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HomeMy WebLinkAboutPermit Electrical 2009-11-6 : :;,~:~, :.:;~. ..,:..... ....... "-'f , . ~~{}INGF!E.~~II>,...",," ':. i-;~~!\~'-':,~ ~ . .'T-~~. -,I},/;., - ---"", ~,.,,}. ~ ," .... OREGON-. Sity Of Springfield .225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: pennitcenb;r@ci..sPringfield.or.us Commercial Electr~cal Authorization To Begin Work 69600-BEL-09-00234 Approval Code: 01868C 11/6/2009 3:32 pill E-mailedTo:keliasen@att.net 11ll~E\iF~ilr~~1;'(I1E!OFJWORK~~~'.~~A?~;l'i I D New Construction' '\'~,.1Xl Addition/alteration/replacement Il'lL~~CATEG6RYAOF.li5:QNS'f~u.ciiOiE';,ii;~&rj~~~:r,~~ 10 1 or 2 family dwe'iii.~9; : 0 Multi-family (&] Commercial 0 Accessory 1~~~Ii~~OB1sltE\iNF.ORMAffON'AND:I[6cATKfN~-'fi~it;:\i':; .i I Job Address: 2750 GATEWAy'.ST' '. .":.~ I City/State/ZIP: SPRINGFIELD, OR 974~7 I SuitelbldgJapLno.: Project Name: Target.:, . ~.:,; -'.' Cross Streetldlrectlo.~s to J~b site: Gateway SI & Harlow Rd Tax map/parcel no.: 1703220002307 1"',,"'''-'''"''' .,~.~----"---'-iNl.-". ._,- -_,,"--4""~~" . ,. "-"'-~-, r.~,-,,"\!'(~__DESCRIp"TION.QIiiWORK'ilii~.:ii&:<t" "if,;;-Jl.;'t, Replace ballasts over sales floor. Name: Diana Ketts ; Phone: 541-461-0291.. Fax: 541-461-2340 Emall: r1E:\'~~1!;~~(;:ONt"ijAc;toB~~~f.~f~;.;"-".i Elec lic. no.: 20-53C CCB lic. no.: ~.38497 Business Name: BEACON ELECTRIC Contact: Address~i05 RO~~EVElT BLVD . . T!- .. I~F' City/Statftlf"E~~ENE. O~ i!.402~5?0 ~_ .. 1'~r.r.lI, udALL C^,'"u- I~ IH"WORK Phon., .....'02!l....'7>=O AI>O"5'"'''''''''' . nU, .."IK U~JDm T11:t: r:::n:v'l1T IS NOT EmOl" ~eJ;~~!1~ffl![J>t'~ ARMIDONED Fg, Metro ,;S()bY 180 DAY PERIOD. City lie. no.: I Supervising Electrician's lie. no.:-" I Supervising Electrician's Name: 3485S ~ GARY E JOHNSEN Number of Inspections included In paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurtadlctlon, your' permit will be e-malled or faxed within one busine.. day, wlth Instructions on howlo achedule your Inspection. NOTE: This Authorization To Begin Wortt expires within 180 days If a pennn I. not obtained. . 'r. . I The local building department may determine that an Authorization To Begin Work Is null and void If It does not meet applicable land use la_ and local ordlnam:ea. tq. / II 8 r; 1~~f~~~~;.,~~~f,)c:.'t,l:;.pG\NrREVIEW!lq~,,~~~if,.t~ ~:&:t~~iL-~~j Please check all that apply: 0 Hazardous locations D A service or feeder beginning 0 A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds 0 Buildings more than three stor 10,000 Amps at 150 Volts or less 10 ground exceeds 0 Marinas and boal yards 14,000 Amps for all other 0 Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVAor larger seperately derived sys o ~A", "E", or "1-2" or "1-3" . 0 Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal If~;-~~~:~' .J);~~'~""~rft:*f,fl;;E;:'~"GttED~l!E~~tr"~}~~;~:._~&d~~> .t~ I Description I Qty. I Ea. Total IBr~.rl:CtiTC!i'~uits(:I.;;~"-;,~~~~;~',~:~"!?ir:~;o,"~.