HomeMy WebLinkAboutPermit Electrical 2007-1-19
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CITY OF SPRINGFIELD
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Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00088
ISSUED: 01119/2007
APPLIED: 01119/2007
EXPIRES: 07/19/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2575 Olympic St
ASSESSOR'S PARCEL NO.: 1703254101000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Electrical for Long John Silver Addition
Owner: THIRIOT BARRY B
Address: 5214 STURDIVANT AVE
KLAMATH FALLS OR 97603
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CHRISTENSON ELECTRIC INC
License
458
Expiration Date
05/01/2007
Phone
541-688-6121
BUILDING INFORMATION I
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I .
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00088
ISSUED: 0111912007
APPLIED: 0111912007
EXPIRES: 07/19/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.00
$3.50
$5.60
$43.00
$27.00
1/19/07
1/19/07
1/19/07
1/19/07
1/19/07
2200700000000000084
2200700000000000084
2200700000000000084
2200700000000000084
2200700000000000084
Total Amount Paid
$86.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
ReQuired Insoections .
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 that 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa!!e 2 of 2
City of Springfield
:Iectrical Authorization To Begin Wor'
E-mailed To: deborah. perdew@christenson.con.
Receipt # EC507905
1I19/200711:08:12AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
!KJ Addition/alteration/replacement
o 1 or 2 family dwelling
o Multi-family
!XI Commercial/Industrial
1,000 sq. ft. or less
Ea, add! 500 sq. ft. or portion
J - Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft.)
1S~~~~f~~;~~~%~!!~~~~~i;~ettt~~~S~\i?~'i,{j\f~S,!ii~mW" .
1200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
IJob no.: 0061055 IJob address: 2575 OLYMPIC ST
I City/StaterLIP: SPRINGFIELD, OR 97477-3467
I Suitelbldg./apt,no.:
1 Project name: LONG JOHN SILVER ADDITION
Cross streeUdirections to job site:
1 Subdivision:
Tax map/parcel no.: 1703254101000
I Lot no.:
FOR
200 amps or less
1201 amps to 400 amps
40 1 amps to 599 amps
A. Fee for branCh circuits with
above service or feeder fee,
each branch circuit
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
1 each add) branch circuit
$43.00
$43.00
91
$3,001
$27.001
Phone: (541) 501-9843
Email:
I Fax:
SelVice reconnect only
Each manufactored or modular
dwelling, selVice and/or feeder
I Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
E1. lie. no.: 26-34C I CCO lie. no,: 458
Business Name: CHRISTENSON ELECIRIC lNC
I Contact: DEBORAH
IAddress: III SW COLUMBIA SUITE 480
I City/StaterLIP: PORTLAND OR 97201
IPhone: 5416886121 I Fax: 5416886528
I Email: deborah.perdew@christenson.com
I Metro lie no.: I City lie no.:
I Supervising electrician's lie, no,: 1994S
I Supervising electrician's name: ROBERT AAXT
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.
I
I
I
I Subtotal $70,00
Minimum Fee $45.00 I
I I State Surcharge (8% of permit fee) $5.60
I I City Of Serinll!ield fees · $10.50
'I TOTAL PERMIT FEE $86.10
· City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee
J
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,
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -00088
COM2007-00088
COM2007-00088
COM2007-00088
COM2007-00088
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000000084
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Citu qf Springfield Official Receipt
D ,opment Services Department
Public Works Department
Date: 01/19/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page I of I
ONLINE Christenson Online
Electric Inc
Payment Total:
2:01 :40PM
Amount Due
43.00
27.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
1/19/2007