HomeMy WebLinkAboutPermit Electrical 2009-7-20
City of Springfield
Electrical Authorization To Begin Work
E-,.rnaih~d To: deborah.perdew@christenson.com
Check on status of permit
B)' Phone:' 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New cOnS~c(iOn
o
Please check aJl Ihat apply:
Addifion/alterafionkeplacement
DAserviceorfecderbeginninllal
400 Amps where the available fault
currcnlexceed,lO,OOOAmpsal
150 VOIIS or less 10 ground
exceed~ 14,000 Amps for all other
installations
IDIo<2fOffiilYdWdlio,
o Multi-ramily
E3]commerCial
o Accessol)'
Job Address; 3620 OATEW A Y'ST
I
I
DFirepumps
o Emergency systems
o Addition ofii newmOlor load of
100 HPor rnore
DSjxor~oreresidentialunjlsinone
stru.-tw'e
DHeahhcalefacilili~s
City/Stllte/ZIP; SPRINGFIELD, OR 97477
Suite/bldg.fllpl.no.:
Project Name: Oregon State Police
Cross Slreelfdirectionstojobsite:
I TllX mllp/parcel no.:
u...r:::cv
Description
Circuit for New HV AC Unit
Branch circuits without service ur
feeder
Ba]ance of penn it fees
Name: Paul Horvath
Subtotal
Phone: 54]-50].8846
Fax: 541-688-6528
State surcharge (]2% of penn it
total)
Techno]ogy fee (5% of penn it total)
Email: deborah.perdew@christenson.com
TOTAL PERMIT FEE
Eleclie. no.: 26-34C
CeBlic.no.: 458
Business Name: CHR]STENSON ELECTRiC ]NC
Contacl:
Address: ]63] NW THURMAN ST STE 200
City/Slate1ZIP: PORTLAND, OR 97209
Phone: 503-419-3600
Fax: 503-419_3695
Email: INFO@CHR1STENSON.C01\1
Metrolic.no.:
City lie. no.:
Supl'Tvisin,E: Eleclririan's lic. no.:
Supervising Electrician's Name:
4079-S
l'aiJlHorvath
Number ofinspeclions included in VlIid services:
Residential Service 4
Reconnect Only: I
All Other Services: 2
r
~~\.\\.
o
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 \A~horization 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 vClid If It does'not meet applicable land use laws
and local ordinances
This Authorization To Begin Work mustbe posted at the job site until replaced br a Permit
UJm2pJ7
/70
oJ cJ<-S-_?
7~20-0q
?-/7
C ~/q
69600-BEL-09-00046
7/20/2009, 2:13 pm
Approval'Code: 681316
[JHaz1.douslocations
E]A se,rvice or fe"der rated al 600 amps
or mOle
DBuildingsmorelhal1threes,ories
[JMarina'lIlId boul yards
DFlu~'tinllbuildings
[JCori;nlercial-useagricuhural
buiJ,dings
Dlnst~Jatjon of a ] SO KY A or larger
seperalelyderivoosys
O"A"}"E', or "1-2" or"[-J"
DRerrea,iOlllliVebicleParks
DSup~lyvol1agefarlnorethan600
supply vohs nominal
I;
Tolal I
'''-'''I
$55.001
~I
$3.001'
I
'I
S55':~J
$1.00
$58.00
$6.96
$2.90
$67.86
, cY\
'~ 1)..,'
II~~~~
~\Y
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fa.
54]-726-37691nspeciion Line
CITY OF SPRINGFIELD
, Ii
Building/Combination Permit
- . U
PERMIT NO: COM2009-00953
ISSUED: 07/17/2009
APPLIED: 06/29/2009
EXPIRES: 01/20/2010
VALUE: $,3,500.00
,
SITE ADDRESS: 3620 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703153300300
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION:' InstaU ductless mini split system
'Owner:
Address:
OREGON DEPT OF TRANS HWY COMMISSION
355 CAPITOL ST RM 119
SALEM OR 97310
TYPE OF USE: New
CommerCial
I'
Ii
, "
Phone Nu"!ber: 54]-50]-8846
'.
