HomeMy WebLinkAboutPermit Electrical 2009-4-9
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EC549838 ~
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City of Springficld
Electrical Authorization To Begin Work
E-maiIedTo:deborah.perdew@CHRISTENSON.COM
Receipt #
4/9/2009 II :39: 13 AM
Check on status of permit
By Phoue: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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I"'~~b<2fj\,,!q~_~.,~r~1~:::~'~I',~~.l~"'1:,~~.
[XJ Addition/alteration/replacement
I 0 New construction
I. H"" ,. ,CA:rEGORVOf;<;ONSTRU.c.1I,ON' ':'<
I [K] 1 or 2 family dwelling 0 Multi-family 0 Commercial I Industrial
I:' ';;';{:. ,,'~ ~"JOB SITE)NFORMAJ;ION ANP):OCATION' ~'::
I Job no.: 42023 I Job address: 6557 EST
City/Slale/ZIP: SPRINGFIELD, OR 97478-4508
I Suitelbldg.iltptno.:
I Project name: JUZELLER
Cross street/directions 10 job site:
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ILOIIIO.:
ISUbdiYiSiOIl:
Tax map/parcel no.: ]702341300326
r~, -; '_',,:,-;;.DEsc~I!,'J;i()N'oF~pRI<
REPLACE METER BASE
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I Name: PAUL HORVATH
I Phone: (541) 50]-8846
I Email:
I,:~ ;~C~O-~f~~CT6J(:-J-i:g~-~t-:,-
lEI. lie. no.: 26-34C I cell lie. 110.: 458
Business Nllllle: CHRISTENSON ELECTRIC INC '
1 Cont.", DiMdllaladll.iJE\v , .. .
]Address' IIITQIMBqIlfi~MlJi)drlIMlJl EXl-'lKt It' TH_E ~v~RK
lC;ty/Sl.t,rLINJif;WtlJ~il[lill.IieffiEK I HI:; t"tKIVIII 10> l~i}T
Ipho,,, (54IJ@ID-MMENCED OR IS Aijfl.&l4Ui'l<lit~,li~n
I Ema;!, d'ho,Af1ll(d~liJMttlllSBtIQflt.1
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 4079$
Supervisin~ dcctrician's name: PAUL E HORVATH
I Fllx:
Upon review and approval by your local jurisdiction, your
permit will be a-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 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.
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-,;-. ~~~ +~'~}';';;':~'~55~~CH.~~ij.L;~:rl'
I Description l Qty. J Ea. I Total
1-~~~idfnt.~~.1 SINC!U:~ 'C?~ ~ulti~~u~~'-S.~~il!ing lInit:::!~clud~
:~"~tached garage. }:- - . '-'i~ti,~" ~:'.. "; -~' '_. . ' .:; > ~.. .,. "
II,OOOsq1\,o,less[4] I I I
1 Ea. add] 500 sq. ft. or portion
I~L~!"i.icd'Entrgy~: '~ ~-:-;{.~".
I ' - limited energy, resid~ntial
(with above sa.n,)
I-Limited energy, multifamily
residential (with above sq. ft)
I-limited energy, commercia"] not offered online at this jurisdiction
(with above SQ. ft.)
