HomeMy WebLinkAboutPermit Electrical 2010-8-5
SPR., I.N.G=L~
~\>l..'
-;;:;, (~
~"'T- ~"', ~EGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield.or.us
.- ~, -...- ... ,.....'.l.l.OZ". .
. .. .~. f>,,; '"< ;rYPE'OFWORK ..,
0 New Construction IX] Addition/allerationlreplacement
, ; .~! " CATEGORY OF CONSTRUCTION -~--- .'.. . 1
0 1 or 2 family dwelling 0 Multi.family [Z] Commercial o Accessory
JOB SITE INFORMATION'AND LocATlmi' . ,
Job Address: 470 S 2ND 5T
City/State/ZIP: SPRINGFIELD, OR 97477
Sulte/bldg.lapt.no.:
Project Name: HEX ION
Cross Street/directions to job site:
Tax map/parcel no.: 1703353300500
. 'c', " . ,;' 'DES,CRIPTION'OFWORIS :;" ... .... .' ,.
. . - .. .
200 AMP SVC AND 4 CKTS FOR SIS SYSTEM
i . . SITE CONTACT . .
,
Name: CHAD PRIVRATSKY
Phone: 541.228-0352 Fax: _.
Email: '~'..--- --~_..~ .... .
.~ .,
, " 'CON'TRACTOR I, >Of ,,'
......- . :
,e' ,
...
Elee lie. no.: 26-34C eee lie. no.: 458 ----.~.
Business Name: CHRISTENSON ELECTRIC INC
Contact:
Address: 1631 NWTHURMAN ST STE 200
CltylStatelZlP: PORTLAND, OR 97209
Phone: 503-419-3600 Fax: 503-419.3695
Emall: INFO@CHRISTENSON.COM
Metro lie. no.: City lie. no.: .,-,.-. -'. .'
Supervising Electrician's lie. no.: 4079S
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 pennit will '~~e.-~.;iij;d- or -f~xed'
within one businell day, with instructions on how to schedule your Inspection. ::.:;-:.;:..-' -.-- ,...- -
-r.;?:r; "'.
NOTE: This Authorization To Begin Work expiros wIthin 180 days If a permit is nQ~,?~tiiiied:::':::'::':': ..
.,
The local building department may determine that an AuthorlzlIItion To Bogl.n Work Is null lIInd
void If it does not meet applicable land use laws and local ordinances.
(]/o lo~(P
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00368
Approval Code: 643445 8/5/2010 3:37 pm
E-mailedTo:deborah.perdew@christenson.com
.} .. . c ",,'PLAN~REVIEW" . .. .<
< "",j
Please check all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three star
10,000 Amps at 150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for alt other o Floating buildings
o Fire pumps o Commercial-use agricultural
buildings
o Emergency systems o Installation of a 150 twA or
o Addition of a new motor load ,larger seperately derived sys
of 100 HP or more o "A" "E" or "1.2" or "1.3"
o Six or more residential units in ' ,
.0 Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
,J " 'FEE S'CHEDULE 'i. '. ,.., .
Description Qty. Ea. Total
Services or. feeder~~' . "~ ",. ,
. ,
Services 200 amps or less 1 $81.00 $81.00
Branch circuits .
Branch circuits with service or 4 $6.00 $24.00
feeder each circuit
Electrical P9!mit Fees' . , .,'
,",
Subtotal $105.00
Slate surcharge (12% of permit $12.60
total)
Technology fee (5% of per~it total) $5.25
TOTAL PERMIT FEE $122.85
~ Iyrx.~
~
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
WnW} 0 .... Oladp
C /~[IO
(lr/"-'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01066
ISSUED: 08/06/2010
APPLIED: 08/06/2010
EXPIRES: 02/06/201 I
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,t ;:.-
SITE ADDRESS: 470 S 2ND ST
ASSESSOR'S PARCEL NO.: 1703353300500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: 200 Amp SVC and for (4) circuits for SIS system
Commercial
Owner: HEXION SPECIALTY CHEMICALS iNC" . - '.;,"
Address: 180 E BROAD ST ..' ..
