HomeMy WebLinkAboutPermit Signage 2008-9-23
-'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01454
ISSUED: 09/23/2008
APPLIED: 09/23/2008
EXPIRES: 05/03/2009
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 1210 Mohawk Blvd
ASSESSOR'S PARCEL NO.: 1703253310100
Springfield TYPE OF WORK: Commercial Miscellaneous
PROJECT DESCRIPTION: Replace damaged light pole base
,
TYPE:OF USE:
Repair
Commercial
Owner: CAPLACO TWELVE INC
Address: TAX DEPT MS 1435 104 WILMOT ROAD
DEERFtELD IL 60015
J CONTRACTOR INFORMATION)
Contractor Type
Electrical
Contractor
JOHNSEN ELECTRIC INC
License
38497
Expiration Date
0111012010
Phone
541-461-0291
BUILDING INFORMATION I i
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
IA
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft 13.asement:
Range !ype: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building:;'n/a Occupant Load:
'--- . I . I"" .""""-u-" a_
-'!1J ~ "''111\'',.. ......~ tI"'",' .", .. -J. 1"I""Il:l""'-. .
I DEVELOPME,NT INFORMA:fI,~les adopted by the Oregon Utility
Notification Center. Th~~ !IlltklttblG
In OAR 952-001-0010thl~ OAR 952-001-
0090;.: You may obtain II. of the ~ules by
calling the center. (N . IfOI/~ho~e
number for the Orego mmy:Notlftcatlon
. :: Center is 1-800-332-2344).
FrontyardNDir:UkE: Over!IY Dist:
Side I SetllMl$ PERMIT SHAll EXPIRE IF THE weR~t Trees Rqd:
Side 2 SetIEtfHORIZE.D UNDER THIS PERMIT l&tlW1Drive Rqd:
Rearyard ~~NCED OR IS ABANDONED FOR> of Lot Coverage:
Solar Setb~ . 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction :
~~
\~~
, Sidewalk Type:
, Downspouts/Drains:
Notes:
I Valuation Descrip,tion I
Description
Type of Consiruction
$ Per Sq Ft
or multiplier .
Square Footage
o'r Bid Amount
"
Value
Date Calculated
Paee 1 of2
CITY OF SPRINGFIELD
Building/Combination Permit
,
Status
Issued
PERMIT NO: COM2008-01454
ISSUED: 09/23/2008
APPLIED: 09/23/2008
E~PIRES: 05/03/2009
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
. Estimate
$1.00
500.00
$500.00
$500.00
09/23/2008
Total Valne of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Foundation Per!llit
+ 10% Administrative Fee
+12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
Receipt Number
$5.20
$6.24
$2.60
$52.00
. $5.20
$6.24
$2.60
$52.00
9/23/08
9/23/08
9/23/08
9/23/08
11/3/08
11/3/08
11/3/08
11/3/08
1200800000000000994
1200800000000000994
1200800000000000994
1200800000000000994
3200800000000000719
3200800000000000719
3200800000000000719
3200800000000000719
Total Amount Paid
$132.08
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
wor~ day. .
,R'i9"iredln~1]~ction,s I
Footing: After trenches are excavated.
.,
Final Building: After all required inspections have heen requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete:
;L.
By signature, I state and agree, that I bave carefully examined the completed application and do hereby certify tbat 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 oe 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 locat~d at the front of the property, and the appro~ed set of plans will remain on the site at all
times during construction. ..
Owner or Contractors Signature
Page 2 of2
Date
,I
"
Electrical Auth~rization To Begin'York
E-mailedTo:KELlASEN@ATT.NET
Receipt # EC541154
11/3/200811:13:14 AM
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or E~ail: permitcenter@ci;springfield.or.ns
I D ] or 2 family dwelling
o Multi-family
[XI Commercial f Industrial
1,000 sq. ft. or less
lEa, addl ?OOsq, ft. or p~)[tion
I
l-
I
I D New constmction
IKJ Addition/alteration/replacement
IJOb no.: IJobaddrcss: ]210 MOHAWK BLVD
ICily/state/zIP: SPRINGFIELD, OR 97477-3349
I Suitc!bldg.!:lpt.~o.:
I Project name: WALGREEN'S
Cross street/directions to job site: NEAR MOHAWK BLVD & CENTENNIAL BLVD
INTERSECTION .
