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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