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HomeMy WebLinkAboutPermit Electrical 2008-12-23 'fr-Jl- e." I 0 <S \ ") ~ ~/7./ )Jr'" ' , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01802 ISSUED: 12/23/2008 APPLIED: 12/2312008 EXPIRES: 06/23/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax, 541-726-3769 Inspection Line SITE ADDRESS: 2575 Olympic St ASSESSOR'S PARCEL NO.: 1703254101000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Circuit for new oven Owner: L & B HOLDINGS LLC Address: 1045 PEARL PEAK ST LAS VEGAS NV 89IIO I CONTRACTOR INFORMATION I 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 Gronp: Secondary Occnpancy 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: nla I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: . Solar Setbacks:' Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: ATTENTION: Oregon law requires you to t- :'ow rUles aoopleo oy me UI"!,!UII UlIlIlY IPUBLIC IMPROVEMEN. ,S'lication Centor. Those rules are set forth in OAR 9'SJdewalkGtypf:rou9h OAR 952-001- 0090. You may obtain copies of the rules by calling \lmv~,w~~s/~fi!m~:the telephone number for the Oregon Utility Notification Center is 1.800-332-2344}. Storm Sewer Available: Speciallnstrnction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: .'.~r:! :::::~:::~ ~~::::r. T~,~i~ rfr.rm ~,~ tJ';.'T COMMENCED OR IS ABA~liVllfglrtfJhRoescriotion I A~IY 180 DAY PERIOD. Description Type of, Construction, $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01802 ISSUED: 12/23/2008 APPLIED: 12/23/2008 EXPIRES: 06/23/2009 VALUE: 225 Fifth 'Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I $5.20 $6.24 $2.60 $50.00 $2.00 12/23/08 12/23/08 12123/08 12/23/08 12/23/08 Receipt Number 3200800000000000804 ,3200800000000000804 3200800000000000804 3200800000000000804 3200800000000000804 Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ MinimumlAdjnstment Electrical Amount Paid Date Paid Total Amonnt Paid $66.04 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. I Reouired Insneetions , , , Rough Etectric: 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 fnrther 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 strncture without permission of the Community Services Division, Bnilding 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 Page 2 of 2 City of Springfield Receipt # RC544006 12/23/20088:18:44 AM ~ a~ Electrical Authorization To Begin Work E-mailedTo:deb?rah.perdew@christenson.com Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 1:;+~Z"t!flir:~~!':'FEE,S'CHEDiJLE;';i""iJ=-~l'~i\ I ~=~~::~.!-, ~ ,o"~. ~t~_,,~. ~i'-~"Q~;;"~-';(;~~lt~::?~;' 11~~.~i~~l!t~~~~H~,Gt:,;_~f;9'~',i,mul.tI~f1fnii'YJti.,' -'clli~'gtuiiit:"llicludCS. ''''VI :tt~~?hc~'ga~g~~Jj_~~~~~~ :?~~\t'~~~rf~f{;S' -' 111,000 sq, ft, or less I I lEa, addl 500 sq, ft, or portion I I 1~'Li.~i~~_ ~n~~'yyr~'+ii!!!tg ~': I-Limited energy, residential '(with above Sq. ft.) , I-Limited energy, multifamily residential (with above SQ. ft) I ~ Limited energy, commercia'l (with above SQ. n.) I ~ Stand-alone Iimitcd~ energy, residential ' I - Stand-alone limited energy, multi-family I - Stand-alone limited energy, commercial , ICS~CJ!2!:f~t~lrs~i]St![a~io~~j~~,r:.a!i~]fA~1?7913~lliJ[~:\~:ff~1 1 200 amps or less 120 I amps to 400 amps 140] amps to 599 amp~ 1".LE~,~t,I,~9,' '!A,"-',J~~, -:~_(Q'<~~,~ e~;:~, ,.rl~d"e~ii'~~,~,~a!,.,~~~?