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Home My WebLink AboutPermit Electrical 2008-4-10 City of Spr!ngfield Electrical Authorization To Begin Work E-mailedTo:KELIASEN@ATT.NET Check on status of permIt By Phone: (541)726-3753 or Email: permltcenter@ci.sprmgfield.or.us I. 1VPE OF\IyO,~K [K] AddItIOn/alteratIOn/replacement D New constructIOn ) ~ i ,... CATEGORY OF. CONSTR1JctlON 'II ,'I , ",' 1'<1 D I or 2 family dwellmg D MultI-family [K] Commercial/Industrial JOB SITE'INFORMATIO'N 'ANDJ.OCATION.' I Job no I Job address 3350 GATEWAY ST I CIty/State/ZIP SPRINGFIELD, OR 97477-1003 I Smte/bldg /apt no . I Project name SHILOH INN Cross street/directions to Job site. GATEWAY ST & DELTA HWY SubdivIsion. I Lot no.. I Tax map/parcel no.. 1703222001600 I ..j)' DESCRIP:rIO~ OF WORK REPLACE WIRING TO METER I ' /Name. Phone Emall J;SITE~ONTAct 11,1-" ,.. .r I I ';"1 , <,,), BEN JOHNSEN (541) 556-2153 I Fax. .Ii CONTRACTOR ,I I, "" I CCB hc no.. 38497 lEI hc, no.. 20-53C I Busmess Name, JOHNSEN ELECTRIC INC I Contact KARIN ELIAS EN IAddress 2585 ROOSEVELT BLVD I CIty/State/ZIP, EUGENE OR 97402,2500 jPhone (54])4610291 I Emall' KELIASEN@ATTNET I Metro hc. no. I Supervlsmg electriCian's hc no' 3485S I Supervlsmg electriCian's name GARY E JOHNSEN IFax: (541)46]2340 I City hc no: Upon review and approval by your local JUrisdiction, your permit Will be e-malled or faxed wlthm one bus mess day, with mstructlons on how to schedule your mspectlon NOTE ThiS Authorization To Begm Work expires wlthm 180 days If a permit IS not obtamed .1 I . FEE SCHEDULE " DeScription I Qty I Ea I Total Residential SINGLE. OR multl-faimly dweILmg umt Includes attached garage .. ,." "', o. ., , - -", ., 11,000 sq ft or less I Ea add I 500 sq ft or portIOn , Lumt&l :F;!I~rgy I-Limited energy, reSidential (With above sq ft) I-Limited energy, multifamIly reSidential (With above sq ft) I-Limited energy, commercial (With above sq ft) I - Stand-alone limited energy, reSIdential I - Stand-alone limited energy, multi-family I . Stand-alone limIted energy, commercial . SerVices OR feeders I'n;;~allation, aIteratlort; AW/OR rcloc~tion <<I I' 11< I . .I 200 amps or less I 1201 amps to 400 amps I 1401 amps to 599 amps I .TEMPORARyrservlces.OR feederS mstaIlatlOn; alter'iltlon, ANb/OR,relocation ' Ik! '~'1' 41~1,1,il ~;'" 0: "';'fW'lli , , >, " ~ v I '\ ,J ,c, 1200 amps or less .1 1201 amps to 400 amps 140 I amps to 599 amps IBranib:~'~!Iits - NEW, 'a~ier~t.l?n, OR extensl~!I; per panel 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 I branch circuit I Mi~elhin,eti:~s" I Service reconnect only I Each manufactured or modular dwellmg, service and/or feeder I Pump or lITIgatIOn Circle I Sign or outline IIghtmg Signal ClrCUlt(S) or IImlted- energy panel, alteration, or extensIOn I;' I I I · City Of Sprmgfield Receipt # EC528526 4/10/200812:25:06 PM ~~~~~ k'~~ 'I,' $55 00 $5500 not offered online at thiS JUrisdiction I Subtotal $55 00 I State Surcharge (12% of permit fee) $660 I City Of Sprmgfield fees · $8 251 TOTAL PERMIT FEE I $6985 10% Lowl Admm Fee, 5% Local Technology Fee ELECTRICAL PERMIT FEES The local bUJldmg department may determme that an COM: '_' I~_ "_). _(.~~..../,-,. --' ;:'~:n.. _/-i(t'~:._~- AuthOrization To Begm Work IS null and VOid If It does not n, \! V ~ Ujf-tf>-" meet applicable land use laws and local ordmances RCPT#: ~/A(n)K - '-ILf ( .1_/() /Ur DATE PROCESSE~B.I. This Authonzatlon To Begin Work must J~R8CHs~~lW:}Yu~~~t1lt~aced b~ a Permit C' C)" ,4., ~\' Di 4~~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00483 ISSUED: 04/07/2008 APPLIED: 04/07/2008 EXPIRES: 10/10/2008 VALUE: $ 15,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3350 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222001600 Springfield TYPE OF WORK: Dryrot TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Dryrot repair Owner: SHILO INN SPRINGFIELD LLC Address: 11600 SW SHILO LN PORTLAND OR 97225 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor PANTHER CORP JOHNSEN ELECTRIC INC License 151941 38497 Expiration Date 07/15/2008 01/10/2010 Phone 541-327-2100 541-461-0291 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # 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 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: ATTEt 'lIeN' Ore~Jr law ! P.UBLIC IMPROVEMENTS , folklFI rtit ' ad' r8ll~" '-'v yuu ro Street ImproN,ements:t'()n' C~ ,c'rt~d by the Oregon Ut,', t . Uti"'-.:H enter TI I Y 1~()L' ~,r;- . lase rules a Storm Sewe'n~ V'ailaele2-001-0010 throu h 0 re set forth Special InstrTI ggn:You may obtalll coP/~ /R 952-001_ cal/lIlg the center (N s 0 the rules by Notes: nUmber for the Or~gOnO~;'/~~e ~e/e~ho~e Center is 1-800 332 Y ot/f/cat/on - -2344). Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00483 ISSUED: 04/07/2008 APPLIED: 04/07/2008 EXPIRES: 10/10/2008 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 15,000.00 Value Date Calculated Description Total Value of Project $15,000.00 $15,000.00 04/07/2008 ~ Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number $16.15 4/7/08 1200800000000000321 $19.38 4/7/08 1200800000000000321 $8.08 4/7/08 1200800000000000321 $161.54 4/7/08 1200800000000000321 $5.50 4/10/08 2200800000000000441 $6.60 4/10/08 2200800000000000441 $2.75 4/10/08 2200800000000000441 $55.00 4/10/08 2200800000000000441 Total Amount Paid $275.00 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. ~eouiredJnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Floor Insulation: Prior to decking. Final Building: After all required inspections have been requested and approved and the building is complete. Electric Service: Approval required prior to utility company energizing service. Pa2;e 2 of 3 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2008-00483 ISSUED: 04/07/2008 APPLIED: 04/07/2008 EXPIRES: 10/10/2008 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Pa!!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759'Phone Job/Journal Number COM2008-00483 COM2008-00483 COM2008-00483 COM2008-00483 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: Description ServIce Reconnect + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000441 Date: 04/10/2008 Item Total: Check Number AuthOrizatIOn ReceIved By Batch Number Number How ReceIved nJm ONLINE Johnsen Onlme Payment Total: Page 1 of 1 2:52:11PM Amount Due 55.00 275 660 550 $69.85 Amount Paid $69 85 $69.85 4/10/2008