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Home My WebLink AboutPermit Electrical 2009-2-19 City of Springfield Electrical Authorization To Begin Work E-mailedTo:deborah.perdew@christenson.com Rcceipt # EC546945 2/18/2009 8:56:35 AM '" ii Check on statns of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns I 0 New construction [iJ Addition/alteration/replacement I D lor 2 family dwelling 0 Multi-family [K] Commercial/Industrial li;"~j.j"il\~i!!il~jOB'sifEr;,j"~ORMATlONAND'tD'CATi6N"i,,, ""',$,' :':/",'\:,1 !:t'''''&i!6020I1ii~4f,;j,~~r:;~'''''.'"'1c""".",,,....,._J~ ",~'''.'~'~"",''''''^'"0~,_~..,..--.__.....~.M.1if,'~..6'<ic{", .'-'. ,. ....~~A ... IJob no.: 40797 IJob address: 2725 CENTENNIAL BLVD I ICitylStaterzlP: SPRINGFIELD, OR 97477-4366 I I Suite/bldg.!apt.no.: I I Project name: ANDERSON I Cross street/directions to job site: I Subdivision: !Tax map/parcel DO.: ]70325440]900 17'+~~WY.<~15f~~;r~!;~~~'St:0R1f{!JO~:9~';vt2:~K1~;~~~~!;:~~~?:~~i'~::'~~5.~1 MISC ELECTRICAL REPAIRS [Lot no.' IName: PAUL HEWE1T I Phone: (541) 501-9843 I [mail: 1;f\1tt:B~) ~-s.~i ~~~r~r~;~~:X~_~_.$:~J:C&0>~tM~:TQ~1~~~~:'~~::'5: ," J'~lY~~{i~~'::~. ~:-~-~~l IF..: I EI. lie. no.: 26-34C ICCD lie. no,: I Business Name: CHRISTENSON ELECTRIC lNC I Contact: Deborah Perdew IAddress: III SW COLUMBIA SUITE 480 ICity/StatefZlP: PORTLAND OR 97201 jPbone: (541)6886121 I Email: deborah.perdew@ehristenson.com j Metro lie, no.: I Supendsing electrician's lie. no.: 4079S I Supervising electrician's name: PAUL E HORVATH 458 IF..: (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 detennlne that an Authorization To Begin Work is null and void If it does n.?t~ mnnt applicabln land usn laws and loco I ordinoncns, \Y. ~ ~~~ I Description t Qty. Ea. l Total I; Resideniial 'SINGEE?ORmulti:famil5" tiwellinfuli-iiJlnclli'dcs'~J-iji8f 'I _"{iU'rh\a'tgah,g~~~~'i'M~-;~~~-'~jJ'" -,:.tjM:~~~?k~%;~: ...."'~-='''".;. co",'. _ .....""'-=""'*<" '~","..."xmI"". ,....... .}k~'",,,,,,,.. .._. .. . )K~jh 11,000 sq. ft. or less [4] J I Ea. add] 500 sq. ft. or portion I .........;"MC.--.-i,,'._ ~""".J,,J~..'*.4, '1""",,"1 ".>r"- '~"~"~r;:ii~-~l:i'i,..il"'.., I !~1~JJ"~,L~I!~.~y,~:~~:td~_'14-#\~~~:~";7 '1~.~~';;:~:~;i,i~~'K(:~t'i4i1P;:~4~' I ~ Limited energy, residential I I (wilh above SQ. fL) I-Limited energy, multifamily I I residentiai (with above SQ. ft.) I-Limited energy, commercial not olTered online at this jurisdiction I (with above SQ. ft.) I - Stand-alone limited energy. I residential I - Stand-alone limited energy, I multi-family I - Stand-?Ione limited energy. I commercIa] l[Se~~"~i;Pat~~~~~~~r~!!~j~~~!~F~e2.!A!:!,P~<:f!lITl~~~?iIP~;~l~:] j 200 amps or less [2] -j 1201 amps to 400 amps (2] 1401 amps to 599 amps [2J 1',{f~~!ltQ.!~~Yi~'~~~cff.~~9l!-'f~il~'rs ).n_~!al,~~~:1~.~t[.~l?;ri'?ll~~~'~-: ,~~N.Qt.9R~loea_tlo_~i_,;'.t-:: "-i~..,;-V-t'. ~l, -.', ;tIT;~""" .,,::\ ~if:'.':':'.;. -."; i-/ 1200 amps or less [2] 120] 'amps to 400 amps [2J 1401 amps to 599 amps [2J I: !I,r,.u~~Ji~~rru~t:il[N:~~Vj:'~}i~~~iFn!!9Hex(e,r,s~~?p7f~~~~I>~;;\.::.f:~' ~.l I A, Fce for bnlnch cirr.:uits with I service or feeder fee, each branch circuit I B, Fee for branch circuits 1.1 without service or feeder fee, firslbranch circuit r21 I each add] branch circuit 71 $6.00 $42.00 1 r'rfIiscellaItcoiis'~:''{M;Ii~~k"t';~trt:~7,~'<.t1~i~~'It~,.,,:.:....,,;~~.~I """"",,,_,_,,,~,,,,,*,,~~,,,,,,,,,,,",",,.:a!...r _..,.T....,-r..'F.,~~'-',."'''''''.~,...1,H'' ~'::l.