HomeMy WebLinkAboutPermit Electrical 2009-7-1
ffi-C113 \(~ 1\\\0'1
II
ATTENTION: Oregon law requires you to
foil ow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may ~btain copies of the rules by
cailing the center. (Note: fhe telephone
number for lhe 'Oregon Utility Notification
Center is 1-800-332-2344).
~'l
n.(\.~o/
. \'l,. ~~ .
~$
"
City of Springfield.
e~I!!~,g~~,._
Electrical Authorization To Begin Work
EM mailed To: deborah.perdew@christcnson.com
Check on status of permit
By'Phone: 541-726-37.53 or Email: permitcenter@ci.springfield.oLus
I D NewConstruction
[] Addition/alteration/replacement
Ple~echeckallthalapply:
o A scrviceor feeder begiflllingal
400 Amps where the available fault
current exceeds 10,000 Ampsal
150 Volts or less 10 ground
exceeds 14,000 Amps for allOlher
installations
-,; ,;;:j~~~~'CA TE(ioRYi6F1Cr(fNSTRucTia.N":fl~':l~'~~~~~:~(~<
Dlor2familYdwclling
DMuhi-family
o Commercial
DAcceSSoI)'
I Job Address: 3007 FRANKLIN BL YO
I Cif)'/State/ZIP: EUGENE, OR 97403
I SuiteJbldg./apt.no.:
I Project Name: WRB FlELI? PROJECT HOUSE
I Cross Street/directions 10 job sile: JENKINS DR
I Tu'p!p",,'"" l '10"9 '?,L)?-0 ('fJl{J)
1~~~:;2}:~?jiifjf~g;t~~~~\~"ilibES~ci~r~Tio'Nr61:~WORK4fi~yl;;:t~~~st4{:~~~1
ELECTRiCAL REPAIRS AND LIGHTING UPGRADES TO CODE
o Fir", pumps
D.Em~rg"'ncy systems
DAdditionofanewmotorload'of
100 HP or more
DSixormoreresidentialunitsi'none
su;ucture
D Health care facilities
Description
J'~'''I
.,
, <',.c,;;.~!
Branch circuitswithollt service or
l\:eder
Branch circuitsellch llddiciQUll}
cirCllit without service
Name: DanPalanuk
Subtotal
Phone: 541-228-012]
Fax: 541-688-6528
State surcharge (12% of penn it
total)
Technology fee (5% of penn it total)
TOTAL PERMIT FEE.
Email: deborah.perdew@ch.ristenson.com
Elee lie. no.: 26-34C
CCBlie.no.:
458
I Business Name: CHRISTENSON ELECTRIC INC
I Contact:
, Address: 1631 NWTHURMAN STSTE 200
I City/State/ZIP:NMrL!~i:b1R 97209
1 Pho",503-419l"!q4S PERMIT SHALl:.bW."',",oil" 1Mb VVUI"\f\
I E.".iI,INFO@1/\QjlTiII@allElJ UNDER THI::> PtKIVll1 It> I~U I
I M""Ik..." COMMENCED OR lli:il,l,lil!l.WUUNtU rUrI
I Sop",;,i., El'MW.10l!loRAY4PE~iofi.
I Supen'ising Electrician's Name:
PAUL HORVATH
Number ofin~pections included in paid services:
Residential Service: 4
ReconneelOnly: I
All Other Services. 2
Upon revIew and approval by your local jurisdiction, your permit will be
9'mailed or faxed within one business day, with Instructions on how to
schedule your Inspecti~n.
.#
~g\<'5-
7J~'
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 if it does not meet applicable land use laws
and local ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit,
69600-BEL-09-00018
7/1/2009 I :51 pm
DIl~douslocalions
DA ,erviceor feeder rated at 600 amps
or more
[]Buildings more than three stories
DMarina, and boat yards
DFloalingbuildings
OCommercial-useagricullural
il buildings
Dlnstallationofal50KVAorlarger
".seperatelyderivedsys
D"A".'T',or"r.2"or"l-J"
DRecreationalVehideparks
DSupplyvoJ,8!lef6rmorelhan600
Ii supply vohs nominal
$55:00
$55.00
$6.00
$30.001,
I
$85.00 I,
$10.201
$4.251
$99.45
~~
:.... SIl:RIf!l!llJ\IIll:~.,?i,.
