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Home My WebLink AboutPermit Electrical 2007-6-1 .8 .CITY OF SPRI~t..J'1J<,LD Building/Combination Permit PERMIT NO: COM2007-00792 ISSUED: 06/01/2007 APPLIED: 06/01/2007 EXPIRES: 12/01/2007 VALUE: Status Issued 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 ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Install 6 ballasts for box signs by west entry. Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 AITN PROP TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION' 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 1 DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handi~apped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: ~o~ ~ Notes: I Valuation DescriotionJ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal1e I of2 -ll::; ~.'. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid . Total Value of Project ~ Amount Paid Date Paid . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00792 ISSUED: 06/01/2007 APPLIED: 06/01/2007 EXPIRES: 12/01/2007 VALUE: Receipt Numher 2200700000000000885 2200700000000000885 2200700000000000885 2200700000000000885 2200700000000000885 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. $4.50 $2.25 $3.60 $43.00 $2.00 6/1107 6/1107 6/1107 6/1107 6/1107 $55.35 I Plan Reviews I ~eouired Insne~~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do herehy 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. f 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 Paee 2 of2 Date pty of Springfield ~ctrical Authorization To Begin work. E-mailedTo:KELlASEN@ATI.NET Receipt # .EC512011 6111200711:16:17 AM ~.... ~ . TYPE OF WORK Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I FEE SCHEDULE Description Qty. J Ea. Total Residential SINGLE. OR multi-family dwelling unit. Includes altached garage I 0 New construction [i] Addition/alteration/replacement CATEGORY OF CONSTRUCTION 10 1 or 2 family dwelling D Multi-family [K] Commercial/Industrial 1,000 sq. ft. or less I Ea. addl 500 sq. n. or ponion - Limited energy, residential (with above sa. n.) - Limited energy, multifamily residential (with above sa. f1.) I Sen'ices OR feeders installation. alteration, AND/OR relocation I 200 amps or less I 201 amps to 400 amps 1401 amps to 599 amps . TEMPORARY 5enoices OR feeders installation, alteration, AND/OR relocallon JOB SITE INFORMATION AND LOCATION IJobno.: WEST ENTRY IJobaddress: 3000 GATEWAYST IClly/Slal,IZIP: SPRINGFIELD, OR 97477-1033 I Suilelbldg.lapt.no.: I Project name: GATEWAY MALL Cross street/directions 10 job site: ISubdivision: ILoI no.: I EI. lie. no.: 20-53C I Business Name: JOHNSEN ELECTRIC INC I Contacl: KARIN ELIAS EN IAdd....: 2585 ROOSEVELT BLVD I CUy/SlalelZIP: EUGENE OR 97402-2500 I Phone: (541)4610291 I Email: KELlASEN@ATT.NET I Metro lie. no.: I Supervising eledriclan's lie. no.: 3485S I Supervising electrician's name: GARY E JOHNSEN CONTRACTOR I CCB lie. no.: 38497 200 amps or less [20 I amps to 400 amps 140 I amps to 599 amps l Branch circuits - NEW, alteration, OR extension, per panel I A. Fee for branch circuits with nbove service or feeder fee, each branch circuit. lB. Fee for branch circuits without service or feeder fee, first branch circuit: 1 each addl branch circuit I MIKellantous I Service rlXonnect only I Each manufactured or modular dwelling. service and/or feeder I Pump or irrigation circle I Sign or outline lighting I Signal circuit{s) or limited- I energy. panel, alteration, or extensIOn. II II Ii I! I'. City Of Springfield I $43.001 I I I I I I 001 off,,,d oolio, at this ju,isdictioo I I Subtotal $43.00 I Minimum fee used instead of Subtotal $45.00 I State Surch~ (8% of~nnit fee) $3.60 I Ci~ OfS~ringfield fees. $6.75 I TOTAL PERMIT FEE $55.351 10'10 Local Admin Fee; 5% Local Technology Fee $43.00 Tal mapfparcel no.: 1703220002300 DESCRIPTION OF WORK INSTASLL 6 BALLASTS FOR BOX SIGNS BY WEST ENTRY. SITE CONTACT I Name: DAN IPhone: (541)747-6294 I Eman: I I Fa" ELECTRICAL PERMIT FEES IFa" (541)4612340 ICity lie. no.: Upon review and approval by your local jurisdiction, your penntt will be e.malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authortzatlon To Begin Work expires wtthln 180 days If a pennlt Is not obtained. The local building department may detennlne that an Authorization To Begin Work Is null and void If tt does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth.Street Springfield, Oregon 97477 541:726-3759 Phone . -rJ:Q~;~ Wit..... . Caof Springfield Official Receipt _Iopment Services Department Public Works Department RECEIPT #: 2200700000000000885 Date: 06/01/2007 11 :41 :20AM Job/Journal Number COM2007-00792 COM2007-00792 COM2007-00792 COM2007-00792 COM2007-00792 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: L'heck Number Authorization Received By Batch Number Number How Received Amount Due 43.00 2.00 2.25 3.60 4.50 $55.35 Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk Ol'ILINE Johnsen Online Electric Payment Total: $55.35 $55.35 cReceintl Pa~e I of I 611 /2007