HomeMy WebLinkAboutPermit Building 2005-7-1 (3)
.
. CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12/0612004
EXPIRES: 0110112006
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
Architect
General
Electrical
Plumbing
Contractor License Expiration Date Phone
ANSHEN & ALLEN 415-882-9500
TURNER CONSTRUCTION COMPANY . 69988 taW ~ftIl!1Sll~.~ 503 229-6000
E C COMPANY NTI~()regon \heOt~Il8"'\i ~03-224-3511
TWIN RIVERS PLUMBING INe A~~. ",\/'iY;~5opte~!~... ~tJ1lellll;~ '~n1~1-688-1444
I BUILDING INFO~~1IlI\'~i~~010\hyO\lgh ~';e"~es bY
In O/>.R ~~\!-. obtain copies lephOnCil
# of Stories: 0090. 'lou may tet. lNcj!Ot ~~e 'flcatloR
Height of StruC~ing \he cell Orego~lil1\l\ts~or:
Type of Heat: number tor \he 1-80~3'imt{oor:
Water Type: center \9 Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occnpant Load:
1-1.1
B
IFR
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Downspoutsmrains:
Storm Sewer Avallable:I\\OTICE:
Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Page I 00
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
+ 100/0 Administrative Fee
+ 7% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Sanitary Sewer - 1st 50 Feet
Special Waste Connection
Deposit
Total Amount Paid
Structural Review
Structural Review
Structural Review
.
. Ul:t:' 01< ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12/06/2004
EXPIRES: 0110112006
VALUE: $ 212,186,907.00
I Valuation Descriotion 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
Fpp< PiIilLI
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
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
7/8/05
$212,186,907.00
$248,000.00
$212,434,907.00
07/0112005
06/08/2005
$1,377,854.92
I Plan Reviews I
06/0212005
06/0312005
10 LLH
Receipt Number
2200400000000001481
2200400000000001481
2200500000000000873
2200500000000000873
2200500000000000873
2200500000000000873
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
1200500000000000955
2200500000000000902
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
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.
06/03/2005
06/30/2005
06/08/2005
06/30/2005
APP AC
APP AC
l.JIr1n'lirprl T~
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Pace 2 of3
.
. CITY Uti ~rKlNGFIELD .
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12/0612004
EXPIRES: 0110112006
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
BackOow 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 hut prior to concrete placement.
Slah: 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 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 shaU 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.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU
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 t e permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
times durl cons ction.
$+-U.K~ T ('./9W
\J ...,j-1
\S, d-..-..o~
- """,. -
Owner or Contractors Signature
Date
Page 3 00
225 Fifth Street
.,
Springfield, Oregon 97477
54}-726-3759 Phone
RECEIPT #:
Job/Journal Number Description
COM2004-0I488 Deposit
Payments:
Type of Payment
Check
"
'}
"
7/812005
Paid By
EC COMPANY
.
~
.Jillty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000000902
Received By
djb
Page I of I
Date: 07/08/2005
Item Total:
Check Number Authorization
Batch Number Number How Received
180334
In Person
Payment Total:
12:04:37PM
Amount Due
10,000.00
$10,000.00
Amount Paid
$10,000.00
$10,000.00