HomeMy WebLinkAboutPermit Electrical 2014-6-12 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
I. Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01278
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/12/2014 EXPIRES: 12/08/2014
STATUS DATE: 06/12/2014 APPLIED: 06/12/2014
SITE ADDRESS: 3000 GATEWAY ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Service and circuits for vanilla box improvements north end mall space
OWNER: GATEWAY MALL PARTNERS Phone Number:
ADDRESS: 1114 AVENUE OF THE AMERICAS
NEW YORK NY 10036
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor NEW WAY ELECTRIC INC CCB 51088 06/27/2015 541-686-2365
INSPECTIONS REQUIRED
Inspections •
4220 Electrical Service Electric Service: Approval required prior to utility company energizing service.
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical 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 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.
Owner or Contractor Signature Date
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility NOTICE:
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit 6/12/2014 12:23:33PM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
A t 225 Fifth St
• ( i„ TRANSACTION RECEIPT Spy Fifth d,OR97477
\ OREGON 541-726-3753
811-SPR2014-01278
www.springfield-or.gov 3000 GATEWAY ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001284 RECORD NO: 811-SPR2014-01278 DATE:06/12/2014
`DESCRIPTION - - `. - ._ACCOUNT CODE/TRANS CODES_ `,_.,.,_,_,-- _AMOUNT DUE.,.
Branch circuits with service or feeder each circuit 224-00000-426102 1004 1,190.00
Electrical Continuing Education fee 224-00000-425606 1032 2.50
Services 200 amps or less 224-00000-426102 1004 2,548.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 448.56
Technology fee (5% of permit total) 100-00000-425605 2099 186.90
TOTAL DUE: 4,375.96
PAYMENT TYPE : PAYOR_ CASHIER:.ILARSON y: . -_. COMMENTS _ _ - ', AMOUNT PAID
Credit Card NEW WAY ELECTRIC INC 4,375.96
03423G
TOTAL PAID: 4,375.96
•
06/09/2014 12:27 541-686-2715 PAGE 01/01
pEpAR1MENT USE'ONLY
Electrical Permit A 1 .1 lication low proton n - ,/ �(
CITY OF SPRINGFIELD, OREGON :: Permit no,: 5N7 / Z7 8
225 Fifth StrtmU Springfield,OR 77477.P11(541)7263753.FAX(54I)7263689 Zl/�1
Date:
This permit is issued under OAR 918-309-0000.Permits arc nontransferable.Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Cost TOtill> .
Zoning approval verified? ❑Yes ❑No Numbdr'ofinApettioha-Per itcm.O . .I0Ly I 0a: I. • tta
CATEGORY,OF CONSTRUCTION Residential,per unit,service included:
❑Residential I []Government I al Commercial 1,000 sq.ft.or less(4) 5134,00 $
JOB SITE INFORMATION::kNO• LOCATION Each additional 500 sq.ft.or portion $ 25.00 $
Job site address: 3000 Gateway Street thereof
City:Springfield I State: OR I ZIP: 97477 Limited energy(2) $ 32.00 $
Reference: / 26 722 0 U I Taxlot.: 0e-36 4 Each manufactured home or modular $ 63.00 $
dwelling service or feeder(2)
•DESCRIPTION.:OF.. WORK 25��
Package 1: vanilla Box Improvements.North End mall space � ��q.�
Services or feeders: Installation,alteration.relocation
Improvements. Building Permit#SPN2014-UUS/8
200 amps or less(2) 28 S 81.00 " "
201 to 400 amps(2) $ 95.00 5
PROPERTY•OWNER 401 to 600 amps(2) $158.00 $
Name:: Rouse Properties .
Address: 3000 Gateway Street
601 to LOGO amps(2) $205.00 $
Springfield I Stetc: OR ZIP:
97477 Over 1,000 amps or volts(2) .$469.00 $
City: $ 63.00 $
Reconnect only(2)
E-mail - - I Fax: alteration,relocation
Temporary services or feeders:inslallallott
E-mail: 200 amps or less(2) $ 63.00 $
This installation is being made on residential or farm property _
owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 87.00 $
property is not intended for sale,exchange,lease,or rent.OAR 401 to 600 amps(2) $126.00 $ -
479.540(1)and 479.560()).
Over 600 amps or 1.000 volts.sec services or feeders section above
Signature:
CONTRACTOR INSTALLATION. Branch circuits:new,alteration,extension per parse!
New Way Electric, Inc. a.Fee for branch circuits with purchase of a service or feeder fcc: � t na
Business name: / 7
Address: P.O. Box 21503 _ Each branch circuit 17q $ 6.00 I §i.0'2"C
city:Eugene I State: OR I ZTP:97402 h.Fee for branch circuits without purchase of a service or feeder fee:
Phone:541 686 2365 J Fax:541686 2715 First branch circuit(2) $ 55.00 $
Each additional branch circuit $ 6.o0 S
E-mail: jonette❑hewwaYelectriC.cam
CCB license no.:51088 1 BCD license no.: 20-1450
Miscellaneous fees:service or feeder not Included
Each pump or irrigation circle(2) $ 63.00 $
Signing supervisor's license no.: 5252S y� � $ 63,00 $
Justin Each sign or outline lighting(2)
Print name of signing supervisor ////�
Signal circuit x a limited-energy panel, $ g3 00 $
Signature of signing supervisor: Signal cis nr extcna+ i (2)
Each additional inspection:(I) $6800 $
'Please call 541-686-2365 for payment. (A) Enter subtotal of above fees
• (Minimum Permit Fec 858.00) $,..3. 813- 3731
(B)Enter 12%surcharge(.12 x[A]) l
385-'
5 4q$L
(C)Technology ( � [ ]) .2-r 1869_
C Tcehnolo Fee 5/a of A $
TOTAL fees and surcharges(A through C): $ 3-84'8-'
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