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Permit Building 2014-6-5
• SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD - Springfield,OR97477 • • tOR EGON Phone: 541-726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 • PERMIT NO: 811-SPR2014-00578 www.springfield-or.gov permitcenter@springfield-or.gov • • PROJECT STATUS: Issued ISSUED: 06/05/2014 EXPIRES: 12/01/2014 STATUS DATE: 06/05/2014 APPLIED: 03/18/2014 • SITE ADDRESS: 3000 GATEWAY ST,Springfield,OR 97477 SCOPE: Tenant Infill ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Gateway North Wing Tenant Improvement package OWNER:, GATEWAY MALL PARTNERS - Phone Number: ADDRESS: 1114 AVENUE OF THE AMERICAS NEW YORK NY 10036 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone • _ INSPECTIONS REQUIRED Inspections • • 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 or 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 re• ired inspections ar- requested at the proper time,that each address is readable from the street, that the permit card is to -id at the fr•nt of th- •roperty, and the approved set of plans will remain on the site at all times during construction. / • • .. e/c/2©fy • Owner or Co ractor Signature Dat • ••0011j3d IWO 021. AN AT' LIdTION: Oregon law requires you to 803 03N00Nd9H SI HO O33N3Nj lr fu io"'' rotes adopted by the Oregon Utility ION SI 11WH3d SIH1. a3ONf1 03ZIdOHlf n oiAr9i52_Cgt er 0 through OAR 952 00th NHOM 3H1 dl 3HIdX3 T VHS 111/V83d SiJ- 0090. You may obtain copies of the rules by • :3011 f calling the center. (Note: the telephone • number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit • 6/5/2014 1:45:59PM Page 1 of 1 • • • • SPRINGFIELD'- CITY OF SPRINGFIELD • 3, 225 Fifth St t EG N TRANSACTION RECEIPT - 54;gield,O3 97477, 811-SPR2014-00578 www.spnngfield-or.gov 3000 GATEWAY ST pennitcenter@springfietd-or,gov RECEIPT NO: 2014001237 RECORD NO:811-SPR2014-00578 . DATE:06/05/2014 )e13 Io1:J1 To5`G p s#:'d?�.t t Ao 4 it SZ - —4n:L'''-`ACCOUNT CODE/TRANStODE , `r'. *.Ci—AMOUNTEMr' _.. Building Permit Fee 224-00000-425602 - 1002 9,083.80 Fire, Life, Safety Plan Review 224-00000-425602 1077 • 3,633.52 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 1,090.06 • Technology fee(5%of permit total) 100-00000-425605 2099 454.19 TOTAL DUE: 14,261.57 .-PAYMEIJTa'IYPE` . . __.._..�. , P.AYORcnseiER:"�u"RSOR .a COMMENTSt AMOUNTgPA1D'� - M Check Greenberry Construction . 14,261.57 22419 TOTAL PAID: , 14,261.57 • • • • • • • • • • • • f SPRINGFIELD CITY OF SPRINGFIELD \ I t le... , 225 Fifth St \ tc % - TRANSACTION RECEIPT Spdngfield,OR 97477 t OREGON 541-726-3753 811-SPR2014-00578 www.springfield-or.gov 3000 GATEWAY ST permitcenter @springfield-or.gov RECEIPT NO: 2014000586 RECORD NO: 811-SPR2014-00578 DATE:03/18/2014 .DESCRIPTION__. �- _ ,,___ _ ___ c __;;__, ACCOUNTS-ODE/TRANS CODE;___- _. __AMOUNT.DUE;`__ Structural Plan Review Fee Commercial 224-00000-425602 1060 5,904.47 TOTAL DUE: 5,904.47 PAYMENT TYPE . . PAYOR CASHIER:CCARPENTER.. _ COMMENTS , . : AMOUNT PAID Credit Card • CURTIS WILSON 5,904.47 018322 • TOTAL PAID: 5,904.47 • • • • Structural Permit Application • SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON ea- , OREGON J Permit no.: e/zi� S-26?225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: 1/7 eiP y This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL _ Plumbing • ' This project has final land-use approval. Signature: Date: Mechanical This project has DEQ approval. . Signature: Date: Zoning approval verified: ❑Yes ❑No FEE SCHEDULE Property is within flood plain: ❑Yes ❑No 1. Valuation information r CATEGORY OF CONSTRUCTION • (a)Job description: ,'a )/)f- --44-72PF/� 'j13 ❑ Residential ❑Government A Commercial Occupancy -MI JOB SITE INFORMATION AND LOCATION Construction pe Job site address: 3(24j0 AtSfi JQY s'r Square feet: City: 5fwl16r164}7 [ State:_; • ZIP: '17477 Cost per square foot: Subdivision: I Lot no.: Other information: Reference: 170'17 ZOO Taxlot Q7 3 0 0 Type of Heat: PROPERTY OWNER Energy Path: Name: push, r(2oQ kP/'(Y ❑new alteration 0 addition Address: 2,000 Atet6u4'tk / 6 1 . (b)Foundation-only permit? ❑Yes 0-N6- City: c.POI AL.et ea, State: O(- ZIP911477 Total valuation: $ 2-PA` Phone: g41 - 244-3Z0 0 Fax: - - - I 1 (( r L 2. Building fees E-mail: I�iA�d - 57t,,tobrGl a roµse-rvr c4L4c • fa n1 (a) Permit fee(use valuation table): $*C)7 � Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c) Reinspection($ per hour): (number of hours x fee per hour) $ Sign here: Cie— (d)(d)Enter 12%surcharge(.12 x[2a+21)-(2c]): $ to �0 �— ❑This installation is being made on residential or farm property owned by me or a member of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): $ requirements under ORS 701.010. 3. Plan review fees • CONTRACTOR INSTALLATION (a) Plan review(65%x permit fee[2a]): $ 5 Off 97 Business name: 7-79.63 (b)Fire and life safety(40%x permit fee[2a]): $ Address: (c)Subtotal of fees above(3a and 3h): $ City: - State: ZIP: • 4. Miscellaneous fees Phone: - - Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a]): $ E-mail: - (b)Technology fee,5%(.05 x permit fe [2a]): $ c/.��? CCB license no.: TOTAL fees and surcharges(2e+3c+4a+4b): S2E46 ee_t___ Print name: . Signature: . SUBCONTRACTOR'INFORMATION Name CCB License# Phone Number Electrical •