-iW,{[~~~~1:,f,,:? !.. ';.;;~1'{'!f:~~ \~;i' I Branch circuits without service or $55.00 $55.00 feeder I Branch circuits each additional circUltwithoutservice IElectric'~J Permitf.~~~'-;'\:..~".~ ;q~~~:o~.~.!. I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of pennit total) I TOTAL PERMIT FEE o Fire pu~ps o Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential unils jn one structure o Health care facilities 7 $6.00 $42.00 . '. ~t"~ :." . $97.00 $11.64 $4.65 $113.49 CC) -\l.o35 ~ 11/9 [0'1 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-oot. 0090. You may obtafn copies of the rules bJ calling the center. (Note: the telephone lUmber for the Oregon Utility NCltlfloaIIDn Genter II t-'llVl.3i2....). .~~ ~ \:.~~\j ~.cf' \\.\F,} ~ ~S~ ~ , Inspections Phone: 541 -726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~.. '.'-' : ~ Status, Issued. . ",." .;'. 225 Fifth' Street, Sp~ngfield;6Ri\:;~r ,: 541-726-3753 Phone".' . \. 541-726-3676 F~x' , 541-726-3769Inspe~tio~:Line ~; " 'i' . -~,. :.,.. .. CITY OF ~rKlj~GFIELD Building/Combination Permit PERMIT NO: COM2009-01635 ISSUED: 11/09/2009 APPLIED: 11/09/2009 EXPIRES: 05/09/2010 VALUE: ;!: SITE ADDRESS: 2750 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 170~220002300 Springfield TYPE OF WORK: Electrical Work Only . . '. .;," ,:;:'":,,,:: TYPE OF USE: New PROJECT DES,CRlPTlON:'/ 8'"drf"lts to replace ballasts over sales Ooor in Target. :" .' ~~,. . '"\ Commercial Owner: ; GATEWAY MALL. PARTNERS Address: 1l0'NW ACKER'DR BSC 3-04 A TTN PROP TAX ADMIN CHICAGO 1l'.60606 ;~', G I CONTRACTOR INFORMATION I ~ ,.;;. ~~ '~. Contractor Trpe~,:r,~Contract!lr Electrical ~, i" ., , BEACON ELECTRIC License 38497 Expiration Date 01110/2010 Phone 541-461-0291 I.. . ~UILDING INFORMATION' ... :H. l-.; # of Units: ; Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Constructio"::Type:"':'; ,~~: - # of Bedrooms::' . 1;".": .. '. ~ . 1 . # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Fl 2nd Floor: Sq Fl Basement: Sq Ft GaragelCarport Sq Fl Other: Occupant Load: nla \. I DEVELOPMENT INFORMATION I REQUIRED PARKING .. - Frontyard Setback: Overlay Dist: Total: Side I Setback: . ", ... # Street Trees Rqd: Handicapped: Side 2 Setback: ' . ,. ....:,.'~.,' Paved Drive Rqd: ATTENTION: OregolrT8.WPMjulres you to Rearyard ~gJ;:I&~::'f:. ';. "'~;. ~ THE ~dRk't Coverage: follow rules adopted by the Oregon Utility Solar Setbarl<llS PERMIT SHALL EXPIRE IF ..nT Notification Center. Those rules are set forth . UTII'V"IZrS 'JPICCn TU1" DCDMIT 1~ __ . n ... ..Fl: "",:.j .. . - - III ""no o..Jc.-vv I~UUIV tll'Vl.l~11 vrU-l vvc..-vv.- COMMENCED. OR IS ABANOOIllf.DlJll,ffi IMPROVEMENTS I 0090. You may obtain copies of the rules by Street Impr,l\Winlli6:DAY PERIOD; ca!li8~ liWr. (Note: the telephone . nuiiiber'for" th'i{O'regon Utility Notification Storm Sewer Available: DowCllulWlll'4U~0-332-2a44). Special Instruction: " Notes: '.t J:, . " . .j ~'- ,j:' \. '. 1~. t..,!'