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Home My WebLink AboutPermit Electrical 2010-7-12 SPRINGFIELD .. ~c"!".,,__ ".,.. "'L ~".'t". f!i'J.o ~, .\. ~ '.' ~':T..'Ji-'" OREGON I City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us . ..;',....'. , (J/O Jf24 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00323 Approval Code: 630462 7/12/2010 2:16 pm '<,"" o New Construction (&] Addition/alterationlreplacemenl ~r::,,,: . c kr~iJ!r:G)*, f :"CJ\.l;EcGOR"~O(C<ONSTRoc;Ji6N ,- D 1 or 2 family dwelling D Multi-family [E) Commercial D Accessory .... ~'{~OBSITE INFORMATION AND COCA TION ..,j Job Address: 650 Q ST City/StatelZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: FRED MEYER Cross StreeUdirections to job site: Tax map/parcel no.: 1703262405500 DISHWASHER CIRCUIT :',. 'C. "..,i"'- ;c.. '-. ~ .~ ~ 'f..rSITECOjIJIAc;T" ,.~"",.- Name: MIKE BROWN Phone: 541-741-7150 Fax: Email: .. ~ :o..+-:':".=CONTRACT.bR'~-':'~' Elec lic. no.: 26-34C CCB lic. no.: 458 Business Name: CHRISTENSON ELECTRIC INC Contact: ..: :. '..";.:;it Address: 1631 NWTHURMAN ST STE 200 City/State/ZIP: PORTLAND, OR 97209 Phone: 503-419-3600 Fax: 503-419-3695 Email: INFO@CHRISTENSON.COM Metro Iic. no.: City lic. no.: Supervising Electrician's Iic. no.: 4079$ Supervising Electrician's Name: PAUL E HORVATH i.: 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-mailed or faxed within ooe business day ,\~ittl instructions on how to schegulA-Vop.1JtSP\hfi~R K \'iU IIv~' , EXPIRE Ir I nl- . NOTE, Thi. ',Iho""lion ToIB.g'j;. GoI;\,I~lp~.. Wilh('n"&O'_i1\''''~1 1l1,Q;1;,b,.in.d. . i rOO I ~ .... D TU ~ rt:'" ,. . _ ,nnl7t:IlIIW"\En " . ,'r.:" t:ClQ c'-'" ." The local buiJ~n~t<;ll:lpartment--'may ~teLl,1lineAt!l~JtrC'Al!l{!qpzjti'oii 'To .~.'!!I~~~.:!S,_~u,IL.a~~ void ifil does not meet applicablelan:i\:';" ~s':Md local ordinances. ,", .-'f'" ,.,'. 'lIVIIVICI,,,I-U '<r.' '_0,-- ~........ c?o/}i~)I^Y~\2POf;) -7' '. ".', .;; " E-mailedTo:deborah.perdew@christenson.com ,.-'i"PL.lI.N'REIIIEW";;i " Please check all that apply: o A service:or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volls or less to ground exceeds 14,000 Amps for all other 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 of a 150 KVA or larger separately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal $58.00 $6.98 $2.90 $67.86 ~ 1'\.\ ~. \\) ~~V:- \}-""' - o Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more o Six or mo'ra residential units in one structure o Health care facilities Description Branch circuits without service or feeder Mi!i~~U~if~9gir;:.~';:-' " Balance of permit fees Eiectf~cat'Permit!Fees',1 ._ Subtotal Stale surcharge {12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ifP I\.\~~ ',w-' \,.,\ -. .-1_' :1: Vc...J ATTENTION: Oregon law requires youto follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). 7--/;:2._/0 Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit /7~ '. 3-v:J I Cf'L-t{ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone T~~~.,,~""."..,"".'.',', Wlr' .' t . .........."C............+" .... .... ," . t , ~'"''''''"''"",,,''~'-'.' - '- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000426 Date: 07/12/2010 3:06:36PM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How"Received Amount Due 55.00 3.00 6.96 2.90 $67.86 Job/Journal Number COM20 I 0-00924 COM20 I 0-00924 COM20 I 0-00924 COM2010-00924 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid NJM ONLINE CHRISTEN Online SON $67.86 Payment Total: $67.86 ,..: .,'J,,_ ~ .i i. .'\';!,~.:!'i. , t/':;1, '. ';' ~' ! "., ~. .1;", '.. ":. :.iV :':,;,1' /.,', ',$!:!f '" " ",.."., " . cReceiotl Page I of I 711212010 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 650 Q ST ASSESSOR'S PARCEL NO.: 1703262405500 PROJECT DESCRIPTION: Dishwasher circuit Owner: METROPOLITAN LIFE INS CO Address: PO BOX 35547 TULSA OK 74153 .- - . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00924 ISSUED: 07/12/2010 APPLIED: 07/12/2010 EXPIRES: 01112/2011 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial I CONTRACTOR INFORMATION ~ Contractor License CHRISTENSON ELECTRIC INC 458 BuiLDING INFORMATION. Contractor Type Electrical # of Units: Primary Occupancy Group: 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:: Expiration Date 05/01/2011 Phone 54] -688-612] n/a Lot Size: Sq Ft ] st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Ovel'lay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLI:IMPROVEMENTS ~ "-;uc ':-;~:r"';:!. I Valuation Description I $ Per Sq Ft or multiplier -, Square Footage - 'or Bid Amount . ...", '.~. ., . \ ~., d' Page 1 012 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated 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 + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add MinimumlAdjustment Electrical Reversal- + 12% State Surchar Reversal- + 5% Technology Fee Reversal - Add, Alter, Extend Reversal - Add, Alter, Extend Total Amount Paid i l~ " .' l' ,\._;, . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00924 ISSUED: 07/]2/20]0 APPLIED: 07/12/20]0 EXPIRES: 01/12/20]] VALUE: ;:~'~;'\'r.'.;' :'-~;',~:. ~,.:,-,l:, '", . .{.: ~ -, ., i:~...... '1;' ., Total Value of Project Fees Paid ~ Amount Paid I,'; $6:96" $7.32 $2.90 $3.05 $55.00 $55.00 $6.00 $3.00 $w7.32 it;~1 ',',!.:.o:h-:$-';' $-3.05 ' $-55.00 .:r, ' $-6.00."(" Date Paid Receipt Number ;. ,,. . '. ,: ',;., :;"':1. ;.'>iiI' f'~ 7/12110 7/12/10 7/12110 7112110 7112/10 7/12/10 7/12110 7/12110 7(12/10 . 7/12/10 7/12/10 7/12110 3201000000000000426 3201000000000000424 3201000000000000426 3201000000000000424 3201000000000000424 3201000000000000426 3201000000000000424 3201000000000000426 3201000000000000425 3201000000000000425 3201000000000000425 3201000000000000425 $67.86 I Plan Reviews I 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. ,;".;.' LReouired InsDections ~ By signature, 1 state and agree, that 1 have carefully,'t.x~mip~.d.t~e c,ompleted application and do hereby certify that all information hereon is true and correct, and 1 furth'er"certi(y. that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La~s of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struct~re',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 the 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 " rage-2 of 2 " ..., l~'; . .- . c" "("'OJ'.