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Home My WebLink AboutPermit Electrical 2010-2-9 CIO-111 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00064 Approval Code: 680194 2/9/2010 11:08 am E-mailedTo:deborah.perdew@christenson.com . t ~~;~~~;~1:~"'^~-41~:'" ;"'~PI.;AN-; REVIEW~' " "',, 1~~t~~~~:.t~l~.'~::.,.,~~gE S{H~bli~~' I Description I B rari~~hl cfrcuii~5b:,h~?~~}"'t..:~ :j~;:,',t" - I Branch circuits without service or feeder I Branch circuits each additional circuit without service IEle_ctrical ~e;mi{Fee'Sl. ~,'::': .1 Sublotal I Stale surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE ~,P~I,~.~~: L~D' . I' - . "'- ,.... 11,:." ~r I.";"J ..... " ';.,t , l .;~~ OReGON City 01 Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us 1Ii?~;;~~.,;:~ ". :~":~1~i:TYPE'6F~WORK:~~,~~~;~.~ I D New Construction [RJ Additionlalterationlreplacemfmt II":-"~ .::,",,=;;c:ATEGORY;OFiC_ciNSTRU:CTION;~L'cJ~. . ":J I D 1 or 2 family dwelling D Multi-family lRl Commercial D Accessory Ii";.- JOB'SITE.INF6RMATION AND lOCATION T I Job Address: 3957 HAYDEN BRIDGE RD "'.- I CitylStatefZlP: SPRINGFIELD, OR 97477 I Suitelbldg.laptno.: ~-~~~ Project Name: Hayden Bridge Water Intake Cross StreetJdirections to job site: I Tax maplparcel no.: 1702190003300 1~/0~,~"'- i\r:::. ;~:i;.::.~~::'l~,iL DES9~fpTiO:f:{}oi=~v~iQR:K:; ~.i4':r~~~":":\,,::';~~":~:~~~";~ Replace (3) RTU'S AT THE HAYDEN BRIDGE WATER INTAKE FACllTlY . :,_~~:l~iTE',C()NfACLa~Ji:-F:!~;j~:~!Y ~ I Name: Chad Pivratskv I Phone: 541-228-0352 I Emai'!: Fax: I' <, ;.t.,....,, I,_ti,__, .::' \ ,:'=?:~~>:< ~;;~~GONTRACTOWr;#:~ /;'~~~ ~;i ~;::~'c,. .-- ",'~."- .,,:J I Elec lie. no : 26-34C cca lie. no.: I Business Name: CHRISTENSON ELECTRIC INC I Contact: I Address: 1631 NWTHURMAN ST STE 200 I City/State/ZIP: PORTLAND, OR 97209 I Phone: 5034193600 Fax: 5034193695 I Em.H, 'NFO~u,~~~~,.~,:;. -:r " \A,nO\( I ' I n1;) n:n'VIII "H"ll ..Ii, I:-I[ Ir TP.~ ' M.t", he. no". Z n "'Jni:~_ti!Me1!l~RMIT IS NOT I "UTHORI E.. .., ..-, Sup.",','og ~{ft\'ur~l\fCEf) OR ~7imANDONED FOR I Sup.",'slng ~Ve~ro.a-AY PERUD9l'ORVATH 456 " ..~':... ,. 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 fixed within one business day, with Instructions on how to schedule your inspection. NOTE: Thl, Authorization To Begin War!( expIres within 180 days If II pennit Is not obtained. The local building department may determine thai an Authorization To BegIn Wort( is null and void If it does not meet applicable land use laws and local ordinances. ..'-<.. ~';1 Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps al150 Volts or less to ground exceeds 14,000 Amps for all other D Hazardous locations D A service or leeder rated at 600 amps or more o Buildings more than three star D Marinas and boat yards D 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" , , D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal ,~,,' ~ atv.J, Ea. .~{!L.. Total " o Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more D Six or more residential units in oneslructure D Health care facilities t\ 0 - \1ll ",!:. $55.00 $55.00 4 $6.00 $24.00 $79.00 $9.48 $3.95 $92.43 ~ l(q!IO ,- -. ~ ATTENT1ON: Oregon laW requIIeI you tit toUow rules adopted by the Oregon U1111ty NotIftcatlon Center. Those rules are set forth In OAR 852.001.0010 through OAR 852.001- ooso. You may obtain. '/'''' of the ruIeI br calling the center. (Note: the telephone I\UlIlbIr for the Oregon Utility NotIfio.1IQft Center 1I1~.2344). ~'va~ '6)' \ 0,\0 'A~ \>> ..