--'~ Service reconnect only (2J I I I Each manufactured or modular dwelling, service and/or feeder 121 I Pump or irrigation circle (2J 1 Sigri or outline lighting [2] I Signa] circult(s) or limited- energy panel. alteration, or extension [21 _ 1'1~ :~~)7,,:;d,:'l.li:~~~~~;fE[ECTRICALp:ERMiT'FlfEs':::r.;;}~5",<j;': )7:1..;~.ri,~ >tJl _"Il'_...~. .t'Y.JJ>.. _ __'._ _n ,', . ~.' , _,",'~~"~'-:-<+"_. ,..T......'__ ! Subtotal I $97_00 I State Surcharge (12% of permit fee) $11.64 I City Of Sprin~lield fees 040 $4.85. I TOTAL PI:RMIT FEE I $113.49, . City Of Springfield fees: 5% Technology Fee [Default number of inspections allowed} $55,00 $55.001 C,o/Y'i 2..6"D '1 2 -I 'l{~ O'l 002$ 1 N r\------ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. -.!?r~~r~,~~~~i._"~lLi1:J~'0fR'f If' Status Issued l1JL--- tJr"./ DC, Z/ \ ~'S('(V \ i', I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00234 ISSUED: 02118/2009 APPLIED: 02/18/2009 EXPIRES: 08/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2725 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703254401900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Miscellaneous electrical repairs Owner: ANDERSON JACK E Address: 2071 TYLER ST EUGENE OR 97405 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 Occnpancy Group: Secondary Occupancy 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 I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lol Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improve"1\'nts:NTION: Oregon law reqlJlres you lU fr::;;'~ rules adopted by the Oregon Utll,ty Storm Sewer Avallahle:. Cer 'er Thoce rules are set forth . "~(')tltlcallon It.;) , SpecIal Instrucfwe~R 952-001-0010 through OAR 952-001- 090 You may obtain copies of the r~les by CEo ORK Notes: 0 li:ng the cenler, (Note: tile te\e~none NOil. All EXPIRE IF THE W ~c~'hn' fnr lh.. Orenon U;ilit\ll:ot:rlcaIIOI1 THIS PERMIT S~~...n n.lle:. PERMIT IS NOT Center is 1-80U-J.o'I' ....., II'JTHUKILCU U""'"'SABANOONEO rUK Valuation Descriotion, NvlMENCED OR \ - ^ ~\Y \ 80 DAY PERIOD. $ Per Sq Ft Square Footage V I or multiplier. or Bid Amount a ue Sidewalk Type: - . Downspoutsmrains: Description Type of Construction Date Calculated Paee 1 of 2 SP.RlNGFlE.LD" - ..._, "cc__".,____,... __'"~..., ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00234 ISSUED: 02/18/2009 APPLIED: 02/18/2009 EXPIRES: 08/18/2009 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 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Numher $11.64 $4.85 $55.00 $42.00 2/18/09 2/18/09 2/18109 2/18/09 3200900000000000101 . 3200900000000000101 3200900000000000101 3200900000000000101 Total Amount Paid $113.49 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 Insnections I Rongh Electric: Prior to Cover Final Electric: When all electrical work is co'mplete. 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 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 he 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 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 ti_mes during construction. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ......"..:.LJA. ~~~.'~-'~--"'~-'- ~..' . " . ... City of Springfield Official Receipt Development Services Department Public Works Departmcnt Job/Journal Number COM2009-00234 COM2009-00234 COM2009-00234 COM2009-00234 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 3200900000000000101 Date: 02/1812009 Description Add, Alter, Extend Circ 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 NJM ONLlNECHRISTEN Online SON Payment Total: Page 1 of I 10:10:IOAM Amount Due 55.00 42.00 4.85 11.64 $113.49 Amount Paid $113.49 $113.49 2118/2009