HomeMy WebLinkAboutPermit Electrical 2009-3-13
Electrical Authorization To Begin Work
E-mailedTo:r~volutio~electric@comcast.net
Receipt # EC548200
3/13/200910:29:05 AM
'90
CI( 1y
~
.qty of Springfield
.
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction
IKJ Addition/alteration/replacement
o J. or 2 family dwelling
o Mu]tj~:amiIY
o Commercial/Industrial
I Description .. Qty. Ea. J Total "I
ItlfeSidei1tHiFSL.'iGfrEifotfmUlti~famiiy~(jwe'iling)ffiit~Iiicilides~~;"~' \JI
11ntac~(i\g:Fag~R~~:;1'ri~lr;s;~~~~~~r1~',fj;1;.5{R'qt~Mii ",:, :'j;~.;;:~
,.',........-^~.-,.,,,' .. 'ct.,,,._.,"'I,~.t="""'o,l=;f,!;ff;'ori..;~T;t3E"1g....,,!'..,.~~,.,0lf'""""",,l''':il-r._ .. a .1,,-,'(<\);.
I 1,000 sq. ft. or less [4] I
I Ea. add! 500 sq. ft. or portion I
- Limited energy, residential
(with above SQ, ft.), .
I-Limited energy, multifamily
residential (with above sa. ft.)
I-Limited energy, commercia"l no: offered online at thi,s jurisdiction
(with above so. ft.)
I -Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
~ - Stand-alone limited energy,
commerCial - . _ .
{~~6:~~~E~I~Et~ejJ-~3~:~~~l€ltEi;?mf~R;Z~j~~~[i~189~~~~,f9]~,!f~:n~~ryrt
1200 ampsol less [2] 1 I
120 I amp., to 400 amp.s [2] I I
1401 amps to 599 amps [2] I
~HrtiVIPORARY,'services;".OR;fee'ders'fiilstallation1aliera'iiP~~~jJ.1
,';AND/O'R'1f~lijCfuitii~~ilF~~!f:0~~4~~~~t~Jl~S~!&
....""".."',.'.'"'",%:.:;.,,~,,....""""="""'_,.:,~-;o'"'"?(~"":.,"''ro:t':a.~~~.,..-",,;.."....,,~~,,;>",~b,,,,,_._~wc,
1200 amps or less [2]
1201 amps to 400 amps [2]
I Name: Climate Control I 1401 amps to 599 amps [2]
I Phone: I Fax: I I Brancll~clrCultS',::1NEw,\'3ii'enrtion;OR exteosion;ii'er.paneI Jfl~,~Yt~~1
~'~'" '.0"",,,, '"'~'''''''''''' "",,",,'-"_Ol,,"~~<"~"'<>..,j"_~ <._ "n.., ,-"'JeN'",
I Emal!. ' ~ A Fee for branch CIrcuits wIth I
1~"'~~~"~_""^:r"""'NI"'l"'''''''''' -, - ---...,,~c" '."" 1"-' ""'-jJ,,'tMil,'MiilE1* ^,,,,~^,,,"reeder ree. each
r~~'f1lI.'IJ<~_IjtJi\l~li;{Il;""'~~'",,~~w.r,Er!il\llteS.y,qu."\J_,!f}fj'0lf.,,~ QHnI!jlr~,t
, lEI. Ik. no,' C354 ,101l,OW rUleS, adonCr!B Ii'Y.rin~,e1990%610n Utility Ir'~~{ll%;n~ = I $55.00 $55001
I Bns;ness Nnme REv,QLm)\lN~~(~Q~j~ii;k; I.',~'," I_~'''~ ~~" ':."; IO;,~" ~,mil"': [ If,,". EXI"!RE IF T -IE WOR (
I "'~""~~_VV' Jv,v""vu~"v.",Jv~Gv,' ~'iJ~!rf'B'utJRERTH.;)t'tHIVII'IS;Y"'" 1
Contact: MattSchult'1lnQn VrHI """'-1\1 ,...,ht-:)in ,...,...,ni~C' ,...,.fth", ..,.I"... hi., l:lllffifn,~~~<;lJc,u;.'i!!'_'_ . _ ..' '. ...~'~, $6.00
i~::~~::(~~::~~~~~:;:;:~;;~r~:~~~~~~:~~;~~B4~~)~h~~~;n' /1 rl~~!~~~~~rl~~~~,,~,~~~gP&~QR~~~ll:
, dwell mg, servIce and/or feeder
I Email: revolutioneleclri~@comcast.net I f2] .
I Metro lie. no.: I City lie. no.: I I,Pump or irrigation circle [2] I
I Supervising electrician's lic. no;: 52475 I I,Sign or outline lighting [2J I
I I SIgnal circuit(s) or limited-
I Supervising electrician's name: MATTHEW L SCHULTZ energy panel, alteration, or
extenslOn,f2]
r~~j;~jill~~I[Km~T!3lst(!lII~@Ifiif@[~~~
I Subtotal $61.00 I
I State Surcharge (12% of permit fee) $7.32 I
I City Of Springfield fees * $3.05 I
I TOTAL PERMIT FEE $71.37 I
* City Of Springfield fees: 5% Technology Fee
[DeJaul1 number afinspections allowed)
CQ-335 Vi?