ISubdivision:
ITax map/parcel no.: 1703253310100
ILol no.:
I-Limite? energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. [1.)
.1 - Limite~ en:rgy, commercial
(with above SQ. ft.)
1 - Stand-alone limited energy,
residential .
1 - Stand-aJone limited energy,
multI-family
I . Stand-~_lone limited energy,
cominercial
1 200 amps or less
1201 amps'to 400 amps
1401 ampsto 599 amps
REPLACE PARKING LOT POLE.
I Name: BEN JOHNSEN
I Phone: (546) 556-2153
IEmail:
IF",
1.200 amps or less
1201 amps)o 400 amps
140 I amps to 599 amps
1(~~~~~~]Ift:~lig~~~l~~i}i1[o~q~~.~-xt.e"S_ip,"n~~BcZla~)::~J~:~~~~..:l
I A. Fce for branch circuits WI.'''' I
service or feeder fee, each
branchcirolil _ ... ~
B. feefti I>cr1IbbllIr.:itL v,IC.'U'\ I.. ~.. ... C:;'i~"'.
" 'OlIO' li'I;;::.!50.00
with<f6I!\!lW"",'esea~pte l by the regon ItJ
first ,"... nrth
iB;;Vi,ou- ''''E0Bz~~jii6O'pies{Ofthe1Ule$~J;::)J ':
Serviceml1lngttl!e center. (Note: t1je telepMne I
I Each 'mnj1l:le-f~1he](!)rE gon UllllliY I'lOUl\Ql :uon I
dwell",g."",,, ~ {&rill 1 ~(l(l 332~_
I Pump or IrngatIon Clrc e I
I Sign or ol1lJine lighting I
I Signal cirC...:Uit(S) or limited- I
energy panel, alteration, or
extension;
I EI. lie. no.: 20-53C ICCD lie. no,: 38497
I Business Namt': BEACON ELECTRIC
'Contact: KARIN ELlASEN
IAddress: 2585 Rtv-"f-" ft;a:t}VD
ICity/State/ZIP, 'AfS~I'f:st'lAlt. EXPlRE If THE WORK
I Phone: (54])46]O~'1jTHORIZEn UNnFR':lJH4S]PERMIT I~ NUl
IE"!ait, KELlAS~t;JI'Cn ~DDNED FOR
I Met,o Ii<. 00.' I NY 180 DIN p~llUI!y lie. 00.' .
1 Supervising electm;ian's lie. no.: 3485S
1 Supervising electrician's name: GARY E JOHNSEN'
--. .,t-:;
Upon review and approval by your locaTju'risdiction, your
permit will be o-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land us"s laws and local ordinances.
.COM' fJTIO'f, - n I Lj S Lj
'RCPT#.3OCV'i!-1\Q
DATE PROCESSED' \1 \:l,\f)<;(
. " .
This Authorization To Begin Work must be posted at the je ~Bc~~kfr~'fced by a Permit
. k~DooU~
Subtotal $50.00 I
Minimum fee used instead of Subtotal $52.00 I
State Surcharge (12% of permit fee) $6.24 I
CitY Of Springfield fees'" $7.80 I
I TOTAL PERMIT FEE, $66.04 I
"'City 0 ..I)p'~i.~e-fie]d fees: J 0% Administration Fee; ):% Technology Fee
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
225 Fifth Street
Springfield, Oregon 97477
541-7,26-3759 Phone
'.
Job/Journal Number
COM2008-0 1454
COM2008-0 1454
COM2008-01454
COM2008-0 1454
Payments:
Type of Payment
ONLINECHGS
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
3200800000000000719
Received By
Check Number
J;Jatch Number
City of Springfield Official Receipt.
Development Services Department'
Public Works Department'
Date: 11/03/2008
Item Total:
Authorization
~'Number How Received
ONLINE 'BEACON Online
ELECTRIC/
BEACON
, ELETRIc
Payment Total:
KR
Page I of I
11:40:58AM
Amount Due
52.00
2.60
6.24
5.20
$66.04
Amount Paid'
$66.04 .
$66.04
11/3/2008