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Home My WebLink AboutPermit Electrical 2010-6-15 City Of Springfield 225 Fifth $t. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcent~r@ci.springfield.or.us C/O. 77/ Commercial Electrical Authorization To Begin Work 69600-BEL-10-00265 Approval Code: 612463 6/15/2010 11:04 am JOEf SITEfNFORMA'i"IOW.6:NOliOCA TION:",,> .' Job Address: 3957 HAYDEN BRIDGE RD City/StatefZIP: SPRINGFIELD. OR 97477 , j; .~..~, --" Suitefbldg./apt.no. : ......,'r"""' ,.". "'"", "",", ~,. .:+.", . ,~. "'t,,." Project Name: EWES HAYDEN BRIDGE R\^JI '~';-.~-';-" c';'"",,.. Cross Street/directions to job site: Tax map/parcel no,: 1702190003300 THREE CIRCUITIS FOR SAMPLE PUMPS ':iO":"",.,::,:,,., 0':,:,"",::",' . . . .~ci[.;SI,.E'CONTACr.; " .'~ .';' .1: ,I:'s:.." Name: GUY MELTON Phone: 541-685-7426 Fax: Emall: I f' 0ifi0,~~ ',f..,..-;'3 -'. ~" ;;~C6NTRACTOR" ~. Elee lie. no.: 26-34C cee lie. no.: 458 Business Name: CHRISTENSON ELECTRIC JNC Contact: , .,.' ." ,,~- .. :,7';';'" "TFj";' . Address: 1631 NWTHURMAN ST STE 200 .: ,__,r... ~ . ; ".1.,. . ~. . City/State/ZIP: PORTLAND, OR 97209 ,....... ~., Phone: 5034193600 Fax: 5034193695 Email: INFO@CHRISTENSON.COM Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 40795 Supervising Electrician's Name: PAUL E HORVATH Number of inspections included In paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 ",'ie' .f'e Upon review and approval by your local jurisdiction, your permit will be e.mailed 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 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. '~. E-mailedTo:deborah.perdew@chri5tenson.com . ,PLAN,REVIEW Please check all that apply: o A service, or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or m~re residential units in one structure D Health care facilities . FEE Description Branch circ~iis'- ,.', Branch circuits without service or feeder Branch circuits each additional circuit without service ~lectricai;p.ermJt!Fe~~ " Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) 'J D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings ~ore than three stor D Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nomina! :t'.C $55 00 $55.00 TOTAL PERMIT FEE I"~ , . '(p(y\.1P I 0 --- t.a .- l 5~ I'D ,.1::..,' 'w ~"\ \\.~ :---'- ~ ~>.. 2 $6.00 $12.00 $67,00 $8,04 $335 $78.39 C0711 ()th ~~ \~\) \9.\\0 q,. ~~ ~--\ : }t~~. :,;,~:ti,l{- :..,,;' . . InspeCtions f.hon!,:'541-726-3769 This Authorization To Begin work::i~st be'posted at the job site until replaced by a Permit ..t:.:r .;(, .' ~: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00771 ISSUED: 06/1512010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line -'~,-'.. '''' . , ......,. -I... " SITE ADDRESS: 3957 HA YDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702190003300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Three circuits for sample pumps. Owner: CITY OF EUGENE Address: CITY HALL EUGENE OR 97401 ;,":., , . d'" I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License CHRISTENSON ELECTRIC INC 458 BUILDING INFORMATION I _ ,~l;~:;l "'!l-:.1.~;t\ ..,.' , . Expiration Date 05/01/2011 Phone 541-688-6 I 2 I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: :#:!if Stories: eHeight 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: "': # Street Trees Rqd: ... .Paved Drive.Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Impro:vements: TTENTION' Oregon law requires youto A . :~M;.,rl h" t e Oreqon Utility I PUBLIC IMPROVEMENTS tJo;ifi~ati~~-c~~ter. Those rUhle~Aa~e :;2-g~1- lUljj52J10t-0010 throug . . o' In O. sllffw'Hfu lJI.'IliJ.in copies of the rules by . 0090. ou .INote: the telephone calDll9'l18jltAAWtlbll1!: Uflity Notification number for the Oregon I Center is 1_800-332-2344). . Storm Sewer Available: Special Instruction:t:':.! ... . . .. 'J tlL : XPIRE IFTHE Wt)HK";, !~',i\. ;. :is PERMIT SHALL E MIT 18':1'401'''''' . I "11'1?!ZED UNOERT.H.I~!E~c ''',i!' ,..Il .. I' ,\;LitU un 10 r\urw............, . . ;''W PERIOD. I Valuation Description ~ Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated . Pa2e I of2 ,. , : I . I: ~ ,. . i, ::. !, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00771 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: . k:T~ . "~l' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line It~J,~' -.. %,.. " . .' ..:.,~". . ":',:i,:!' ~~'~':'./< I ,~Y,U: ,~f; . :::::Total Value of Project I Fees Paid i Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Numher $8.04 $3.35 $55.00 $12.00 6115/10 ,6/15/10 6/15/10 . 6/15/10 2201000000000000700 2201000000000000700 2201000000000000700 2201000000000000700 Total Amount Paid $78.39:." , I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 . . i a.m. will be made the same working day, in~pecti!!n~"r.~quested after 7:00 a.m. will be made the following k d "."'-' -,.~, ~_." ." ". wor aY':\if':, . ,;.';,7.'" ."'l; I Relltiired InsDections ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 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 Springticld and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without jJeri:r1issi6n of the Community Services Division, Building Safety. I further certify that only contractors and employ~,~~ 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 of ttie property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date , :~{J'(;"L:{. f'lf.:;' , i ..':,~;:'_'::/ _...~\ ~[.. t, .....''c :l' -i.-: :; l::_'~~: ,'. '~'. ',gd:: ',.l-r' Page 2 of2 225 Fifth Street Spl,"ingfield, Oregon 97477 541-726-3759 Phone all'!":'!>"'."""... ," 'ii' ...... ".. ~.. ... - .. ...~...'J.' : City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000700 Date: 06/15/2010 3:22:02PM Job/Journal Number COM20 I 0-00771 COM20 I 0-00771 COM20 I 0-0077 I COM20 I 0-0077 I Description Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 12.00 8.04 3.35 $78.39 Amount Paid rj~ ".,..\ ONLINE rite elect Online Payment Total: $78.39 $78.39 .,,1... ~ . " njl" , ',' ;.' '..1',; '"," !: cReceintl . Pag~ I off; 6/15/2010