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HomeMy WebLinkAboutPermit Electrical 2009-5-19 Electrical Authorization To Begin Work E-mailedTo:deborah.perdew@CHRISTENSON.COM Receipt # EC551949 5/19/200910:54:30 AM c.\'Y q)f ' G .. City of Springfield Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o 1 or 2 family dwelling o Multi-family [K] Commercial/Industrial Description l Qty. Ea. J Total ;R 'e~Si.iJCn6'u 1.:SIN'G,LE~OI~?lnUI.'. i.,"tU'riiil)-,<'d ~ "C'lIi".g\uniiHn clu,'il es:S~.~:t~.;ji~'1 ;;;""^W.-$i~'.# -'-"""~~Y-'J~'~j,~.Z;;/':?i-m1~'tt "::;':fT;h;1l ~""-,,,",, r",< -"-~ J;~' ',; , ~lltt~~1~c2-g11!:~~~~jg:~:f~~"~~;i-:~rr~-.;:~' jct:i.~~:... J:~;-v~r~1o II,OOOsq,ft,o:less[4j I I Ea. addl '500 sq. ft, or ponion I .1 o New construction ~ Addition/alteration/replacement Job no.: 4214] I Job address: 3480 I-IUTTON 51' City/State/ZIP: SPRINGFIELD, OR 97477.1075 I Suitc/bldg.lllpt.no.: I Project name: J-lOLlDA Y INN EXPRESS Cross street/directions to job site: INSTALL I-Limited energy, residential (with above SQ, ft.) I-Limited energy, multifamily residential (with above sq. It) _ I. - Limited energy, commercia'l (with above SQ.ft,) I - Stand-alone limited energy, residential I - Stand-alone limitedellergy, muhi~family - Stand"aJone limited energy, commercial l~mIffi~o~;!i!F~tJ~~~_!!~~i~:ltffit!~~ti~2lq:~:r~IP.~!i~;,~~~~;1 I I Inot oITered online at this jurisdiction 1 Subdivision: ITaxmap/pareel no.: !Lot no.: ] 703222000911 TWO NEW 200 amps or less [2] 1201 amps to 400 amps [2] 40] llmps to 599 amps [2] ;fTEIVIPOR:ARy.'se-r;;'ices, OR;ft:roers~'iilstullationi aiiera'tioli;f'~r~~-:"I ~~N))!o!i!ei~c~t~_€t~~3iiWf~~~1.\~~+.0~~",:;; ::.?f~~~i~i i{! 'I 120 I <Imps to 400 amps [2] I I Name: PAUL HEWETT I 140] amps to 599 amps [2] 1 I Phone: (541) 501-9i43 I Fu" I 1!~H,!ch;ci~i@.~!TY~ktf.BH\fM,\\,e1tr~i'l\!!iilffiPe~~OU to' 'I 11,~m:~'"~"-'*"~8l?!w~~'i!i!';!E-"-'~'-' ="'i'l\!iF"~ "'-~'{jt,,"_ """'11 I ~:~;~: ~;tW~l.\I:I~lii~dobied by t Ie Orego 1 U~1itYh I ""*;;,j;"('~illtj~Trct"'~~",S2Ii'tMS!Q.Rl#::,;,;;!,d~~j;l:;;;i"""',~,~~i@! b,"och ,Nmtification Cent~r. Those rules are set ort EI. lie, no,: 26'34-~ . ~,CB ,I<, "0,: 458 ] B" Fee f'fr\' 'eYg~m;!:9!'Jl!'001-*1 0 thrQl gn l,j'l'\IOo(""-'i'B,on I ' , , ' m~~IMj~ ~ PIHl: IF THE WORK I WIlhoul SJ\\>;!'i\\O: "li: fheay 0 tain co~ es of the rules by BUSiness I"'ame. S E EE1.L _. first braJ]MU~lHllI ._ I ' I CO"""" DEBR~" '___ __ I "Ii:> t"tKMII I::; NUT l"e~,:ud~1 b~HlIOO,~!1e ~~~lt:~ ~~'b~:~~~tf~fJf,~~;~~ IAddcess: III s~ )c!~t~1~J,^~8f.tE.l.l~ Ii:> AI:lANUUNl:D FUR 1 ~tii~e1I'!!':<~!l#~~~€~~",~:''Yf€&~t~i>~1):qa:;{i;~~~"''::'!ii! 1 CilyISlUtc/ZIP: %~~l'l.k9J~ ~N7~I:IiIUU. I Seev;ee :ceonneel only [2] I 1 Phone: (541 )6886121 1 Fax: (541)6886528 1 Each manulaC!ured.or modular I . dwellmg, servIce andlor feeder I [mail: deborah.pcrdt~w@CI[R1STENSON.COM I f2J . 1 M " I c" " I Pump or irrigation circle [2] I etro Ie. no.: I Y Ie. no.: 1 Supcrvisilig cleclridan'~ lie. no.: 4079S Sign or outline lighting [21 I I Signal circuit(s) or-limited- I I Supervising c1eetrician's,namc: PAUL E HORVATH energy panel, alteration, or extensiun [21 S"""""''',;"'1:V:t:':C<<U'' "-'l-,.- -'""'?--"'_"""__'__"''-:'~-r-~~:'~~:~' ;..--_. F+?:rf3t~., f:x~.t~ E~~CIBI"C;A~~~_~~~~T."F,~~~. ,;,_. I Subtotal I State Surcharge (12% of per mil fee) I City Of SpringfiellHees .. I TOTAL PERI\-HT FEE, .. City Of Springfield fees: 5% Technology Fce ! Defiiulr number afinspections allowed} C0-lQQj \CQ 5\ l C) \ 09 200 amps or less [2] Upon review and--approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, ~ith instructions on how to schedule your inspection. .'"1 ,'~~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. $61.00 I $7,32 I $3,05 I $71.37 I The local building department may determine that an f\ ~ , Authorization To Segin Work is n,ufJ and vo_id if it does riot ~-..