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HomeMy WebLinkAboutPermit Building 2014-09-17SPI2INGPIELD . 1 0ROREGON mwr.springfield-ocgov CITY OF SPRINGFIELD Building / Commercial Permit PERMIT NO: 811-SPR2014-02014 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nler@springfield-ocgov PROJECT STATUS: Issued ISSUED: 09/17/2014 EXPIRES: 03/16/2015 STATUS DATE: 09/17/2014 APPLIED: 09/17/2014 SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477 SCOPE: Tenant Infill ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Relocate tenant. Oregon Sports- within mall to suite 410 OWNER: GATEWAY MALL PARTNERS ADDRESS: 1114 AVENUE OF THE AMERICAS NEW YORK NY 10036 Phone Number: CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone OWNER CCH 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 8999 Final Fire 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 ensurglat all re uired Inspections are requested at the proper time, that each address is readable from the street, that the permit ar is Iocy�Eld at the front of the properly, and the approved set of plans will remain on the site at all times during Contractor Signature to7 vor YJi• 17. ' 14- 1100� Date DI s Pr_R�.�rr SAI iii sR� rr�n� r IF)1%)1 MIT-jM ZED UNDER GOidImEN0ED DR IS MAND011ED FDR hiv!.y i30 DAY PERIOD. PJTLPJTION; Oregon 1, requires you to follow rtltec adopted by the Oregon Utilityth NotiPlco-tion Center. Those ru �eOAR 952-001- 1 OAR 952 OOt oelain copes of the rules by 0090. You may Note: the telephone calling the center, ton Utility Notification ntI if or the Orog Center is 1.600 332 2344). Springfield Building Permit 9/17/2014 1:54:03PM Page i of i SPRINGFIELD - CITY OF SPRINGFIELD ..*.. 225 Fifth St TRANSACTION RECEIPT Spdngfeld,OR97477 -` OREGON 541-726-3753 811-SPR2014-02014 v .spdngfield-or.gov 3000 GATEWAY ST permitcenter@spdngfield-ocgov RECEIPT NO: 2014002060 RECORD NO: 811-SPR2014-02014 DATE: 09/17/2014 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 'PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID '.. Credit Card O Wilson Pivot Arch 98.44 017508 TOTAL PAID: 98.44 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 1 suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final Ian d -use approval. Signature: Date; This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: City: State: 6;--..- ZIP: Subdivision: I Lot no.: Reference: Taxlot: PROPERTY OWNER ' Name: 2 G rAd Address: 00,0 City: ti State: 044_ ZIP: 9747 Phone: % J_. P Fax: - - E-mail: (2- V V Building Owner or Owner's agent authorii ng this application: eaYs7 w tLh t /tet ri�e�(.r Sign here: lI ❑ This instaaC dis beim e an residential or farm property o"od by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name: Address: City: State: ZIP: Phone: - - - Fax: - - E-mail: CCB license no.: Print name: Signature: $ ' SUB -CONTRACTOR INFORMATION $ Name CCB License H Phone Number Electrical (b) Fire and life safety (40%x permit fee [2a]): S Plumbing $ d. Miscellaneous fees Mechanical (a) Seismic fee, 1%(.01 x permit fee [2a]): S ONLY Permit no.: 'S,G(/—Zow Date: nr if wnrl, ie FEE SCHEDULE Y. Valuation information (a) Job description: Occupancy Construction type: AX4 e Square feet: Cost per square foot: Other information: Type of Hent: Energy Path: ❑ new alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ ,G- 2. Building fees (a) Permit fee (use valuation table): $ (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]): $ ' (e) Subtotal of fees above (2a through 2d): $ 3. Plan review fees ,a) Plan review (65%x permit fee [2a]): $ (b) Fire and life safety (40%x permit fee [2a]): S (c) Subtotal of fees above (3a and 3b): $ d. Miscellaneous fees (a) Seismic fee, 1%(.01 x permit fee [2a]): S (b) Technology fee, 5%(.05 x permit fee[2a]): $ �f (e) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): $ WW FM