HomeMy WebLinkAboutBuilding Miscellaneous 2011-8-24
08/24/2011 17:03 5413448604
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,/ PROJECT SUBSTANTIAL COMPLETION NOTICE
.'/
,I' Hospitals, Ambulatory Surgical Centers, Psychiatric Hospitals,
, and Special Inpatient Care Facilities r{\f\\-1
/. . ~~~~~I\
/ INSTRUCTIONS: . . .
· Complete and forward this report approximately three weeks priorJo receiving an
Occupancy Permit from the AuthOrity Having Jurisdiction. .
· Coordinate the actual inspection date and time with staff at Facilities Planning and
Safety.
· PatientlResident occupancy should not take place until the Site Inspection "as been
completed, all Inspection items resolved, a Project Building Approval is issued
from Facilities Planning and Safety and appropriate documents are completed for
Health Care Regulation & Quality Improvement.
i-For furtner iliIorriilition, pleasecaIr503:373:7201~ Copiessliiiiildtic' provillecfli-rid
forwarded as follows:
Gerald McDonnell & Associates
#1424 P.001 /001
II FORWARD ONE COPY TO:
Pamela Triplett
FACILITIES PLANNING & SAFETY
Oregon Health Authority-Public Health
880 Winter Street, NE
Salem OR 97301
'I~ORWARD ONE COPY TO:
The City, County or State Building
Codes Agency which issued the Building
Permit for the project.
FAX: 503-373-0313
PHONE: 503-373-7201
FORWARD ONE COPY TO:
FORWARD ONE COPY TO:
.,1".
,
'.
HEALTH CARE REGULATION &
QUALITY IMPROVEMENT
Oregon Health Authority-Public Health
800 NE Oregon Street, Suite 640, #21
Portland OR 97232
. FAX: 971-673".0556
PHONE: 971-673-0551
Gayle Johnson
BUREAU OF INSTITUTIONS/CODES
Office of State Fire Marshal
4760 Portland Road, NE
Salem OR 97305
FAX: 5.03-373-1825
PHONE: 503-934-8257
PLANS REVIEW #: PR#: 10 - I +~ ~
FACILITY NAME: {l1%f1:.l3tJZ/f;- f/oJIU_/tMG-/7'E Hf3f)JC-A L
PROJECT DESCRIPTION: AI? T~I2iITitl/U<; TO /)(2. ~ + 7
ADDRESS: (4-(.,0 C'> 6T~B'&1. f?'f'I2.IJ\V~fi&AJ . /) fZ-. Cf7477
I I
FACILITY CONTACT PERSON: '"()AtJlE'<, ~LrJTF: I fJ J 4.
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TELEPHONENO:S-,~- ~~'S7 FAX No: .5 Iff-?:A4' 9c.o4--
E-MAIL ADDRESS: !du e .7ma - (;fret, < (QW'L
DESIRED INSPECTION DATE: ~. II ~O /I
EXPECTED OCCUPANCY DATE: <:;ep+ t> / ~CJ If
f.f./ASE- ~ - 642-. ~
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\;\Health Services\3-AT THE WALL- DOCtJt.llENTS\3.MISCELLANEOUS 6.20.08\(7)-ProjSubstCompINotico-Hosp-Word.docx