HomeMy WebLinkAboutPermit Electrical 2007-10-4
Status
Issued
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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