 4 . ,6 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01488 ISSUED: 02/0712006 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 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 furtber certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of tbe 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, Bullding 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. "---j,.PA- /Y' ~ .' "'- /v~ OJ{.~r or Contractors Signaturu 1 F~ C:Jvt.<-~ '2.LT7J 6 Date PaEe 4 of 4 '.225 Fifth Street . , ,. Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-0 I 488 COM2004-0I488 COM2004-0 I 488 COM2004-01488 COM2004-0I488 Payments: Type of Payment Check '1 ,(II :( :\ 'C :c . Uf " '\ 'C :( ... 2/7/2006 " RECEIPT #: ~ ~y of Springfield Official Receipt '.elopment Services Department Public Works Department 3200600000000000057 Date: 02/07/2006 Description Storm Sewer Each Addtl 100' + 8% State Surcharge + 10% Administrative Fee Plan Review Plumbing (30%) Storm Sewer - 1st 50 Feet Paid By KPFF CONSULTING Item Total: Check Number Authorization Received By Batcb Number Number How Received lkw 3269 In Person Payment Total: Page I of I 10:39:2IAM ~; Amount Due 14.00 4.72 5.90 159.30 45.00 $228.92 Amount Paid $228.92 $228.92