HomeMy WebLinkAboutPermit Building 2005-7-1 (2)
~'*..
.
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/01/2005
APPLIED: 12/0612004
EXPIRES: 01101/2006
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 RiverBeod Dr
ASSESSOR'S PARCEL NO,: 1703220000902
Springfield TYPE OF
Hospital
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Riverbeod Hospital
Owner: PEACEHEAJLTH
Address: PO BOX 1479
EUGENE OR 97440
Contractor Type
Architect
General
Plumbing
I CONTRACTOR INFORMATION I
Contractor
ANSHEN & ALLEN
TURNER CONSTRUCTION COMPANY
TWIN RIVERS PLUMBING INC
License
Expiration Date Phone
415-882-9500
11/09/2007 503 229-6000
03/11/2007 541-688-1444
69988
17695
1-1.1
B
IFR
I BUILDING INFORMATION.
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
nla
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
r~:i~~E: IDEVELOPMENTINFORMATION I
THIS PE:Ri\1IT SHALL ~~:.~H~;~,I,Ht vvunl\
AUTrlORIZm UNDEROverlayUist:IT IS NOT
COjljll&I~CED OR IS !I,~treet\I:re~ FOR
Y 180 OAY PERlor,~ved Dnve Rqd:
AN % of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
A IPUBLIC IMPRuv "ldENTSI
TrENT/ON' Ore ,
Street fO~low rules a'doPt~~~ aw requires you to
Storm Sewer Availablllfotlfication Center. Th/ the Oregon Utility
Special Instruction: In OAR 952-001-0010 th se rules are set forth
0090. You may obtain ro~gh OAR 952-001_
Notes: calling the cent (NcoP/es of the rules by
n b er. ate: the tele h'
um er for the Oregon Uti/' . Pone
Center Is 1-800-3"'" fty Notification
--2344).
Sidewalk Type:
Downspouts/Drains
I of 3
Status: Issued
225 Flfth 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 CommJIndlPublic
Plan Review Fire & Life Safety
+ I % Seismic Fee
+ 100/0 Administrative Fee
+ 7% State Surcbarge
Building Permit
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Sanitary Sewer - 1st 50 Feet
Special Waste Connection
Total Amount
Structural Review
Structural Review
Structural Review
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12/06/2004
EXPIRES: 0110112006
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
Date Calculated
Total Value of Project
F'i:"r' tiWU
Amount Paid
Date Paid
12/6/04
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
$212,186,907.00
$248.000.00
$212,434,907.00
07/0112005
06/0812005
$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
$1,367,854.92
06/02/2005
I Plan Reviews I
06/03/2005 10
LLH
Receipt Number
2200400000000001481
2200400000000001481
2200500000000000873
2200500000000000873
2200500000000000873
2200500000000000873
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
Forwarded revised structural fill
drawings to Clair
Approved for Structural fill Only
Approved for foundation, shell and
core only. See attacbed documents
for pian review comments and or
conditions
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.
06/03/2005
06/30/2005
06/08/2005 APP
06/30/2005 APP
AC
AC
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.
~ouiretl InsneetionsJ
2 of 3
.
. CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12/06/2004
EXPIRES: 0110112006
VALUE: $ 212,186,907.00
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 resuits 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 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 Spclal 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 shaIl 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 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 iollocated at the front of the property, and the approved set of plans wiD remain on the site
at all times during construction. ./ .
~&~
Owner or Contractors Signature
-;/~h~
Date / /
3 of 3
225 Fifth Street
, Springfield, Oregon 97477
541-726-3759 Phone
,.
JoblJournal Number
eOM2004-01488
eOM2004-01488
eOM2004-01488
COM2004-0 I 488
COM2004-0 I 488
Payments:
Type of Payment
Check
7/6/2005
.
RECEIPT #:
Descrlptlon
Fixture .
Sanitary Sewer - 1st 50 Feet
Special Waste Connection
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
TWIN RlVERS PLUMBING
INe
8
liJ..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000955
Date: 0710612005
Item Total:
L:heck Number AuUlorizatioD
Received By Batch Number Number How Received
djb 254 I 4 In Person
Payment Total:
I of I
2:40:24PM
Amoont Due
14.00
90.00
II 2.00
15.12
21.60
$252.72
Amount Paid
$252.72
$252.72