~)j W?' Inspect;,?ns Pho~e: 541-726-3769 This Authorization To Begin Wor~ .must be ~osted at the job site until replaced by a Permit ____ ~fi~_A~ ~~~~1~9,~: '':4:,I,,~,tl,.~_If'I_1 ' .j; '-j ~~. ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00174 ISSUED: 02/0912010 APPLIED: 0210912010 EXPIRES: 0810912010 VALUE: , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3957 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702190003300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: 5 circuits tp replace 3 RTU's at the water intake facility. Commercial Owner: CITY OF EUGENE Address: CITY HALL EUGENE OR 97401 I CON'fRACTOR INFORMATION I Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 05/01/2011 Phone 541-688-6121 BUILD~NG INFORMATION' # of Units: Primary Occupancy Gronp: Secondary Occupancy Gronp: Primary Construction Type Secondary Cnnstruction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: . Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: , n/a ~ DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %,of Lot Coverage: ' ....,. '. .';<>. . Total: Handicapped: Compact: , . AJTEt'fll9N: Oreqon JaW requires you,t.o NOTICE" - lIow rules aaopteo uy U1" \,I'"y''''' w.o..., THto/MS ERMIT SHAll EXPIR~loVEMENTS ~~tificatlon Center. Those rules are sat forth Street ImprOVf :>":RIZEO UNDER THIS PERMIT IS NOT , In OARi9lilihOo~p31)thr~gh OAR 95rul2-OO,: Po U DFOR ,." 0090 You mayol)taJn copI88 of the eBu, Storm Sewer ~U\i,~~CED OR IS ABANOONE ,;,':' calil?t~WIlll~[acmste: the telephone Speciallnstruflwr'180 DAY PERIOD. . . number for the Oregon Utility Notification Center 18 1-800-332-2344). Notes: I Valuation Descriotion I Descript~on Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Datc Calculated Paee I of2 ':y':f . Status Issued ,..j' 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .'. ., ~.. Total Value of Project Fees Pai~ I Fec Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount'Paid $9.48 $3.95 $55.00 $24.00 Total Amount Paid $92.43 Date Paid p'J;[n Reyiews ., 2/9/10 2/9/10 2/9/1 0 2/9/10 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM20IO-00174 ISSUED: 02/0912010 APPLIED: 02/09/2010 EXPIRES: 08/0912010 VALUE: Receipt Number 1201000000000000115 1201000000000000115 1201000000000000115 1201000000000000 n 5 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,?~i~edl~~,rl';~tions I Rough Electric: Prior to Cover Final Electric: When all electrical work is ~omplete. By signature, 1 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 pe~taining to the work described herein, and that NO OCCUP A\,/cy 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 rcquired inspections are requested at the proper time, that each address is readahle from the street, that the permit card is located at the front of the: propei.ty; arid the approved set of plans will remain on the site at all times during construction. . . ~LJ. !." j'" .. ,";rj Owner or Contractors Signature Page 2 01'2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Wt- Job/Journal Number cOM20 I 0-00 174 cOM20 I 0-00 174 cOM20 I 0-00 174 cOM20 I 0-00 174 Payments: Type of Payment ONLINE cHGS cRcceintl RECEIPT #: 1201000000000000115 Description Add, Alter, Extend circ Add, Alter, Extend circ Ea Add + 12% State Surcharge + 5% Technology Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/0912010 Item Total: Check Number Authorization Received By Batch Number Number How Received r.id By ONLINE PERMIT CHGS KR " " ' '.'~ ., Page 1 of I ONLINE CHRISTEN Online SON ELECTRIC Payment Total: ] I :32:39AM Amount Due 55,00 24.00 ?48 3.95 $92.43 Amount Paid $9243 $92.43 2/9/20 I 0