HomeMy WebLinkAboutPermit Electrical 2008-6-4
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00789
ISSUED: 06/04/2008
APPLIED: 06/04/2008
EXPIRES: 12/04/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3000 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Three additional circuits for food court.
Owner: GA TEW A Y MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
I CONTRACTOR INFORMATION 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
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:
~flGfJ~VEMENTS I
ATTENTION" Oregon 1E't'he Or n Ulllll
Street Improvemen~lIow rules ~dopted by the regOt et f~rih Sidewalk Type:
enter Those rules are s
Storm Sewer A vail~el~lcatlon_0~1_00'1 0 through OAR 952-001- Downspouts/Drains:
Special Instruction~n OAR 952 obtain copies of the rules by
0090.. You may (Note: the telephone
Notes: calling the c;n~~~gon Utility Notification NOTICE:
number~::1o:i~ 1-800-332-2344). . TU'~ D!:Qr.nIT~~AII FXPIRE IF THE WORK
I -. AUTHORIZED UNDER THIS PERMIT IS NOT
Valuation DescriptioI!.J COMMENCED OR IS ABANDONED FOR
$ Per Sq Ft Square Foo~Y 180 DAY PERIOD.
Description Type of Construction . Value Date Calculated
or multiplier or BId Amount
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00789
ISSUED: 06/0412008
APPLIED: 06/0412008
EXPIRES: 12/04/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$5.60
$6.72
$2.80
$48.00
$8.00
6/4/08
6/4/08
6/4/08
6/4/08
6/4/08
Receipt Number
3200800000000000375
3200800000000000375
3200800000000000375
3200800000000000375
3200800000000000375
Total Amount Paid
$71.12
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 InsDection,lj
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
Pae:e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-maded To: KELIASEN@ATT.NET
Receipt # EC531444
6/4/200810:14:12 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
~ 1 i c._ #.imilm~IH '? F ~
TYPE1q~I,~9~~
I 0 New constructIOn IX] AdditIOn/alteratIOn/replacement
Ii II "ICATEqO~;!i,Qf:CONSTRl!lCil'JQt11C
I 0 I or 2 family dwellmg 0 Mulu-famJly @ Commercial / Industnal
I' "';:iWjOBSITE INFORMATIONfAND,LOCATio~iif~; I
~~cO<<~lb1"jM'>B~111'1"'" '" , 'c ~,,-_M\\\<}{lJl%.W_l w. ,'7t\0~TT"4,tt".,
I Job no I Job address. 3000 GATEWAY ST
I City/State/ZIP. SPRINGFIELD, OR 97477-] 033
I SUIte/bldg /apt no .
I Project name' FOOD COURT
1111
I DeSCription
II(R~sidenti
1,attacbed"
~",\j0,JXN<~x~""" ~,
I, ,,'llrWW"1 ,
SCHEDULEIUI
, *1 ,~, "df
Qty I Ea
dw:ftUnglumt.
"'i?,j~~%
1,000 sq ft or less
Ea addl 500 sq ft or portIOn
'111 I"
1 SubdivIsion. I Lot no .
I Tax map/parcel no.. 1703220002300
I RE~S;I~~tioN''OF'WOR,~IIIII<klllC
ADD 3 CIRCUITS FOR THE FOOD COURT
,li\IIJlp~tCt't
I-energy, residentIal
(with above sq ft)
I-Limited energy, multlfalmly
residentIal (with above sq ft)
I-Limited energy, commercIal I
(with above Sq ft)
I - Stand-alone limited energy, I
residentIal
I - Stand-alone limited energy, I
multI-family
I - Stand-alone limited energy, I
commerCIal
j Serl:ic~I'0R1Jeeaers jn$tallat;o~~'!me~'liltion.AND/ORl,'r~fotation I I
,:h~trr44f,)"l,.;m;~""11' Uj<- 'c "I~r\~i\lI$Hd,jlfu;;\ 1 w "'4\ ,'tJ,<1I1' ,It ~
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
tlTEMRORARY servicesOR::f~ers jnstal1ation"altllratJ()D~ I"
'ANDY6R~'~la~tionl , jS"',f't>gt~iVit!4i~~lr1' 4 ><,~ kc' , '11,;yl'J1;!I!:1;,
" ,,,,,0':i%\t.l~iJl$i%I@\lW"fM 4'"~ xl 0/ V~ \!{:'13,0.;'i~l" ~
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I Branch'ciflffitrl~NEW;llllteratJon, OR exteiisi:J.i!ll'!p'e~ p'\lllel'
, "4('%-<+~WW"\l;;Wl,W1i~~*,"I<III,tl,YI' ,I 'c \$"",,\iI,AI,,~II"Vj I
A Fee for branch CircUIts wIth
service or feeder fee, each
branch circuit
B Fee for branch CircuIts $48 00 $48 00
WithOUt service or feeder fee,
first branch Circuit,
I each addl branch CircUIt 2 $4 00 $8 00
Cross street/directIOns to Job site'
GATEWAY ST & HARLOW ROAD
I.',~W\>'<;; '(1)l " V'
'''II,,~IT~llCqqNTAC:r,tldwlw''VCJ:\'lX:t''41Idb,,'
I Name' GREG ANDREWS
IPhone (541) 653-1423
Emall
IFax
lEI bc. no' 20-53C I CCB be. no.: 38497
Busmess Name JOHNSEN ELECTRIC INC
Contact. KARIN ELIASEN
IAddress 2585 ROOSEVELT BLVD
I Clty/State/ZIP' EUGENE OR 97402-2500
jPhone (54])46]0291 I Fax. (541)4612340
I Ema.l. KELIASEN@ATTNET
I Metro hc no I City hc. no :
j Supervlsmg electrlcl3n's hc no' 3485S
1 Supervlsmg electriCian's name' GARY E JOHNSEN
,'"Ll
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or lITIgatIon circle
I Sign or outlme IIghtmg
Signal clrcUIt(s) or IImlted- not offered online at thiS JunsdlctIon
energy panel, alteratIOn, or
extensIon
Upon review and approval by your local jUrisdiction, your
permit Will be e-matled or faxed wlthrn one busrness day,
With rnstructlons on how to schedule your rnspectlon.
I
Subtotal $56 00 I
State Surcharge (12% ofpenmt fee) $672
City Of Sprmgfield fees · $8 40
TOTAL PERMIT FEE $71 12
10% Local Admm Fee, 5% Local Technology Fee
, """~~\~"I*<<' "~ ~'"
PI~J~~!Jt~SS"~~~~4t~~'rl~
NOTE ThiS AuthOrization To Begrn Work expires wlthm 180
days If a permit IS not obtamed.
I
I
I
I
· City Of Spnngfield
ThiS AuthOrization To
COM: 12 (J();1"-/'()7/ftl"III" . "'
RCPT#~ SLo--{) '(' --- '?7.s~-
DATE PROCESSED: 0~<(h ~ !
Begin Work mt~S~Im:~~lace~
; t
by a Permit
The local bUlldrng department may determme that an
AuthOrization To Begm Work IS null and void If It does not
meet applicable land use laws and local ordinances
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00789
COM2008-00789
COM2008-00789
COM2008-00789
COM2008-00789
Payments:
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #:
3200800000000000375
Date: 06/04/2008
DescriptIOn
Add, Alter, Extend Crrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratlVe Fee
PaId By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
NJM
ONLINE JOHNSEN Onlme
Payment Total:
Page 1 of 1
10:32:38AM
Amount Due
4800
800
280
672
560
$71.12
Amount Paid
$71 12
$71.12
6/4/2008