HomeMy WebLinkAboutPermit Building 2014-7-14 •
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SPRINGFIELD - 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
' -;`vim Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01011
www.springfield-or.gov pe rm itcenter @springfiel d-or.gov
PROJECT STATUS: Issued ISSUED: 07/14/2014 EXPIRES: 01/09/2015
STATUS DATE: 07/14/2014 APPLIED: 05/07/2014
SITE ADDRESS: 2750 GATEWAY ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703220002307 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: S-Alterations to Target store to close opening to mall and expand food service area
OWNER: DAYTON HUDSON CORP Phone Number:
ADDRESS: TPN •0950
MINNEAPOLIS MN 55440
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor SD DEACON CORP OF OREGON CCB 134328 03/31/2015 503-297-8791
INSPECTIONS REQUIRED
Inspections
1260 Framing • Framing Inspection:, Prior to cover and after all rough in inspections have been
approved.
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
1710 Fire Sprinklers
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
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 required inspections are requested at the proper time,that each address is readable from the street,that the
permit card is located at the nt of the property,and the approved set of plans will remain on the site at all times during
cons ion.
0,V20/
Owner or Contras Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth NOTICE:
in OAR 952-001-0010 through OAR 952-001-
•
0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). ANY 180 DAY PERIOD.
Springfield Building Permit 7/14/2014 10:29:00AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
e f.i 4.,.. 225 Fifth St
(\ ;,... TRANSACTION RECEIPT 225 Fifield,on97477
.t�- ' ' ``OREGON 541-726-3753
811-SPR2014-01011
www.springfield-or.gov 2750 GATEWAY ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001508 RECORD NO: 811-SPR2014-01011 DATE:07/14/2014
DESCRIPTION: ACCOUNT CODE/TRANS CODE . _ AMOUNT DUE, .
Building Permit Fee 224-00000-425602 1002 1,383.76
. Fire, Life, Safety Plan Review 224-00000-425602 1077 553.50
SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 1,810.62
SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 3,709.73
SDC:Total Sewer Administration Fee 719-00000-426604 1175 276.02
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 166.05
Technology fee(5%of permit total) 100-00000-425605 2099 69.19
TOTAL DUE: 7,968.87
PAYMENT TYPE PAYOR ___CASHIER:NMACNADO .,, - COMMENTS AMOUNT PAID
Check _ ---- ...__ __Sd Deacon _ - , - - _. - .- - _ .. , - 7,968.87
91095
TOTAL PAID: 7,968.87
SPRINGFIELD CITY OF SPRINGFIELD
A °9c.d „-' 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
"' OREGON 541-726-3753
811-SP R2014-01011
www.springfield-cr.gov 2750 GATEWAY ST permitcenter @spdngfeld-or.gov
RECEIPT NO: 2014001003 RECORD NO: 811-SPR2014-01011 DATE:05/07/2014
DESCRIPTION zsc' 4T-ua . S4a atei, :..;gin_."`ACCOUNTCODETRANStODE Ri; , `er°AMOUNT�DUE=::i
Structural Plan Review Fee Commercial 224-00000-425602 1060 899.44
TOTAL DUE: 899.44
PAYMENTsTY,P,E- M PAYOR caswER LccARRENTi COMMENTS AMOUNTPAID ._
Check Mulvanny G@ Arch 899.44
089783
TOTAL PAID: 899.44
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
CITY OF SPRINGFIELD,OREGON Permit no
—
225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 ^OREGON /�- (0/ I
Date: c/7 / L/
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.
'? '��,�zLOCALOVERNMEN��7rAPPROVAL__�*Ix!`= _ .;3 ^' �� .FEE-,SCHEDULE ��-�',r;,�, -•
This project has final land-use approval. LL^V ua b m fv"a i"on� q k � al
Signature: Date: (a)Job description: /9met oz finger
This project has DEQ approval. M
Signature:
Date: Occupancy ,'
Zoning approval verified: ❑Yes ❑No Construction type: UJ
Property is within flood plain: ❑Yes ❑No Square feet:
' ., 'ACATEGORY OFEONSTRUCTION =n Cost per square foot:
❑Residential ❑Government g Commercial Other information:
J SITE] INFORMATIONtWIDN'L'OCATION.,$a . Type of Heat:
Job site address: Z 75r, 6q‘uia '5 Energy Path:
CitySpi1'jm'(+rt14 State:Q�z ZIP:9747T ❑new ?alteration ❑addition
Subdivision: Li Lot no.: '(b)Foundation-only permit? ❑Yes ❑No II��
Reference: /.7 O Z??O 0 Taxlot 0 Z 30 7 Total valuation: Sit 2-I-
oc `°, LifiRoPEKTYTOWNERtireffidatigetfiaS Cc
Name:7 6. f -,jpn Prize
�) (a)Permit fee(use valuation table): $ 136S
Address: tS) .Sos/K /0'"`Sf coi*'AV 775-I/C (b)Investigative fee(equal to[2a]): $
City:J//iInalarN��� State:, 4 ZIP: 515-103 (c)Reinspection($ per hour):
X12 76/ /S�/`I /OIZ $1 3322 (number of hours x fee per hour)
$
-
Phone: Fax:
E-mail: -[on.?opge @ rwrgef.Co.& (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ /Q‘1
P
✓ (e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 05PlfitlIievtewsfees
� (a)Plan review(65%x permit fee[2a]): $ 795V-
Sign
here:e-`�"r (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing "'= '"r ^"eausvm-ssaw "^ i $: -
;4�Mlscelliineous,fees ..,..,, �'°e ,, _�, -,YSt'-
regmrements under ORS 701.010.
