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HomeMy WebLinkAboutPermit Electrical 2007-1-19 [ ~ t<\. ;;1-"'U ~~ \",d;J' o r<'oR- , r0 flf~_.scJl C10S CITY OF SPRINGFIELD ./ 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