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Home My WebLink AboutPermit Building 2007-6-29 (3) . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line $C~:~~:~j SITE ADDRESS: 3355 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield PROJECT DESCRIPTION: Northwest Specialty Clinic Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 12/29/2007 VALUE: $ 29,769,000.00 TYPE OF WORK: Medical Office TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Architect General Contractor ROLAND UDENZE THE HASKELL CO A FLORIDA CORP License Expiration Date Phone 904-791-480 I 05/1112009 904-791-4674 I BUILDING INFORMATION I 147733 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbah~Oi>!l: ~ i~~l7oo VO!',}~_ ~~~-~~~~I;dilil~PROVEMENTSI lNgUI~" I\<v"~ UIi""" , ~ 1'1' '!,l," Street Im~~-4lM@I2it1Q:l.l~ Ol-\i'llloO" - _@CW~~~o1~0rule8bY Storm Se - ~ " o:;mlc:1_ ~O: ~O wll/lphone Speciallnst '. ~ ~O 07~ UiI\11y NotIiicatlon iC€I\wr 10 1-G00-3S2-2344). Notes: Paee I of4 REQUIRED PARKING Total: Hapdicapped: Compact: Sidewalk Type: NonWJi!vnspouts/Drains: E WORK THIS PERMIT SHAll. EXPIRE IF TH AUTHORIZED U\\IDER THIS PERMIT IS \\lOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 1212912007 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769Inspectiop Line I Valuation Descrintion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 29,769,000.00 Value Date Calculated 06/19/2007 Description Total Value of Project $29,769,000.00 $29,769,000.00 L.!<,p~< PilU Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $2,268.92 4/2107 2200700000000000472 + 10% Administrative Fee $9,698.99 6/29/07 1200700000000000842 + 5% Technology Fee $4,849.50 6/29/07 1200700000000000842 + 8% State Surcharge $7,759.19 6129/07 1200700000000000842 Building Permit $96.989.90 6/29/07 1200700000000000842 Deposit $25,715.32 6/29/07 1200700000000000842 Plan Review Comm/lnd/Public $60,930.94 6129/07 1200700000000000842 Plan Review Fire & Life Safety $38,795.96 6/29/07 1200700000000000842 Sanitary Sewer - Improvement $10,201.75 6/29/07 1200700000000000842 Sanitary Sewer - Reimbursement $13,418.47 6/29/07 1200700000000000842 SDC MWMC Administration $10.00 6/29/07 1200700000000000842 SDC MWMC Improvement, $122,046.85 6/29/07 1200700000000000842 SDC MWMC Reimbursement $122,046.85 6/29/07 1200700000000000842 SDC Sanitary/Storm Admin $1,812.30 6/29/07 1200700000000000842 SDC Transpo Admin $33,226.08 6/29/07 1200700000000000842 SDC Transpo Improvement $353,019.54 6/29/07 1200700000000000842 SDC Transpo Reimbursement $80,024.23 6/29/07 1200700000000000842 Total Amount Paid $982,814.79 I Plan Reviews i Public Works Review 06/27/2007 06/14/2007 APP JLP Entered SDC fees based on DFU cales in memo provided by CLAIR dated 6/8/07 as directed by Ken. JLP To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~irptl In~"ections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Paee 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 12/29/2007 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Ipspection Line Footing: After trenches are excavated. Slab: To be made after all inslab building service equipment, conduit piping and other equipmept items are in place but prior to concrete. Framing Inspection: Prior to cover apd after all rough in ipspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Roof SheathipglNailing: Before covering sheathing with finisb material. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test' results to City Building Inspector. ' Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground distnrbance and after erosion measures are installed. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector. Final Fire D~partment. