HomeMy WebLinkAboutPermit Building 2005-7-1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12106/2004
EXPIRES: 02/16/2006
VALUE: $ 212,186,907.00
SITE ADDRESS: 3333 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield TYPE OF WORK: Hospital
PROJECT DESCRIPTION: Riverbend Hospital
TYPE OF USE: New
Commercial
Contractor
ANSHEN & ALLEN
TURNER CONSTRUCTION COMPANY 69988
E C COMPANY 49737
TWIN RIVERS P~MI!'lC__ , 17695
ro~lntll . ~ r~.~;i~~~M.1ii~;u~l;
Notlflca~~: Center. Those rules are set fortl'l
I II In OAR 95!~ through OAR 952-001.
- ~ 0090. Vou~b~~~~f~s of the rules bV
IFR callin9~1ll&?(-~a(Note: the telephon61
number ~~. f1p'on Utility Notification
ner~~qll-332-2344).
Sprinkled Building: n/a
Owner: PEACEHEALTH
Address: PO BOX 1479
EUGENE OR 97440
Contractor Type
Architect
General
Electrical
, Plumbing
# of Units:
PrImary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I, CONTRACTOR INFORMATION I
License
1 DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I rUDLI\.. IMPROVEMENTS'
Expiration Date
Phone
415-882-9500
503 229-6000
503-224-3511
541-688-1444
11109/2007
01115/2008
03/11/2007
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
MOTICE' Ie T' or. WORK
1\ R' ~m SI-lALL EXPIRE ,I 1 Dow!,spoutsffirains:
lHIS PE UNOER1HIS PERM\! I~ I'\} \
AUlHORIZCEEOO OR \S ABANOQN~Q fQR
COMMEN
ANY 160 DAY p~R\9Q,
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
Tvpe of Construction
Estimate
Estimate
Estimate
Estimate
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ I % Seismic Fee
+ 10% Administrative Fee
+ '0/0 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 AddtI 100'
Special Waste Connection
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
Total Amount Paid
Structural Review
Structural Review
Structural Review
.
. CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/01/2005
APPLIED: 12/06/2004
EXPIRES: 02116/2006
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
Total Value of Project
Fpp~
Amount Paid
Date Paid
$443,476.63
$272,908.69
$5,518.79
$55,187.86
$38,631.5 I
$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
12/6/04
12/6/04
7/1/05
7/1/05
7/1/05
7/1/05
7/6/05
7/6/05
7/6105
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
$1,382,314.49
I Plan Reviews I
06/02/2005
06/03/2005
10 LLH
06/03/2005
06/30/2005
06/0812005
06/3012005
APP AC
APP AC
Paee 2 of 4
Value
Date Calculated
$212,186,907.00
$248,000.00
$212,434,907.00
07/01/2005
06/08/2005
Receipt Number
2200400000000001481
2200400000000001481
2200500000000000873
2200500000000000873
2200500000000000873
2200500000000000873
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
2200500000000000902
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
2200500000000001132
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
.
. CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/01/2005
APPLIED: 12/06/2004
EXPIRES: 02/16/2006
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
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.
~IPtt Infi',n~
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Backl10w 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.
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.
Paee30f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12/06/2004
EXPIRES: 02/16/2006
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
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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
timeSdU2~U:ion. ~ g/:J-f}-/I)J
Owner or Contractors Signature Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.~:'i
Wit. .i
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1488
COM2004-0 1488
COM2004-0 1488
COM2004-0 I 488
COM2004-0 I 488
COM2004-0I488
COM2004-0 I 488
COM2004-0 I 488
Payments:
Type of Payment
Check
:'
1
'~
8/22/2005
RECEIPT #:
2200500000000001132
Date: 08/22/2005
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddU 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Special Waste Connection
+ 10% Administrative Fee
Plan Review Plumbing (30%)
+ 7% State Surcharge
Paid By
PEACEHEALTH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 227341 In Person
Payment Total:
Page I of I
8:55:44AM
Amount Due
45.00
560.00
45.00
1,120.00
1,162.00
293.20
1,029.13
205.24
$4,459,57
Amount Paid
$4,459.57
$4,459.57