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Home My WebLink AboutPermit Building 2007-6-29 (4) ..(}( /)' .. ~. .~v )J! (I ':r 1,.\/0 -~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SCANt~ED .ITY OF SPRIl'itd'lJ<..LD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 10/21/2008 VALUE: $ 29,769,000.00 SITE ADDRESS: 3355 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Medical Office PROJECT DESCRIPTION: Northwest Specialty Clinic Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing Contractor ROLAND UDENZE THE HASKELL CO A FLORIDA CORP CHRISTENSON ELECTRIC INC TTC COMMUNICATIONS 1NC FM SHEET METAL INC TWIN RIVERS PLUMBING INC License Expiration Date Phone 904-791-480 I 904-791-4674 541-688-6121 541-689-2650 541-726-3000 541-688-1444 147733 458 164114 89710 17695 05/1112009 05/01/2009 04/11/2009 03/1512009 03/11/2009 BUILDING INFORMATION I # of Units: Primary Occupancy Gronp: 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: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ATTENTION: Oregon law requires you to fnlln\Af rlllpc:; ~r1nnti-lrl h\l tho nrQ(1f'\n Iltilit'! NOTICE: I PUBLIC IMPROVE~E~rS'I;un Center. Those rules are set forth TW~ P~RMIT SHALL EXPIRE IF 'I Ht VVUKI\ . 52-00!-0010 through OAR 952-001- Street ImelJTHORI~sED UNDER THIS PERMIT IS NOT 0090.. You m~~<\s!}t'!..lA<I I))~s of the rules by Storm Sewer. A vailabl~:, calling the rM~Jllb-.JllWlfir1'iW,..!~lephone Speciall~si~~~iiM~ucu OR IS ABANDONED FOR number for ffie oregon 'atlITly Notification Y " "J DAY PERIOD. Center Is 1-800-332-2344). Notes: Paee I of 5 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 Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Deposit Plan Review Commllnd/Public Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Return - Deposit + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 1000 amps/volts Perm ServlFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Perm Serv/Fdr 60 I to 999 amps Temp Power 200 amps or less -Mechanical Issuance Fee- . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/2912007 APPLIED: 03/30/2007 EXPIRES: 10/2112008 VALUE: $ 29,769,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Amount Paid $2,268.92 $9,698.99 $4,849.50 $7,759.19 $96,989.90 $25,715.32 $60,930.94 $38,795.96 $10,201.75 $13,418.47 $10.00 $122,046.85 $122,046.85 $1,812.30 $33,226.08 $353,019.54 $80,024.23 $5.00 $2.50 $4.00 $50.00 $-25,715.32 $10.00 $871.60 $5.00 $435.80 $8.00 $697.28 $3,225.00 $375.00 $1,953.00 $1,875.00 $1,125.00 $163.00 $100.00 $10.00 Square Footage or Bid Amount 29,769,000.00 Value Date Calculated Total Value of Project $29,769,000.00 $29,769,000.00 06/19/2007 Fpp< PIi/iLI Date Paid Receipt Number 4/2107 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29107 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 7/9/07 7/9/07 7/9/07 7/9/07 7/16107 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 11/21107 2200700000000000472 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 2200700000000001095 2200700000000001095 2200700000000001095 2200700000000001095 VOUCHER#121092 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001430 Paee 2 of5 -~~~ . a:ITY OF SPRINGFIELD WIt, Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 225 Fifth Street, Springfield, OR ISSUED: 06/29/2007 541-726-3753 Phone APPLIED: 03/30/2007 541-726-3676 Fax EXPIRES: 10/21/2008 541-726-3769 Inspection Line VALUE: $ 29,769,000.00 + 10% Administrative Fee $645.80 I 1/21107 1200700000000001430 + 5% Technology Fee $322.90 I 1/21107 1200700000000001430 + 8% State Surcharge $516.64 I 1/21107 1200700000000001430 Air Handling Unit 10,000 & Ovr $75.00 11/21/07 1200700000000001430 Appliance Not Listed $720.00 11/21/07 1200700000000001430 Backflow Device $14.00 1 1/21107 1200700000000001430 Boiler/Comm 30-50 HP $44.00 I 1/21107 1200700000000001430 Boiler/Comp 3-15 HP $22.00 1 1/21/07 1200700000000001430 Exhaust Hoods $99.00 11/21107 1200700000000001430 Fixture $3,304.00 11/21/07 1200700000000001430 Furnace - Unit Heater $120.00 11/21/07 1200700000000001430 Furnace - up to 100,000 btu $1,836.00 11/21/07 1200700000000001430 Plan Review Mechanical (25%) $729.00 11/21/07 1200700000000001430 Plan Review Plumbing (30%) $1,062.60 11/21/07 1200700000000001430 Sewage Ejector Pump $14.00 11/21/07 1200700000000001430 Trap or Waste not Conn to Fixt $210.00 11/21/07 1200700000000001430 + 