HomeMy WebLinkAboutPermit Electrical 2009-9-21
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City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:deborah.perdew@christenson.com
69600- BE L-09-00 142
9/21/2009 8:01 am
Apprm!al Code: 660359
Check on slatu~ of permit
By Phone: 541-726-3753 or Email: perrnilcenter@ci.springfic1d.or.us
~i&'~;~;~<<,~r''7;~I~t::PlJ\N:REVIEW.:'ilrJ.1M T~:( ;"~.'~e'~~"tl-
PIClISecheck all tblllapply: DHazaJdouslocations
o A service Of feeder b~ginning al 400 DA service or f~der raled al 600
Amps where tbe available faull amps or more
currenlexceeds 10,000 Amps sl
ISO Vohs or less to ground exceeds
J4,OOO Amps for llH other
installations
o NewConstnlction
o ;'dditionJaltemtion/replacemelll
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DBuildings more than three Slories
DMa.rinu and boal yards
DFloalintlbuildings
DCommercia'-useagricuhura'
buildings
01 or 2 liunily dwelling
o Multi-family o Commercial
o Accessory
'I'.. ":"--:':C;~JOBSITE-iNE(jRMATiON'AN'b'i:OCATiON["''''!'';;'''':~ ,~, ..r&'!
o Fire pumps
o Emergencysyslems
o Addition of anew mOlOr Joad of
100 HP or more
Job Al.Idress: 2830 MANOR DR
City/State/ZIP: SPRlNGFIE~D, OR 97477
Suile/bldg.lllpt.no.:
Dlnslall:lIionofaJSOKVAorJarger
seperaldyderivcdsys .
D"A","E",or"'-2"or"I.3"
DRccr~utioniil V~hicle Parks
DSupp'yvohage for mOle than 600
suppJy VOllS nominal
DSixormorercsiden1i~'unilsinonc
slruclure
ProjectNamc:Wahlin
CrossStreetldirtctions tojobsite:
o Heahhcarefacililies
I Tn m'plp"''' n., if] O~~'2. ,0\ \CO
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1~~~~Art~'f,[f~;1f,-;r:,~,~~~,"FEE .SCHI$'b(Ji.:Et!}fc%,~]}~~t--~k'_F'y.i;':",J
I Description . ~--l QIY. J Ea. Total
l~tiicell:aheOus-:-~;.,:_ ,":;0 _~~.,};~.,.;~ .-" ',_. ,;:L",:--:~"" .t-~:S"o_
IScfvicercconneclonly II
~t;.'~~.
REPLACE SERVICE MAST
ISublotul
I Stale surcharge (12% of permit 101al)
I I Technology fee (5% ofpermillolal)
I' ITOTALPERMITFEE
^~ i tCl- 1364
. '_.~';t~~~:._'~-~r'0;;:CONTRACT6ftlit'- ~.:.\~~;t'0' ~~~.~:.~~.~V~;tl
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[lee lie, no.: 26-34C CCB he. no.: ,1~ ",",
".,'n", N,m" CHRISTENSON ELECTRIC INC ',. ~ ' ,,'('-
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Phone: 503-419-3600 c$-' ,t~~-;S~3Sf19-3695
Em,iI, INFO@CHRISTENS02!iF9M_~ ^ ~--:'Q-. '~-SJ'V
Metro Ik.. no.: A...,V.....<t'>'"..,A,,<vv,,%'iiY!if!,;W-.:
Supenisinl: Eltctrici~~lir. !,o.;' .C'107!tSSJv ~ -
Suptnisinl: Electrician's N~Jrtr:~" '~~_~gHo~\-'~th'
Number o(inspections includ;ii:; p;id'ser\oii:~s:
Residential Service: 4 \.;v~
ReconneclOnly: 1 ~
All Other Services: 2
$63,00 1
17,56 I
S3.15 I,
S73.711
It ~.~,~ ~~;~~;~",:'!:~~~:i:~~..,~ ~"!~~U~SITE CONTA~T-
I Name: Tim Wahlin
I Phune: 541-744-5569
I [mail:
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Fax:
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Contact:
Al.Idress: 1631 NWTHURJ\.1AN ST STE 200
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City/Slate/ZIP: PORTLAND, OR 97209
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Upon review and approval by your local Jurisdiction, your permit will be
e-malled or faxed within one business day, with instructions on how to
schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a pennit is
not obtained,
The local building department may detennlne that an Authorization To Begin
Work is null and void If It does not meet applicable land use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINlJtmLD
Building/Combination Permit
PERMIT NO: COM2009-01389
ISSUED: 09/21/2009
APPLIED: 09/2112009
EXPIRES: 03/2112010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2~30 MANOR DR
ASSESSOR'S PARCEL NO.: 1703233201100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace service mast
Owner: WHALIN TIMOTHY R & CAROL L
Address: 2830 MANOR DR
SPRINGFIELD OR 97477
Phone Number: 541-744-5569
'.
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/0112011
Phone
541-688-6121
, , ! BUl~ING INFORMATION I
~\J' ;\
# of Units: "\Y:-~ ~~ Stories:
Primary Occupancy Group: X. '\< # cl:I;eJght of Structure
Secondary Occupancy Group: :{3.~ 'Y.~<0 ~'V 'l:Yype of Heat:
Primary Construction Type ~\- Y.:. jl-S ~~ Water Type:
Secondary Constructipn TYPS;~ ~~ "\ ~'r""'V Range Type:
# of Bedrooms: ~\\J-v.;. -$' '0",,'V f-> ~ Energy Path:
\\t;;)"c., 'Y.~:\\.-~~.\\ <J~_~<J'V' Sprinkled Building:
\' ;\'<'~ ~~v ~ '
'r'0 ~~~ '(,\:\ 'V
<:; \"\\
Frontyard Setback: 'r~
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIREHlp;\RKING
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I PUBLIC IMPROVEMENTS ,~~a, .'(Oll\~~ ce~\o;e90~.~;~.'2.'3~~"
?,\\\(\c;) .^\ \\\ , \ .I'>()
C SidewallirT~pt:
(\u\\'- Ge\\~
Downspouts/Drains:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
..
Value
Date Calculated
Page 1 of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01389
ISSUED: 09/21/2009
APPLIED: 09/21/2009
EXPIRES: 03/21/2010
VALUE:
Status . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
9/21/09
9/21/09
9/21/09
3200900000000000656
3200900000000000656
3200900000000000656
Total Amount Paid
$73.71
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. will be made the following
work day.
I ReOlJired Tnsnections I
"
Electric Service, Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby 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 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
streei, that the permit card is located at the front of the property, and the approved set or plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
22~ Fifth Street
Springfield, Oregon 97477 ,
541-726-3759 Phone
Job/Journal Number
COM2009-0 13 89
COM2009-01389
COM2009-01389
Payments:
Type of Payment
RECEIPT #:
Description "
Service Reconnect
+ 5% Technology Fee
+ 12% State S"!"ch:rrge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintl
7- ~~~'.IlU)". -.,", ',' I~- '..~,..,
jJf.
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3200900000000000656
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/21/2009
Item Total:
<;heck Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of I
ONLINE CHRISTEN Online
SON
ELECTRIC
Payment Total:
9:11:S6AM
Amount Due
63,00
3,15
7,56
$73.71
Amount Paid .
$73,71
$73.71
9/21/2009