'. 5;)1 . . c ,
~l
CITY OF SPRINGFIELD
Building/CQmbination Permit
j~
Status
Issued
PERMIT NO: C'OM2009-00973
ISSUED: 07/01/2009
APPLIED: 07/01/2009
EXPIRES: 01/01/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3007 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703343300700
Eugene
TYPE OF WORK: EleCtrical Work Only
TYPE OF USE: New'
PROJECT DESCRIPTION: Electrical repairs and lighting upgrades to code
Commercial
Owner: CBS OUTDOOR
Address: THREE GALLERIA TOWER 13155 NOEL RD 12TH FLOOR LB 72
DALLAS TX 75240-5090
Owner: PATEL ALPESH & KOMAL.
Address: 1857 FRANKLIN BLVD
EUGENE OR 97401
I, CONTRACTOR INFORMA TlON I
Contractor Type
Electrical
.contractor
CHRISTENSON ELECTRIC INC
License
458
I!
"
Expiration Date
05/01hol1
Phone
541-688-6121
I BUILDING INFORMATION.
# 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:
L S. II
ot. lze:
"
Sq Ft 1st Floor:
'I
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~nt Load:
"
n/a
Storm Sewer A ".ilable:
Special Instruction:
I
!, REQUIRED PARKING
Front yard Setback: Overlay Dist: '! Total:
"
Side I Setback: # Street Trees Rqd: !: Handicapped:
Side 2 Sl,jmmCE: . Paved Drive Rqd: ATTENTION: OregoA laW'!%'!fOires you to
Rearya~;J;~~~'tRMIT SHALL EXPIRE IF THE WOO/ft Lot Coverage: follow rules adopted}by the Oregon Utility
Solar SetAIIT~'nRIZED UNDER THIS PERMIT IS NOT Notific:ation Center. T~ose rules are set forth
COMMENCED OR IS ABANUUI~tU.F! '.to' ." v~" "'~~-vv l-VV 'v ","VU;j1l v~" "'''''''-vv 1-
, I t'lJBLIC IMPROVEMENTS '090. You may obtain' copies of the rules by
Street I.J;'l~.x.JJiPnP.~Y PERIOD.' call~YilJ.r.\h\(Elf:t\l~: (Note: the telephone
num6er tor the Oregon Uti lily Notification
DoiYospo~tsl"rJljIi&332-2344) .
.' ,
II
I:
I DEVELOPMENT INFORMATION I
J Notes:
. ;,
I;
II
,
Paee I 01'2
_$,f:!F!I"~!ilEI~9]
or
l ...,>
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
!I
PERMIT NO: COM2009-00973
ISSUED: 07/01/2009
APPLIED: 07/01/2009
EXPIRES: 01/01/2010
VALUE: ..
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation De~criDtion I
DescriPtion
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount.
I'
Value
Date Calculated
Total Value of Project
Fees Paid 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
$10.20
$4.25
$55.00
$30.00
7/1/09
7/1/09
7/1/09
7/1/09
2200900000000000748
220~900000000000748
2200900000000000748
2200900000000000748
Total Amount Paid
$99.45
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same. working day, inspections requested after 7:00 a.m. will1:be made the following
work day. .
I Reolliredlnsnections I
J;
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do h~reby 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 of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Building Safety.
I further certify thai 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 a'ddress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wi" remain on the site at all
times during construction. :
,
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
~pringfield, Oregon 97477
5'4I-726-3759Phone
Job/Journal Number
COM2009-00973
COM2009-00973
COM2009-00973
COM2009-00973
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
2200900000000000748
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Received By
KR
Page 1 of I
City of Springfield Official Receipt
Developmeht Services Department
, .
Public Works Department
Date: 07/01/2009
Item Total:
Check Number Authorization
Batch Number Number How:Received
,
ONLlNECHR1STES . Online
ON
ELECTRIC
Payment Total:
':
2:18:45PM
Amount Due
55,00
30,00
4.25
10.20
$99.45
Amount Paid
$99.45
$99.45
7/1/2009