HomeMy WebLinkAboutPermit Mechanical 2009-2-18
D
;,
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:deborah.perdew@christenson.com
Receipt # EC54684f1
2/17/20098:33:12 AM
Check on status of permit
By Phoue: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
"I D New construction
IX] Add.ition/alterationlreplacement
J 0 I or 2 family dwelling
o Multj.falT!ily
IKJ Commercial/Industrial
IJobno,: 41314 !Jobaddress: 2705 PHEASANT BLVD
I City/StateIZIP: SPRINGFIELD, OR 97477-7588
I SuitelbldgJapt.no.:
I Project na~e: FlRESTATION #5
Cross street/directions to job site:
I Subdivision:
Tax map/pa.-cel no.: 1703220002707
ILot no.:
PAUL HORVATH
\ Phone: (541) 501-8846
I Email:
IFa"
I EI. lie. no.: 26-34C I CeB lie. no.: 458 I
I Business Name: CHRlSTENSON ELECT~~ INC < I
IContact: Deborah Perdew .,..:.(,/l/",~ I
IAdd"''' 111 SW COLUMBIA SU1W:l1tVS' 1)'::1:: I
I CHy/StaleJZIP: PORTLAND OR '[1)9'1 I !t();irlt?,... I
jPhonc: (541)6886121 4fi/~~'14tA'/JI"~i)"'~9528 I
i Email: deborah perdew@Chnstenso,{ c(j~?t? ~G~/) _U4'I>~<'(;:-7:. J
I Metrn lie. no.: U1,<2iR'flii'~Jr rN;?I?~ ,_ I
ISupenrising electrician's lie. no;: 4079S . (-,.s>/11":;;'~~/J4~'0 /)1:";: l"/.t,.._ I
I Supervising electrician's name: PAULEHORVATH -<.I; ..VU01,-:I/1/?- c,,_ *oJ;\,._1
, I..() /" A, "If
Upon review and,approval by your local jurisdiction, your f:O,l"J rllO,.
. permit will be a-mailed or faxed within ono business day, '1
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.
~~
~S'
11,000 sq, fi, or less [4]
J Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above Sq. ft,)
. Limited energy; multifamily
residential (with above SQ. ft.)
I ~ Limitedenergy,~ommercia-] not olTered online at this jurisdiction
(with above SQ. ft.)
I - Stand..aJone limited energy,
residential
I - Stand-alone limited energy,
. multI-family
I -Stand-alone limited energy,
commercial
I
1401 ampsto 599 amps [2] I I
IEn:~!f<?~!}11}'~ice~:ORf~m~,:SfaJliii~H~~ration,. _.~ ,:' -~",:
;AND/OR~reloca~~rr~"~~~ . J"!k"":'M
~"'-"'"71~", ,,~_0w.2liI:"i\lil\_!II0liilL ~.."
I 200 ampsm,lisf~/" ..
)201 mnlM9,~,6lYaJTl.P1I2jlv.' n.
1401 #1pO~j9,90AiiJV\i;i}'ldo,,~ YO/) IE!, ,
rBran~~Circuiisl:;~i\ffi~W.;mThl11HoQf'(jR7ex'ienfi'anr;per~panefE51rt#0J4t~lt.l'
~','x"","m.~''''''.-...' .-,:v:&G;~';:'.'t1I,"""",,~,""~I.,."'~""t'wr~_"', 'r~ J'_""~"\'i~ '(':Ii.".
I A. Fel<f9ri9f~rich/Gif;lJ~s'WitW J~ ; iOSe .. ~ UfO -.:J .Y.f,1I
"&IfH,~1i"eedeijf!!. e'achJ61 ' tl)ro 1111, '8 110/) l' , 10
branch cil'Cuit _~__. " ?~,..,.~ _ q1h,; liOn,; qt~ :-._,-" !I/ify
lB. Fee for branch Clr91!.,Jts ~r. (/I" ' uP/GS r /lR $55'00 brth$55.001
without serv~c'i;.orl~ede~e,J9: Ote: t.J.. 01 tf,e ....,v:::~( ')
firstbranchcircuitr21/S 1 ..... Cf,./ /". fl$ f.. rlff~, 1...
-I eachaddl branch circuit - 'fIlly )y $6.00j
1200 amps or less [2]
1201 amps 10 400 amps [2]
I Service reconnect only [2]
Each manutactured or modular
dwelling, service and/or feeder
121
Pump or irrigation circle [2]
I Sign or outline lighting [2]
I Signal circuit(s)or limited-
energy panel, alteration, or
extension [21 .
