HomeMy WebLinkAboutPermit Electrical 2009-4-3
CitY of Springfield
:x..sG
VIAl
Electrical Authorization To Begin Work
E-mailedTo:deborah.perdew@CHRISTENSON.COM
Receipt # EC549478
4/3/2009 12:23:36 PM
Check on status of permit
By Phone: (541 )726-3753 or [mail: permitcenter@ci.springfield.or.us
D New c.onstruction
IX] Addition/alteration/replacement
10 I or 2 family dwelling
o Multi-f<1mily
D Comm~rci(ll/lndustrial
IJob no.: 42006 IJobaddress: 353 S 68TH PL
I City/St:llc/ZIP: SPRINGFIELD, OR 97478-7387
I Suitc/bJdg./llpt.no.:
I Project name: BRANDEQ
Cros~ street/directions,to job site:
I Subdivision:
I Tnx map/parcel no.: 1702353307300
Ita! no.:
RECONNECT FURANCE
I Name: PAUL HEWETT
IPhone: (541)501"9843
IEmail:
IF,,,
lEI. lie.-no.: 26-34C I CCB lie. no.: 458
I Business Name: C;:HRISTENSON ELECTRICINC
!Contact: DEBORAH'PERDE\Y
IAddress: ] 11 SW COLUMBIA SUITE 480
I Ci~y/St;ltCJZIP: PORTLAND OR 97201
I Pho"" (503)4193300 I Fa" (503)4193695
I Em"l: debomhMeel~RlsTEN~ON.~M""'OI1=l!= If iHE wunK
IMe,,. hc. "0.: THIS PERMII "~,, ~r!~til~' ~RM1T I~ Nul
ISupmb.." cleelXl<j"o\'I(!)<R.\&.t\.lo\J:IJI!i"'^ A Q ^MnnNED FOK
ISupm","" elec~~l~~~~~~~~lf~11
Upon review ~pt'&J.MI!fSS'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 permit is not obt~ined.
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, n. or less [4]
I Ea. addl 500 sq. ft. or portion
I-Limited energy. residential
(with above sa. ft.)
I - Limit,edenergy, multifamily
residential (with above Sq. ft,)
I-Limited energy, commercial not ollercd online at this jurisdiction
(with above sa. ft.)
1 - Stand-alone limited energy,
residential
1 - Stand-alone limited energy,
mu]ti-famlly
I . Stand~alone limited energy.
commercia]
If~j3;~9fu(~;!l~!i!~:S:~LaB27_lrlt~rrl!@~F~!'iD.{'P-B?!.lo~~~!~1(r~~.:J1
1200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [21
Ifl:~_~J ',)~Q,I{A~Yi~~~i~cs.:O_~I{~4~r~ii~.s~~ll~!i~?,';ul({~~j!~~a(~t);411
L^,~W91tr:t;J.os~tL~R~~~",: ~zY~~.fl~J:,",~~~~~~r;~"" '~_~~.:~'tii )'J
! 200 amps or less [2]
120] amps to 400 amps [2] I
1401 amps to 599 amps [2]
1!P,f'~~~,h5i~i~i~~~~~.j,y~!~'i!S~Ill[~~rp<~~c,~t^e-'~o,IlY~C?R~~}~!~4{.iti5;
I A. Fec for branch circuits with
servIce or feeder fee, each
branch circuit
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit 121
I each addl branch circuit
$55,00
$55.00
$600
1 SerYice~ Y H 11t'1.t.
I Each m" . r, - J I )
dwelli,I)j,Qlitiroali,o,o, iUiller, Those r lies are s ,t forth
121 in nAI'l Q<;?_001_0011 0 thrnlJ hOAR 9f 2-001-
I Pump 6[i);jl!P.ti0j1Cil'fl<rlalJ obflain CODi~s of the r lies by
I Sign or o'lPirl4ilil\!1tillll$2r:ente. (Note: 'he telep lOne
I Sign,l ciJftlilt1bl:l~irof~e 0 egon Ut~' ny NOllTlt :allon
energy p""el, 'Itemb'EJrffer is -800-33 -2344).
extensIOn [2J .
