HomeMy WebLinkAboutPermit Electrical 2009-1-21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00094
ISSUED: 01/21/2009
APPLIED: 01/21/2009
EXPIRES: 07/2112009
VALUE:
225 Fifth Street, Spriugfield,OR
541-726-3753 Phliue
541-726-3676 Fax
541-726-3769 Inspection Line
-'.....
SITE ADDRESS: 5395 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334203301
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residentia]
PROJECT DESCRIPTION: Sign Circuit
Owner: BEAUBIEN MARK J
Address: PO BOX 303
VIDA OR 97488
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
Lkense
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:
# !If 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 Basemeut:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Haudicapped:
Compact:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility'
... " .....~._~.;._ T\"'",",... t"ldac:- arQ c::::pt fnrtp
I PUBLIC IMPROVEMENTS ~uOAR-952-0oi -001 0 through OAR 952.001-'
~!OTI"'I:. ~090, You mf!'I,.obtain copies of the rules by
Streenmp,ov'tlments: . call~~8"t~~"t'e'J~I1~: (Note:the telephone
StorJ~J~lr~~IJb~J;lALL EXPIRE IF THE WORK . ...0. nurrllowlfsptrulsfDfains: Utility Notillcatlon
speciGtllIflP.Pcli'.f.P. UNDER THIS PERMIT IS NOT atL.N' . Center is 1-800-332-2344),
COMMENCED OR IS ABANDONED FOR \~~I~Q/ "
Notes.:iNY 180 DAY PERIOD. 'V~"O\
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I Valuation Description 1
Description
Type of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
CITY OF SPRINGFIELD
Statns
Issued
Building/Combination Permit
PE~IT NO: COM2009-00094
ISSUED: 01/21/2009
APPLIED: 01/21/2009
EXPIRES: 07/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total. Value of Project
Fees Paid I
IIIII
Fee Description .
+ 12 % State Surcharge
+ 5% Techuology Fee
Add, Alter, Exteud Orc
Amount Paid
Date Paid
Receipi Number
$6.96
$2.90
$58.00
1/21/09
1/21/09
1121/09
2200900000000000078
2200900000000000078
2200900000000000078
Total Amount Paid
$67.86
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired I nsnections I
Rough Electric: Prior to Cover
Final Electric: Wheu all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon .is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordiuauces of the City of Spriugfield and the Laws of the State of Oregon pertaiuiug to the work described herein, aud
that NO OCCUPANCY will be made of auy structure without pel'missiou of the Community Services Divisiou, Buildiug Safety.
I further certify that ouly coutractors and employees who are iu compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the froutof the property, and the approved set of plaus will remain on the site at all
times during construction.
Owner or Contractors Siguature
Date
Page 2 of2
City of'Springfield '
. . .
-I,';;""
Electrical Authorization To Begin Work
E-mailedTo:deborah.perdew@christenson.com
Receipt # 1<:C5454119
1/21/2009 I :32:06 PM
. .~
, ....
. . Check on status of permit
By Phone: (541)726-3753'or Email: permitcenter@ci.springfield.or.us
1$-~"'-:j\ij.jl~7JLF.EE[SCHED1J~W:_.dt,"'1
~~=.. ~~""""%.O%,,,~,....~~7..<q;s.~!.A
,I Description I QI)'. lEa. ) Tota~
1",.'H~.'i(Jt.:~,'.U.~l~~~.. 'mult!;(~~li_WJt";elling;miiq[liiCltrdcs
;,\!!!!l.5_M~g_l!r~g~i$."::'Y~'-"~r:t'
11,000 sq. ft. or less [4]
-I Ea. add] 500 sq. f1. or portion
10 New construction IX] Addition/alteration/replacement
11t4~~~~1Et[tf91YiQ:BlgOt:iSTRU~~1j(jN~~~;iE;u~1t~~~
10 I or 2 family dwelling D MuJt~-famny [ij Commercial J Industrial
~~g:~lSfiEnN~ORMA1:IQNrANr,?.&9EAt!P~i~g
IJob no.: 41727 IJob address: 5395 MAIN ST
I City/State/ZIP: SPRINGFIELD, OR 97478-6275
I Suitelbldg.lapt.no.:
I Project name: FlGAROS'PIZZA
Cross street/directions to jo~ site:
I Subdivision:
ITax map/parcel no.: ]70233420330]
ILot no.;"
I -Limited energy, residential
(with above SQ, ft.)
