HomeMy WebLinkAboutPermit Building 2007-6-22
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00868
ISSUED: 06/22/2007
APPLIED: 06/1312007
EXPIRES: 12/22/2007
VALUE: $ 12,061,000.00
Status
Issued
225 Fifth Street, Springfield, o.R
541.726.3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3377 RiverBend Dr
ASSESSo.R'S PARCEL No..: 1703220000902
Springfield
TYPE o.F Wo.RK: Hospital
TYPE o.F USE: New
Commercial
PRo.JECT DESCRIPTIo.N: Riverbend Medical Pavilion Shell & Core
o.wner: PEACEHEALTH
Address: Po. Bo.X 1479
EUGENE o.R 97440
_\I
.f'" \N.\p.-....
I Co.NTRAGTOR INFo.RMATIo.N I
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Contractor Type e.e!ltrac4,Wi'\.\. \\\\S ~X:: ~~\:J ~\l
<'o.\{\'\'\ _ow..\\ .,,\\~'il- _ .:f>.\:J\l
'\\\\S \';~SL~\) ~6'il- \'0 ~r BUILDING INFo.RMATIo.N I
I'-~\~ ~\..X:: 'i:.",,\\J~
# of Units: ('\J~*S \:JI'-'{ ~ # of Stories: ~0 \.()
Primary o.ccupancy GrouJt:, \ 't,IJ Height of Structure: ~ec' '\"'0,'
Secondary o.ccupancy GWup: Type of Heat: eC::~ c.'J" ,
Primary Construction Type Water Type: \~oll ~ e O~e >, c' ',.'
Secondary Construction Type: Rauge Type: '0'0000 ~,' \I' .0\eC, <.. '
E P "h' 0 v' -, 0
# of Bedrooms: nergy ,!!! : ,,\'" . ')c," ,"" . "
S '''(\1 dB'cold, ~,. 0' > I'
pnal\. e UI 109:' " ~ n a
....cy).... _'\C:>~ ~,"\\.\:::j' _,,\'i \\ ._r',J
License
Expiration Date
Phone
Lot Size:
". Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft o.ther:
o.ccupant Load:
Frontyard Setback:
Side 1 Setbaek:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMEN'f INFo.RMATIo.N I
'I-..,\\\"'" ~';j" v'l (\,\2'.." r.
~o ~\,'0 .,,0'" ce. O,e-,,,
o.xerla~Dist:\(Ie \(Ie \. '0
S .l'~ ,......c\ "'< ,C:>
# treet,1;rees Rqd:,,,,
r,V- y-V,' _ o?'\\'\:
Paved Drive-Rqd:o
(\V.
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPRo.VEMENTS,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 on
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726.3769 Inspection Line
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00868
ISSUED: 06/22/2007
APPLIED: 06/1312007
EXPIRES: 12122/2007
VALUE: $ 12,061,000.00
$1.00
12,061,000.00
Total Value of Project
$12,061,000,00
$12,061,000,00
06/13/2007
~
Amonnt Paid
Date Paid
Reeeipt Nnmber
2200700000000001006
2200700000000001006
2200700000000001006
2200700000000001006
2200700000000001006
2200700000000001006
$3,943,89
$1,971.95
$3,155,11
$39,438,90
$25,635.29
$15,775,56
6/22/07
6/22/07
6122107
6/22/07
6/22/07
6122107
$89,920,70
I Plan Reviews I
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.
~.n....tiow
By signatnre, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in aecordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work deseribed herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, I
fnrther agree to ensure that all required inspections are reqnested 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 dnring construetion,
(~ (Y)~
owne~ac~atnre
Date
~fzzto,
Pa~e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
I
· iil~
~ of Springfield Official Receipt
Welopment Services Department
Public Works Department
RECEIPT #:
2200700000000001006
Date: 06/22/2007
10:08:03AM
Job/Journal Number
COM2007.00868
COM2007.00868
COM2007-00868
COM2007.00868
COM2007.00868
COM2007.00868
Description
Plan Review CommJlndlPublic
Plan Review Fire & Life Safely
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Check
Paid By
PEACEHEALTH
Item Total:
(;heck Number Authorization
Recejved By Batch Number Number How Received
Amount Due
25,635.29
)5,775.56
39,438.90
1,971.95
3,155. I I
3,943,89
$89,920,70
Amount Paid
jmp
292538
In Person
Payment Total:
$89,920.70
$89,920,70
cReccint 1
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6/22/2007