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Home My WebLink AboutPermit Electrical 2010-6-21 S(~NG~.L~. ; ~ti;:; ~OREGON City Of Springfield 225 Fifth Sl Springfield, OR 97477 Phone: 541-726-3753 Emsil: permitcenter@d.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-1 0-00274 Approval Code: 665736 6/2112010 10:20 am E-mailedTo:deborah.perdew@christenson.com o /(j. 795 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon UlIIit\ Notification Center. Those rules are set Ion In OAR 952-OO1-0010through OAR 952-GO 0090. You may obtain copies of the rul8ll calling the center. (Note: the telephone number for the Oregon Utility NoUficatlon Center is 1-800-332-2344). Job Address: 2376 G ST 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 Clty/StateJZlP: SPRINGFIELD, OR 97477 D 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 D Health care facilities SuitelbldgJapt.no.: Project Name: BAUTISTA Cross Street/direction, to job site: Email: TOTAL PERMIT FEE Elec lie. no.: 26-34C tlO-19CS CCB lie. no.: 458 Business ;ENSON'ELECTRICINC "', /f : '_~'.~;.~c/' Co.ta"" THIS PERMIT SHAll EXPIRE IF THE WOR Addre..' 18UJ~6,\Z.~ C;Iy/Sta.eJZ . R v If1 Phone: 5034193600 Fax: 5034193695 Email: INFO@CHRI5TEN50N.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 ~~. Upon review and approval by your local jurisdiction, your pennlt will be e-malled or fued within one business day, with InstnJctlons on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires wtthln 180 days If a pennlt III. not obtained. The local building deparbnent may detennlne that an Authortzation To Begin Work Is null and void If It does not meet applicable land use laws and local ordinances. o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation eta 150 KVA or larger seperately derived sys o ~A~, ~ER, or ~1_2R or ~1-3~ o Recreational Vehide Parks o Supply voltage for more than 600 supply volts nominal $63.00 $7.56 $3.15 $73.71 Kt-- \.0 /2-\ 110 ~1;'O \.of(; ~ ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00795 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2376 G ST ASSESSOR'S PARCEL NO.: 1703361106400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Reconnect service Owner: BAUTISTA-GARCIA SANDRA ELSA Address: 2376 G ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License CHRISTENSON ELECTRIC INC 458 BUILDING INFORMATION I Expiration Date 05/01/2011 Phone 541-688-6121 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Watcr Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla REQUIRED PARKING ~l~;~i~~:;~~;'~~k~~~~~~i!r~ Solar~!'1~GEO OR IS ABAND . '\;~ MT 0090. Voumay Ihrou9hOAR9S.2.oo~ PERIOD. I PUBLIC IMPROVEME~er for the ~ote: ihe telePh:.1It Street Improvements: Ce!UllUI!t~':!'Y N~ '. . 2344). . DownspoutslDrains: ," I DEVELOPMENT INFORMATION I h Storm Sewer Available: Special Instruction: Notes: '-:._-'.~. . .....~c:... I Valuation Description ~ Descriotion Tvpe of Constrnction $ Per Sq Ft or multiplier Square"Footage or Bid" Amount Value Date Calculated Pae:e I of2 D::"'~" ~' "."'^'"',.......""........-....--.,....,... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00795 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project ~ Fee Descriotion + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 6121110 6121110 6/2111 0 1201000000000000735 1201000000000000735 1201000000000000735 Total Amount Paid $73.71 I Plan Reviews , 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. l..feolliredJnsnections ~ Electric Service: Approval required prior to ntility company energizing service. By signature, I 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 tbat 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 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. Owner or Contractors Signature Date Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000735 Date: 06/21/2010 II :35:29AM Job/Journal Number COM20 1 0-00795 COM20 1 0-00795 COM2010-00795 Payments: Type of Payment ONLINE CHGS cReceil1tl Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ;~,l:,\~: . " Amount Due 63.00 7.56 3.15 $73.71 Item Total: Check Number Authorization Received By Batch Number Number How Received KR .i ". o. j .~ :' ~~;- ";, '. , . ,', . '.:,1Il~.~ . , . -i ;J Page I of I Amount Paid ONLINE CHRISTEN Online SON ELECTRIC Payment Total: $73.7\ $73.71 6/2\/2010