I-Limited ellergy, multifamily
residential (with above Sq, ft)
I - Limited energy, commercial not offered online at this jurisdiction
(with above SQ. ft)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multI-family
I - Stand-alone limited energy,
commercial
Name: PAUL HORVATH
IPhone: (541) 501-8846
I Email:
I Fax:
1200 amps orless [2]
1201 amps to 400 amps [2}
401 amps to 599 amps [2] ,
1t-EMI{OMRYi'scIYiccs':OR,Yfeedcrs:installlJ'fion;rllltenfiioli',
~]r61~ffel~i!~fi:~~ '
1200 amps or less [2]
1201 amps to 400 amps [2]
140] amps to 599 amps [2] J
liB1)lllCll:circm.'~1\~W;<ai(er;ltiOli-;:OR~ite}1sio~per;pa!1Ci~~1it;...~
_."":5C$",*,~""""$~IC:~",_","'''''_''''':.t.',,,L'W.''''",..*,,",>~,.-N_... I_'__.<_.PJ""",,"$..__J'
I A Fee for branch circuits with I
service or feeder fee, each
branch circuit .
lB. Fee for branch circuits 1 1 $55.00 $55.00 I
without service or feeder fee, .
I first bra",trall:OllitlAnN' Ore on law r lqulreS y)U to
.: :~~r:~~~:&!~~~~~==~~~~~~!ij
I I SecvieirteQ,M;tmiijl-!Wl-Uur ~ UIIU~"1" ~"" ~, ~"~~"
I I Each l~lLhur~WCtfiiodl)la}:JUr;;:)'lIt ....'-'1-',... ~ ....f tr.3-f ~-- - -~")-
dwelling,~If:\!T<!I'lif~te'. (Note: the telep lone
I r21 L'" f-- the "~!",,,n .lti av Nnt,f. :Ht,on
I IIUIII ""'cd~!.t ~ ~-d' .
I Pumporirngatlon~~\ftJr i~ ,_ROO_33::_2344),
II Sign or outline ligh'ting [2]
, ClrCUll(s.)Orli,mited- I
alt.eratlOn, or
I EI. lie. no.: 26-34C I CCB lie. no.: 458
I Business Name: CHRISTENSON ELECTRIC INC
I Contact: Deborah Perdew
IAdd"''' III SW ~ljj.E~UITE 480
ICi'y/Sta'e1ZIP: PQlt11-3-~t'r06HALL EXPIKI: I~ I Mt VVUr.'~
IPhone: (541)68861f.l,UTHORIZED UNDSIilo;ftM.\i)~iM:!\I1I1 I'> I~U I
lEma;': debomh.pe(4<CwffilGi)\~~@@nOR IS ABANDUNI:U ~Uti
I Me'ro lie. no.: ANY 180 DAY PERI(Jljl.y lie. no.'
I Supen'ising electrician's lic. no.: 4079S
I Supervising electrician's name: PAUL E HORVATH
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 penn it is not obtained.
I Subtotal
I Minimum fee used instead of Subtotal
State Surcharge (12% of per mil fee)
I City OfSpringfie]d fees.
I TOTAL PERMIT FEE I
. City Of Springfield fees: 5% Techn.ology Fee
{Default number afinspections alfowedJ
C()'(Y\ ~,-C(X)q4
k:~ I:"'01~O~
'()OOCYt- ~ "6
This Authorization To Begin Work must be posted at the job site until replaced by'a Permit.
$55.00 I
$58.001
$6.961
$2901
$67.86 I
The local building department maydetennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00094
COM2009-00094
COM2009-00094
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ ,/
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
2200900000000000078
City of Springfield Official Receipt
Development SerVices Department
Public Works Department
Date: 01/21/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE CHRISTEN Online
SON
ELECTRIC
Payment Total:
2:05:0IPM
Aniount Due
58.00
2.90
6.96
$67.H6
Amount Paid
$67.86
$67.H6 .
1/21/2009