(l meet applicable land use laws and locaJ ordinances. ~JlD~ \ \,,~, ~~ ' ~. ~ .~ ~.\.\\ This Authorization To Begin Work must be posted at the job site until replaced by a Permit , Status Issued I CITY OF SPRINGFIELD Building/Combination Permit' PERMIT NO: COM2009-00692 ISSUED: 05/19/2009 APPLIED: 05/1912009 EXPIRES: 11/19/2009 VALUE: ,. 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3480 HUTTON ST ASSESSOR'S PARCEL NO.: 17032220009]] Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Replace 2 light fixtures; install 2 new fixtures; install lobby wall art for the Holiday Inn Express. Owner: Address: HUTTON HOLDING CORPORATION 840 BEL TLlNE RD STE 202 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION 1 Contractor Type Electrica' , Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 05/0112011 Phone 541-688-612 I BUILDING INFORMA TJON 1 # 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 ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT ]NFORMA TJO~ i REQUIRED PARKING Front yard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: ' Handicapped: Side 2 Setback: MQ C' Paved Drive Rqd: Comnact: t Rearyard Setback': TI E: . % of Lot Coverage:ATTENTION: Oregon law requl es you .0, Solar Setbacks: THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility ^,JTuf)n'2~~ l'~!~Y: T:W: rmWT I: 'IX ~o~i~ica~~~_g~ln_~~iJ~~r~eu~~e~:~e,,~e:_~~~~ COMMENCED OR is ABA~ROVEME~:pfiyou may obtain copies of the rules by Street Improvem'l,{\!tl(: 180 DAY PERiOD. calling tISld:i.'<WliJM.TW€:te: the telephone number fwJhe Oregon U.tility Notification Storm Sewer Available: ' Clffitl~Nt'q~i~g-~~2344). Special Instruction: Notes: I Valuation Descriotion I Description Type of' Construction $ Per Sq Ft Or multiplier Square Footage Or Bid Amount Value Date Calculated Paee ] of 2 _~!1!,!!!,,~IliI~!!i" f '.,iJ . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00692 ISSUED: 05/19/2009 APPLIED: 05/19/2009 EXPIRES: 11119/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Total Value of Project Fees Pai~ I , Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.32 $3.05 $55.00 $6.00 5/19/09 5/19/09 5/19/09 5/19/09, 1200900000000000480 1200900000000000480 ]200900000000000480 1200900000000000480 Total Amount Paid $71.37 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. wiII be made the following work day. ~~cl',ir~~, I~s'lect!o~s I Rougb Electric: Prior to Cover Final Electric: Wben all electrical work is complete, ,By signature, I state and agree, that] have carefully examined the completed application and do hereby certify that all information hereoil is true and correct, and I further certify that any and all work performed s~all be done in accordance with the Ordinances of lhe City of Springfield and tbe Laws of the State of Oregon pertaining to the work described berein, 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 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 tbe front of the properly, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Sr.ringfield, Oregon 97477 541-726-3759Phone Job/Journal Number COM2009-00692 COM2009-00692 COM2009-00692 COM2009-00692 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000000480 'Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 05/19/2009 Item Total: Check Number Authorization Received By Batch Number Number. How Received KR Page I of I ONLINE CHRISTEN Online SON ELECTRIC , Payment Total: 1] :06:30AM Amount Due 55,00 6,00 3,05 7,32 $71.37 Amount Paid $71.3 7 $71.37 5/19/2009