(a)Seismic fee, 1%(.01 x permit fee[2a]):
agy CONTRACTORINSTALLATION,`y', (b)Technology fee,5%(.OS x peraut fee[2a]): $t/4
Business name: '73tj cry
TOTAL fees and surcharges(2e+3c+42+4b): $
Address:
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature: - -
',y,,,�.sr��„;�.�- SUB'^CQNTRACTOL2yINFORMATION -��� „ .
Name CCB License# Phone Number
Electrical MD
Plumbing73b
Mechanical 7W
. Structural Permit Application SPR1NGEiELD DEPARTMENT USC ONLY'g
CITY OF SPRINGFIELD, OREGON "3�
sQR .EfiON. Permit no..5/�_ /
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 '
Date: l9 / t�
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.
`5 Y rdei ....�........ ..,,..�... $ .-.n _. gr.,7r r;^ e4d:;.,-^""^s"'el-T „era, y-M,m .s
,u, , ' LOCAL,GOVERNMENTS,/1PPROVAL ",��'-.„��.+,-. [ �, .�, .;� �`PFEE�SCHEDULE,, �;r�,-���:,;
This project has final land-use approval. nerVa uah-on-info atio
Signature: Date: (a)Job description:,c'/ .. ,fre)ter
This project has DEQ approval. Occupancy
Signature: Date: ,>
Zoning approval verified: ❑Yes ❑No
Construction type:UJ
Property is within flood plain: ❑Yes ❑No Square feet:
Oka*: of CAT,EGORYOF,ryC NSTRf1,CTloN„r„z „a,�""i�" . Cost per square foot.
❑Residential ❑Government gcommercial Other information:
JOB S/fetiii ORMATION¢ D LOCATION .= Type of Heat:
Job site address: Z 7$t7 acht.c.-hat Energy Path:
City sr ry,+ Pita Sta/te:OZz ZIP:771171 ❑new temtion ❑addition
Subdivision: U Lot no.: (b)Foundat otonnly permit? ❑Yes ❑No
Reference: / '7 O?-.70 0 1 Taxlot: 0 Z 30 7 Total valuation: - $``t 2 Ie-
Ij�/°,+ P,ROPERTY,OW7NER=AA r✓:g.,/1NdS .. CA Budding fges ':'.: ° ' -. _5 r, .< '`.
Name:7 j. f£ rf. P4 �/ (a)Permit fee(use valuation table): $
Address: .5o+{'� /0 � .507/e/700 W5-//C (b)Investigative fee(equal to[2a]): $ -
City:fro tontetepoii� State:,filet/ ZIP: 5510s (c)Reinspection(S per hour): - $
Phone:ap/Z 76/ /P// Fax41Z-7$/- 5322 (number of hours x fee per hour)
E-mail: -)on.Pap F-L e_ � /_c - (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
T (e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: ��PIan*rr"e fare : -t't
(a)Plan review(65%x permit fee[2a1): $ 795 t
Sign here:e/
(b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing ggfMisceIla ous',fe a cia' ' �=";i 'a t $' W x
requirements under ORS 701.010. r. �.„2,11„�f� ;. '.Vin.
,,,, (a)Seismic fee, 1%(.01-x permit fee[2a]):
. � CONTRACT,OR N$ ALF'LATION a l b Technology fee,5% 05 x permit fee 2a $
Business name: TOTAL fees and surcharges(2e+3c+4a+4b): $
Address: --
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.: -
Print name:
Signature:
411xs"x^°i"„r,, sallgeQNTRACTQEt halls ATION� z a [,
Name CCB License it Phone Number
Electrical
Plumbingt5b. - . ..
Mechanical 7750
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Page 1 of 1
SET ID:2750 GATEWAY
Menu Pay Help
Set Members: 2 U Terminal#:
All Fees Paid: 0 Cashier ID: CCARPENTER
Valuation: $242,000.00 U '3 Date: 05/29/2014
Total Fee Assessed: $9,609.19 tliJ I 1' p1 Total Fee Invoiced: $9.609.19 I ii v�`/ _ !l
P. .. $8•, .. I ^L. /I.�`�
Balance: $:,709.75 I I V
Transactions
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