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