HomeMy WebLinkAboutPermit Building 2005-6-8
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 06/08/2005
APPLIED: 12/06/2004
EXPIRES: 12/08/2005
VALUE: $ 248,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 0 Riverbend
ASSESSOR'S PARCEL NO,: 1703220000902
Springfield TYPE OF WORK: Hospital
TYPE OF USE: New
PROJECT DESCRIPTION: Riverbend Hospital, Structural Fill Permit Only
Commercial
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Contractor
ANSHEN & ALLEN
TURNER CONSTRUCTION COMPANY
License
Expiration Date Phone
415-882-9500
11/09/2007 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 Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
SprinkJed 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 DEVELOPMENT INFORMATION I
Front yard 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 PUDLl'- uvlPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Paee I of 3
ATTENTIOI'J:Urtig(J1I iaw reqUires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001.
0090. You may obtain Gopies of the rules b~
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:r!OTICE:
THIS PERMIT SHAl L r:/PIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS AbANDONED FOR
ANY 180 DAY PERIOD,
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01488
ISSUED: 06/08/2005
APPLIED: 12/06/2004
EXPIRES: 12/08/2005
VALUE: $ 248,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Vllhl~Jtion Descriotion I
I IIIII
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
$ 1.00
Square Footage
or Bid Amount
212,186,907.00
248,000.00
Value
Date Calculated
Description
Estimate
Estimate
Tvpe of Construction
Total Value of Project
$212,186,907.00
$248,000.00
$212,434,907.00
12/06/2004
06/08/2005
~ ]?pp< ~
Fee Description
Plan Review Commllnd/Public
Plan Review Fire & Life Safety
Amount Paid
Date Paid
,443,476.63
,272,908.69
12/6/04
12/6/04
Receipt Number
2200400000000001481
2200400000000001481
Total Amount Paid
$716,385.32
I Plan Reviews I
Structural Review 06/02/2005 06/03/2005 10 LLH Forwarded revised structural fill
drawings to Clair
Structural Review 06/0312005 06/08/2005 APP AC Approved for Structural fill Only
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.
IRp~
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,
Special: See Plan Review and/or Inspector Notes.
Pa2e 2 of3
.
_ CITY OF SPRIr~l....IELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01488
ISSUED: 06/08/2005
APPLIED: 12/06/2004
EXPIRES: 12/0812005
VALUE: $ 248,000.00
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 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 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
times during construction.
Owner or Contractors Signature
Date
Pal!e 3 of3