HomeMy WebLinkAboutPermit Electrical 2008-11-7
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01635
ISSUED: ' 11/0712008
APPLIED: 11/0712008
EXPIRES: 05/07/2009 .
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3018 GATEWA Y ST
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
'PROJECT DESCRIPTION: Booster heater for dishwashers
Owner: ROADHOUSE GRILL
Address: 3018 GATEWA Y ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Electrical
, Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/01/2009 '
Phone
541-688-6121
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 DEVELOPM~NT INFORMATION I'
REQUIRED PARKING
Front yard Setback: Overlay Dist:
Sidel S<:.tp,Ill;!\i;E: # Street Trees Rqd:
S,de 2 sJl<\!tIJiJ. ' PIRE IF THE w!Sf\wd DrIve ~qd:
Rearyardl;j~Ii'.!iBMIT SHAll EX NOff Lot Coverage:
Solar SelA/\ll1I<<ORIZED UNDER THIS PERMIT IS
--I'fl-f,'<>.C.D...3n It.. ^~^~lnn~II:n FOR
vv III v ~ Q..::i"'I:tT" 1._..
ANY 1 60 DAY PERIOD. I PUBLIC IMPROVEMENTS 1
~~
~
Total:
. ,M~W<rtl!\U1l1es you to
ATTENTION. oreg;S:llmt/'il!itoregon Utility
follow rules adopte uy are set forth
Notification Center. Th~se ru~e~AR 952-001-
II' OAR 952-001-0010 t rou.g .......~ ''''<>0 h"
00'90 You may OU'"'' , wt"..- J . h '': -
. (Note' the telep one
calling the centoer. Uiility Notification
n6mbeaIlo~. regon
Center is 1_800-332-2344).
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
.. .::,' ~-""''''-''<'''
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
Total Value of Project
F~es ~~id I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Cii-c
Amount Paid
Date Paid
$5.20
$6.24
$2.60
$52.00
11/7/08
11/7/08
11/7/08
11/7/08
Total Amount Paid
$66.04
I Plan Reviews I
CITY OFSrKlj'ljul'lELD .
Building/Combination Permit
PERMIT NO: COM2008-01635
ISSUED: 11/07/2008
APPLIED: 11/07/2008
EXPIRES: 05/07/2009
VALUE:
Receipt Number
2200800000000001625
2200800000000001625
2200800000000001625 '
2200800000000001625
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.
ReV,uired rnsn~,ct,h,",s 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 shan be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to/he work described herein, and
that NO OCCUPANCY will be made of any structure without permission ofthe 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 re,quired inspections are requested, at the proper time, that each address is readable from the
street, that the permit card is loeated at the front of the property, and the approved set of plans will remain on the site at all
times during construction. .
Owner or'ContractorsSignature
Pa2e 2 of2
Date
CitY of Springfield
Electrical Authorization To Begin Work
E-mailedTo:deborah.perdew@christenson.com
Receipt # EC:i41580
11/7/20083:11:45 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
[K] Addition/altcrationJrepl;cement
I D J or 2 lamily dwe.lIing
o Multi-family
[K] Commercial J Industrial
11,000 sq: [1. or less
Ea. addl 500 sq, ft_" or portion
I'
IJob no.: 41295 IJob address: 3018 GATEWAY ST
I City/State/ZIP: SPRINGFIELD, OR 97477~1087
I Suitelbldg./apt.no.:
'Project name: ROADHOUSE GRILL
Cross street/directions to job sib::
I Subdivision:
ITax map/pllrcclllo.: 1703220002200
~ Iloi no.:
I-Limited energy, residential
(with above SQ. it)
I-Limited energy, multifamily
residential (with above SQ. ft.).
I-Limited energy, commercial
(with abo'Ve SQ. it)
I - Stand.alone limited energy,
residential.