I - Stand-alone limited energy,
residential
I . Stand-alone limited energy,
multi. family
I I "Stand"?!one limited energy, I
commercml
11[,~~rl'k~{bli'.f~!.rs'i"riili.~~lItior ~lter1)t0ii;-AN~jOi(~i~catio~ :'":- .i;
';-,[ 1200 amps or less [2]
120] amps to 400 amps 12]
1401 amps to 599 amps (2], ,
1:!E~1I'0R1,~~ ~J_,s~,n, ':~,C~,: <.>~~t~,' ~,?)~st,idl~~iO~:,al~~ni,~!,on" <~
iA.i'iE!OR,~~to~H~!!.:~:'"\t~,{Y'"&....~:" 'Ji~' ':;;>..;;:'>:\' :-,;
I 200 amps or less [2 J
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
1[~r~l,ch3!~uit~..~ 'NlnV,.aF~~!i~I~; 6R~ ~\ten~hu;~'pe~hp~nei ,^
I A. Fee for branch circuits with
service or feeder fee, each
branch circuit
B. Fee for branch Circllits
w;\hou\ smice 0, f>i\'''' 15' glln law re' lulres yo I to
fi,st b,~tII'!DNililIl<N: re . lft€- )rggnn l tll1tv
each 'fIlIlll!rl<~c~Id~,actople: ~~~ .,,1 o. ~re se forth
'~lis<tll.<!b\.\;'uS1t10n\,ji"".!~~,...!r,-".:;,i.' 'OAc'R;'952-001:"~ :.
~:,:'lrJ~~ti;~~~:'~";~tl;~~~~~; of t~~\ii~sq~~~;
Eachlliii,"'OC\;J;HH,ffloLa, (Note: t~le telefJl V"O I
dw,JJ;nllOi!',Wi"').tdMl fe&Wer un ty Notific ation
f21 ;,;,,;rr.~~ri"rthe.Or~gon.. ".h~~";').
I Pump or irrigatlOnEi~!(j\fQlIS 1-8UU<)~':::: t:"- I
j Sign or outline lighting (2] 1
I Signal circuit(s) or limited- I
energy panel, alteration, or
extensionJ2J
. .:~:;1~"L ~~E.~TjffcAL.~~R.~IT. f~ES.:
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I Subtotal 1
I State Surcharge (]2% of penn it fee)
I City Of Springfield fees "I
I TOTALPER1\IIT FEE
, . City Of Springfield fees: 5% Technology Fee
(Defallll nllmber of in spec lions allowed)
IL\2-
$63.00 [
$7,56 I
$3,15 [
$73,71 I
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Status
Issued
U 1 Y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00472
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
'541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6557 E ST
ASSESSOR'S PARCEL NO.: 1702341300326
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace meter base
Owner: JUZELER J SCOTT
Address: 6557 E ST
SPRINGFIELD OR 97478
Owner: JUZELER MARY S
Address: 6557 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/01/2009
Phone
541-688-6121
BUILDING INFORMATION ~
# 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.
REQUIRED PARKING.
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
MnTI('I::. ATrENTION: Oregon law requires you to
- -- , TOIIOW rUles aoopteo oy me uregon Utility
THIS PERMIT SHAll EXPIRE I~ROVEMENTS ~otification Center. Those rules are sef forth
Street ImpAUIMOOlZED UNDER THIS PERMIT IS NOT In OM~llOt~10 through OAR 952-001-
~o M~Mk.ED OR IS ABANDONED FOR " ' ' 0090. You may obtai(1 copies of the rules by
Storm Sew v.jl 'f'tJ:. 'callilW'!lf!l'I!iMil?f.a~ote: the telephone
Special In tib. AY PERIOD. ~ r-b.. number fO,r the Oregon Utility Notification
~~ " Centef is 1-800-332-2344).
Notes: ~~~Q/
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00472
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
TYne of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
$7.56
$3.15
$63.00
4/9/09
4/9/09
4/9/09
Receipt Numher
2200900000000000354
2200900000000000354
2200900000000000354
Total Amount Paid
$73.71
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 ~.~c.,:,ired r,:,~p,~~tions.1
Electric Service: Approval required prior to utility company energizing service.
By signature, I state aud 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 in compliance with ORS 701.005 will he 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
times during construction.
Owner or Contractors Signature
Date
Paee 2 01'2
125 Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00472
COM2009-00472
COM2009-00472
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description _
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
2200900000000000354
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/0912009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
ONLlNE Christenson Online
Electric
Payment Total:
1:51:47PM
Amount Due
63,00
3,15
7,56
$73.71
Amount Paid
$73,71
$73,71
4/9/2009