10% Administrative Fee $7.60 1/31/08 1200800000000000090 + 120/0 State Surcharge $9.12 1/31108 1200800000000000090 + 5% Technology Fee $3.80 1/31/08 1200800000000000090 Temp Power 201 - 400 amps $76.00 1/31/08 1200800000000000090 SDC Transpo Improvement $-185,823.12 4/17/08 VOUCHER#00132313 SDC Transpo Reimbursement $-42,123.31 4/17/08 VOUCHER#00132313 SDC Transportation Admin $-11,397.32 4/17/08 VOUCHER#00132313 + 10% Administrative Fee $5.00 4/21108 1200800000000000385 + 12% State Surcharge $6.00 4/21/08 1200800000000000385 + 5% Technology Fee $2.50 4/21/08 1200800000000000385 Low Voltage - Commercial Indus $50.00 4/21/08 1200800000000000385 Total Amount Paid $738,565.86 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 Plan Review Comments 06/29/2007 06/29/2007 to LLH Check dated 6/26/2007 from Haskell exceeded the current amount due on the project. I have requested the amount placed in the deposit account today (6/29/07) $25,715.32 be returned to the payee as soon as possible. Information forwarded to Kaye Wilson. Ilh Paee 3 of 5 . -=ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 10/2112008 VALUE: $ 29,769,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. L...PeouirecUnsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Final Gas: When all gas work is complete. Final Mechapical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Electric Service: Approval required prior to utility company energizing service. Low Voltage: Prior to cover. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections 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 SheathinglNailing: Before covering sheathing with finish 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 disturbance 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 Department. After all requirements ofthe Fire Department have been met. Pal!e 4 of 5 . -=ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/2912007 APPLIED: 03/30/2007 EXPIRES: 10/21/2008 VALUE: $ 29,769,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 including 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 has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover 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 ip compliapce 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 Paee 5 of5 City of Springfield ~rical Authorization To Begin Work E_led To: deborah.perdew@christenson.come Receipt # EC529053 4/2112008 11 :04:36 AM a Check on status of perm it By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o I or 2 family dwelling o Multi-family [Xl Commercial/Industrial I I FEE SCHEDULE II Pescriplion I Qty. I Ea. I Total I Residential SINGLE- OR multi-family dwelling unit. Includes I ausched garage 111,000 sq. ft. or less lEa, addl 500 sq, ft, or portion I I Limited Energy I I - Limited energy, residential I (with above SQ. ft) I' - Limited energy. multifamily residential (with above sa. ft) I-Limited energy, commerciat (with above SQ. ft.) I - Stand-alone I imiled energy, residential I - Stand-alone limited energy, multi-familv I - Stand-~Ione limited energy, $50.00 $50.00 I commercial I Sen'ices OR feeders installation, alteration, AND/OR relocation I 200 amps or less I 201 amps to 400 amps I 40 I wnps to 599 wnps I TEMPORARY services OR feeders installation, alteration, AND/OR relocation 1200 amps or less 20 I amps to 400 amps 140 I amps to 599 amps I Branch cin::uits ~ NEW, aUeration, OR extension, per panel I A. Fee for branch circuits with service or feeder fee, each branch circuit. B. Fee for branch circuits without service or feeder fee, first branch circuit each addl branch circuit Miscellaneous I Service reconnect only I Each manufactured or modular dwelling. service and/or feeder I Pump or irrigation circle I Sign or outline lighting I Signal circuit(s) or Iimited- energy panel, alteration, or extension. not offered online at this jurisdiction TYPE OF WORK I [X] New construction I o Addition/alteration/replacement CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION IJob no.: 40063 IJob address: 3355 RIVERBEND DR I CitylStatelZIP: SPRINGFIELD. OR 97477 I SuiteJbldgJapt.no.: I Projecl name: NW SPECIALTY Cross streetldireclions to job site: I Subdivision: I Lot no.: ITax map/parcel no.: 1703220000902 I DESCRIPTION OF WORK LOW VOLTAGE SYSTEM - HVAC CONTROL WIRING SITE CONTACT I Name: JOSEPH GOAD !Phone: (541)221-6037 IFax: I Email: I CONTRACTOR I El. lie. no.: 26-34C I CCO lie. no.: 458 I Business Name: CHRISTENSON ELECTRIC INC I Contacl: Deborah Perdew IAddress: I II SW COLUMBIA SUITE 480 I City/SlatelZlP: PORTLAND OR 97201 I Phone: (541)6886121 I Fax: (541)6886528 I Email: deborah.perdew@christenson.