HomeMy WebLinkAboutPermit Building 2010-4-21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00488
ISSUED: 04/21/2010
APPLIED: 04/20/2010
EXPIRES: 10/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 3000 GATEWAY ST SPACE 418
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Change of use
Owner: GATEWAY MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
Contractor.Type
General
Electrical
I CONTRACTOR INFORMATION I
Contractor License
OWNER
WEILAND ELECTRIC DIVISION, LLC. 175373
BUILDING INFORMATION I
Expiration Date Phone
04/06/2011 541-747-7701
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
W3'ter.Type:
, Rai'geTYpe:
L l;..
'Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
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Page I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
<'.~~
TotalValue of Project
~
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Amount Paid
Date Paid
$14.28
$5.95
$55.00
$6.00
$58.00
4/21/1 0
4/21/10
4/21/10
4/21/10
4/21/10
Total Amount Paid
$139.23,
I Plan Reviews ~
Structural Review
04/21/2010
04/2112010
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00488
ISSUED: 04/21/2010
APPLIED: 04/20/2010
EXPIRES: 10121/2010
VALUE:
Value
Date Calculated
Receipt Numher
2201000000000000384
2201000000000000384
2201000000000000384
2201000000000000384
2201000000000000384
Change of Use approved with
stipulations as verbally ilgrccd upon
between applicant, Ron Moyc, and
City of Springfield Development
Services Staff, Dave Puent
(Community Services Mgr) and
David Bowlsby (Bldg Permit Review
Tech) and indicated in written
documents presented by applicant.
Content of discussion limits use to
main room in space 418 and
stipulates the 2 storage rooms
connected to be blocked off to
prevent use. Representative of New
Beginnings Church, Ron Moyc,
stated times of use of space 418 be
limited to Sunday evenings and
Wednesday evenings only. Written
statements and drawings are
attached as documents to this
Tidemark case file.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Paee 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.1 Relluired InsDections ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00488
ISSUED: 04/21/2010
APPLIED: 04/20/2010
EXPIRES: 10/21/2010
VALUE:
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work 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 ofthe City of Springfield and the Laws of the State of 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 arc in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections ;!fe r~.quested 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. ,.'1';-.-:.' .,..-~.. .
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Owner or Contractors Signature
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Paee 3 01"3
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Electrical Permit Application
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225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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. DEPARTMENT USE ONLY
COM ZOIO.O Oi.('i'~.
Pennit no.: .
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance ~r if work is suspended for 180 days.
.1:0CAlqoVERNMENT ApPROVAL",' .....
Zoning approval verified? 0 Ves 0 No
" 'CATEGORY(OF.CONSTRWCTION
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Name:
Address:
G~ ~l
Phone:S-ql-7~r fp).q
E-mail:
This installation is being made on residential or farm property
owned by me or a member f my immediate family. This
property is not intended s Ie, exchange, lease, or rent. OAR
479.540(1) and 4 .
Address :
City:
Phone:
E-mail:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-J (9/08/COM)
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,_ '.H " . Cbst Total
. . ,. .
.,N~m.~~r' ofj~~~ecti~~ns p~.~lte.~,:() Qty. ea:' cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201' to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a Fee for branch circuits with purchase of a service or feeder fee;
Each branch circuit $ 6.00 I $
b. Fee for branch circuits without purchase of a service or feeder fee;
First branch circuit (2) ( $ 55.00 $5~
Each additional branch circuit ( $ 6.00 $b
Miscellaneous fees: service or feeder ~ot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alte~tion, <;>r extension (2)
Each additional inspection: (I) $58.00 $
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(A) Enter subtotal of above fees b \
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [A]) $ ]3l..
(C) Technology Fee (5% of [A]) $ 3 os-
TOTAL fees and surcharges (A through C): $'71E
Structural Permit Application
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DEPARTMENT USE ONLY
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Permit no.:
225 Fifth Street. Springfield, OR 97477. PH(54])726-3753. FAX(54])726-3689
Date: .., ;:0 / C>
This permit is issued under OAR 918-460-0030_ Permits expire if work is not started within 180 days of issuance or if work is
. suspended for 180 days.
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning appro va] verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
~~~~b)jXtli~_PAT~.9,9RY:i.td~2:,_.c.bN$T~UCrl_()Nr~1J~i;',~&~;.~:/:,i'
o Residential 0 Government .. '.18 Commercial
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Job site address: " 'It 5'+ 3 DDO
City:
Subdivision: l
Reference: 7"11-
Name:
o z::~OO
;,PROPERTY OWNER' .
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ooa
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o<L ZIP:
FaxsLil - 71f1 S1'f7
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Print name:
~-
Signature:
~'<tJW;,:'i'USUB~c;qNJ.Mc:rORINF9.RMATIO:N~~;1::'#..iti~"'lt~;
Name eCB License Number Phone Number
E]ectrica] 5'11-33(<;-.
Plumbing
Mechanical
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(a) Job ~escription: C.L{I'\-N~E' of' lAS.~
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
0 new 0 alteration 0 addition
(b) Foundation-only permit? 0 Yes 0 No
Total valuation: $
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(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 (. I 2 x [2a+2b+2c]): $ b~
(e) Subtotal of fees above (2a through 2d): $
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(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): $
~<'4;~Mis'selian~o:q.,;fe.e~'i~:E;::~rS%:'i;7#GKf"I!E:"f $ ;:Z.!2..
(al Seismic fee, 1%(.0] x permit fee [2a]): $ .I
TOTAL fees and surcharges (2e+3c+4a): $ ~ 7 E"f--
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000384
Date: 04/21/2010
2:35:07PM
Job/Journal Number
COM20 I 0-00488
COM20 I 0-00488
COM20 I 0-00488
COM20 10-00488
COM20 I 0-00488
Payments:
Type of Payment
CreditCard
cRcccintl
Description
Building Permit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
RON MOYE
Check Numher
Batch Number
Received By
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Page I of I
Item Total:
Authorization
Number How Received
Amount Due
58.00
55.00
6.00
14.28
5.95
$139.23
Amount Paid
343491 In Person
Payment Total:
$139.23
$139.23
4/21/2010