HomeMy WebLinkAboutPermit Building 2014-09-08SPRINGFIELD --
225 Fifth Sl
CITY OF SPRINGFIELD
Springfield,OR97477
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Phone: 541-726-3753
0aEG0N Building I Commercial Permitspecion
one541-726-3769
4 - 6-3676—
Fax: 54f-726-3676—
PERMIT
PERMIT NO: 811-SPR2014-01674
m"v.springfield-or.gov -
permitcenter@spdngfield-orgov
PROJECT STATUS: Issued ISSUED: 09/08/2014
EXPIRES: 03/06/2015
STATUS DATE: 09/08/2014 APPLIED: 08/06/2014
SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477
SCOPE: Interior
ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial
—RROJECTDESrRIP__TION: Psyless-Shoesoumefixtur",Tyou
OWNER: GATEWAY MALL PARTNERS
Phone Number:
ADDRESS: 1114 AVENUE OF THE AMERICAS
NEW YORK NY 10036
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No Lie Exp Phone
General Contractor SRC SERVICES INC CCB
183715 08/27/2016 507-269-1604
INSPECTIONS REQUIRED
Inspections
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 front of the property, and the approved set of plans will remain on the site at all times during
construction.
J
Owner or Contractor Signature Date
ATTCNTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952.001•
0090. You may obtain copies of the rules by
callinNote: the
hone
number for the center. file Oregon Utility Notification
Center is 1-800-332.2344).
/S PERMIT SNAu- EXRIRE IF THE WORK
IORIZED UNDER THIS PERMIT 1S NOT
fdCED OR Is BANDONED FOR
o DAY P11:1711,01),,
Springfield Building Permit 9/8/2014 8:14:39AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
- - 225 Fdlh St
8, TRANSACTION RECEIPT Sp ng(eId,OR97477
OREGON 541-726-3753
811-SPR2014-01674
ww .springfield-or.gov 3000 GATEWAY ST permitcenler@spdngfield-or.gov
RECEIPT NO: 2014001680 RECORD NO: 811-SPR2014.01674 DATE: 08/06/2014
DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE
Structural Plan Review Fee Commercial 224-00000-425602 1060 53.30
TOTAL DUE: 53.30
Check casco ...53.30
033278
TOTAL PAID: 53.30
F�Z81014
LD CITY OF SPRINGFIELD
225 FIRh SI
TRANSACTION RECEIPT Sprngfield,OR97477
541-726-3753
811-SPR2014-01674
v v.spdngfield-ocgov 3000 GATEWAY ST permitcanter@springheld-or.gov
RECEIPT NO: 2014001943 RECORD NO: 811•SPR2014.01674 DATE: 09/08/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Building Permit Fee 224-00000-425602 1002 82.00
Continuing Education 224-00000-425606
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
2.50
9.84
Technology fee (5% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID
ta�k _ .R 44
1905
TOTAL PAID: 98.44
Structural Perinit Application
225 Fitch Street + Springfield, OR 97477 ♦ PH(541)726-3753 + FAX(541)726-3689
L
ELD.- -
OR
t
OREGON
Permit no.: C1 q'0 %{j
Date:
This permit is issued carder OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 clays.
LOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date: NA
This project has DEQ approval.
Signature:
t,'
Date: NA
-Zoning-approvah,crified-----EI-Yes�o
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
❑ Residential I ❑ Government ❑e Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 3000 Gateway St., Space 107
City: Springfield State: OR ZIP:97477
girbd+visieu: Gateway�/Marll7N�orth Wing Lot no.:
Reference: o `L�+ Taxlot 3a
PROPERTY OWNER
Name: Rouse Properties
Address: 6225 North State Hwy 161, Ste 425
City: Irving
S1ate:TX ZIP: 75038
Phone: 214-556-5136
Fax: - -
E-mail: Candace.George@rouseproperbes.com
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is bei -ng made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Businessname: jTy.�eawardrrdj— 6qw C_'G-
Address:
City:
State: ZIP:
Phone: R- / Sl
Fax: - -
E-mail:
CCB license no.: 3 %/
Print name:
Signature:
(c) Subtotal of fees above (2a through 2d):
SUB -CONTRACTOR INFORMATION
Name
CCI3 License #
Phone Number
Electrical
(b) Fire and life safety (40%x permit fee [2a]):
$
Plumbing
lledrnnical
FEE—SCHEDULE
1. Valuation information
(a) Job description: Relocate fixtures to a temporary location
Occupancy M
Construction type: 11-N fully sprinklered
Square feet: 3202
Cost per square foot: NA built out by landlord
Other information:
Type of Ileal Under shell permit
Energy Path:
❑ new ❑alteration ❑ addition
(b) Foundation -only permit? ❑ Yes H No
Total valuation:
$ 2,000
2. Building fees
(a) Permit fee (use valuation table):
$ 82.00
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$
(c) Subtotal of fees above (2a through 2d):
582.00
3. Plan review fees
(a) Plan review (65%x permit fee [2a]):
$53.30
(b) Fire and life safety (40%x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
S53.30
4. Miscellaneous fees C6
Z
(a) Seismic fee, t%(.01 x permit fee [2a]):
S
(b) Technology fee, 5%(.05 x permit fee[2a]):
$
TOTAL fees and surcharges (2e+3c+4a+4b):
035.30