The URL can be used to link to this page

Home My WebLink AboutPermit Building 2005-10-21 " . . CITY OF .srlUl'lj'-df!J!,LD' Building/Combination Permit PERMIT NO: COM2004-01488 ISSUED: 10/21/2005 APPLIED: 12106/2004 EXPIRES: 04/21/2006 VALUE: $ 212,186,907.00 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 11109/2007 503 229-6000 Electrical E C COMPANY 49737 0111512008 503-224-3511 Plumbing TWIN RIVERS PLUMBING INC 17695 03/1112007 541-688-1444 BUILDIN" mI'UKldA TION 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 , 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: NOTICE: THIS PERMIT SHALL ~XPIR~ 0' 'i'HE WORK ~OUTHORIZED UNDER THIS PERMIT IS NOT MMENCED OR IS ABANDONED F ANY 180 DAY PERIOD. OR Pa2e I of 4 I PUBLIC Il\<JrKuv '''In'''I'.1> I ATTENSideWaIMf~pe: law requires you to follow POol"" ~rlnnttPID-' h" t1'.<;J Oregon Ut'IJI'ty N 'f' . ownspou s rams. otllcatlon Center. Those rules are set forth in OAR 952,001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by callin(l the center. (Note: the telephone nu','. . ,:le ')regon Utilily Notification '- ..,~r oS l'dUO'332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: -iir 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 CommlIndlPubUc Plan Review Fire & Life Safely + 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 AddtlIOO' + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ 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 . . CITY VI' ~rRINGFIELD Building/Combination Permit. PERMIT NO: COM2004-01488 ISSUED: 10/21/2005 APPLIED: 12/06/2004 EXPIRES: 04/21/2006 VALUE: $ 212,186,907.00 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 $212,186,907.00 $248,000.00 $212,434,907.00 Date Calculated 07/0112005 06/08/2005 Total Value of Project F..... tlWLI 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 59,657,88 $137,969.68 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 12/6104 12/6/04 7/1105 7/1105 7/1105 7/1105 7/6/05 7/6/05 7/6/05 7/6/05 7/6/05 7/8/05 8/22/05 8/22/05 8/22/05 8/22/05 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 9/2/05 9/2/05 9/2/05 9/2/05 9/2/05 10/21/05 10/21105 10/21105 10/21105 Paee 2 of 4 . . CITY OF ~rK1r\jul'lELD . Building/Combination Permit PERMIT NO: COM2004-01488 ISSUED: 10/21/2005 APPLIED: 12106/2004 EXPIRES: 04/21/2006 VALUE: $ 212,186,907.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $1,752,812.74 I Plan Reviews I Structural Review 06/0212005 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 06/3012005 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. I Reolli"ij:O~ Tn!iiinections I Water Line: Prior to fIlllng 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 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 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. Pa2e30f4 . . CITY OF ~rKll'\j\.d'U'"L1J' Building/Combination Permit PERMIT NO: COM2004-01488 ISSUED: 10/21/2005 APPLIED: 12/06/2004 EXPIRES: 04/21/2006 VALUE: $ 212,186,907.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 descrihed 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 ail 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. ~~ /' - . Owner or Contractors Signature ZI-f')C7-~ Date Paee 4 of 4 225 Fifth Street . Spriitgfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-01488 COM2004-0I488 COM2004-0I488 COM2004-0 I 488 '1,., Payments: , -, Type or Payment Check l: t 10/21/2005 . RECEIPT #: J7':~,~ Ilk. ' ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001477 Date: 10/21/2005 Description Building Permit + 7% State Surcharge + 10% Administrative Fee + 1% Seismic Fee Paid By PEACEHEALTH Received By Ilh Page I of I Item Total: Check Number Authorization Batch Number Number How Received 233844 In Person Payment Total: 3:04:24PM Amount Due 137,969.68 9,657.88 13,796.97 1,379.70 $162,804.23 Amount Paid $162,804.23 $162,804.23