1~~,~EllECTRic1\e'PERMiT;'FEES!!ij1~l"'}'l""lo:"l,""
... .. . .~~ _,. ,'",'.' """',""".,.,.".,.,,,. .<-._,~=._~__~_,_....,~_~,~...t..bi~",4~~~'."l
I Subtotal $61.00
I State Surcharge (12%' of permit fee) $7.32 I
I City Of Springfield fees" $3.051
I TOTAL PERMIT FEE $7137
;. City Of Springfield fees: 5% Technology Fee
[Default number oj inspections allowed]
(8- IlRqs ~'
I
I
2\ 11 t09
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01695
ISSUED: 02/17/2009
APPLIED: 11121/2008
EXPIRES: 08/1712009
VALUE:
Status
Issued
SITE ADDRESS: 2705 PHEASANT BLVD
ASSESSOR'S PARCEL NO.: 1703220002707
Springfield TYPE OF WORK: Heating System'
TYPE OF USE: Alteration
Public
PROJECT DESCRIPTION: Install exhaust extraction system
Owner:
Address:
CITY OF SPRINGFIELD
CITY HALL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Mechanical
ContraCtor
CHRISTENSON ELECTRIC INC
HARVEY & PRICE CO
License
458
77
Expiration Date
05/01/2009
10/31/2010
Phone
541-688-6121
541-746-1621
BUILDING INFORMATION I '
# of Units:
Primary Occnpancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Vlhr'
# 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 DEVELOPMENT INF:~,A]lONJ
rbliow ruJ -". regOn f REQUIRED PARKING
Not f es adopt aw reqUi~ ;
Overlay Dist:n /ICation Gente ed by the Ore 0'\:1\9u to
',1::',~, # Street Tre~s-If1'lt~ 952-00 I_Oar l' oThose rUles 0' ~gdfcilp"ed:
A, vU"L' \-I th qlA s~,( f
lV'OJj Paved Drive RAu;- au may Obta' rOUgh OArfo!n;!:actih
I/JZ 7Ct. % of Lot COY~J'ii.;,r:g the center m(NcOPies of the :dO,' -001_
'l,'S P . I/;oer for the ' Ole: the t ru es by
4UIIJ^ 'tRM,.... CAnt"_ Oregon l1/;/i,,, "elephonfl
4"U;hi,i,'II!CD'UO;j;;,yBJ.,IC IMPROVEMENTS ~ '., -OtJU-332_2344j::u<:auon
;JIy /8 ;JICf,D ~ D ')-1'-'
Street Improvements: 0 D4y OR IS '1 llilS ~'t It: I/f. Sidewalk Type:
Storm Sewer Available: PCRIOD 484;J1D 'tRI/4II'[' /1IOR.v Downspoutsillrains:
Special Instruction: . O;JIcD /" IS ;JIO>-'!
, rOR I,
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setbac,k:
Solar Setbacks:
j
Notes:
Paee I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01695
ISSUED: 02/17/2009
APPLIED: 1112112008
EXPIRES: 08/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
1 V aluation Desc~inti~n I
Description
Tvpe of Construction
$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Value
,Date Calculated
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Miscellaneous Mechanical
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$5i.00
$7.32
$3.05
$55.00
$6.00
11/24/08
11/24108
11/24/08
11/24/08
11/24/08
2/17/09
2/17/09
2/17/09
2/17/09
1200800000000001171
1200800000000001171
1200800000000001171
1200800000000001171
1200800000000001171
1200900000000000111
1200900000000000111
1200900000000000111
1200900000000000111
Total Amount Paid
$158.41
I Plan Reviews ~
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 R~,(I~Jh;ecl Insn,ec!ions i
Final Mechanical: When ali mechanical work is complete.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Final Electric: Wheu all electrical work is complete.
Page 2 of3
_$8'~~!-Iqfl'J.f;l:~i,
:1
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF ;oo,rKn~GFIELD
Building/Combination Permit
PERMIT NO: ,COM2008-01695
~SSUED: ' 02/1712009
,APPLIED: 1112112008
EXPIRES: 08/17/2009
VALUE:
, ,
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 ill 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 structnre without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are ill compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections,arerequested 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
Paee 3 of3
Date
225 Fifth Street
Springfield, Oregon 97477
541-n6-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1695
COM2008-0 1695
COM2008-0l695
COM2008-0l695
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 02117/2009
1200900000000000111
Description
Add, Alter, ExtendCirc
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number. Authorization
Received By Batch Number Number How Received
KR
ONLINE Christenson Online
Electric
Payment Total:
,
Page I of I
9:25:59AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
2117/2009