~'riil--',ler, ~,tjon, "ANJ?/9R:t~lo.Cllt""!?I!L ,~_,.' ~"i-':~~' ~~, ~,,_:;,,{~":,~~ 1200 amps or less I 1201 amps to 400 amps 1 1401 amps to 599 amps I, 1-'B!:~'~I~tcilfqti~~:~>>,i~tfraJio1!r9RJ~~i~~ii~;',i,01if~er;~!~j_~;~ I A. Fee for branch circuits with I' service or feeder fee, each branch circuit. I B. Fee for branch circuits' without service or fceder fee, first branch circuit: 1 each llddl branch circuit I~~isf~(~~~~~s_~~~~,_ ~~'" I Service reconnect only I Each manufactured or modular uwelling. servil:e and/or fceuer 1 Pump or irrigation circle 1 Sign or ou-tline lighting I Signal circuit{s) or ]imited- energy panel, alteration, or extension, I ~~~;;:~t~4~~~l~l;~ft~1c:;~~j~!t~tt,F~f[~~~~{j.~k$J1 1 Su~1 $50.001 1 Minimum fee used instead ofSubtota] $52.00 I 1 Slate Surcharge (12% of pen nil fee) $6.24 1 J City OfSpringfie]d fees * $7.80 1 I I TU'I~\L PERMIT F.. $66,04 I . City Of Springfield fees: 10%Administration Fee; 5% Technology Fee ~m '- CfO '1?' NM 0-- 23--03 I D New construction [X] Addition/alteration/replacement - i~i!if.;~iilt~'t<,f,91it[g.Q@'2fKONiifItU2.ilpl!~'lI!i:'j);,;,"N. D 1 or 2 family dwelling 0 Multi.family [K] Commercial I Industrial ~CiMl~~~~~jp!31s~:r~Ir[t~6BM~fl9fl!~~~lg6Cf\!lQNJE1~L~~":~'';-1:~ :;:'t~1 IJob no.: 41391 IJob address: 2575 OLYMPIC ST .1 ICity/SCatrrl.lP: SPRINGFIELD, OR 97477-3467 I I Suitc/bldg.lapt.no.: ! [Project name: KFC I Cross street/directions to job site: I Subdivision: ITu map/pureel no.: ILol no.: 1703254101000 CIRCUIT FOR NEW OVEN IName: PAUL HORVATH I Phone: (54]) 501-8846 IEmail: I.. .'''"''''''''''''''''','.._._.,.'''....._'...''m_..'''':Till'".''''='':w;-". .. -=,. tt;:~:/:t!)~~~~,~i:,,:~.9"'~T~!9R~fSr?:/~..l~'b~r~"':,""<~;~~:.:~~_. lEI. li.e. no.: 26-34C I ceo lie. no.: 458 I Business Name: CHRISTENSON ELECTRIC INC I Contact: DEBORAH PERDEW IAddress: 111 SW COLUMBIA SUITE 480 !CUy/St.telZIP: PORTLAND OR 97201 I Phone: (54])688612] I Ema,il: deborah.perdew@christenson.com i Metro lie. no;; ]Supcnoising electrician's lie. no.: 4079S jSupcn>ising electrician's name: PAUL E HORVATH I Fax: I Fax: (541)6886528 I City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-malled 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. '-"1 -~ I I I I I I I I I I $50,00 $50,00 ~"--'-, ~1,;,j:j:'b~;;~.>f/J '~-,::~::I J" Ol DoL 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 City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1802 COM2008-0 1802 COM2008-0 1802 COM2008-0 1802 COM2008.0 1802 Payments: Type of Payment ONLINE CHGS cReceiot 1 RECEIPT #: 3200800000000000804 Date: 12/23/2008 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: t.:heck Number Authorization Received By Batch Number Number How Received NJM ONLINE CHRISTEN Online SON , Payment Total: Page I of I 9:06:24AM Amount Due 50.00 2.00 2.60 6.24 5.20 $66.04 Amount Paid $66.04 $66.04 12/23/2008