HomeMy WebLinkAboutPermit Building 2014-09-16--
225 Fifth St
LSPRNGFIELD
CITY OF SPRINGFIELD
Springfield,OR 97477
Phone:541-726-3753
EL' OREGON
Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-02001
mwr-spdngfield-ocgov
permitcenter@springfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/16/2014 EXPIRES: 03/15/2015
STATUS DATE: 09/16/2014 APPLIED: 09/16/2014
SITE ADDRESS: 3000 GATEWAY ST, SPC# 808, Springfield, OR 97477 SCOPE: Interior
ASSESOR'S PARCEL NO: 1703220002200 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Tenant relocation to unit number 808
OWNER: GATEWAY MALL PARTNERS Phone Number:
ADDRESS: 1114 AVENUE OF THE AMERICAS
NEW YORK NY 10036
OWNER: KOHLS Phone Number:
ADDRESS: PO BOX 2148
MILWAUKEE WI 53201
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
1113 4
Owner or Contractor Signature Date
ATTENTION: 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
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Springfield Building Permit Center is 1-600-332-23411). 9116/2014 1:54:51PM
S PERkilIT SHALL EXPIRE IF THE WORK
190RIZED UNDER THIS PERMIT IS NOT
if'V NIGED OR IS ABANDONED FOR
1Y I "0 DAY PERIOD,
Page i of 1
LINELOCITY OP SPRINGFIELD
225 Frfth St
TRANSACTION RECEIPT Spdngfield,OR 97477
OREGON 541-726-3753
811-SPR2014-02001
mm.spdngfieldocgov 3000 GATEWAY ST. SPC 808 parmitoanler@spdngfield-or.gov
RECEIPT NO: 2014002047 RECORD NO: 811-SPR2014.02001 DATE: 09/16/2014
DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE
Building Permit Fee 224-00000-425602 1002 82.00
Continuing Education 224-00000-425606
Stale 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 PAYQR CASHIER; RHOLMAN COMMENTS AMOUNT PAID
Credit Card Crafters Alley / Julie arm Melton 98.44
029261
TOTAL PAID: 98.44
Structural Permit
225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689
SPRINGFIELD
L In
OREGON
DEPARTMENT USE ONLY 'I
Permit no.: 5 / C/ 29 J
Date:
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
This project has final land -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: 5 '
City. ri State: I ZIPq 4-
Subdivi ton: Lot no.:
Reference: O ' Taxlot 9 p
PROPERTY OWNER
Name:
Address: — Alte
City: 1%_] ei�
State:
ZIP: r]�
Phone:
Fax: - -
E-mail:
Building Ownerf or Owner's agent authorizing this application:
Sign here.
❑ This installation is being made on residential orfarm property owned by
me or a member of my immediate family, and is exenpt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION:
Business
Address:
City:
State: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
(e) Subtotal of fees above (2a through 2d):
SUB -CONTRACTOR INFORMATION
Name
CCB License #
Phone Number
Electrical
(b) Fire and life safety (40%x permit fee [2aj):
$
Plumbing
S
4. Miscellaneous fees`
Mechanical
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
FEE SCHEDULE
1. Valuation information
(a) Job description: l /
dAT ,
Occupancy V
S�
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$
2. Building fees
(a) Permit fee (use valuation table):
$
(b) Investigative fee (equal to [2aj):
$
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.l2 x [2a+2b+2e]):
$ '
(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 [2aj):
$
(c) Subtotal of fees above (3a and 3b):
S
4. Miscellaneous fees`
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
(b) Technology fee, 5% (.05 x permit fee[2a)):
$
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharge +3c+4a+4b+4c):
S