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HomeMy WebLinkAboutPermit Electrical 2009-3-31 Electrical Authorization To Begin Work E-mailedTo:deborah.perdew@CIIRISTENSON.COM Receipt # EC549230 3/311200910:59:15 AM \'}~ (\/1'\ V 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. ~v b(.\'O~ ~~ ~ 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 $71371 INllmc: DAN PALANUK )l'hOlie: (541)228-0121 I Email: I I'll" I m. lie. no.: 26-34C I cell lie. no,: 458 I I Bu,io", Name: CHRISTENSON ELECTRIC INC "OOll:l3d AVO 08 ~ ANV I ICootll,t; DEBORAH PERDEW l:lO:l 03NOONV8V SIl:lO 03:JN3LAJlAJO:J I IAdd"''' III SWCOI.UMBI.umrS~s.I!IV\ll:l3d SIHll:l30Nn 03ZIl:lOHlnV I I City/Stll"/ZIP; PORTLAND)ltjGMi8Hl:l1 3l:lldX311\tHS lllAJl:l3d SIHl I 1 Phone: (541)6886121 , 11',,'1 (541)6886528 ::I~lJnN j I Emllll; (kbor<Jh.perdew@CHRI;;TENSON COM] I ~'Ietro lil:. no.: I City lie. no.: I I Supervising electrician's lie. no,: 4079S I 1 Supervising electrician's Damt': PAUL E HORVATH 1 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. c,Cj - 4tb k1L 3&ICA This Authorization To Begin Work must be posted at the job site until replaced by a Permit _~~~I.!-IOll;ll$!l? .' .'j ~" 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