.1 CONTRACTOR ~NFO~MATION I
Contractor Type
Electrical
Mechanical
Contractor
CHRISTENSON ELECTRIC INC
HARVEY & PRICE CO
, License
458
77
Expiration Date
. "
05101/20].1
10/31120] 0
Phone
541-688-612 ]
541-746,]62]
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:
n/a
Lot Size:
;, .'1
Sq Fl 1st Floor:
Sq Ft 2itd F;loor:
Sq Ft Baseinent:
Sq Ft Garage/Carport
Sq Ft Othe~:
Occupant !',oad:
I DEVELOPMENTlNFORMATION ,
, .. . -. . . . -. -, -. -.:;:l-" '';'''' " -~IW'" ~- ] -- .-
I PUBLIC IMPROVEMENTS:llow rules adopted by the Oregon Utility
, 'IMlflca~0J1 Gem'I' Those rules ale set forth
, iil OAR 8:l,Sjd',-oG~l?Jeinrough OAR 952-001-
0090, YDownspouts!brliiits',j'S of the rul.e~ by
calling the center. (Note: ,the tel~phone
number for the Oregon Utility Notification
Genter is 1-800.33i-2344),
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Street Improvements:
Storm Sewer Available:
SpeCial Instruction:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
,\iJTHORIZED UNDER THIS PERMIT IS NOT
'0~'.1f,1E~ICED OR IS ABANDONED FOR
, : c 1 li.W PERIOD,
Notes:
Pa!!e 1 of3
"RE.QUlRED PARKING
"
Total:
Handicapped:
Compact:
~ ................ ,......,......, ,...
"
I
\l
_~I!lI;!<l!"I!llI'qi
-..!ij, I
Il:
CITY OF SPRINGFIELD'
.,
Building/C.~mbination Permit
.' I'
Status
issued
"
, PERMIT NO: COM2009-00953
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/17/2009
06/29/2009
0l/20/2010
$ 3,500.00
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~ Fpp<, P\ilU
$9,30
$3.88
$77.50
$6.96
$2.90
$55.00
$3,00
7/17/09
7/17/09
7/17/09
7/20/09
7120/09
7/20/09
7/20/09
Receipt Number
I; ~i
22009000000000008]3
22009000000000008]3
22009000000000008]3
3200900000000000544
3200900000000000544
320~900000000000544
3200900000000000544
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical~ Value
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid.
Total Amount Paid
$158.54
SUB Review
06/29/2009
Plan Reviews ~
OK
",
JF
passed 0703(}9
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. wiWbe hlade the following
work day. '
~rrprl rn~nections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Pa2e 2 of 3
_S,!A.I!'IGp'll1l,I4Dz
"'4
1,/
-,.~>
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
"
PERMIT NO: COM2009-00953
ISSUED: 07/17/2009 .
APPLIED: 06/29/2009
EXPIRES: 01/20/2010
VALUE: $ 3,500.00
,
!
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-37691nspection Line
- " :,
By signature, I state and agree, that I have carefully examined the completed application and do h~relly certify that all
information hereon is true and correct, and I further certify that any and all work performed shall bedone 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'ces Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be,used on this project.
I fnrther agree to ensure that all reqnired inspections are requested at the proper time, that each ~ddr~ss is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will re,main on the site at all
times during'co.Dstruction.
Owner or Contra~tors Signature
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
I
"
City of Springfield Official Receipt
Development Services Department
PubliciWorks Department
,
"
Job/Journal Number
COM2009-00953'
COM2009-00953
COM2009-00953
COM2009-00953
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
2:16:06PM
3200900000000000544
Date: 07/20/2009
Description
Add, Alter, Extend Circ
MinimumlAdjusnnent Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
55,00
3,00
2,90
6,96
$67.86
Paid By
ONLINE PERMIT CHGS
Item Total:
. <":heck Number Authorization
Received By Batch Number Number How Reech'cd
NJM ONLINE CHRISTEN Online
SON
, ELECT,
-,
Payment Total:
, :!
I:
$67.86
Amount Paid.
$67,86
Page 1 of I
7/20/2009