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HomeMy WebLinkAboutPermit Electrical 2007-10-4 Status Issued ,'"I J1 ....., L '-.../ () '-.\ ) - Ji'J ,0\ -rr- ~~ ~ ri\Ov'f CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2007-01528 ISSUED: 10/10/2007 APPLIED: 10/10/2007 EXPIRES: 04/10/2008 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 712 ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Change Tl2 Ballasts to T8 Ballasts in 45 fixtures Commercial Owner: GATEWAY MALL PARTNERS Address: lION WACKER DR BSC 3-04 A TTN PROP TAX ADMIN CmCAGO IL 60606 I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor JOHNSEN ELECTRIC INC License 38497 Expiration Date 01110/2008 Phone 541-461-0291 BUILDING INFORM A nON 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: nJa I DEVELOPMENT INFORMATION I 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: j., ,clmON: Oregon taw requfres f-;.qJ}LIC IMPROVEMENTS I StreetWit6W~f!dopted by the Oregon Utility _.~r. Thoserul8laresetforttl Stor. ! ttff;Oo10through OAR 852.Q01- . Spec) . /nay obtain copies of the rules bf calling the center. (Note: the telephone . , :"1 'f. ~ fl:. . Notes: ...._....... for the Oregon Utility NotlflcaUoa e~ U u\\.plb. 'NI'__~.......... i~.2S44\..'S PFRMIT SHALL EXPIRE IF THE WORK :.( ~ "iuFiILV=U UNDER THIS PERMII I~ NUl I Valuation Des~ription'1ED OR IS ABANDONED FOR A~JM ?A~&~RIOD. Value or Bid Amount Sidewalk Type: Downspouts/Drains: Description Tvpe of Construction $ Per Sq Ft or multiplier Date Calculated Pal!e 1 of 2 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-01528 ISSUED: 10/10/2007 APPLIED: 10/10/2007 EXPIRES: 04/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.00 10/10/07 3200700000000000672 $3.00 10/10/07 3200700000000000672 $4.80 10/10/07 3200700000000000672 $48.00 10/1 0/07 3200700000000000672 $12.00 10/10/07 3200700000000000672 Total Amount Paid $73.80 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. 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 Pae:e 2 on ~ity of. Springfield Electrical Authorization To Begin Work E-mailedTo:KELIASEN@ATT.NET Receipt # I:C518328- 10/9/20072:13:00 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us Name: DAN MOORE IPbone: (541) 747-6294 I Email: $48.00 $48.00 3 $4.00 $12.00 I I Fax: Service reconnect only I Each manufactured or modular dwelling, service and/or feeder I Pump or irrigation circle I Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. ....... ~~~BeD'l>f!:t~j:~TT~:1t\..?&~*,.; I EI. lie. no.: 36LMS I CCB lie. no.: 63206 I Business Name: BEACON LIGHTING MAINTENANCE COMPANY INC I Contact: I Address: 2585 ROOSEVELT BLVD, , I CitylState/ZIP: EUGENE - WEST OR 97402 !Pbone: (541)4610291 I Fax: (541)4612340 I Email: KELIASEN@ATT.NET I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: I Supervising electrician's name: Upon review and approval by 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. -. t<::Il ----J - 0'\ Sd ;{ COM' '--': \J (J / ' RCPT #: ~2u-o '( ..- (I) 7 ::l DATE PROCESSED: I ~(? 0 - 07 PROCESSED By:rV't .. /'. (y\. . This Authorization To Begin Work must be posted at the job site until rePla~ bkaPennit. 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. 225 Fifth 'Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1528 COM2007-0 1528 COM2007-01528 COM2007-01528 COM2007-01528 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200700000000000672 Date: 10110/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE BEACON/J OHNSEN Online NJM Payment Total: Page 1 of 1 8:17:03AM Amount Due 48.00 12.00 3.00 4.80 6.00 $73.80 Amount Paid $73.80 $73.80 10/10/2007