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Home My WebLink AboutPermit Electrical 2009-11-9 , City Of Springfield . 225 Fifth 8t ;::~Springfield,.O.R 97477 . . Phone: 541-726~3753 Email: permit~n~~r@ci.springfield.or.us cq'/lA1 Residential Electrical Authorization To Begin Work 69600-BEL-09-00237 Approval Code: 651241 11/9/2009 3:50 pm E-mailedTo:deborah.perdew@christenson.com I 0 New Construction IX] Add-!t'ion/al1erationtreplacement IL'~WC~I~!39~[y;ofi,t(;Q~liI@cjrlQN~B~~ 1001 or 2 family dwel!ing. ~:,D Multi-family 0 Commercial 0 Accessory IR~~!jOBiSITE!iNF..OFl.IIII;6;T1OmANDli!6cATION~a'!P'L~ I Job Address: 303 18TH ST.' - ~":,> . . ~:.', I CityfStatelZlP: SPRINGFIELD, OR 97477 I Suite/bldg./aptno.: I Project Na'ma: PING I Cross Streetidlrecliof~ ~ jO~S;;;;; I Tax map/parcel no.: 1703362401100 CIRCUIT FOR DUCTLESS SPLIT SYSTEM I Name: Robert Pina : I Phone: 541-726-9325. I Email: Fax: Else lie. no.: 26-34C eea lie. no.: 458 I Business Name: CHRISTENSON ELECTRIC INC: I Contact: Address: 1631 NWTHURMAN ST STE 200 ~ ....ll f.... CltyIStaleIZlPN~T~E~R '.720. Phon., 50341<fMlS PERMIT SHAll EXRffiE~.lftl.UIIlI\ I Ema'" INFO~M.\~!.mb'.,t;MJ.mUt" iiii;; ~~ I ,. ::JMMCNOm OR IS AB.'.~,~~~~ Metrolic.no':/1f\IV 1Pfl n/1V DJ:QlnnCltylic.no.:) I Supervising Electrician's lic. no.:. 4079S':.~ I Supervising Electrician's N~me:' PAUL E HORVATH Number of Inspections included In paid services: Residential Service:' .4 Reconnect Only: 1 ,(, All Other Services: 2 .-: '; 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 sc~edule your inspection. NOTE: this AuthOrizatlOn_~o Be~ln w.o_~ ex~~rea withIn ~80 days if.a permit Is not obtained. , , The local building department' may determine that an Authorization To Begin WorX is null and Voldlr It does not meet applicable land use raws and focal oro'lnances. ,- " " Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~ P'~1 Please check all t~at apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps DE~ergency systems o Addition of anew motor load of 100 HP or more o Six or more residenti~l units in one structure o Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three star o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A"; "E". or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Description Total I Branch circuits without service or I $55.00 , $55.00 I feeder IMiS-:~f!~'@oU~J~~~Jr~~~~~~:!~G'i!~~1 Balance of permit fees I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE C9-1 LoLf I $58.00 $6.96 ~ $2.90 $67.86 l \t[lo/ift - -"." _'~."U"'l'.",,~_:)..-er- ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set fortlt in OAR 952-001-0010 through OAR 952-oot- 0090, You may obtain copies of the rules bf calling the center.. (Note: the telephone number for the Oregon Utility Notilioalicln Center it H00-332-2344). ~ , ':;5": ~v \\~ .6\ ~~ ~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '.:' Lilt' OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01641 ISSUED: 11/10/2009 APPLIED: 11/09/2009 EXPIRES: 05/10/2010 VALUE: (.', Status Issued ".... '.., i: SITE ADDRESS: ',303 18TH ST ASSESSOR'S PARCEL NO.: 1703362401100 . -\- Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Circuit for ductless split heating system Owner: Address: PING ROBERT J 30~,N 18TH' SPRINGFIELD,. OR 97477 Phone Number: 541-726-9325 , t ~. 