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and ipcluding required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Gas Service: After line is installed and line bas been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phope 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 1212912007 VALUE: $ 29,769,000.00 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 Ordipances of the City of Spripgfield 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, tbat each address is readable from the street, that the ermit card is locate at the front of the property, and the approved set of plans will remain on the site at all times during Dstruction. Ow;;er o&tractors Signature Paee 4 of 4 t- -n- tJ7 Date 22~'FHth ~Stteet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment Check cReceint I . ~,IILD , ~ .. of Springfield Official Receipt "velopment Services Department Public Works Department RECEIPT #: 1200700000000000842 Date: 06/29/2007 Description Plan Review Fire & Life Safely Building Permit + 8% State Surcharge + 5% Technology Fee + 10% Administrative Fee Plan Review Commllnd/Public Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Deposit Paid By HASKELL Item Total: l.:heck Number Authorization Received By Batch Number Number How Received djb 719 In Person Payment Total: Page I of I 10:54:3IAM Amount Due 38,795,96 96,989,90 7,759,19 4,849,50 9,698,99 60,930,94 13,418.47 10.201.75 80,024,23 353,019,54 122.046.85 122,046,85 10,00 1.812,30 33.226,08 25,715,32 $980,545.87 Amount Paid $980,545,87 $980,545.87 6/29/2007 ,/ , '. ~~ !!!!~B!~a!:. . Transmittal Cover Sheet Detailed Northwest Specialty Clinic Martin Luther King Blvd, Springfield, Oregon 97477 Date: 3/30/2007 Transmitted To Development Services Attention: David Pvenl City of Springfield 225 Fifth Street Springfield, Oregon 97477 541-726-3668 o Acknowledgement Required Package Transmitted For Drawing Review Fee Check Item # Qty Item 001 1,00 Foundatioon Review Cc: Company Name Clair The Haskell Company The Haskell Company Project# 41415101 Tel: Fax: Reference Number: 0004 Transmitted By William Kilgannon The Haskell Company 111 Riverside Avenue Jacksonville, FL 32202 Tel: 1-904-396-2431 Fax: 1-904-475-7643 Delivered Via Fed Ex Priority Overnight Tracking Number Reference Item Description Notes Status Check #95983 in Drawing Review Fee the amount $2,268,92 Contact Name Fax Number Copies Notes Allan Clair 1-541-753-2264 1 Blake Peterson 1-904-791-4699 1 Ted Moore 1-904-791-4699 " Remarks Attached please find the drawing review fee for the Foundation Review only drawing forward directly 10 Allan Clair per our discussion. If you have any questions or require further information, please contact me, DdI ~J(-1~ Printed on: 3/30/2007 3- 3v-o 7 Signed Date !x..vf\ G~/ .o.~~5 HJ..t~ Page 1 of 1 Rev 4/27104 ,"' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone · iai~ cillr Springfield Official Receipt D opment Services Department Public Works Department RECEIPT #: 2200700000000000472 Date: 04/02/2007 10:39:56AM Job/Journal Number Description COM2007-00467 Plan Review Commllnd/Public Payments: Type of Payment Check Paid By HASKELL Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 95983 In Person Payment Total: Amount Due 2,268,92 $2,268.92 Amount Paid $2.268,92 $2,268.92 cReceinl1 Page I of I 4/2/2007 .' ,'-- VENDOR NUMBER:732 t 7 INVOICE SDV032807 . City of Springfield Development Services 225 Fifth Street Springfield OR 97477 DATE 03/28/07 AMOUNT 2,268,92 DISCOUNT . NET DESCRIPTION 2,268.92 41415101tml CHECK TOTAL AMOUNT .; 2,268.92 . Fees Associated IIh , 9113/2006 Case #: COM2006 90 8:15:46AM 3355 RiverBend Dr PEACEHEALTH Trans Revenue Date Calculated Original Amount Description Code Account Number Calculated By AmouDt Due Plan Review CommllndlPublic 1060 224-00000-425602 9/13/2006 LLH 245.99 245.99 Site Work 1033 224-00000-425602 9/13/2006 LLH 378.45 378.45 + 5% Technology Fee 2099 100-00000-425605 9/13/2006 LLH 18,92 18,92 + 10% Administrative Fee 1098 224-00000-426605 9/1312006 LLH 37,85 37,85 Total Due: $681.21 s:ITidemarklformslcasefees l,rpt Page I of I