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Home My WebLink AboutPermit Electrical 2007-7-27 Status Issued (\ r) I ( )'\ l,- ~' "/}Y' # ~~ \ CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01119 ISSUED: 07/27/2007 APPLIED: 07/27/2007 EXPIRES: 01/27/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5755 MAIN ST ASSESSOR'S PARCEL NO.: 1702334400800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Upgrade 80 amp breaker to 100 Amp breaker Owner: MCKENZIE CROSSING PARTNERSHIP LTD Address: 2811 E ST STE B EUREKA CA 95501 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JOHNSEN ELECTRIC INC License 38497 Expiration Date 01/10/2008 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' 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: I PUBLIC IMPROVEMENTS I Street Improvements: ATTENTIO~~<\;Vea&~;H'!>~: requires you to Storm Sewer Available: follow i'L!!esrr(('W.l)spoMs;IDr.~ns~egon Utility Special InltrQ'ifI~: Notification Center. Those rules are set forth THIS PERM in OAR 952-001-0010 through OAR 952-001- Notes: AUTHO IT SHAll EXPIRE IF THf WOPK 0090" You may obtain copies of the rules by _RilED UNDER THIS PFRrli1lT IC' " .' calling the cent~r. (Note: the telephone DOJW~Ir:I\Il~tu UH IS ABANDON ) ~ "'_ .\.. r I1UllILtil fUI un::, VI t:8U11 UUIIlY I~ULlIlUi:U1Un ANY 180 DAY PERIOD. 91V~ltiation Description I Center IS 1-800-332-2344). Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal.!:e 1 of2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01119 ISSUED: 07/27/2007 APPLIED: 07/27/2007 EXPIRES: 01/27/2008 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 I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid. Date Paid Receipt Number $5.00 7/27/07 3200700000000000511 $2,50 7/27/07 3200700000000000511 $4.00 7/27/07 3200700000000000511 $48.00 7/27/07 3200700000000000511 $2.00 7/27/07 3200700000000000511 Total Amount Paid $61.50 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 Insoections 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 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 Pal.!:e 2 of 2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:KELIASEN@ATT.NET Receipt # EC514659 7/27/20072:11:50 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us COM: rlm, - (')1 tic, RCPT #.3>2.(JV '7 - S I \ DATE PROCESSmr l- d)l ,- Ol PROCESSED BY:~ fJtf1/t\ ~ This Authorization To Begin Work must be posted at the job site' until replacl~d by~rmit. o New construction [K] Addition/alteration/replacement o 1 or 2 family dwelling o Multi-family W Commercial/Industrial , '. JoifsitE' INFORMATION ~r:.rD LOCATiON I Job no,: I Job address: 5755 MAIN ST I City/State/ZIP: SPRINGFIELD, OR 97478-5426 I Suite/bldg.lapt.no.: [ Project name: ALBERTSONS Cross street/directions to job site: 58TH STREET & MAIN STREET, SPRINGFIELD,OR ':i:';: Jt<';,'ii:~'<#!:' ~'1P'i!" 1 Subdivision: [Tax map/parcel no.: 1702334400800 I Lot no.: UPGRADE 80A BREAKER TO 100A BREAKER I Name: BEN JOHNSEN I Phone: (54 I) 556-2153 I Email: I I EI. lie. no,: 20-53C I CCB lie. no,: 38497 I Business Name: JOHNSEN ELECTRIC INC I Contact: KARIN ELIASEN !Address: 2585 ROOSEVELT BLVD I City/State/ZIP: EUGENE OR 97402-2500 [Phone: (541)4610291 IFax: (541)4612340 I Email: KELlASEN@ATTNET I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 3485S I Supervising electrician's name: GARY E JOHNSEN I Fax: Upon review and approvafby your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to 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 Begin Work is null and void if it does not meet applicable land use laws and local ordinances, Description Qty, Ea, Total ; ,'~ I 1,000 sq, ft, or less 1 Ea. addl 500 sq, ft. or portion I-Limited energy, residential (with above sq, ft.) I-Limited energy, multifamily residential (with above sq. ft,) I ~erV~ces'oRlfeedefSinsiaii~tio,ii, 'alteration, AND/OR relocation 1200 amps or less 1201 amps to 400 amps [401 amps to 599 amps T IUeederS instllll~tion,'alteratiori, _,-,_",; , ',-':\1 I 200 amps or less 20 I amps to 400 amps 401 amps to 599 amps "~r~1~h;~ir~ujtS,SiN~W;ialtentti(in;'OR e~t~i}~lo~;pci:,~anel .... .. A. Fee for branch circuits with above 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 I Service reconnect only I Each manufactured or modular dwelling, service and/or feeder I Pump or irrigation circle 1 Sign or outline lighting Signal circuit{s) or Iimited- energy panel, alteration, or extension, I.. .. , ' , ,'." I I I I I · City Of Springfield . " .., y ELECTRI,C;:AL PERriII{,. F'EES,.,.... Subtotal $48,00 Minimum fee used instead of Subtotal $50,00 State Surcharge (8% of pennit fee) $4,00 City Of Springfield fees .1 $7,50 TOTAL PERMIT FEE I $61,50 ) 0% Local Admin Fee; 5% Local Technology Fee 225 Fifth Street , ' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01119 COM2007-01119 COM2007-0 1119 COM2007-01119 COM2007-01119 Payments: Type of Payment ONLINE CHGS cReceint I RECEIPT #: 3200700000000000511 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/27/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS NJM Page 1 of 1 ONLINE JOHNSEN Online ELECTRIC Payment Total: 2:38:57PM Amount Due 48,00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 7/27 /2007