HomeMy WebLinkAboutPermit Electrical 2010-5-6
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00197
Approval Code: 681850 5/6/2010 2:01 pm
E-mailedTo:suzi.fiowers@christenson.com
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Ema!/: permitcenter@ci.springfieJd.or.us
o New Construction
IRl Addition/allerationlreplacement-.'
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'CAiEGORY..'bF:CONSTRUCTION",';;::.ti!J.~.
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D~jA~~eSSOry
o 1 or 2 family dwelling
o Multi-family lZl Commercial
'-:)OB'SITl~INFORMATION AND cbcATioN ., .. ^
Job Address: 3500 E 17TH AVE
City/StatefZlP: EUGENE, OR 97403
SuitefbldgJapt.no. :
Project Name: FORTISfL TD FLEET MAl NT
Cross Street/directions to job site: CLARENCE MARTIN 503-419-3343
Tax map/parcet no.:
1703343400301
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LOWVOL TAGE CABLING
Name: CLARENCE MARTIN
Phone: 503-419-3354
Fax: 503-419-3695
Email:
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Elec lie. no.: 26-34C
eeB lie. no.:
458
Business Name: CHRISTENSON ELECTRIC INC
Contact:
Address: 1631 NWTHURMAN 5T STE 200
City/State/ZIP: PORTLAND, OR 97209
Phone: 5034193600
Fax: 5034193695
Email: INFO@CHRISTENSON.COM
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Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
5215$
Supervising Electrician's Name:
ROBERT J BRUENE
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only' 1
All Other Services: 2
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Upon review and approval by your local jurisdiction, your permit will be' e-mailed' or
within one business day, with instructions on how to schedule your inspection, ',':':';il' "," ,
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 applicable land use laws and local ordinances,
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Please check all that apply:
D 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
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
D Floating buildings
o 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
D Supply voltage for more than
600 supply volts nominal
Total
~ .
$58.00
$58.00
$6.96
$2.90
$67.86
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted atthe job site until replaced by a Permit
o Fire pumps
o 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
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Description
Li riiited .'~r;ergY:"Yi:;~"~:'.
Stand-alone limited energy,
commercial
,E.learic~I:Perrnii Fees'"
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00576
ISSUED: 05/06/20]0
APPLIED: 05/06/20]0
EXPIRES: 11/06/20]0
VALUE:
Status
Iss u ed
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
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TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Low voltage cabling
Owner: LANE TRANSIT DISTRICT
Address: PO BOX 7070
EUGENE OR 97401
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/0112011
Phone
541-688-6121
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
: EnergiPa!h:
;'1>prinki~dBuildi;,g:
~ ~. ,.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupaut Load:
n/a
I DEVEbOPMENT INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:'
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
PUBLIC IMPROVEM rules ~dopted by the Oregon Utility
o cation .Q~nter Those rulesaresst forth
" In OAR 952:.wf~1t1W6iJgh OAR 952.001-
" ," 0090. You ma~lHlIlJln99PiRllp,f the rules br
calling the center. (Note: Ille telephone
number for the Oregon Utility NotificatIOn
Center is 1-800-332-2344).
Notes:
Description
NOTICE: Valuation Descri tion
THIS PERMIT SHALL EXP E IEIHE WORK "
+me'Gf'6';~t.!J.llili\fifl THI~ ~R'if.\J1t" IS:'N,'6l Squa,re Footage
"M'1,1ENCED OR IS ABA?{[ffi~~gr!IFbR'" or BId Amount
"', c' nv P~RIOD ',':,'c,' """
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Value
Date Calculated
Pa2e I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Total Value of Project
Fees Paid ,
\~ t
Amount pai{hTi'( :t', ,
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$6.96.~:' ".
$2.90::.'"
$58.00
$67.86
I Plan Reviews ~
. Date Paid
5/6/10
5/6/10
5/6/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00576
ISSUED: 05/06/2010
APPLIED: 05/06/2010
EXPIRES: 11/0612010
VALUE:
Receipt Numher
3201000000000000191
3201000000000000191
3201000000000000191
To Request an inspection call the 24 hour r~cording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day,in'spections requested after 7:00 a.m. will be made the following
work day.
Low Voltage: Prior to cover.
LReauired InsDect~
By signature, I state and agree, that I have carefuIli!~i~~mi~~d'th~ completed application and do hereby certify that all
information hereon is true and correct, and I fnrthei':c'~'rtffy:that any and all work performed shall be done in accordance witb
the Ordinances of the City of Springfield and theE~l"~ of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strncttid withont permission of the Commnnity Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on tbis project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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 during construction.
Owner or Contractors Signatnre
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Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-nli-3759 Phone
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
RECEIPT #:
Date: 05/06/2010
2:20:02PM
3201000000000000191
Job/Journal Number
COM2010-00576
COM20 I 0-00576
COM2010-00576
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT GIGS
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
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Amount Paid
ONLINE CHRISTEN Online
SON
$67.86
Payment Total:
$67.86
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