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HomeMy WebLinkAboutPermit Miscellaneous 2009-2-25 City of Springfield Electrical Authorization To Begin Work E-maiiedTo:KELlASEN@ATT.NET Receipt # EC547334 X' 2/25/200911 :21 :14 AM 1\..\0 , ()(r (j Check on status of permit By Phone: (541)726-3753 or Emaii: permitcenter@ci.springfield.or.us o New construction !Xl Addition/alteration/replacement I D 1 or2 family dwelling o Multi.family !X.I Commercial/Industrial I Job no.: I Job address: 3000 GATEWAY 5T ICity/StaterLIP: SPRINGFIELD, OR 97477-1033' I Suite/bldg.lapt.no.: I Project name: POLE REPAIR Cross street/directions to job sUe: GATEWAY 5T & GATEWAY LOOP ~ NORTH ~lDE OF SEARS v-EAST SIDE OF. GATEWAY LOOP I Subdivision: ITax map/parcel no~: ]703220002300 ILot no.: REPAIR & RELOCArE POLE (APPROX 4') THAT WAS HIT I Name: DAN MOORE I Phone: 'r541) 954.6362 I Fax: I Email: I EI. lie. no.: 20-53C I ceo lie. no.: 38497 I Business Name: BEACON ELECT~IC I Contact: KARIN ELIASEN IAddress: 2585 ROOSEVELT BLVD I c;ty/State/ZIP: EUGENE OR 97402.2500 IPhone: (541)4610291 IFax: (541)4612340 I Email: KELIASEN@ATT.NET . I Melro IIe.p,l{)TICE: I City lie. no,: ISnpenoi"oij;leI!'H'fil~m!~rr<8l-1'Alst. EXP-IREIF THE WUKI\ ISupenoi'i~k~I'i"~'1'lfilli'~eU~l'ltR~~RMIT IS NUl Upon 'e~i~t.MJl;,~,r,m, MJs.lAM#QQN~D. fJJ~ permit will,p,e q-roAiIWlPffJJ:'{eJtJlffmin one business day, with insUbHion!JcYn W6~ t& a~'e((uieyour inspection. NOTE: This Autho,'zat'on T~ Begin Wo,k axpi,es within 180^ f\I. ) 'nC\ days, If a pennlt is not obtained. '(:Y l);V The local building department may detennine that an o....~ t7 / Authorization To Begin Work is null and void if it does not :.J ,.,:::j~' meet applicable land use laws and local ordinances. ~.."" :.;F 11.000 sq. ft. or 1m (4) lEa, addl 500 sq. ft. or portion , . Limited energy, residential (with above sa. ft.) - Limited energy, multifamily residential (with above Sq. ft.) I-Limited energy, commercia-I not offered online at this jurisdiction (with above Sq, ft,), I. - Stand-alone limited energy, resIdential - Stand-alone limited energy, multi-familv - Stand-alone limited energy, commercial @&~~i~~)}llSl~"i2121i~~~~1[!~~~~~fti:1B:qzy!!L'rf!1tfi~~?~~~l1~1 1200 amps or less [2] 1, 1201 amp' to 400 amp' [2J I' 1401 amp' to 599 amps [2] I I~T.'~~.P''()IM:. 'R.- YlSeN)C.'C. S~O.. "tT.fl~de. .J;. 'in.'.sial._laHOiif.>a.It.'.eriii.iogjj~'I~ ~~flJ;9..Bffi~cliti9fj~l(~-S~ili~~~'~ 1200 amps or less {2] . .20 I amps to 400 amps [2] 1401 amps to 599 amps {2] Imra-n'cii7c_~~].Fi~~1~~1~:~Jii~!101~;.;~:2l!.~~o.E:ITp~~~3~ir~J 'I A. Fee for branch circuits with . service or feeder fee, each branch circuit _ \ ... ~'O~.".t~ IS \lnll tn lB. Fcc for bra'J!.'T't'WlSflUN: -"~\jU" ,." . 1<',nl& ' U5'Rt,. without SC"'i'i!'_q~"P'i'UlllS adiopted 0" the 01 Jon d, first branch cilHf . iY . UII CaI~-~Er-. "!,hC' ~o rlllp.~ ~ re set for ~ 1 each addl bnl~l!I1~!I1t\l~n 1)9':1 901 nthl)l)oh OJlR 952-00~- li'~I~~@!~~6~~l~~~flittGm.~In~UH~e~PY I Service rcconne,rRI'i~n~~hf' center. (Npte: me nlep'n(j,','~ lEach mimufacturedorvn!5p4!ffr t~e Grego 1 UllIllY I' U11I1vU.~''''' 1 dwelling, servi,J;!Y.IDbt'feJ:!ler t 'IS 1_801-332-23' 4). . 