HomeMy WebLinkAboutPermit Electrical 2009-8-18
". City of Springfield
Electrical Authorization To Begin Work
E-mailcdTo:dcborah.perdew@christenson.com
69600- B E L-09-00078
811712009 2:10 pm
Approval Code: 650804
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.oLUS
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Please check all that appl,.: --~'-Cr;;=douS locations
o A service Of feeder beginning al 0", service or feeder mled 31600 amps
400 Amps where lhe avaibf1le [IIIIIt . or more
currenlexcceds 10,000 Ampsal
150 Vol1s or less 10 ground'
exceeds 14,000 Amps for all olher
installations
10 NewCollslnlction
o Addi;ion/alterationJreplacement
I 0] m 2fmnily dwell;n, 0 M"'H-fmn;]y 0con,"",0;,] 0 A""'''"
1:::'7c;:'7'$0~~;l?~c;!,~B7SITE1iNFbRMATI6N~ND;i!OCAffON?~ ~('
Cr05sStreetldirecDons 10 job site:
DH~althcalefacililies
DBuildings more t1JiIIl three Slories
DMarinasandboalyards
DFloatingbuildings
[JCommercial.useagr;culturaJ
buildings
Qrnstallalionofal50KVAOrlarger
sepeIalelydcrivedsys
D.' "A" "E" or"I-2"or"I-3"
, '
o Recrealional Vehicle Parks
DSupply voltage for more than 600
supplJ'vohsnominal
Job Address: 3500 E 17TH AVE
o fire pumps
o Emergency systems
o Addition ofa new motor load of
100 HPor more
o Six or more res;denlial U;,;IS inone
structure
City/State/ZIP: EUGENE, OR 97403
Suite/bldg.lapt.no.:
Project Name: Lane Transit
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I Description
Antenna System ill maintenance facility
Fax:
IBranch circuits without service or
feeder
I Branch circuits each addilional
circuil withool servIce
1~!~c~~!c.aTPer!lJ'i(Fe~s")~~}7'~~__;~t<~t?" ;;";C;;Ej?+',
1 Subtotal
IS~~te surcharge (12% ofpennil
Iota!)
.ITechnology fee (5% of penn it IOlal)
!TOTAL I'ERMIT FEE
$55.00
2
$6.00
$55.001
$12,00
Phone: 541-682.6130
167001
$8.041'
S3.35 1
S78.391
Name: Keelan Kidt
Email:
I Elee lie. no.: 26.34C CCB lie. no.: 458
I Business Name: CHRlSTENSONELECTRIC INC
I Contact:
1 Address: ]631 NWTHURMAN STSTE 200
I City/State/ZIP: ]UM~R 97209
I Phon" 50]-419-].m11~ t"tKIVIII ~HAw..Jlo'\U/~J~ I Ht VVUKI\
I Em";]:INFO@dl.llsHilslliJll.hD UNDER THIS PERMII IS NU I
I M","I;,.n"" GUIVIIVltNGtU UK Ib;,fV;;iIlJ~UUI~tU ~UK
I S"pm;,;n, E],J\~,l6',1;81;1.DAY 4IilERIOb.
I Supen'ising Eleetrician'~ Name; Paul Horvath
Number ofinspeetions included in p:lid services:
Rcsidcntial Sell'ice: 4
Reconnect Only: I
All Other Services: 2
C9-11Clo K-Q: 6118104
'ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utifity
Notification Center. Those rules are set forth
in OAR 952-001-001 0 through OAR 952-001-
0090, You may obtain copies ofthe rules by
calling the center. (Note: the telephone
number for the Oregon Utifity Notification
Center is 1-800-332-2344).
NOTE: This Authorization To Begin Work expires within 180 days if a
pennit is not obtained. ..
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Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
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-
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-01192
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02/18/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3500 E 17TH AVE
ASSESSOR'S PARCEL NO.: 1703343400301
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New"
Commercial
PROJECT DESCRIPTION: Antenna System in maintenance facility
Owner:
Address:
LANE TRANSIT DISTRICT
PO BOX 7070
EUGENE OR 97401
t'CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/0112011
Phone
541-688-6 \21
BUILDING INFORMATION I
# 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 1St Floor:
Sq Ft 2~d Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION: Oregon 'M',ta'?quires you to
follow rules adoptedlW'I1f!!'tl!1P~~i1 Utifity
Notification Center. Th~vOPIll~S!:are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
_ _".. _ J.t_ _ _ _ _~. HI _, _ ", . I ,
Frontyard Setback: Overlay Dist:
Side I SetbacrNOTICE: # Street Trees Rqd:
Side 2 Setbacl)-HIS PERMIT SHALL EXPIRE IF THfaW(iliD'l\ive Rqd:
Rearyard Set~~HORIZED UNDER THIS PERMli/q&tjWTCoverage:
Solar SetbacktOMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIUD.
--.....;::l .". .' ,0'___. ...- "-'-r-"~"-
I PUBLIC IMPROVEMENTS Inumber for the Oregon Utility Notification
, , Centeus 1-800-332-2344).
Sldewa", I ype:
Street Improvements:
Storm Sewer Available:
Special Instruction:
, Downspouts/Drains:
Notes:
I Valu,ation, Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value:
Date Calculated
, Page I 01'2
,. $I!!RINGFrIIiU.O,
""""=" .'if'" 'I" "";"'.!"''''''''''''.'
~)'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Descrintion
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$8.04
$3.35
$55.00
$12.00
Total Amount Paid
$78.39
J:otal Value of Project
Fees P,qirl J
I Plan Reviews ,
Date Paid
8/i 8/(i9 '
8/18/09
8118/09
8/18/09
CITY OF SPRINGFIELD
Building/Co,mbination Permit
PERMIT NO: COM2009-01192
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02/18/2010
VALUE:
Receipt Number
1200900000000000935
1200900000000000935
1200900000000000935
1200900000000000935
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.
Re/luirerl I nsnection~ I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I 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 shalrbe 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 Communi'ty 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 the front of the property, and the approved set of plans will remain on the site at all
times d'urillg construction.
Owner or Contractors Signature
Pa2e 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
54J-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000935
Date: 08/1812009
8:21:43AM
Job/Journal Number
COM2009-0 1192
COM2009-0 1192
COM2009-01192
COM2009-01192
Paid By
ONLINE PERMIT CHGS
Item Total:
Check N umber Authorization
Received By Batch Number ,Number How Received
KR ONLINE CHRISTEN Online
SON
ELECTRIC
Payment Total:
Amount Due
55,00
12,00
3,35
8,04
$78.39
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of ~ayment
ONLINE CHGS
Amount Paid
$78,39
$78.39
cReceint I
Page 1 of 1
8/18/2009