., 'd.;,. , ' I Valuation Description I . " Description Type of Construction $ Per Sq Ft or multiplier " Square Footage or Bid Amount Value Date Calculated .. .' +: .:i:. . .......r, Paee I of2 .i . j: :f " u CITY OF ~r.Kll"l\.JJ'IELD Building/Combination Permit PERMIT NO: COM2009-01635 ISSUED: 11109/2009 APPLIED: I i/09/2009 EXPIRES: 05/09/2010 VALUE: . ",'. ...~. . Status,Isst'ied'~, .~"' . .. . i :-:,(,:~~,:,\;,- ;.-:~,~:A ",-; ~ "'~:; ':. '. 225 Fifth Street;Springfield.;'OR'{:,.; . 541-726-3753 Phone .;., .'f 541-726-3676 Fax 541-726-3769 Inspection Line ,;.1 .", ~~ ,} <:'1t~~tf,\ Total Value of Project . I Fees Paid. II I I ~ . Fee Description + 12% State Surcharge. + 5% Technology Fee _ Add, Alter, Extend Cire Add, Alter, Extend Circ Ea Add :. !.~ . '1. .;f ..,~'; Total Amount Paid .' . '.' Amount Paid Date Paid Receipt Number ,c. $11.64 11/9/09 1200900000000001244 $4.85 11/9/09 1200900000000001244 $55.00 11/9/09 1200900000000001244 $42.00 11/9109 1200900000000001244 $113.49 I Plan Reviews I " l ',' "'.,,\:- ! L,+:~~t} , 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 ~, L .t' . ;., . .,". workday. " , .... c. :' . RI~"uil'ed lnsnections I I11Qli1iiiii111 I "1'" . v Rough Electric: Prior to Cover 'l:, Final Eleftric: When all electrical work is complete. By signatu;e, 1 s'jate;~nd' agree, that 1 have carefully examined the completed application and do hereby certify that all information bereon is trueand corr~ct, 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 locate~ at the front of the property, and the approved set of plans will remain on the site at all times during construction.' . , ., ...~ . .:' , ~~ ")i ~ _ '. , Owner or Contractors Signature Date ',,'jl , _' ~ f;t, u ,. , .' r , ~! : : .. J . ..,t:,.\ t., . , Paee 2 of2 u 225 Fifth Street<ift::,1;ilt~l;::::;;in;~::,;,~;:~,i:.. Springfield, On\giin97477.. . 541" 726"375~rhlille,;:}" , .\. .,:. , " . .. .;~.~~t-<~~>{'~?:~~:.'\'\5.r-;:~;">-i-;;}'<o;.' ~;.:~;~ M& _ City of Springfield Official Receipt Development Services Department Public Works Department 1 . - , '~,"'~./ ';i. '. '.,., RECEIPT:#:i >'1200900000000001244 Date: 11/09/2009 9:]3:33AM Job/Journal Number" D.esc.....iption;.:,~:-~;".:;.,., .0 C0M2009-01635 /,<.Add, Nt~r;J:;~t~~4Circ'. COM2009-0 1635. :~,,:,:':;lAdd; AI;b~;;Eiitind Circ Ea Add COM2009-0 1635 ,;:, i;}+5:%Techn~iogy Fee I'". . C0M2009-01635. ::i':",+ 12% State Surcharge . . . >~. ,~, ..r.P~;ir1~.1'-.I.~;~.:. . ': -'}i",;.: Received By KR Item Total: Check Number Authorization Batch Number Number How Received Amount Due 55.00 42,00 4,85 11.64 $113.49 Payments: Type of Payment ONLINE CHGS ~', . .;.;i": Paid By ONLINE PERMIT CHGS . .' ,.,,:.':;' '0. .A~>:'~';,?~.i::~~)i}tit!tp\: :;''','' , ~',... -. Amount Paid ONLINE BEACON Online ELECTRIC Payment Total: $113.49 $] ]3.49 ~, . . J', f' " " .' , ~) " ,~ ~ ..' . 11 ~ ',' ,". , .. . . . . ~ ". .;".:':!'-!.~J~;::':' ,. '. .::,,~.ti...~.. ,.. . , , " lr; I, >, , , 't." ., ,'J i.i " .- ... :~";:.~.. ,. .":".:::~ :i':r:~.t~~ ~;": ~jl ~.; ';, i ; I' ! 1 , ~ lr.: I' . I' l' ~ u ',I ..,.. .' ..j ,~i;, " '1 ' I.. I; '. !.. ~ . f. " ., .... i: " ,'j ti< .,~ .; i.. ; " cReceintl ir " ......"if. 'lh Page I of I 11/9/2009