HomeMy WebLinkAboutPermit Electrical 2008-12-23
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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
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$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