1:~~~~~~:ELECfRicAl!,'R'ERMiT;F,.,wEES' .~#'B;fJ!.~,,:::;~,.:,.;~!~~
'Jtk~~.=,~." (ij'r),)9110'7~",..,,,..,.,,.,... .'_.. .....,~<-.w~..E.. d .",_....,~_~....,., ~. -.. .,.,.."",. e ."..::po-
I Subtotal $61.00
I Stale Surcharge (12%'ofpennit fee) $7.32
I City Of Springfield fees * $3.05 J
I TOTi\L PERi'HIT "'[Ii: , $71.371
* City Of Springfield fees: 5% Technology fee
fDefiml/llumber ofinspec/luns alloll'edj
Q~ -LtCD KQ.. '-f \3\ D~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
L-\Yv
tl"'" ,;)c-
y Aa '09'V
\'^V
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00450
ISSUED: 04/03/2009
APPLIED: 04/0312009
EXPIRES: 10/03/2009
VALUE:
.
Status
Issued
225 Fifth Street, Springtield,,OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 353 S 68TH PL
ASSESSOR'S PARCEL NO.: 1702353307300
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
Residenlial
PROJECT DESCRIPTION: Reconnect Furnace
Owner: BRANDEL DAN & CONNIE
Address: 353 S 68TH PL
SPRINGFIELD OR 97478
I. CONTRACTOR I,NFORMA TlON 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 I st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:'
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
Street ImprovwnrtCE:
Storm Sewer ArrIitJtIflt'RMIT SHAll EXPIRE IF THE WORK
Special Instru'JIlJfkoRIZED UNDER THIS PERMIT IS NOT
Not~s: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
, ATT~J'JTIOI\I:~re.IJon law requires you to
folloWY6lli!l'l3.6~~led by the Oregon Utility
NotifiDll#m~!#J)rlhfs~e rules are setforth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
..... ; . 1 ""........ ........<:1 .....~ ~ 4)
..............,..... ~:= J...c: _.. . _ '"
I Valuatio~ Descri~tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Foolage
or Bid Amount
Value
Date Calculated
Page I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Valne of Project
Fees Paid I
Fee DescriPtion
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amonnt Paid
Date Paid
$7.32
$3.05
$55.00
$6.00
4/3/09
4/3/09
4/3/09
4/3/09
Total Amount Paid
$71.37
I Plan Reviews I
CITY OF SPRINLitlELD
Building/Combination Permit
PERMIT NO: COM2009-00450
ISSUED: 04/03/2009
APPLIED: 04/03/2009
EXPIRES: 10/03/2009
VALUE:
Receipt Number
2200900000000000335
2200900000000000335
2200900000000000335
2200900000000000335
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
111111
Rough Electric: Prior to Cover
Final Electric: When all eleetrical 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 cerlify 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 OCCU P ANCY will be made of any structure without permission of the Community Services Division, Building Saf'ety.
I further certify that only contractors and employees who are in compliance wilh ORS 701.005 will he used on this project.
I further agree to ellsure that all required inspections are requested at the proper time, that each address is readable from the
strect, that the permit card is located at the front of the properly, and the approved set of,'plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00450
COM2009-00450
COM2009-00450
COM2009-00450
Payments:
Type of Payment
ONLINE CHGS
cReceintl
.RECEIPT #:
2200900000000000335
Description
Add, Alter, EXlend Circ
Add, Alter, EXlend Circ Ea Add
+ 5% Technology Fee
+ :12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/03/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
kr
Page I of I
, ONLINE CHRISTEN Online
SON
ELECTRIC
Payment Total:
I :46:33PM
Amount Due
55,00
6.00
3,05
7,32
$71.37
Amount Paid
$71.3 7
$71.37
4/3/2009