HomeMy WebLinkAboutPermit Electrical 2009-4-28
City of Springfield
Elecjrical Authorization To Begin Work
E-mailedTo:debomh.perdew@CHRISTENSON.COM
Receipj # EC550705 ,;\y1J
4/28/20099:16:53 AM ~'
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9
Check on status of I)ermit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
, .~' rCAi~gC>Ri~C>F C9NSTR~Cti~1'!;';~"',
10 1 or 2 [':tmily dwelling 0 Multi-lllmily [X] Commercial I Illdllstrial
'.',JOBSITE INFORMATION ANIJLOCATIC>N." Y
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!Jobno.: 42066 IJobuddress: ~GATEWAYST &s2~
I City/State/ZIP: SPRINGFIELD, OR 97477.]058
I Suitelbldg.lupt.no.:
Project name: HILTON GARDEN INN
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'~~t~€;4' ~-~$~,tsqHEDu,~~ " "J~~. ;'$"
I Description l Qly. I Ea. I TOlul
1\!l~~i_d~~!~U'Si~.G L",,~: o,R muld~f1fniilyd,~cllini~_:~lli~: Includcsi:l
I ~ttac~~dgaragc -.j."'F:'_~ .:.'...-:; ~ :..... ." _ -,". .. _.. ..--"
I I 1,OOOsq, n. orJcss [4] I
I Ea. add] 500 sq. ft. or portion
"1 [~:Limit~~ Energy'. ,''';~'" r~ '.
I 1 - Limited energy, residential I
I (with nbovc SQ. ru
I-Limited energy. multifamily 1
I residential (with above su. ru
I I. - Limited energy, commercia'l not oITered online at this jurisdiction ',1
(with above SQ. f1.)
I - SlUnd-ulone limited energy, I
residential
I - Stand-alone limited energy,
multi.family
I - Stund-alone limited encrgy,
commcrcial
r~el~'ic!.i O~-[fdCrS"i~s!~~I~!!'o~[J';~~~~~t-~~!1fA~?lpR: ~_e.!.~c~ti~~"
1200 amps or less [2]
120] amps to 400 amps [2J
1401 amps to 599 amps [21
Il,E.~~P()~tt~RY~Sr~~~s 9,~~Jee,cdcrs,"~~~J.lIUa;_ion,,'}iJ~~r~.~ii~,}i~1~"\':', ',~'
.ANI?/ORreJocu~IOII'j,:",;.-,''<.'}hJ'-:''J:$- : ~ ~:".l'Y;t-;i;'-:~
1200 ,mps OC les5[2] I 2 $63,001 $12600
1201 umps to 400 amps [2J I I
1401 'mps to 599 mTIps [21 I I
I:Bi:anc~:cjrCui~s:~ N~W"a~te~.iti~nr~~'.ex!eri,sioD,;Ji~r p,~~_el' ~. " '. t.
I A. Fcc for branch circuits with
service or feeder fee, each
brunch circuit
lB. Fcc for brasi6.H dilcliits IUI\J: ~Jregon Ii w requlI ~~ yuu IU
~;tho"t serv;!l)W6~f\.q:I;S a opted b\ the Ore' Ion Uti lit '
lJrst branch ~lrcult,.l-r " - -~_~-', "_u TI.... -:- 1" ,I...... ....... ......... ~......; h
'.each ~d~_1 ~~~~~f:i[~~t!;~~'. ~~~r.i~'_~ (l 'f'~. ~~_l';h ~,;;~- a-~-;_()~_ . .
:'~~:;~i::~~~~;~~Jt~~~!~~;:i~~~~~~:f;;I~:;~~~:IY
I Each ~anufacfvm-h~.rl!!JP~ltl,~rth ~ Gregor Utility N )tillCGtlorl
dwdllllg, servIce anClor f.cedert 's 1 8('0 t:<r:-'!,1_') 1:.(1 , ~)
[21 vljl I er, - >l oJV_........, ,
I Pump or irrigation circle 12] I
I Sign or outline lighting [2} I
I Signa] circuit(s) or limited- I
energy panel, alteration, or
extension 121
It~~~.~~~... :k~}~~.~~.9IRlfA,~; ~ERM!j:FE.E~~: ;; '-.' ~'f!
