HomeMy WebLinkAboutPermit Electrical 2009-3-30
,
Electrical Authorization To Begin Work
E-mailedTo:revolutionelectric@comcast.net
Receipt #. ECS4918S.
3/30/20094:56:06 PM
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City of Springfield
Check on" status of per~it
By Phone: (541)726-3753 or Email:permitcenter@ci.springfield.or.us
10 New construction lliJ Addition/alteratiun/replacement
:~~: 'FfF; tiT~0~.CATEG~ORY OF,C'ONSTRUCT1ON~<:~4~":,Taf!J.."f5jJ;;,,~?;;r.}h.J,": ~I
_ s. +'1J3!Q +-,,-' _"JI .~_ _ " ,. or ''','''''' *~"'" <"_~U:::!.,--; .....4 <l..:'~, _
I [X] I or 2 family dwelling D Multi-family D Commercitll/lndustrial I
I Description l "Qly. I Ea. Total
'1~'3'e~i~~~!_i~tSJ,~~I2E_,~:Ql{,,~'~I~tL~_~!I,r,~.~iC1}in,*:E~,'i~0c.'!'., ~eS"",(,-:, ?''''I
}i~t:iC..~~d:g~,:gC~~~Yc~;'.]~}>b,t:':i";C;2\~.1". ;~~ik;'~ ~":;:S*"" , .- _
11.000 sq. ft. or less [41 I
I Ect, addl 500 sq. ft. or portion I
IJob no.: I,Job llddr{'ss: 34]2 DOUGLAS DR
I City/State/ZIP: SPRINGFIELD, OR 97478-8107
I SuitelbldgJapt.no.:
fproject name:
Cross street/direl:tions to job site:
~,
'""
ISubdivision:
IT<lx nlap/pllrcelno.: 1802062102900
1 lot no.:
1 - Limiti:d energy, residenti::ll
(with above SQ. ft.)
I-Limited energy, multifami]y
residential (with above SQ. ft.)
I-Limited energy, commercia-l nofofihed online at this jurisdiction
(with above SQ. fl,l
I - Stand-alone limited energy,
residential
I '- St::lnd-alone limitcdenergy,
multi-family
I - Stand-alone limited energy,
comml.'rcial
1~,~^~1f~i~~QJ{Jiwii~i~isiailar~oi!tit!~~t~t~~'lt~~~'~2Qri!f~l:q~,ai!?-,~~~{~ 'I
1200 amps or less [2] $81,00 $S 1.00 I
120] amps to 400 amps [2] I
401 amps to 599 amps [2] I
'T~~:I!~QI~,~Y'}~~~}cs~9~i,f~i~1!ri~-t!lll~ti,?;~!ld,i~~~no;n;~~:";f;:~.~~_~
l~1'iY!O~.J~19"~~H?J!4tuA:,~:'''<<;~<!~L;~t" '_""'"~'"1i~ lii;::',.,":;,,~,,-:,~ 'ti-~':~"l:
M,1ke repairs per electrical inspector. Install new feeder to sub panel.
Upon review and approval,by your local jurisdiction, your
permit will be e-maited or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 n /
days if a permit is not obtained, ~'4t ~
The local building department may determine that an I'v \: W
Authorization To Begin Work is null and void if it does not V\.' ',t::'i.......
meet applicable land use laws and local ordinances. ~ '"'t).........
S
I
I
140 I ,mpsto 599 amps [2] I I
Ijjli'1J)!'!i;ti~li'l\~1if'r;111.h~HI'i1~~t%Sjf~,jiv&;'r6,~lt1!
~"lfd\lv!jr~I'f.\!siraILil"r;i'Ild I y the Or 3gon Uti~ty
s' H.;eorre~'i1erl~ea"c)l f
I h\.~lfH;i1i[on vemer. Th se rules are set rlh
QrfelWlb\j,p,JHli9QitVUlU \ rougn u,n i:lO"-U~ ,- I
rlI~~..i~:7iiruo~~lo/'~l:'Jtai~. o}Jie;>L ~l t~:!UI:shby
I ...a"I'"'' [~'" uc,,,-eo.-,, Iv.v. ."v v!v~~'vc~ I
eaeHaaa Dffln(; elr 11 , I T I tT t'
J-.;';'-;r~:L-3~" . ,.,..." .,~!.-,~.~: ~,."7?','", ~ '~'''~
1!~hsce(lilneou.s."iWifi"""'!'''' "'/l'''1-t;;i\~?,??,,,-\,4.),, ~,'1'l ",:,'!;l0:**_,<,1
/.,,,,o,",:,,,,,-,,_,-'''''''''I'';.t;;+.I.I.Ar._d~,,",I''''f''i'' .:8., ~:::..u ~ ';"i"i.~" ,:""".0.,r,;" ..", "'0'
I Service reconnect only [2] I
I Each manufaclUred or modular I
dweJJmg, service and/or feeder
121
I Pump orirriglltion circle [2]
I Sign or outline lighting [2]
I Signal,Circuit(S) or limi\edc
energy panel, altcration, or
extellsloll,f21
. ~
Ir,jr~:;tih~~d;Jt=E~E~.{':iIC!\~{~~'R~tt'F'Ef~'~~~"'~:1;~, !;~~~~~ ._
I Subtotal I
I State Surcharge (12% of per mil fee)
I City OrSpl"ingHefd iees"' I
. I TOTAL PERMIT FEE
"' City OrSpringfield'fees: 5% Technology Fee
/Deji:11I11 /lilli/bel' ojiliJpeClions allowed!
