HomeMy WebLinkAboutPermit Building 2005-7-1 (4)
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. CITY OF SPRIl'\jljt<i~LJJ
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12/06/2004
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 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 ,
Contractor Type
Architect
General
Contractor
ANSHEN & ALLEN
TURNER CONSTRUCTION COMPANY
License
Expiration Date Phone
415-882-9500
1l/09n007 503 229-6000
69988
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 Strncture
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
I DEVELOPMENTINFORMATION 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:
Storm Sewer Available:
Special InsA"ff'g\!JTION: Oregon law requires yo~ ~
follow rules adopted by the Oregon Utility
Notes: Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number lor the Oregon Utility Notlflcallon
Center is 1-800-332-2344).
Sidewalk Type:
DownspoutslDrains:
l\~m::E:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
CON;IViENCED OR IS ABANDONED FOR
ANY 18U OilY PERIOD.
Paeelof3
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
+ 7% State Surcharge
Building Permit
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: 01/01/2006
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
$212,186,907.00
$248,000.00
$212,434,907.00
Date Calculated
07/0112005
06/0812005
Total Value of Project
Fpp<, PiWLI
Amount Paid
$443,476.63
$272,908.69
$5,518.79
$55,187.86
$38,631.51
$551,878,72
Date Paid
1216/04
12/6/04
7/1105
7/1105
7/1105
7/1105 .
Receipt Number
2200400000000001481
2200400000000001481
2200500000000000873
2200500000000000873
2200500000000000873
2200500000000000873
Forwarded revised structural fiU
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. AU 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.
$1,367,602.20
I Plan Reviews I
06/02/2005
06/03/2005
10 LLH
Water Line: Prior to f1Iling 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,
Special: See Plan Review and/or Inspector Notes,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
06/03/2005
06/30/2005
06/08/2005
06/30/2005
APP AC
APP AC
~p'" Tn~nections I
Page 2 of3
.
. CITY 01< ~rKll"un~LD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 07/0112005
APPLIED: 12106/2004
EXPIRES: 0110112006
VALUE: $ 212,186,907.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 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, ~nd
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
"~'"~~ /-J;~L -Z.OO,
ow.;;.: ~r C~r~~ors Signature Date
Pal!e 3 of3
225 Fifth Street
. '. .
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1488
COM2004-0 I 488
COM2004-0 I 488
COM2004-0 I 488
Payments:
Type of Payment
Check
"
"
,<
7/1/2005
.
RECEIPT #:
.~
~
jiLty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000000873
Date: 07/0112005
Deserlption
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
+ 1% Seismic Fee
Paid By
PEACEHEALTH
Reeeived By
lIh
Page I of I
Item Total:
Check Number Authorization
Batch Number Number How Received
00001
In Person
Payment Total:
9:47:23AM
Amount Due
551,878.72
38,631.51
55,187.86
5,518.79
$651,216,88
Amount Paid
$65 I ,216.88
$651,216.88