I Subtollll $]26.00 I
[ Stale Surcharge (12% of permit fccj $15,12 [
I City OrSpringlield fees. $6.30 I
I TOT'\LPt:RMITFEE, $147,421
. City or Springfield fees: 5% Technology Fee
[Defalllt number of inspectiollS allowed)
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D Addition/altcralionJreplucement
10 New construction
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Cross stn.'ct/dircl'lions to job site:
ISubdivision: ILot no,:
ITa~ IIlllp/pllrccl no.: ]703]53301500
I';:;' -\. ,~~~- ~':'1~t~'-~~~,.",q_E~~RI~IION}2F ~C5r{K~
TEMP SERVICE FOR }-IILTON 3528 GATEWAY
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I Name: PAUL HORVATH
I Phone: (54])501-8846
IEmllil:
l-,~, :,'f:'?,~_ ,f~$:~C<?,~T~~TQRiL;{~ifi"
I n lie. no,: 26~34C ICCD lie. no.: 458
I Business Naill{': CHR]STENSON ELECTR]C INC
IContllct: DEBORAH PERDEW
IAddress: II] SW COLUMBIA SUITE 480
I c;ly/StaMtJ if '~~(LA ND OR 9720 I
Ipho"" ~~HS<lf1f<RM1LS.J.jAII J:YDI~'it!5f~~I:kl~
lEma;!: ~ctLr~vt>Sf<Ni"@RII~t;l!r~Jj=D[;R"IT Ie', 'I 0T
I ~r.-. ,'- III, ,""'fVT'l'V'.
Metro 1~",?:iMf'Nr.f'f) nR IS ' , tLloro
ISopmiSiP$\lIej:I~iq;'\'l'llljt'/l'l"QiWfI' ,n
!Supen'ising deetriehm's name: PAUL E HORVATH
I Fax:
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 jf it does not {\~~ ,....("-.
meet applicable land use I~~ local ordinances, ~~~
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tq - 5~Lo
~ 4/2.8;( oct
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00566
ISSUED: 04/28/2009
APPLIED: '04/28/2009
EXPIRES: 10/28/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726,3676 Fax
541.726-3769 Inspection Line
SITE ADDRESS: 3528 GATEWAY ST
ASSESSOR'S PARCEL NO,: 1703153301500
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Temp Service for Hilton Garden Inn
Owner: GATEWAY HOSPITALITY LLC
Address: 621 W MALLON AVE STE 509
SPOKANE WA 99201
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 Occupanc)' 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
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
A.'n,.I...._
I DEVELOPMENT INFORMA'F10N I
"'~ rr:~IVIII SHALL EXPIREW~~8RtRKING
Overlay Dist: ~~;~HOr:RIZED UNDER THIS Pl:1'li.I~1f IS NOT
# Street Trees Rq~;,~~NCED OR IS ABANDON~\!,di'tJwed;
Paved Drive Rqd: 'y I R0 DAY PERIOD, Compact:
% of Lot Coverage:
-~-. IVL..
THIS PERMIT ' I PUBLIC IMPROVEMENTS I
Stree/l!rtiprli\!~t!!mst~~~~ ~XP/RE IF THE WORK
Stonf~~4J~\r.fjlibIfR IS AB~~60ENRMIT IS NOT
Speclill I"bstl?uh'WW PERIOD, ED FOR
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier.
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
,Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00566
ISSUED: 04/28/2009
APPLIED: 04/28/2009
EXPIRES: 10/28/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees P3irl I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$15,12
$6,30
$126,00
4/28/09
4/28/09
4/28/09
2200900000000000449
2200900000000000449
2200900000000000449
Total Amount Paid
$147,42
I Plan Reviews ,
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 ReolJir~d Insoections I
Temporary Electric: Approval required prior to Utility Company energizing pole,
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 iu accordance with
the Ordinances of the City of Springlield 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 arc in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the
street, that the pcrmit card is located at the front of the property, and the approved set of plans will remain 011 the site at all
times during construction. '
Owner 01' Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-'126-3759 Phonc
Job/Journal Number
COM2009-00566
COM2009,00566
COM2009-00566
Payments:
Type of Payment
ONLINE CHGS
cReceintJ
RECEIPT #:
~'
City of Springfield Official Receipt
Development Services Department
, Public Works Department
2200900000000000449
Date: 04/28/2009
Description
Temp Power 200 amps or less
+ 5% Technology Fcc
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE Christenson Online
Electric
Payment Total:
Page I of I
9:49:38AM
Amount Due
126,00
6,30
15,12
$147,42
Amount Paid
$147.42
$147.42
4/28/2009