HomeMy WebLinkAboutPermit Building 2007-4-13
.
.ITY OF ~n~lI~ld<1J<.,LD
Building/Combination Permit
PERMIT NO: COM2007-00510
ISSUED: 04/13/2007
APPLIED: 04/06/2007
EXPIRES: 10/1312007
VALUE: $ 3,572,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541- 726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 3377 RiverBend Dr
ASSESSOR'S PARCEL NO,: 1703220000902
Springfield
TYPE OF WORK: Foundation
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Riverbend Medical Pavilion(RMP). Foundation wlgeopiers & structural steel
Commercial
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
TYl!f ~f.Heat: Sq Ft 2nd Floor:
NWdte~lf.ype: ~.'l Ft Basement:
m~.9gec1W:li:r SHALL EXPIRE IF THE S&OO~arage/Carport
Af.<nlf:\'~~~'tu LINDER THIS PERMIT 1~1fffi~ther:
Sp'rinkl(,<[Buildiug:S ABAN....I.a.lEO F,Orcupant Load:
r.nMMI-NCHJ Un I uur. lITi
I DEVEUOPMEN1HNFORMlHION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:,
Paved Drive Rqd:
0/0 of Lot C~ve~age: ~, . v I .. -..I....;.OJ: .
ATTEN, .ul".U, -;l",.1 ...., ~. '
,\ ,., b'J "'e ()rSC1Cn
.. 11_... ..t1......~!". n::he.J II ..;
I PUBLI~~MP.ROYEMENTSfhose rU~G~ ~~" ;~;.OC
'Q'\H"'o;:::'UV..vv.O,hruug . "'J -
In Y, <J ,bl,'ln C,Sidewalk Type:JleS
v I ".1aVO c, .....\....,........ -.."
0090. .m. " . , ......, "'\"""'''>00
caWrw;; tho i~:~nt~(. (~t~D6",:~sp~titstp.-:ai~s: _
; :1-,""6 ()r~\'OI1 Utili'! i !oIlL,'i,:U,
'1urtlLlG. ...., '.1 t . .. . ~ ~ 'J" ":~)
C8flier is 1-Fl0,..,3... .'''' ,
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
.11 l' V!' ~rrtll~GFIELD
Building/Combination Permit
PERMIT NO: COM2007-00510
ISSUED: 04/13/2007
APPLIED: 04/06/2007
EXPIRES: 10113/2007
VALUE: $ 3,572,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation Only Use Bid Amount
$1.00
3,572,000,00
$3,572,000,00
$3,572,000,00
04/06/2007
Total Value of Project
Fees P,'lid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Amount Paid
Date Paid
$1,184,96
$592,48
$947.97
$11,849.65
$7,702,27
$4,739,86
4/13/07
4/13/07
4/13/07
4113/07
4113/07
4/13/07
Receipt Number
1200700000000000410
1200700000000000410
1200700000000000410
1200700000000000410
1200700000000000410
1200700000000000410
Total Amount Paid
$27,017.19
I Plan Reviews ,
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..Reouired T~
Foundation: After forms are ereeted but prior to concrete placement,
Piling, Drilled Piers/Caissions: To be done by a State Certified Special Inspector, Provide inspection test reports
to City Building Inspector,
By signature, I state and agree, that I have earefully examined the completed applicatiou 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 ofany 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. 1
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.
(hf ff ?/-}V
owne~~:nature
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Date
Page 2 of2
225 F.ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
. ~p~~
Ilk,
C~f Springfield Official Receipt
"opment Services Department
Public Works Department
Job/Journal Number
COM2007.00510
COM2007-00510
COM2007.005! 0
COM2007.005 ) 0
COM2007.005 I 0
COM2007-00510
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000410
Date: 04/13/2007
Description
P)an Review CommilndlPublic
Plan Review Fire & Life Safety
Bui)ding Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PEACEHEAL TH
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
djb
28639)
In Person
Payment Total:
Page) of )
9:II:SIAM
Amount Due
7,702.27
4,739.86
) ) ,849.65
592.48
947.97
),184.96
$27,U17,19
Amount Paid
$27,017.19
$27,U17,19
4/1 3/2007
. Fees Associated -Wh 9/13/2006
Case #: COM2006 89 8:06:20AM
3377 RiverBeod Dr
PEACEHEALTH
Trans Revenue Date Calculated Original Amount
Description Code Account Number Calculated By Amount Due
Plan Review CommlIndlPubIic 1060 224.00000.425602 9/13/2006 LLH 258.67 258.67
Site Work 1033 224-00000-425602 9/1312006 LLH 397.95 397.95
+ 5% Techno)ogy Fee 2099 100.00000.425605 9/1312006 LLH 19.90 19.90
+ 10% Administrative Fee 1098 224.00000.426605 9/13/2006 LLH 39.80 39.80
Total Due: $716.32
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