VO
$81.00
$9.72
Husl
$94.77 I
1 Name: Wayne Milrney
I Phone: I Fax:
/ Ern;!il: ~J ! H.J!:;
I. '{!0'~':'",,'i\'j\\,,::rE(!l?'1il'[W'i'~" '" "n:"'''''.1.l:l.c~'r""uE'WOR'''''1'''Y;'iY~!*,''ijifi
{-t,l,P:":.L""Y'l?;3;;~/df~;.,.;.;;; ': ,J<t00,~:!gl#_\.i~~~~n~ r1.01it1 ,j;" ,', '; f\,....,,' '1."'0R:4<~;",1b2iJ;*
I Elli<. "0. C354 iiUKILtu UNUI:R T~~rf1ItR.MIT74&tNOT
I "",in,,, Na",':'.Rr(vd~6iIh6NrafMfu~IMtNDONED FOR
ICon'a", Ma1t':S6hJI~U UAY PERIOD.
jAddress: 2171 BIRCHWOODAVE
1 City/SlnterLIP: EUGENE OR 9740] -7409
I Phone: (54) )5058351 J FllX: (54l )50584.?4
I Email: revollltlone1eetric@eomcast.net
l1\felro lie, no.: 1 City lie. 110.:
1 Supervising electrician's lic. no:: 5247S
1 Supervising electrician's name:, MATTHEW l SCHULTZ
200 amps or less [21
201 amps to 400 amps [2]
e~ -lSQ6
3\31\OQ
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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: COM2008-0]598
ISSUED: ]0/30/2008
APPLIED: 10/30/2008
EXPIRES: ]0/01/2009
VALUE: "
SITE ADDRESS: 3412 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802062102900
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install hip and air handler
Owner: MARNEY WAYNE A
Address: 3412 DOUGLAS DR
SPRINGFIELD OR 97478
TYPE OF USE: Alteration
Residentia'
I CONTRACTOR INFORMAT\()N I
Contractor Type
Electrical
Mechanical
Contractor
REVOLUTION ELECTRIC, INC
HOME COMFORT HEATING & AIR
License
179066
84164
Expiration Date
10/30/2009
06/2512011
Phone
541-505-8351
541-345-2838
BUILDING INFORMATION ~
# of Units:
Primary Occnpancy 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:
nla
Lot Size:'
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTICE: I PUB~IC IMPROVEMENTS I
Street ImproveJMir'lsPERMIT SHALL EXPIRE I~ THE WORK
Storm Sewer A~~~~~.RIZED UNDER THIS PERMIT IS NOT
Speciallnstruc/i'.In\/ilViENCED OR IS'ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Paee I of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
fol!P..'f' rul"s.,adopted by the Oregon Utility
NouM1ll'ilJR e~IWer. Those rules are set torth
in (!l\o~nspoOOjfil..%\1;!hrough OAR 952-001-
0090. You may obtaip copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01598
ISSUED: 10/30/2008
APPLIED: 10/30/2008
EXPIRES: 10/01/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Lioe
I V ah.atioo D~sc~i?ti,?n I
Descriotion
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calcnlated
Total Value of Project
);"jP< f'lilU
r
Fee Description
-Mechanical Issuance Fee-
+ 100/0 Administrative:Fee
+ 10% Administrative Fee
+ 12% State Surcharge
+ 12% State Snrcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Heat Pump
Minimum/ Adjnstment Mechanic'al
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Numher
$21.00
$5.20
$6.00
$6.24
$7.20
$2.60
$3.00
$50.00
$10.00
$10.00
$15.00
$27.00
$9.72
$4.05
$81.00
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
10/30/08
3/31/09
. 3/31/09
3/31/09
2200800000000001575
2200800000000001575
1200800000000001100
2200800000000001575
1200800000000001100
2200800000000001575
1200800000000001100
1200800000000001100
1200800000000001100
2200800000000001575
2200800000000001575
2200800000000001575
3200900000000000198
3200900000000000198
3200900000000000198
Total Amount Paid
$258.01
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.
I Rp(1l1irprlln~nection~ I
Rough 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.
Pace 2 of 3
_li.~~I!l"g!,I~I)!
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-0I598
ISSUED: 10/30/2008
APPLIED: 10/30/2008
EXPIRES: 10/01/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 Inspection Line
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, aud 1 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.
1 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 constructioll.
Owner or Contractors Signature
Date
'\
Paee 3 of 3
225 Fifth- Street
Springfield, Oregon 97477
541- 126-3759 Phone
Job/Journal Number
COM2008-0 1598
COM2008-0 1598
COM2008-0 1598
Payments:
Type of Payment
ONLINE CHGS
cRtceiotl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
.Public Works Department
3200900000000000198
8:30:44AM
Date: 03/31/2009
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Due
81.00
4.05
9.72
$94.77
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Pajd
KR
ONLINE Revolution Online
Electric Inc
Payment Total:
$94.77
$94.77
Page I of I
3/3 1/2009