HomeMy WebLinkAboutPermit Building 2014-09-29SPRINGFIELD -
225 Fifth St
ti
CITY OF SPRINGFIELD
Springfield,OR97477
-" { ley
Phone: 541-726-3753
'-'-" oREGON
Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-02098
w v.springffeld-or.gov
permilcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/29/2014 EXPIRES: 03128/2015
STATUS DATE: 09/29/2014 APPLIED: 09/29/2014
SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477 SCOPE: Tenant Infill
ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Tenant infill (Maurices) into temporary space- Installation of merchandise pads.
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 Lic Exp Phone
General Contractor OWNER CCB 000000 06/01/2025
General Contractor — BURDG DUNHAM 8 ASSOCIATES CONST COR0---- CCB 98133 m 05/27/2016 816-593-2123
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.
Avg: t
Owner or Contractor Signature Dae /
{NOTICE:
TI IIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
AT TE.NTION; Oregon law requires you to
Him rules adopted by the Oregon Utility
t'lotiiic^tial Center. 1-11ose 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
Center is 1.800-332-2344).
Springfield Building Permit 9/29/2014 8:31:52AM Page 1 of 1
F
OREGON CITY OF SPRINGFIELD
225 FFifth Sl
TRANSACTION RECEIPT Spnngfield,OR97477
811-SPR2014-02098 541-726-3753
mm.sp6n9field-orgov 3000 GATEWAY ST permitcenter@springfeld-ocgov
RECEIPT NO: 2014002144 RECORD NO: 811-SPR2014-02098 DATE: 09/29/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE'
Building Permit Fee 224-00000-425602 1002 103.04
Continuing Education 224-00000-425606 2.50
Stale of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
12.36
Technology fee (5% of permit total) 100-00000-425605 2099 5.15
TOTAL DUE: 123.05
iPAYMENTTYPE PAYOR CASHIER:CCAREENTER COMMENTS AMOUNT PAID
Check BURDG DUNHAM & ASSOCIATES 123.05
16616 CONST CORP
TOTAL PAID: 123.05
HOMO
0! O 1tRII GI I I12; 01t GQ =, -
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within I
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 I ❑ Government I 12<&mmercial
JOB SITE INFORMATION AND LOCATION
Job site address: crZJ S'%
City: ,.r p State•. ZIP:
Subdivision: Lot no.:
Reference: 777777TTaxlot:
PROPERTY OWNER
Name:
Address:j§-,ddyr-"
City: ()y State: ZIP..
Phone: Fax: -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
El 'Ibis installation is being made m residential orfarm property owned by
me or a member of my immediate family, and is exanpt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name:
Address: ' CJ S f u
City:
State: ZIP:(„ leY
Phone: - j
Fax: - -
E-mail:
y
CCB license no.: % C1
Print name:
Signature:
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
SUB -CONTRACTOR INFORMATION
Name
CCB License #
Phone Number
Electrical
(a) Plan review (65%x permit fee [2a]):
$
Plumbing
$
(c) Subtotal of fees above (3a and 3b):
Mechanical
d. Miscellaneous fees
DEPARTMENT USE ONLY
Permit no.:
Date:
80 days n issuanc or i work is
FEE SCHEDULE
1. Valuation information
(a) Job description: 7_4 . —W"a S'�. 7 -
Occupancy
Construction type: t
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):
$ /Q S "
(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]):
$
(c) Subtotal of fees above (3a and 3b):
$
d. 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 surcharges (2e+3c+4a+4b+4c):
$ 12U,