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Home My WebLink AboutPermit Electrical 2007-11-1 City of Springfield Electrical Authorization To Begin Work E-mailedTo:KELIASEN@ATT.NET Receipt # J:c519818 11/1/2007 4:35:20 PM Check on status of perm it By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us r& J:)~ \\~~(V o New construction Iil Addition/alteration/replacement . /":'FEESCHEDUCe · \"-";"':11',.:11"':':'":--';" -', _"_",.i:::'_:<,'I'",,___O__, I Qty. J o 1 or 2 family dwelling o Multi-family rn Commercial/Industrial (1,000 sq. ft. or less I Ea. addl 500 sq. ft. or portion I-Limited energy, residential (with above sq. ft.) I-Limited energy, multifamily residential (with above SQ. ft.) I Job no.: I Job address: 5755 MAIN ST I City/State/ZIP: SPRINGFIELD, OR 97478-5426 I Suite/bldg./apt.no.: I Project name: ALBERTSONS Cross street/directions to job site: 58TH STREET & MAIN STREETS 1200 amps or less 120 I amps to 400 amps 140] amps to 599 amps Subdivision: I Lot no.: I Tax map/parcel no.: 1702334400800 I ADD TO EX]STING PERMIT #COM2007-01119. ADDING CIRCUIT TO CHANGE CONDUCTORS IN RACEWAY TO ROOF FOR HVAC #2. 1 200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps A. Fee for branch circuits with above service or feeder fee, each branch circuit. B. Fee for branch circuits without service or feeder fee, first branch circuit; each addl branch circuit $48.00 $48.00 Name: BEN JOHNSEN Phone: (54]) 556-2] 53 IEmail: I lEI. lic. no.: 20-53C I CCB lic. no.: 38497 I Business Name: JOHNSEN ELECTR]C INC I Contact: KAR]N ELlASEN !Address: 2585 ROOSEVELT BLVD I City/State/ZIP: EUGENE OR 97402-2500 I Phone: (541)461029] I Fax: (541)4612340 I Email: KELlASEN@ATT.NET I Metro lic. no.: I City Iic. no.: I Supervising electrician's Iic. no.: 3485S I Supervising electrician's name: GARY E JOHNSEN I Fax: Service reconnect only Each manufactured or modular dwelling, service and/or feeder 1 Pump or irrigation circle 1 Sign or outline lighting Signa] circuit(s) or limited- not offered online at this jurisdiction energy panel, alteration, or extension. I I I I I * City Of Springfield Subtotal $48.00 Minimum fee used instead of Subtotal $50.00 State Surcharge (8% of permit fee) $4.00 City Of Springfield fees * $7.50 TOTAL PERMIT FEE $6] .50 10% Local Admin Fee; 5% Local Technology Fee Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. COM:atJO/ - OJ I IC) RCPT #: S~2C5D -7 ---72- q DATE PROCESSED: 11-- (), -' 07 PROCESSED BY:Jr I~ 1 ~d by a Permit. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site untit repl ^ (I J \0/\ ~\../(f' J \\~~~ ~R CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01119 ISSUED: 07/27/2007 APPLIED: 07/27/2007 EXPIRES: 05/02/2008 . VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5755 MAIN ST ASSESSOR'S PARCEL NO.: 1702334400800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Upgrade 80 amp breaker to 100 Amp breaker for right condensing unit and change raceway and conductors for roof top condensing unit #2 Owner: MCKENZIE CROSSING PARTNERSHIP LTD Address: 2811 E ST STE B EUREKA CA 95501 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JOHNSEN ELECTRIC INC License 38497 Expiration Date 01/1012008 Phone 541-461-0291 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Se~(}f~:@iOle: A, ti~.ua/Drainr Special Insn..~g:ip'ffiMIT SHALL EXPIRE IF THE WORK toffow rules ~d:~~nb;':,:gurres ~ to Notes: AUTHORIZED UNDER THIS PERMIT IS NOT ~otificationCenter. Thoserule::~::et~~ COMM_E_N~~9 ~~~ll~~BANDONED FOR oo~~'\,:~;~;:?~~t~~~:~~,AAu. 95~..oo,. .....111 r I au UM T n,n VIJ. cafffng the cent (N ..... 'v IU'IIlID &II' I V I t. D .. I n be ere ote. the telephone a ua IOn eSCrIptlOn um r for the Oregon Utility NotlficatioJa Center Is 1-80D-332-2344' $ Per Sq Ft Square Footage ,- Description Type of Construction It' I' B'd A t Value Date Calculated or mu Ip ler or I moun Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01119 ISSUED: 07/27/2007 APPLIED: 07/27/2007 EXPIRES: 05/02/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $48,00 $2,00 $5,00 $2,50 $4.00 $48.00 $2,00 7/27/07 7/27/07 7/27/07 7/27/07 7/27/07 11/2/07 11/2/07 11/2/07 11/2/07 11/2/07 3200700000000000511 3200700000000000511 3200700000000000511 3200700000000000511 3200700000000000511 3200700000000000729 3200700000000000729 3200700000000000729 3200700000000000729 3200700000000000729 Total Amount Paid $123.00 I Plan Reviews I 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. Reouired Insoections , 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 of the 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 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 Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01119 COM2007-01119 COM2007-01119 COM2007-01119 COM2007-01119 Payments: Type of Payment ONLINE CHGS cReceint] RECEIPT #: 3200700000000000729 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/02/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS NJM Page I of I ONLINE JOHNSEN Online ELECT Payment Total: 7:51 :08AM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 11/2/2007