HomeMy WebLinkAboutPermit Building 2014-09-17SPI2INGPIELD .
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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
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follow rtltec adopted by the Oregon Utilityth
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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