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
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.. 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~ \
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~~ '
~.
~ .~ ~.\.\\
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