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 40795 I Supervising electrician's name: PAUL E HORVATH The local building department may detennine that an Authorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances. I I Subtotal S50,OO I State Surcharge (12% of~rmit fee) $6.00 j Ci~ OfSeringfield fees. $7.50 l TOTA~ PF~FEE S63,50 '...." . City Of Sprin~~oz.. ~cal Admin Fee; - ,% Local Technology Fee COM: rY nl2:7 - '()~ RCpn \ ~ (J)J 0 -- 3i5 DATE PROCBSmDf'i' ~! b% PROCESSED BY: (t . This Authorization To Begin Work must be pOSleo al me JOo Slle un 'I ELECTRICAL PERMIT FEES Upon review and approval by your local jurisdiction, your pennit will be e-mailed or faxed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. placea oy a Permit. City of Springfield ~rical Authorization To Begin Work E_led To: deborah.perdew@christenson.come Receipt # EC529053 4/21/2008 11 :04:36 AM . W1 b Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us TYPE OF WORK D 1 or 2 family dwelling D Multi-family [X] Commercial! Industrial FEE SCHEDULE I Pescdption I Qty, I Eo, I Totnl I Residential SINGLE- OR multi~family dwelling unit. Includes attached garage 11.000 sq, ft, or less I I I I Ea. addl 500 sq. ft. or portion I Limited Energy - Limited energy. residential (with above SQ. ft.) - Limited energy, multifamily residential" (with above SQ. ft.) I-Limited energy, commercial (with above SQ. ft.) I - Stand-alone limited energy, residential I - Stand-alone limited energy, multi-familv I - Stand-alone limited energy, commercial j Services OR feeders installation, alteration, AND/OR relocation 1 ZOO amps or less I 20 I amps to 400 amps 1401 amps to 599 amps I TEMPORARY services OR feeders installation, alteration, AND/OR relocation I 200 amps or less [ 20 I amps to 400 amps \40 I amps to 599 amps I Branch circuits - NEW, alteration, OR extension, per panel I A. Fee for branch circuits with service or feeder fee, each branch circuit. I B. Fee for branch circuits without service or feeder fee, first branch circuit I each addl branch circuit I Miscellaneous I Service reconnect only I Each manufactured or modular dwelling, service and/or feeder I Pump or irrigation circle I Sign or outline lighting I Signal circuit(s) or Iimited- energy panel, alteration, or extension. $50,00 $50,00 I [iI New construction D Addition/alteration/replacement CATEGORY OF CONSTRUCTION Job no.: 40063 JOB SITE INFORMATION AND LOCATION I Job address: 3355 RIVERBEND DR City/StatelZIP: SPRINGFIELD, OR 97477 SuiteJbldgJapt.no.: Project name: NW SPECIALTY Cross street/directions to job site: I Subdivision: [Tax map/parcel no.: I Lot no.: 1703220000902 I DESCRIPTION OF WORK LOW VOLTAGE SYSTEM - HVAC CONTROL WIRING I i Name: JOSEPH GOAD !Phone: (541) 22t-6037 IEmail: I SITE CONTACT NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. I I I I I . City Of Springfield I I I I I I I I I I I ELECTRICAL PERMIT FEES I Subtotal $50,00 I State Surcharge (12% of~ennit fee) $6.00 I Cit~ OfS'E'ringfield fees. $7.50 I TOTAL PERMIT FEE $63.50 I 10% Local Admin Fee; 5% Local Technology Fee not offered online at this jurisdiction I Fax: CONTRACTOR I El.llc. no.: 26-34C I CCB lie. no.: 458 I Business Name: CHRISTENSON ELECTRIC INC I Contact: Deborah Perdew IAddress: III SW COLUMBIA SUITE 480 ICitylStatelZlP: PORTLAND OR 97201 I Phone: (541)6886121 I Fax: (541)6886528 I Email: deborah.perdew@christenson.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 4079S I Supervising electrician's name: PAUL E HORVATH Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfie'ld, Oregon 97477 54i-726-3759 Phone .-~: ~" CiKf Springfield Official Receipt D.pment Services Department Public Works Department RECEIPT #: 1200800000000000385 Date: 04/21/2008 3:34:08PM Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Description Low Voltage - Commercial Indus + 5% Technology Fee + J 2% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 50,00 2.50 6,00 5,00 $63.50 Amount Paid ONLINE CHGS ONLINE PERMIT CHGS njm ONLINE CHRISTEN Online SON INC, $63.50 Payment Total: $63.50 cReceintl Page I of I 4/21/2008