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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 "!,';, " 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: .. ,../ '"r.lr~t\ :1<.~';'. ".I' ".~, '..'>1 ._,.~, . . ,II' : ".' !; ~. . 1 , " 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 APP DJP '; !,,:.~;-:I ".-!il. ',-. 'l 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 ''I ',' ~. . , -,' -\: .,'" 'r' 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';-.-:.' .,..-~.. . ~ ~-?- ----- Owner or Contractors Signature :l~ :t .., II',' . "1-~ ~'.'~ . <, Paee 3 01"3 f ;Zj.//(7 o te Electrical Permit Application ^-)'" .~,~" y~,' .r:' .J-1~ ~~\~t ,~..: ,~-,.q3 ,," -~ ..'. ", "~.~-,,;-.,..,,.,1~' . . .7 - '.. ~ ~ . ~~JTY~PJ1_~~~~,q~!~JJn~9~G9,N:~':.;.- 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 . .' . 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 ',', 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: ~ ~ ~.~ ~. ~ ,\.~%.~ ~. ~ 440-2584-J (9/08/COM) :: .(' ':'!+t~:[~"ii:i(i!rf:<,"!,:EE+$CH EDUCE',} :r,j~;~-;i:~iA;;f~~J~{~~~1t~~i ,_ '.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 $ ~;i;;!,~t~~-@;~8;{i':tii~l#:M.F!,i1fcAN'j"~1.JSB;:;\. ~~ ~';~,~:HX}1J~i:i; ;,i:r~: !: :" (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): $'71E Structural Permit Application _ '." _ J-<:... .-. ~" _ : '. ,~[. CliyY oF SPRIN_GEIELD;\O'REG.oN\r.~ . ~,' ['s ':: . -;:: rR~:O~:"" -;:a L~~~ ~-~ DEPARTMENT USE ONLY (()1AA.l.O I () , 0 0 l{ &' g Permit no.: 225 Fifth Street. Springfield, OR 97477. PH(54])726-3753. FAX(54])726-3689 Date: .., ;:0 / C> This permit is issued under OAR 918-460-0030_ Permits expire if work is not started within 180 days of issuance or if work is . suspended for 180 days. r~,... "., .."..., """",,,-' - " ',..- '....',. , :.., > ~ -"",- ,. . .. ",:' ,-,- ~ ". -, :r...... ~', . . ,j;;110CAk;I3QYERNM.t;NT,;.MRROVAl!\;:;;:~~!b;,)1ii;;;~~,j;.ij This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning appro va] verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~~~~b)jXtli~_PAT~.9,9RY:i.td~2:,_.c.bN$T~UCrl_()Nr~1J~i;',~&~;.~:/:,i' o Residential 0 Government .. '.18 Commercial ~':': ''JQs>sl;[EiINI;9RMA Ti6'N'iAN[)'I6CA1'joNr:.":;:?:'-~.':; Job site address: " 'It 5'+ 3 DDO City: Subdivision: l Reference: 7"11- Name: o z::~OO ;,PROPERTY OWNER' . l ooa , o<L ZIP: FaxsLil - 71f1 S1'f7 .le1l\. 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 ,";,-;,--: - (I " -~:-FEE SCHEDULE"" " :> ~:~\l"':(~"" :-;_. ';L:'ya,.u~tib~~{i~fo:rffi~.ti~#t~~ibt~~,~~~:\~~:'b~' ~Vi'~'1~ t:~ltf:idJJ; :~,~l~?~t~~~;;\;. (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: $ ~2,:::}J.i1 tl~hi'g,iJe'~sJi4f~ff~~1[f,~~~~t~~~~1h\l.~i~1~~,~;~.,j,~':.\;i~", " ..;;:i.'\....... (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): $ '1~~fI!J~.Q:eri~~\(~S'~1~i'~i~,~~~,~~~tt~;~~~~~k~:lV~) (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 8r,~~;: ii. IIiiL t'j . i 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 djb 'i --- '/: -->..- 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