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Home My WebLink AboutPermit Electrical 2009-12-15 SPRINGFIELD ..~c -, : City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us (,q -l1q ~ Commercial Electrical Authorization To Begin Work 69600-BEL-09-00288 Approval Code: 0972.2C 12/15/2009 5,17 pm E-mailedTo:keliasen@att.net o New Construction IRl Addition/alteration/replacement o 1 or 2 family dwelling o Multi-family [Z] Commercial o Accessory r f':''-i~r~ ':)9~~~,J()B;SITE T NFOk'NiA'rIONrANOi!"O'CA Tt6Nt"~<(~',rr:--W!1 Job Address: 3000 GATEWAY ST CitylStatelZIP: SPRINGFIELD, OR 97477 Suitelbldg.fapt.no.: 726 Project Name: Hometown Buffet Cross Street/directions to job site: Gateway 51 and Gateway Loop Tax mapfparcel no.: 1703220002200 install 2 circuits for icee and cappuccino machines. Name: Diana Kelts Phone: 541-461-0291 Fax: 541-461-2340 Email: Elee lie. no.: 20-53C 38497 CCBlic. no.: Business Name: BEACON ELECTRIC Contact: I Address: 2585 ROOSEVELT BLVD CityfStatefZIP: EUGENE, OR' 974022500 Phone: 5414610291 Fax: 5414612340 Email: BEACONELECTRIC@ATT.NET Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 3485S Supervising Electrician's Name: 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 jurisdiction, your permit will tw e-ma\\ed Of faxed within one business day, with instructions on how 10 schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To B.egin Work is .null and- void if it does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds, 10.000 Amps al1150 Volts or less 10 ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one slructure o Health care facilities i'll' D Hazardous locations D A service or feeder rated at 600 amps or more . 0 Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a150 KVA or larger seperately derived sys o "AU, "E",.or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Description $55,00 $55,00 I $6.00 I I Branch circuits without service or feeder I Branch circuits each additional . cirCUit without service I Subtotal I Slate surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE $6,00 $61.00 $7,32 $305\ $71'.37 I a~~ \r\\.\) , ~ ~\)o... ~\. QI ~L6<. & tom 2fn)q - OI---R3 nlYl Id-I{&{o~ Inspections Phone; 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced bya Permit Status Issued CITY OF SPRINGJ<lJ!.LD Building/Combination Permit PERMIT NO: COM2009-0I793 ISSUED: 12/16/2009 APPLIED: 12/16/2009 EXPIRES: 06/16/2010 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 SPACE 726 ASSESSOR'S PARCEL NO,: 1703220002300 , , Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install two (2) circuits for beverage machines Commercial 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 BEACON ELECTRIC License 38497 Expiration Date 01/10/2010 Phone 541-461-0291 ..BUlLDlNG INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Spi"inkled, Building, Lot Size: . Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Oiher: , Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I .Street Improvements: Sidewalk Type: .l rl!.q~!reS you 10 ATTENT\ON~~Jol!.~~"O\'ligon Utility follow rules Bdople Y rules Bre set forth Notification cenler. Those hOAR 952-001- Notes:l OTI C E:' In OAR 952-001-001 ~ Ihr~ui2s oflhe fules by -PIC, PFRMIT SHALL EXPIRE IF THE WOR~ 0090. You may o~t~\\,~},,"!je telephone "THORIZED UNDER THIS l-'I:KIVIII I~ '''''' _~y u"" ih~.tOTegon Utility NOI\illlllUIII. ,;,liVll'f'iCED OR IS ABANDONED FbN'aluation DescriDtWlJllfer~ 111-800-332-2344). ,. - 1 nAY PERIOD, , $ Per Sq Ft Square Footage DescnpttOn Tvpe of ConstructIOn I ' I' B'd A Value or mu tIp IeI' ," or I mount Storm Sewer Available: Special Instruction: Dale Calculated '..,. Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01793 ISSUED: 12/16/2009 APPLIED: 12/1612009 EXPIRES: 06/16/2010 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 + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7,32 $3.05 $55.00 $6,00 12116/09 12/16/09 ' 12/16/09 12116/09 3200900000000000810 3200900000000000810 3200900000000000810 3200900000000000810 Total Amount Paid $71.37 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, I R'~'Jt' 'ed Insllections I' 11111" .1111 I '" I , 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] 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 berein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, 1 fnrtber certify that only contractors and employees wbo are in compHancewith ORS 701.005 wilfbe 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 ~ignature Date Paee 2 of2 .,\,:. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1793 COM2009-0 1793 COM2009-0 1793 COM2009-0 1793 rayments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: ", City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000810 Date: 12/16/2009 7:47:59AM Item Total: Check Number Authorization Received By Batch Number Number How.Received Amount Due 55,00 6,00 3,05' 7,32 $71.37 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Paid NJM ONLINE BEACON Online rayment Total: $71.3 7 $71.37 , , \' <.. Page 1 of I ,12/16/2009