HomeMy WebLinkAboutPermit Electrical 2008-3-21
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-00385
ISSUED: 03/21/2008
APPLIED: 03/21/2008
EXPIRES: 09/21/2008
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2950 Gateway St
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Add 150 amp service for car show in parking lot. NE corner of Kohl's at SUB
Transformer #89B014
Commercial
Owner: GATEWAY MALL PARTNERS
Address: PO BOX 617905
CHICAGO IL 60661-7905
I CONTRACTOR INFORMA nON I
Contractor Type
Electrical
Contractor
JOHNSEN ELECTRIC INC
License
38497
Expiration Date
01/10/2010
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:
n/a
I DEVELOPMENT INFORMATION.
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
AIII:~8t:l:lbrlg6h law requires you to
follow ~8_pt91HIi)\~he Oregon UtilIty
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
Notes: 0090. You may obtain copies of the rules by
NOTICE: . calling the center. (Note: the telephone
THIS PERMIT SHALL I:XPIKl: '" I he ~I';!l ._..Lm tv. ';.e. ....,"yo" U,",,,y ",un"catlOn
AUTHORIZED UNDER THIS PERMIT I ~iation Description I Center IS 1-600-332-2344).
COMMENCED OR IS ABANDONED FO
. . . $ Per Sq Ft Square Footage
DescJlmtfV80 DAf~l'lfOO.nstructIOn or multiplier or Bid Amount Value Date Calculated
Street Improvements:
Storm Sewer Available:
Special Instruction:
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-00385
ISSUED: 03/21/2008
APPLIED: 03/21/2008
EXPIRES: 09/21/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$9.40
$11.28
$4.70
$24.00
$70.00
3/21/08
3/21/08
3/21/08
3/21/08
3/21/08
Receipt Number
2200800000000000339
2200800000000000339
2200800000000000339
2200800000000000339
2200800000000000339
Total Amount Paid
$119.38
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I ReQuired Insoections I
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
City of.Springfield
Electrical Authorization To Begin Work
E-mailedTo:KELIASEN@ATT.NET
Receipt # Ec527448
3/20/20084:47:36 PM
Check on status of perm It
By Phone: (541)726-3753 or Emall: permitcenter@ci.springfield.or.us
I '
o New construction
TYPE'OF WORK:>'::? ~ "
~, <, , 11,\ b
[X] AddItion/alteratIOn/replacement
~ < "0
" " "':1
"
"
': ~IT~,CONTACTI :'
':1,
f,',
; FEE SCHEDULE' ,
'I' " ,
I DescnptlOn I Qty. I Ea. I Total
Resld~nttal"SINGLE~ OR mUltI-family dwelling unIt: Includes
'" 0' t'''''<"$~ " ,>11'111> xV_ , <<"1'(", ~" I" v
,~~~~.ched'garagenlh ; , I, , , ", .' ""
I ] ,000 sq It or less I
1 Ea addl 500 sq It or portion I
If"'i"dE
Im~tS'''H,!!~rgy
I-LImIted energy, resIdentIal
(with above sa ft)
I-Limited energy, multifamIly
residential (with above sa It)
I-LImIted energy, commercIal
(With above sa ft)
I - Stand-alone lImited energy,
resIdential
I - Stand-alone lImited energy,
multI-family
I - Stand-alone lImIted energy,
commercial
I Se,,rvices OR feeders inst~lIation, altet;atIo,n.. AND/OR relo~ation
I 200 amps or less II $70 00
1201 amps to 400 amps I
1401 amps to 599 amps I
XEMPORARYserNlces OR feeders Installation, alteratIOn,
AND/OR reloc~t;611ili'iII:;1\I 1\1:: . ",' n
11i<< )1<, we , ,'f", ;II <I , I I
1 200 amps or less
1 201 amps to 400 amps
140 I amps to 599 amps
,'Br'3nch circuits ~'NEWt'lalteratlOn, O'R extension, per panel
L I \,,,~ >>! " , '," of, I I I
A Fee for branch Circuits WIth
service or feeder fee, each
branch CIrCUIt
B Fee for branch CIrcuIts
Without service or feeder fee,
first branch CIrcuIt.
I each add! branch CIrcuIt
I ,~I~,c~~~~!!eous"f
I ServIce reconnect only
Each manufactured or modular
dwellIng, servIce and/or feeder
Pump or lITIgatIOn circle
1 Sign or outlIne lIghtIng
SIgnal clrcult(s) or lJmlted-
energy panel, alteratIOn, or
extensIOn
1
I
I
I
I
* City Of Spnngfield
'''1,<-
n':'{nCA TEGORY'OF 'CONSTRUCTION hnll:
~ 1,1" I " '" ~ 1,1 'I +1Ii~1,11111,1'I<1I< '1, "
o 1 or 2 famIly dwellmg 0 MultI-famIly [Xl Commercial/ Industnal
1 ' i , " JOB:SI~I~ INFORM~l;,18N AND COC~TION 'J
IJOb no.: IJOb address: 2950 GATEWAY ST
I City/State/ZIP' SPRINGFIELD, OR 97477-1166
I SUlte/bldg.!apt.no.'
/ProJect name: GATEWAY MALL
I Cross street/dIrectIOns to Job site: GATEWAY STREET & GATEWAY LOOP - THIS
IS ON THE NE CORNER OF KOHL'S AT SUB TRANSFORMER #89B014
I SubdiVISIOn: I Lot no.:
I Tax map/parcel no.: 1703220002200
I I, ","" DES'CR!~;n.qN OF WO~~
I ADD 150A SERVICE FOR CAR SHOW IN PARKING LOT
$70 00
6
I
I
I
I
$24 00
", /11'
I Name' GREG ANDREWS
I Phone: (541) 653-1423
IEma11
I
IFax:
$400
0;, ,/, I
1'llI',
<<III
t '1j~11 I ~
"Cq~.T~CTOR "\.' "ill ill l' "
I CCB hc. no.: 38497
lEI hc no.: 20-53C
I Busmess Name: JOHNSEN ELECTRIC INC
1 Contact: KARIN ELlASEN
!Address. 2585 ROOSEVELT BLVD
1 City/State/ZIP' EUGENE OR 97402-2500
1 Phone' (541)4610291
I Emall: KELlASEN@ATTNET
I Metro hc no.:
I Supervlsmg electriCian's hc. no. 3485S
I FaX' (541)46]2340
I City lie. no :
not offered onlme at thIS JUTlSdlctlOn
Supervlsmg electriCian's name GARY E JOHNSEN
Upon revIew and approval by your local JUrisdiction, your
permIt WIll be e-malled or faxed WIthin one bUSiness day,
WIth instructIons on how to schedule your inspection
',"" ELECTRICAL PERMIT FEES
: (
NOTE ThIS AuthOrizatIon To Begin Work expIres WIthin 180
days if a permit IS not obtained
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
I
Subtotal $9400
State Surcharge (12% ofpenmt fee) $1128
City OfSpnngfield fees * $1410
TOTAL PERMIT FEE I $11938
10% Local Admm Fee, 5% Local Technology Fee
ThiS Authorization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fift-h Street
SP/ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00385
COM2008-00385
COM2008-00385
COM2008-00385
COM2008-00385
Payments:
Type of Payment
ONLINE CHGS
cRecemtJ
RECEIPT #:
2200800000000000339
DeSCriptIOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistratIve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/21/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE JOHNSEN Onlme
ELECTRIC
INC
Payment Total:
9: 12:28AM
Amount Due
7000
2400
470
II 28
940
$119.38
Amount PaId
$11938
$119.38
3/21/2008