HomeMy WebLinkAboutPermit Electrical 2008-12-18
Status
iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01791
ISSUED: 12/18/2008
APPLIED: 12i18/2008
EXPIRES: 06/18/2009
VALUE:
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3230 GATEWAY ST
ASSESSOR'S PARCEL NO,: 1703222002401
Springfield TYPE OF WORK: Electrical Work Only'
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: New oven circnit - panel A
Owner: LANE COUNTY
Address: 125 E 8TH AVE
EUGENE OR 97401
I CONTRACTOR INF?RMATION I
Contractor Type
r Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/01/2009
Phone
541-688-6121
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION I
. # of Stories: \
Height of Structure
Type of Heat:
Water Type:
, Range Type:
Energy Path:
Sprinkled Building: n/a
. Lot Size:
Sq Ft 1st Floor:
Sq Ft z'nd Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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:
Street Improvements:
I ~UBLIC IMP~OVEMENTS I
~ ~, -Sid~\;';ljk'Wpe:sw requires you to
f," 't,(.0pted by the 0 U.
,-' DownsRouts/Drains' regon t,'rty
\\ .' .' .... "'u,,, rules are setforth
,(\.\ ' ,',.',':)01-0010 through OAR 952-001-
. _ 'a..\.: "ay obtain copies of the I
NOTil,,;~E: . ri ,,~, ,~u: ,'l~ center, (Note: the tele;~oe~eby
TH!S PrP.~IIIT ,~f.J.11 CYDIDC IC Tllr IHnn,/ [tu, the Oreoon I Jtilltl/ f..1.....hl._ ,
- ...- .._.~\
AU I HOHfZED UNDER THI~I DCRMIT.IS Ml1T " ,. "'"'''t''' IS 1-800-332-2344),
COMMENCED OR IS ABAN,-~~I~~~I~~,'vescnDtlOn
ANY 180 DAY PERIPD, $ Per Sq Ft Square Footage
Type of ConstrnctlOn It' I' B'd A
or mu .p ler or. I mount
'.
Storm Sewer Available:
Special Instruction:
Notes:
Description
Value
Date Calculated
Paee 1 00
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01791
ISSUED: 12/18/2008
APPLIED: 12/18/2008
EXPIRES: 06/1812009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Frrr<i~
Fee Description
+ 10% Adminisirative Fee
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ
. Add, Alter, Extend Circ Ea Add
Minimum/Adjustment Electrical
Reversal - + 10% Administrativ
Reversal- + 12% State Surchar
Reversal" + 5% Technology Fee
Reversal - Add, Alter, Extend
Reversal - Add, Alter, Extend
Amount Paid
Date Paid
Receipt Number
$5.20
$7,50
$6,24
$9,00
$2.60
$3.75
$50,00
$50.00
$25.00
$2,00
$-7.50
$-9,00
$-3.75
$-50,00
$-25,00
12/18/08
12/18/08
12/18/08
12/18/08
12/18/08
l2/18/08
12/18/08
12/1~/08
12/18/08
12/18/08
12/18/08
12/18/08
12/18/08
12/18/08
12/18/08
3200800000000000795
3200800000000000792
3200800000000000795
3200800000000000792
3200800000000000795
3200800000000000792
3200800000000000792
3200800000000000795
3200800000000000792
3200800000000000795,
3200800000000000794
3200800000000000794
3200800000000000794
3200800000000000794
3200800000000000794
Total Amount Paid
$66,04
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. .
IRf'~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Pa2e 20f3
. CITY OF SPRINGFIELD'
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2008-01791
ISSUED: 12/1812008
APPLIED: 12/18/2008
EXPIRES: 06/18/2009
VALUE:
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
,
54]-726-3676 Fax
54]-726-3769 Inspection Line
By signatnre, 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 berein, and
,tbat 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 fnrther 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
Pa~e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 179 I
COM2008-01791
COM2008-01791
COM2008-0 179 I
COM2008-0 179\
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200800000000000795
Date: 12/18/2008
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
<';heck Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE CHRISTEN In Person
SON
Payment Total:
Page I of I
3:20:03PM
Amount Due
50.00
2.00
2.60
6.24
5.20
$66,04
Amount Paid
$66.04
$66,04
12/18/2008
City of Springfield
Electrical Anthorization To Begin Work
E-mailedTo:deborah~perdew@christenson.com
Receipt # EC5431166
12118/2008 I :54:57 PM
Check on status of permit
By Phone: (541)726-3753 or Em.ii: permitcenter@ci,springfield,or,us
I D New construction
[i] Addition/alteration/replacement .
Description,
1,000 sq. ft. or less
Ea. add! 500 sq. fi. or portion
o lor 2 family dwelling
o Multi-family
[KJ Commercial/Industrial
. IJob no.: 41390 IJob address: 3230 GATEWAY ST
.1 City/State/ZIP: SPRINGFIELD, OR 97477-1035
I Suitc/bldg./apt.no.:
I Project name: KFC
Cross street/directions to job site:
I Su bdivision:
ITax map/parcel no.: ]703222002414
ILot 110.:
I. . Limited energy, residential
(with above sa; ft.)
I . Limited energy, multifamily
residential (with above Sq, ft.)
I . Limited energy, commercia-l
(with above SQ. ft.)
. Stand~alone limfted energy,
residential
- Stand-alone limited energy,
multicfamilv
- Stand-alone limited energy,
commercial
OVEN CIR CIRCUIT PANEL A
I 200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
1 200 amps or less
1201 amps to 400 amps
I 40 I amps to 599 amps
I Name: PAUL HEWETT
I Phone: (54])50]-9843
I Efilii!:
I Fa"
A Fee for branch circuits with
service or feeder fee, each
branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit:
I each addl branch circuit
$50.00
$50001
1 EI. lie. no.: 26.34C \ CCll lie. M.: 45%
I Businesli.Name: CHRISTENSON ELECTRIC INC
I Contact: DEBORAH PERDEW
I Address: 111 SW COLUMBIA SUITE 480
I City/Stlite/ZIP: PORTLAND OR 97201
I Phone: (54])6886]2] IFax: (54])6886528
I Email: deborah.perdew@christenson.com
I Metro lic. DO;: 1 City lie. no;:
I Supervising electrician's lie. no.: 4079S
I Supervising electrician's name: PAUL E HORVATH
Service reconnect only
I Each manufactured or modular
dweliiJig, service and/or [ceder
I Pump or irrigation circle
I Sign or outline lighting
1 Signa] circuit(s) or limited-
energy pane], alteration, or
extension.
I
I
I
I
Upon review and approval by your local jurisdiction, your
permit will be a-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.
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.
Subtotal $50.00 I
Minimum fee llsed instead of Subtotal $52.00 I
State Surcharge (]2% of permit fee) $6.24 I
City Of Springfield fees'" $7.80 I
\ TOTAL PERMIT FEE $66.04 I
... City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
C:Dn2...6D ~- c0 n q I
NM
h--)g-- 0'6'
This Authorization To Begin Work must be posted at the job site until replaced by a Permit