HomeMy WebLinkAboutPermit Electrical 2010-1-13
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00021
Approval Code: 652854 1/13/2010 2:05 pm
E-mailedTo:deborah.perdew@christenson.com
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I 0 New Construction
I:,
I (RJ t or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
i:'~joBrSITE~IN F~6RMATf6N:ANl)1[6C~A'Tf6N";;;j-~~+_,~~:'~h~~'~
IR] Addillon/alteration/replacement
I Job Address: 500 58TH ST
I CitylStatelZIP: SPRINGFIELD, OR 97478
I Suite/bldg./apt.no.:
I Project Name: BARRETT
I em.. S'",,"direclion, 10 job ,il.
I Tax map/parcel no.: 1702331405600
TWO CIRCUITS FOR WASHER & DRYER
II
I Name: STEVE BARRETT
I Phone: 541~747-9a89
I Email:
10: ,
,,-, ."
Fax:
Elec lie. no.: 26-34C
ceB lie. no.:
458
Business Name: CHRISTENSON ELECTRIC JNC
I Contact:
I Address: 1631 NW THURMAN ST STE 200
I City/State/ZIP: PORTLAND, OR 97209
I Pho",: 50?!q3fg~E:
I Email..NF~b<;..R.fi-I?tl..!J.lJlMALL EXPIRE IF I HI: WUKI\
" . AU'- nvniLCU ul~ucn inbQ ~i:JiMI713-NOT
Metrohc'~"'I\~r'Erl('lrr'l nn Ie" ....Aq,i~I}<.~~9 eno
I SUP'''i'ii~;f~~TI'~I;~p~~,;'O~~:i:ir:- - _..
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Fax: 5034193695
Supervising Electrician's Name:
PAUL E HORVATH
Number of inspections included in paid services:
Residential SeNice: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your pennlt will be e.mailed or faxed
w1lhln one business day, with instrucllons on how to 5chetluleyourlnspection.
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 appUcable land use laws and local ordinances.
Please check all that apply:
o A seNice 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
D Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure '
o Health care facilities
C IO'~V
o Hazardous locations
o A seNlce or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
buildings
D Installation of,a 150 KVAor
larger seperately derived sys
O "A" "E" or "1_2" or "f.3"
, ,
D Recreational Vehicle Parks
o Supply ~oltage for more than
600 supply volts nominal
I Description
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE I
C IO-LID ~ \\13\\0
I Branch circuits without seNiee or
feeder
I Branch circuits each additional
circuit Without service
$55.00
I
. ,~"
$55.00 I
$6.00 I
$6.00
$61.00
$7.32
$3.05
$71.37
ATTENTION: Oregon law requires you to
fonow rules adopted by the Oregon Utility
Notification Center. Those rules are set forllt
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utill1y Notillcatlon
Center 18 1-1100-332-2344).
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Inspections Phone: 541,726-3769,
This Authorization To Begin Work'~~st be posted at the job site until replaced by a Permit
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00040
ISSUED: 01/11/2010
APPLIED: 01/11/2010
EXPIRES: 07/13/2010
VALUE:
SITE ADDRESS: 500 58TH ST
ASSESSOR'S PARCEL NO.: 1702331405600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Relocate lauudry room- electrical will be added later
Owner: STEPHEN BARRETT
Address: 500 58TH ST
'SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Plumbing
Contractor
CHRISTENSON ELECTRIC INC
OWNER
OWNER
BUILDING INFORMATION I
# of ,U nits:
Primary Occupancy Grnup:
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:
R-3
VB
-" License
--.
458'---
No
I DEVELOPMENT [NFORMATION .
Residential
Expiration Date Phone
05/01/2011 541-688-6[21
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQU[RED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setba~)QT/CE: Paved Drive Rqd: ATTENTION: Oregdn"QW)'Vequlres you.to
Rearyard SetRac"lhERMIT SHALL E % of Lot Coverage: follow rules adopted by the Oregon Utility
Solar Setba~ks!0 XPIRE IF THE WORK , . . C t Th e rules are set forth
~uTHORIZFn IIMnl'R TI-IIQ OCCUlT 1<' ..,:'T ~o~~~a~~~_v~~_~~',u,,~.~~,,: :-\~~~.
, "OMMENCED OR IS ABANDOIN~lJlfIl-JR: IMPROVEMENTS I 0090. You may obtain copies of the rules by
Street 'mpr1~lml~RPAY PERIOD.' CSIUMJ~er. (Note:.~e telephone
. number ii>r "th13'Oregon Utility Notification
Storm Sewer Available: ' DownOlll\t9IItr:llt800-332-2344).
Special Instruction:
Notes:
I.........
,', ';Pa2e 1 of 3
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,
GP-RINOI'II:lLD"
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Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
Fees pairlJ
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Fixture
MinimumlAdjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amonnt Paid ,>, ,',
$16.44 '
$6.85
$79.00
$19.00
$39.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$23 I.6~
I Plan Reviews I
Date Paid
111111 0
1111110
1111110
1111110
1111110
11\3/10
11\3/10
11\311 0
11\3/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00040
ISSUED: 01111/2010
APPLIED: 01111/2010
EXPIRES: 07/13/2010
VALUE:
Value
Date Calcnlated
Receipt Nnmber
2201000000000000024
2201000000000000024
2201000000000000024
2201000000000000024
2201000000000000024
1201000000000000040
1201000000000000040
1201000000000000040
1201000000000000040
To Request an inspection call the 24 ho,!r 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,
. '.;.
ReciiHrerl Insnections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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.
Paee 2 01"3
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.1';-,.',
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00040
ISSUED: 01/11/2010
APPLIED: 01/11'/2010
EXPIRES: 07113/2010
VALUE:
Status
Issued
By signature, 1 state and agree, that I have carefully examined the completed application aud do herehy certify that all
iuformation hereon is true and correct, and I further certify that any and all work performed sh:lIJ he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State nf Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of auy structure without permission of the Community Services 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.
1 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 tbe front of the property, and the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
,.
,
-j"
Pa2e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726"3759 Phone
Job/Journal Number
COM20 1 0-00040
COM20 I 0-00040
COM20 1 0-00040
COM20 I 0-00040
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
1201000000000000040
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Pa,ge I of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/13/2010
2:37:18PM
Amount Due
55,00
6,00
7,32
3,05
$71.37
Amount Paid
ONLINE Christenson Online
Electric
Payment Total:
$71.37
$71.37
1/13/20 I 0