HomeMy WebLinkAboutPermit Electrical 2009-3-31
Electrical Authorization To Begin Work
E-mailedTo:deborah.perdew@CIIRISTENSON.COM
Receipt # EC549230
3/311200910:59:15 AM
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City of Springfield
...
Checkon status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
[K] Addition/alteration/replacement
Description QI}'. Ea. I Total
.ltc'sidcntiilrsINGt~E~ ,OR(liiUlti:f~mil)'.dw'cliiitg:unit:, litcludes~:%,~i j",
~_@~:c~cd"~g~i]g~~tii;;r::": -~~<':{!l;i~:;~~:-- ~;', -' -~:::~~~,~~~~ l~ .',J~
11,000 sq. ft. or less [4}
I Ea. addl 500 sq. fl. or portion
I w 1 or 2 family dwelling
D Multi-family' 0 Commercial/Industrial
IJobllo.: 41962 IJobaddrcss: 483 18THST
I City/State/ZIP: SPRINGFIELD, OR 97477-4918
I Suitc/bldg.lllpl,no.:
I Project nllme: ALVO){1)TAYLOR
Cross stred/directiolls to job s!tc:
TWO NEW CIRCUITS IN OFFICE AREA
200 amps or less [2]
201 amps to 400 amps [2]
140 I amps to 599 amps [2]
I-Limited energy, residential
(with above Sq. it.)
I-Limited energy, multifamily
residential (with abuve sq. fU
1 . Lirriited energy, cOlnmercial not offered online at this jurisdiction
(v,"ith above Sq.n,)
1 -Stand-alone limited energy,
resIdentIal
1 - Stand-alone limited energy,
multI-family
1 - Stand"alol1e limited energy,
commercial
(~I~~~i8_~!~~~~~)!~ti:!f(t~~~'ili~~t~o~~:~I~~{~ttt~k,~li.~l.?,~;~<~~~!
I :
I I
)Subdivisiou:
I Tax map/parcel no.: 1703362400600
ILot no.:
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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1200 amps or less [2]
1201 amps to 400 amps [21
1401 amps to 599 amps [2]
fBranch~tcircuits~tNE~V;~alt~ratio~;rbR'exte~li.Mon~per:paii'el~
'.;':~.,'h:~'_'''.,<...., ,.:;;."-""....:.."-",'-...:.""'~"..."'c'...;:.:-'.,,...c... ... '''c';';. 4' '...i.':..... :,.;,~-
A. Fee for branch circuits with l 1
service or feeder fee. each
branch cir.c:C{itn::"ITlnl\I' fin: r'Jr"'1n l::lw Pnl rirPR nu to
I ". ree fqf ~\an"t 'ir'pi~, d t d by t~ 3 6r~~' Util$WOO
wltholld9tlQ;"6r~e~uerle~; 0 e
lirst br.w,ntii\irufllil~n cente~. Those I'Jles are et forth
I ,,,h ,dilql@Jl<!ilciJ<iiil-001-0Q1 0 thrOll,]h Of$l;jo\Jp:<-Olta:oo I
IfMlic1:1Ig#\liI};t:(SlI,\!W~Y.dHR\~~n)9QPJ$',~sO[:~~:~\I~.L"'";u,! ,;1
I S " "'::lll1nn"'J"rlm"'J(j~llh'l, \-j'lUlC. Ule lOIC;;~.IIV'I""
ervlce rec"Om eft'on Y TO::; , .' . ',1. .j.;" ",ti,.."..
I Each mar1tJfrittL're&brfmM~ ' . (' L"_ _..
dwellioi. "",iee "olMorct€,ciS 1-800-33 -2344).
121
( Pump or irrigation circle (2J I
1 Sign or outline lighting [2]
I Signal circuit(s) or limited-
energy puner, alteration, or
extension i2l
12'1'; ',:, .r'ti~E'i1EC!Rif~1"If~l.WfrlF,EES'
SUbtotalj
State Surcharge (l2% of penn it fee)
City Of Springfield fees '"
I TOTAL PERMIT FEE I
'" City OfSpringfieJd'fees: 5% Technology Fee
. [Default number ofinspecrions allowed]
I
I
~~,I
$61.00 I
$7.32 I
$3.05 I
$71371
INllmc: DAN PALANUK
)l'hOlie: (541)228-0121
I Email:
I I'll"
I m. lie. no.: 26-34C I cell lie. no,: 458 I
I Bu,io", Name: CHRISTENSON ELECTRIC INC "OOll:l3d AVO 08 ~ ANV I
ICootll,t; DEBORAH PERDEW l:lO:l 03NOONV8V SIl:lO 03:JN3LAJlAJO:J I
IAdd"''' III SWCOI.UMBI.umrS~s.I!IV\ll:l3d SIHll:l30Nn 03ZIl:lOHlnV I
I City/Stll"/ZIP; PORTLAND)ltjGMi8Hl:l1 3l:lldX311\tHS lllAJl:l3d SIHl I
1 Phone: (541)6886121 , 11',,'1 (541)6886528 ::I~lJnN j
I Emllll; (kbor<Jh.perdew@CHRI;;TENSON COM]
I ~'Ietro lil:. no.: I City lie. no.: I
I Supervising electrician's lie. no,: 4079S I
1 Supervising electrician's Damt': PAUL E HORVATH 1
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
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3&ICA
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
_~~~I.!-IOll;ll$!l? .'
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00428
ISSUED: 03/31/2009
APPLIED: 03/31/2009
EXPIRES: 09/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 483 18TH ST
ASSESSOR'S PARCEL NO.: 1703362400600
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 2 new circuits in omce area
Owner: ALVORD TAYLOR INC
Address: 405 A ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/01/2009
Phone
541-688-6121
BUILDING INFORMA nON I
# of Units:
Primary Occupancy 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:
n/a
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
"O~Y,~MENTS' ATTENTION: Oregon law requires you to
Street Improvements: IJ SI HO 03:JN3VWIJ0:J foIlCSUleW~f< <I%eted by the Oregon Utility
HO:l 03NOONIJB Notification Center. Those rules are set forth
Stor~ Sewer A~aill~f\i SIllIf\IH3d SIHl H30Nn 03ZIHOHlnlJ in O~':1I!.l~1l9~s/~1W\lirough OAR 952-001-
Special InstructlOn~HOM 3Hl:l1 3HldX311IJHS lllf\lH3d SIHl 0090. You may obtain copies of the rules by
:3:l110N calling the center. (Nofe: the telephone
Notes: . number for the Oregon Utility Notification
Center is 1-800-332-2344).
1 Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Valne
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00428
ISSUED: 03/31/2009
APPLIED: 03/31/2009
EXPIRES: 09/30/2009
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 Number
$7.32
$3.05
$55.00
$6.00
3/31/09
3/31/09
3/31/09
3/31/09
3200900000000000200
3200900000000000200
3200900000000000200
3200900000000000200
'Total Amount Paid
$71.37
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 Re9uire~ 1~~)J"'~tio~~ .
Rough Electric: 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 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 be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are iu compliance with 'ORS 701.005 will be used ou 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
Paee 2 of 2
225 Fi'fth Street
Spripgfield, Oregon 97477
541"726-3759 Phone
iEi4f
Job/Journal Number
COM2009-00428
COM2009-00428
COM2009-00428
COM2009-00428
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000200
Description
Add, Alter, Extertd Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/31/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
kr
,
Page I of I
ONLINE Christenson Online
Electric
Payment Total:
11:31 :05AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
3/3112009