121 ven r . I Pump or irrigati~n circle [2] I I Sign or outline lighting [2] I Signal circuit(s) or limited. panel, alteration. or "I Subtotal 1 Minimum fee used instead of Subtotal I Stale Surcharge (t2Ufll of penn it fee) I City Of Springfield fees" I TOTAL PERMIT FEE .. City Of Springfield fees: 5% Technology Fee (Default number of inspections allowed] [C1- c') lo I ,k12.. $55.00 I $58.00 I $6.96 $2.90 $6786 2- 25\D9 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF SPRIr'lt..t<lI'-LD Building/Combination Permit PERMIT NO: COM2009-00267 ISSUED: 02/2512009 APPLIED: 02/2512009 EXPIRES: 08/2512009 VALUE: 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: Repair electrical & relocate pole (Approx. 4') that was hit by truck - north side of Sears - Eastside of Gateway Loop Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 I CON,TRACTOR INFORMATION I Contractor Type Electrical Contractor BEACON ELECTRIC License 38497 Expiration,Date 01110/2010 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 REQUIRED PARKING ATTENTION: OregonfAw, fequlres you to follow rules adopted WP~ ~rea8.n Utility Notification Center. ThPA'Cmf~~Il1~e'set forth in OAR 952-001-0010 Un-'b'8aWOAR 952-001. 0090. You may obtain copies of the rules by CfIl1ing the center. (Note: the telephone ."U 11'-'1:. 1I1"l11l1J0'1 IVI lilt:: VIC'!:IVII VUlUY l'IlUlllI\"icHlUII THIS PERMIT SHAll EXPI~VEMENTS I Center is 1-800-332-2344). . Street Improvem.t1'ffORIZED UNDER THIS PERMIT IS NOT . Sidewalk Type: Storm Sewer A(Y~MIU<ENCED OR IS ABANDONED FOR DownspoutslDrains: Special InstrucAl'N 180 DAY PERIOD. I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Notes: .1 Valuation DescriDtion I Description Type of Construction . $ Per Sq'Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal?:e I of2 Status Issued 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fec Description \ + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Total Amount Paid Amount Paid $6;96 $2.90 $58.00 $67.86 Total Value of Project Fees P~id I Date Paid 2/25/09 2/25/09 2/25/09 I Plan Reviews I CITYOF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00267 ISSUED: 02/25/2009 APPLIED: 02125/2009 EXPIRES: 08/25/2009 VALUE: Receipt Number 1200900000000000130 1200900000000000130 1200900000000000130 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.lnsnections I By signature, I state and agree, that I have carefully examined tbe completed application and do bereby 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 ofthe 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 nsed 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 Pal?:e 2 01'2 Date 225 Fifth Street Springfield, Oregon 97477 5411-726-3759 Phone Job/Journal Number COM2009-00267 COM2009-00267 COM2009-00267 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Add, Alter, Extend Circ : + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000000130 City of Spriugfield Official Receipt Development Services Department Public Works Department Date: 02/25/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR . Page I of I ONLINE Associated Online Heating Payment Total: 11:42:44AM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid, $67.86 $67.86 2/25/2009