HomeMy WebLinkAboutPermit Electrical 2009-4-9
City of Springfield
Electrical Authorization To Begin Work
E-maiIed To: deborah,perdew@CHRISTENSON,COiVI
Check on'status of permit
By Phone: (541 )726-3753 or EmaiI: permitcenter@ci.springfield.or.us
DNcwconstruction
[KJ Addition/alteration/replacement
IlliJ 1 or 2family dwelling
o Multi-family
o Commercial/Industrial
IJob 110,:4202] IJob address: 2103 23RD ST
ICily/State/ZIP: SPRINGrJELD, OR 97477-6513
I Suitc/bldg.hlpt.no.:
I Project name: MCCLURY
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1703251209800
I Lot no.:
FURNACE
PAUL HORVATH
I Phone: (541)501-8846
IF."
I EI. lie. no.: 26.34C I CCD lie. no.: 458
lOusiness Name: CHRlSTEN?ON ELECTRIC INC
ICon~act: DEBOR~W
[Address: III SW dY[~~l~M~~rrE 480 '
C;tyISlateIZII': poHtJ~b'bIllMhT, SHAll EXPIRE IF THE WORK
phoo" (503)419336!P I HUHILtD UND~R,Tl:llS)4/i1B/il>M'T IS NOT
Eo",il: debonohperltill/liUYJtblllNi!tfbt0:EMS ABANDONED FOR
1 M".o Ii" 00,: ANV lllU DAY PERIIJ:lli Ii" no,:
I Supervising electrician's lie. no:: 4079S
ISupervising c1ectricinn's name: PAUL E HORVATH
.
Receipt # EC549849,
4/9/20092:02:20 PM
,\1)
(A,/
V
1
I'
not offered online ill this jurisdiction J
I
1
1
1200 amps or less [21
j 201 amps 10 400 amps f2J
I 401 amps to 599 amps [2] I
I~I~,~trQ_~;S~~\S~~i~'ks:~tt'~~_rs:i:Dfr~~',~~~l~Iff}lJfer~i~o_~;.r~~~~'<;~1
r~}~~~91,rre!oc,a~JYJL~~:!'"~$b;.;~r~::;:.e:'t~&~_",~:J:ui;;.f.rJ~;:~
1200 amps or less [2J
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
If~!aJl-cti.'~]f{~Ilfi)~JVr~!~r:iHi~;:Q~"~Xt!"isio.~;~~:~~~t~,lt~~~:r;li!nl
I A. Fce for bmnch cin:uils Wilh I
service or feeder fee. each
branch circuil
I 8, Fee for branch circuits ] $55.00 $55.00,1
without service or feeder fee,
fir~tfrJ'rW1f\tif~(ii)lf.$l ()rp~('\n, 1~\M.J:.e.q.ll c.e.s.-y:r"_1 t.:,
I ':f<iJlieP.libl'\!ll~s'a~opted ~v thp, O.r.i!.rtO~ .I!IilJllv I
It~~.'li'l!l'!l~il!Q'eJn!i~lfllosef~i.lIe~tat~i$etHE;rilll;i~'\.~1
I ~~AA~.it\lf,lHl\J10t~rough aIR 952-011- I'
""""''',m'U\M'''<l\t,>I0BUWn ,:oP',es or ne rUles oy I
dw'l!li..rftil1WtTIeo&e~' (~ ote: the elephon
r2humbGr tor th~ F!':.~.J -. ~X;l;ty. r v~;f;\.o~~;\. I' 1
Pumporlrn~J5>~~~~~_~ _ 'jQJ~3- 1).
I Sign or 9utline lighting [2] r I
I Signal circuil(s) or li.miled- I
alteration, or
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. . I SUbtotalj
I MiJlimum fee used instead of Subtotul
NOTE: This Authorization To Bogin Work expires within 180 I State Surcharge (12% of permit fee) I
days if a permit is not obtained. I City or Springfield fees *1
~ I TOTAL PERMIT FEE
The local building department may determine that an * City Of Springfield fees: 5% Technology Fcc
Aulhod.atlon To Beg'" Wo.k I. onll and void 11 it doe. not cf\ /D'(\'I;:";'::'L:rl3'aIIOH'~e.- Ll \ q I CI1
-."".., ""'.,, _.""-,.~'~"". \~ L ~I
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
11.,000 sq. ft. or less [4J
I Ea. add! 500 sq. ft, or portion
I . Limited energy, residentiril
(with above SQ. fU
- Limited energy, multifamily
residentinl (with above SQ. ft,)
- Limited energy, commen:ia'l
(with above sa. ft,)
1 - Stand-alone limited energy,
reSIdential
1_ - Stand-alone limited energy,
muhicfmnily
I - Stand-alone limited energy,
commercial
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00473
ISSUED: 04/0912009
APPLIED: 04/0912009
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: 2103 23RD ST
ASSESSOR'S PARCEL NO.: 1703251209800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Reconnect Furnace
Owner: MCCLURG JOINT TRUST
Address: 2103 23RD ST
SPRINGFIELD OR 97477
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 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
NOTICE: I DEVELOPMENT INFORMATION I
" ,,-NT/ON' Or _REOUIRED PARKING
, THIS PERMIT SHALL EXPIRE IF THE WOar . follow rules ~do et~~rTJaW requires you to
F~ontyard SAtl!IifOORIZED UNDER THIS PERMIT~\\[ D.st:, .No!lftcation Cenf~ Th ip~tlll? Oregon Utility
S,de I Setba~MMENCED OR IS ABANDONED I~ e Trees Rqd: In OAR 952-001-00' Haildic3PP.flj:sef forth
Side 2 SetbaJ\'My 18 F Ii\.ed Drive Rqd: 0090. You may ob/~ tr(l;lIti(pa(b;!\R 952-001_
Rearyard Setb'acli: 0 DAY PERIOD. % of Lot Coverage: Calling the cente ami cOPies of the rules b
Solar Setbacks: nUmber for the 0:' Note:. Ihe telephone y
,... _ . egon Utllltu "1_..,,,.
I PUBLIC IMPROVEMENTSI -'-"'V' ,~ 1-t:SUO-332-2344f"~""V"
Street Improvements:
Storm Sewer Available:
SJleciallnstruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Tvne of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00473
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
, Total Value of Project
I Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
4/9/09
4/9/09
4/9/09
2200900000000000355
2200900000000000355
2200900000000000355
Total AmouniPaid
$67.86
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 Renuired In~n~c,.ionsl
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 or 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 Sarety.
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
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2'
.
225 ,Fifth Street
Springfield, Oregon 97477
541-726-3759Phone
Job/Journal Number
COM2009-00473
COM2009-00473
COM2009-00473
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000355
Date: 04109/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE Christeson Online
Electric
Payment Total:
Page 1 of 1
2:10:24PM
Amount Due
58,00
2,90
6,96
$67,86
Amount Paid
$67,86
$67.86
4/9/2009