~~~~~"~J61"r.""'.mjOErsiTE'iNF.C)RMATioN1'ANlYrr6'CAfioN'lFJ1i!l12_'t1ill1~!'l:ilr~
~;'(""",~~i1t@..~Nf~~.\,t::,=".,""""."""";~,"""_".,~,,..,.,,~,...,.."'O~~J'_-_''','''''~-_'''''->>=''',"",,,,,_'''..''''r':;:<c~~~i1i1ii(~f~
IJob 110.: IJob address: 764 SUNSET DR
I City/State/ZIP: SPRINGFlELD, OR 97477-3655
I Suite/bJdg./apt.no.:
I Project name:
Cross street/directions to job site:
Subdivision:
ILot no.:
ITax mup/parcel no.: 17033414096QO
equipment change out
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.
NOTE: ThiS AuthOrization To Begm Work expires within 180
days if a permit is not obtained.
~~
~i6t'
~
3(13109
The local building'department may detennine 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.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00335
ISSUED: 03/12/2009
APPLIED: 03/12/2009
EXPIRES: 09/1312009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 764 SUNSET DR
ASSESSOR'S PARCEL NO.: 1703341409600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace old eqnipment with new 13 seer heat pnmp system
Residential
Owner:. CRISMAN MICHELLE A
Address: 764 SUNSET DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA TION I
Contractor Type
Electrical
Mechanical
Contractor
REVOLUTION ELECTRIC, INC
MARTIN CASTLEMAN LLC
License
179066
169547 '
Expiration Date
10/3012009
04/07/2010
Phone
541-505-8351
541- 736-3438
. BUILDING INFORMATION.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
nla Occnpant Load: '
ATTi=NTION: Oreaon law requires you to
I DEVELOPMENT INFORNI,)\i.' "fION;',O adopted IlY tile uregon Ul!"IY
\I. ". ,. Center. Tl'lose n i1P~ MR set lOrth
..~...,,_..~ REQUIRED PARKING
in OAR 952-001-001 0 throuy" "''''' vv~'vu'
Frontyar(l.s.e.1ll~k: Overlay Dist: 0090. You may obtain COPfriital:the rules by
Side I Selll&HIl>E: # Street Trees Rqd: calling the center. (NoteH\fndlc~'fJp~li~e
Side 2 seirt.Il-1:PERMIT SHALL EXPIRE IF THE W~R-~ Drive Rqd: number for the Oregon U(!Wmth~~!'catlon
RearyardA'lj'-,m~IZED UNDER THIS PERMIT IS NOI Lot Coverage: 'Center is 1-BOO-332-2Cl44).
Solar Sett'crMMENCED OR IS ABANDONED FOR .
I-IIH IOU UI-Il t'tt\IUU.
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I PUBLIC IMPROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instrnction:
Sidewalk Type:
Downsponts/Drains:
Notes:
Page I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2009-00335
ISSUED: 03/12/2009
APPLIED: 03/1212009
EXPIRES: 09/13/2009
Y ALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrip,tion I.
Description
Type of Construction
$ PerSq Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Valne
Date Calcnlated
Total Valne of Project
Fees Paid"'
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pnmp
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt'Nnmber
$13.56
$5.65
$79.00
$17.00
$17.00
$7.32
$3.05
$55.00
$6.00
3/12/09
3/12/09
3112109
3112/09
3/12109
3113109
3113/09
3113109
3113/09
1200900000000000181
1200900000000000181
1200900000000000181
1200900000000000181
1200900000000000181
1200900000000000187
1200900000000000187
1200900000000000187
1200900000000000187
Total Amonnt Paid
$203.58
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.
,Re'1lJi,rerl ,J nsnections I
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
'541-726"3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00335
ISSUED: 03/12/2009
APPLIED: 03/12/2009
EXPIRES: 09/1312009
VALUE:
By signatnre, I stale and agree, that I have carefully examined the completedllpplication and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shaJJ 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 strnctnre withont permission of the Commnnity Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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 planswill remain on the site at all
times during cons'truction.
Owner or ContraCtors'Signature
Page 3 of 3
Date
225 Fifth" Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00335
COM2009-00335
COM2009-00335
COM2009-00335
Payments:
Type-of Payment
ONLINE'CHGS
cReceintl
RECEIPT #:
~14..
1200900000000000187
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
. + 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Rcceipt
Development Services Department
Public Works Department
Date: 03/13/2009
10:41:30AM
Amount Due
55,00
6.00
3.05
7.32
$71.37
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
Amount Paid
ONLINE Revolntion Online
Electric
Payment Total:
$71.37
$71.37'
3113/2009