COL.UMBUS OH 43215 :'j ~
I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor License
CHRISTENSON ELECTRIC INC 458
BUILDING INFORMATION.
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:
: 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 INFORMA nON .
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
O~erlay Dist:
.. '0<,. ..,.
',#:Sireet Trees Rqd:
., f.
. Paved Drive Rqd:
;~k6f LJt 'Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Sidewalk Type:
Storm Sewer Available: QlJires YOIJ to Downspouts/Drains:
Speci~~rlW!~!ion:orego~ \~V~'r~:' Oregon Ulility
, tollow rules adoIPrte~h~se rlJles are se21 too~t NOTICE:
Notes; 'f alion Cen e,' hOAR 95 -
Noll ~c 952_001-0010 th_r.~,l,'i~' ottile rules by dJ1IS PERMIT SHALL EXPIRE IFTHE WORK
. You may U~,_.. " Ihe tel8l"" ": _ ' ' . ""': :-:'_': ILt I tK I H ~u I
0090, ,ter ll~otB, 'f "on' .
calling t\1e eel o:egon Utility Notlle aValUation Descri"tiOrlE ICED OR IS ABANDONED FOR
number tor t\1e. '_800-332-2344), ., . ' ,.., ': -" p::OI'~'1
., cenler IS 1 , $ Per Sq Ft Square Footage ....,
DeSCriptIOn Tvpe of ConstructIOn I' I' B'd A Value Date Calculated
or mu tip lef or I mount
Pa2e 1 01'2
, ,\", f~
, ,
. !F.~:f :,~'! \'r~':;'.~: ':"d
.~~ }f~~~i .~~~~~ .
,-
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01066
ISSUED: 08/06/2010
APPLIED: 08/06/2010
EXPIRES: 02/06/2011
VALUE:
" ~",
, V:;',\~';
';Yi-'R.
: '; :'; ,'~ .
,.
, ,,;'(r;"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total V aJpe,of Project
, ,'!~~ees paidi
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$12.60
$5.25
$24.00
$81.00
8/6/10
8/6/10
8/6/10
8/6/10
3201000000000000521
3201000000000000521
3201000000000000521
3201000000000000521
Total Amount Paid
"
-- ...-....
$122.85'~~:'~~.~' .~.~ ,
i ' :; {r. :'~ ~! '!"
I ,fJ~:n Re~'iews 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. .
Rough Electric: Prior to Cover
Reon ired I n~.De.ctio~s I
.. .,,<, ,~ " . I .....:. ~.:)~.-:,.. .
.. II , ; ) , T,", ~
,( i' ~,i'il ~',:i" ~
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that J have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and J further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the La~S:ofthe State,ofOregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure\vithouf'permission of the Community Services Division, Building Safety.
J further certify that only contractors and employees',who,ate:in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectionslai'e'recf6ested 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
l' _, 0"" ,;1,t<TI,.:1 r t
~. ' ~ o~ "'-':.~L'
. ~o..+ '\'Oi
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
aJ;a.~; ~
Wt. '
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000521
Date: 08/06/2010
8:1I:41AM
Job/Journal Number
COM2010-01066
COM20 I 0-0 I 066
COM2010-01066
COM201O-01066
Payments:
Type of Payment
ONLINE CHGS
cReceintl
, '
, '1..
"
Amount Due
81.00
24.00
12.60
5.25
$122.85
Description .
, "
PemI ServlFdr 200 amps or les~ : !
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
f,:~;n; ~'L f
i,., ~... ;,. ~~<~ 1" ".
ONLINE
,
$122.85
christenson Online
elec
Payment Total:
$122.85
,,1;,11-(
.....
"
vj!.l\
, .
'~"": i'
+" t,'
., ,
n'~'",; 't'
'(~':~"
~ ~'
'.'"
,l,i
. ,
.,,:.,,;-:
U.,i"1.~.1.
, '
t_~. !>
r,:T
't) 'I~' II ."
"Page I'.of 1\
.Co< . ~ .
8/6/2010