1... I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 05/01/2011 Phone 541-688-6121 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Typ'e 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 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla J DEVELOPMENT INFORMATION I REQUIRED PARKING , ~ Frontyard Setback:' ,. Overlay Dist: Side 1 Setback: .. , # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: ATTENTION: Oregon law requires you to liMt~"C.. _ ,""'"....'u Ptlll'l.f!l> ..........~.....,.a a..r..U~IQ./"\"""'e""'- II.:I~.. , THIS PERMrf SHALL 'EXPlRErWU!JUlCll'lJAft'>RovEMENTS INotification Center, Those rules are set forth R'THI'S PEk,Wi\ I"I'U I in OAR 952-001-001 0 through OAR 952-001. Street Impro^tlIi,~IZED UNDE 009o'?i%~'\Yia'f~ain copies of the rules by Storm Sewe~~CED OR IS ABANDONED FOR caVjBGJ~~~ilfslpte: the telephone Special Instqi1l6iSn1BO DAY PERIOD. number for lhB Oregon Utility Notification , Center ii 1'800-332-2344). Total: -,..~,. "-'~-' Handicapped: Compact: Notes: I V~luation DescriDtion I Descriotion Tyoe of Construction ;-. \ .; $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Pa2e 1 of2 CITY OF SPRINGFIELD . Status Issued ,>' ~i," ". ,,\:'~':,s~,~"'. 225 Fifth Street,~Spr!ngfield,'OR;" "f' 541-726-3753 Phone' 541-726-3676 Fax . . .. f: ". .~. . 541-726-3769 In~pectiolf.Line "' ';._' Building/Combination Permit PERMIT NO: COM2009-01641 ISSUED: 11/1012009 APPLIED: 11/09/2009 EXPIRES: 05/10/2010 VALUE: ' Total Value of Project .; " -.' :? Fees Paid I . Fee Descriptjon;:~ ,.;1 ,tJ.. + 12% State Su'rcharge'," . + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Number :" . .'. :: / $6,96 $2,90 $58.00 11/10/09 11/10/09 11/10/09 1200900000000001249 1200900000000001249 1200900000000001249 .,,1; " Total Amount Paid $67.86 , :i.., ~.;~ .. ".- 11 ':. l' r' Plan Reviews I d, i- H " ' t~ ..f ~. " , 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. H:: .~~,.. I Reouired !nsnections I , ., . Rough Electric: Prior to Cover Final Electric: When all eledrical work is complete. t) By signature, I state and agree, that I have carefully examiued the completed application and do hereby certify that all iuformatiou hereon is true and correct, and I further: certify that any and all work performed shall be done in accordance witb 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 street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. u Owner or Contracto'rs Signature' , Date :I~ l' " ",J ''-' '.~' ~. " Pa~e 2 of 2 .. -:! H' , '. .. ,. ." .:. 225 Fifth Street"'- ",." Springfield, Oregon 97477 541-726-3759 Phone ',;" -,~ '" . . 'RECEIPT:#: Job/Journal Number 'f ~ Description COM2009-01641 "',.-,, ,Add, Alter, Extend Circ .- COM2009-01641 'i+ 5% T~c~()logy Fee COM2009-01641 '+ 12% StateSuri'harge Payments: Type of Payment ONLINE CHGS Paid By ,ONLINE PERMIT CHGS ,:, ~' . . .,., .,'" . ~", :..; ~ " \' " ! ~. i .:.!' ~ .:.: , . ,,- " ~l' ,,1,;:, . '. , , " cReceintl 1200900000000001249 City of Springfield Official Receipt Development Services Department Pnblic Works Department Date: 11/10/2009 " Item Total: Check Number Authorization Received By Batch Number Number How Received KR :-'~, '~~.' .,,-..; .;; .' " Page I of I ONLINECHRlSTEN Online SON ELECT, Payment Total: 9:29:15AM Amount Due 58,00 2,90 6,96 $67.H6 Amount Paid $67,86 $67,H6 11110/2009