I - Stand-alone limited energy,
multl-familv
I - Stand-alone limited energy,
commercial
BOOSTER HEATER FOR DISHWASHER
. . ,
1200 amps or less
120 I amps to 400 amps
\ 40 \ amps to 599 '!,mps
1200 amps or less I
1 20 I amps to 400 amps
I Name: DAN PALANUK 140 I amps to 599 amps I
:I;~::~)~:'~;I~E;: ~~ 5~~CQNl~:~E I" .,itl'\\::'VV\J~"i;:;n~',,*,AI '1"~~~~J;~~*~.'~/~!'?!~~~J~;~;r~~~f~~'~~~\~',
. "Y"~""'.3.~'-~, ~ '<' --t M"';:'G~,'Jo:ol'xt":tn r~ _,,,,,;'+~'4"c3fi"::lV 1",,, ~it. branchcncuNo.hflr.Atmn ~A ltpr.Jho ~oC' !: r,?, ~et--tG.J: h
lEI. 10" 00,' 26.I<Irl'~ t't!" v_~ "I"r:tll~m~'PiRM!T I~ \'IV II B" Fee 1m b>>t'O~~I!Is?-OO~ -0010 ttilougl'i't:P!1 19~!'OO 1_
Au.,--,.-.~;7;:-: M~ t.~- cOK I wlthoutserv),t }J.,rle :!f'f~, II~ -vu
IBuslo"sN,m,' ...~moNt~6T\~,€I~ONED r r,"lbmo,hW illP. OU mav obtain cP,Pies oft Ie rules t y
I Coota'" DEBdilillJflYR13~ ~ ~:Q.il I I ",h addl brno&llillli~g the c~nter. (N~te: the t~lephone 1
IAdd"'" III S,^Wl.l1I\\IA~&'\~ 4W, . I It~JI,cs''i!~~"u!il~ffi~,el;il9J;<,!D~~~f.,!~~Blli'~tVJl1Jl.!,t!.~!!tlS~!lrm
I CUy/State/ZIP: PORTLAND OR 97201 1 I Service recOlmecl emly VOIIlOI I~ I-OUV v6.:::.-.c::::v"t,).
I Phone: (541 )6886121 I.'ax: (541)6886528 I Each manulactured or modular
dwelling. service and/or feeder
1 Email: dcborah.perdew@christenson.com I. Pump or irrigation circle
! Metro lie. no.: I City (j~. nu.: 1 Sign or outline !ighting
I Supervising electrician's lie. no.:' 4079S I SignaJ'Circ, uit(s)or liiTIiled-
energy panel"alteralion, or
1 Supervising electrician's name: . PAUL E HORVATH extension
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.
Subtotal I $50.00 I
Minimum fee used instead of Subtotal $52,00 I
State Surcharge (12% of permit fee) I $6.24 I
City Of Springfield fees * I $7.80 I
I TOTAL PERM/TFEE 166,04 I
* City OfSpringfidd fees: 10% Administration Fee; 5% Technology Fee
The local buildil\g 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.
COM:'?'rJ09. - nil>> ;c;
RCPI'#' ;:);:J1)r!?f }&;Y;
DATE PROCESSFD: ,II \ 1 \ DC!-.
This Authorization To Begin Work must be posted at the j Jb site until replaced by a Permit.
, ,PROCESSFD BY: ., (\ , ., I
K.\~"'C..\ZH:'.{
225 Fiftb Street
Springfield, Oregon 97477
541-7:::6-3759 Phone
Job/Journal Number
COM2008"0 1635
COM2008-01635
COM2008-0 1635
COM2008-0 1635
Payments:
Type of Payment
ONLlNECHGS
cReceintJ
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% St'lte Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001625
Date: 11/0712008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
'ONLlNECHRISTEN Online
SON
ELECTRIC
Payment Total:
Page I of I
3:35:18PM
Amount Due
52,00
2,60
6,24
5,20
$66.04
Amount Paid
$66,04
$66.04
11/7/2008