HomeMy WebLinkAboutPermit Electrical 2009-5-18
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:revolutionelectric@comcast.net
Receipt # EC551910
5/]8/20096:13:10 PM
~
Check on status of permit
By Phone: (54])726-3753 or Email: permitcenter@ci.springfield.or.us
~~~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
I. .:~ __..' ~iIYP~i9i:;~Q8J(: l~;< .
I 0 New construction [K] Addition/alteration/replacement
I. :fi' .,< ,'.!' ~~'_ r<-:{'~~:~~GO~Y"9f,):'ONsl~_9C~T16~~'~:_~"'~~./~~:
10 I or 2 rnmily dwelling 0 Multi-family 0 Commercial/Industrial
I ,.";'~;;:f~_9'BiSIT,EIN"'O~M~TIONre,N,DLqC~iH:lN
IJob no.: IJob address: 1364 LAWNRIDGEAVE
!City/StllterI.IP: SPRINGFIELD, OR 97477.2445
I Soite/bldg.lllpl,no.:
!Projecl name:
Cross street/directions to job site:
Subdi\'ision: I Lot no.: .!
I'n,x map/parcel no.: 1703252202800 .1
I . :':i ". ,:,'~,~ - DESC~IP'rioN Or~OR:.K:: ;::,' _:.:' ,;',r'i?:~ I
Electrica] for heal pump and service receptacle, Rchook gas furnncc.
~I
I Nume: Chris Branson 1
I "hon" ATTENTION: Ortl\,!vn law reguires you 10 I
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I . I" u, /'In "",,-uu I-U~.C')J' \1!,uu,\lI\I1i6~~%~~;)C' I
EJ. lie. nu.: C354 ,L Ie. 110,. 9 h
f,.f'^r '1-" ,,,_...... 0.'.0 oOI2'^^ ^ 0 I'
I Husiness Nume: REV()"Lq~~~-5]~~G1~~X~&""'~_f\.I~t~.-th~'t~IPrh~~p.- I
[Con'",", M"n S,'h,dlz nilmhp.r for the OreGon Utilitv Notification
I""""ss: 2171 81RCIIWOOIJ"VICenter is 1-800-332-2344).
!City/StnlefLIP: EUGENE OR 97401-7409
II)hone: (54])5058351
1 Email: rcvo]utionelectric@comcaSl.net
I Metro lie. no.:
I Supervising clcctricilln's lie. no,: 5247S
1 Supervising electricilln's lIame: MATTHEW I;SCHULTZ
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!Fnx: (541)5058454
I Cil)' Iic. no.:
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.
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~~
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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.
$55.001
$12,001
;1
Service f#l1VlfCf!' [2 J 1 1
Each m'tl'\LJri1~urea or"modu]ar ~
"we\ling,tsH{cP,jij/il.fv>>r"~HJ\LL EXPI E IFTH: WD
121 ^'~THOn!f;'f. V.., - RI{
p"mp~t;:i~~Jn",_~J!] 1~Lj'tN IHI~ PERMI] IS NOT
1 Sign ""oPI(,pdiibJN,rrw UK 1/::; ABANDDNEQJ OR
Sigml'Cii/')it(hlillJi,/jJtl\V I-'t1/0D. '[
energy panel, alteratIOn, or
extension
.' EL~SiRICA_t.~ERMIT.fEESr ,,"
I Subtotal
I Slale Surcharge (12% of penn it fee)
I City Of Springfield fees"
I TOTAL I'ERJ\HT FEE,
.. City or Springfield fees: 5% Technology Fee
{De/aull number a/inspections allowed)
1:~c~~;':t.::~~~tt~~i~~\F~_gjsgH~_Dq~~,' " :. ;;,:~~~T'~{':',,-~'
I Description I Qt}'. I Ea. l Total
I' ~C~i~~.,n,',hi! '~,~8G-I_.~~,:; O~~cll!.'liJ~~,;fn~i~\iil\"j!nng u_~~;:lnc!~'~es~'_ r .
'at!at~{'d_ga~I.lgc:,~~~". >,~t~"-{!":~~:,,,,,~_:. ':~'_'~> 'tt~~ ~\ .A
11,000 sq, ft, or less [4] I I [
lEa, add1 500 sq. ft. or portion . 1
I! CT~!I~~ 'EllC~.iv'~;~.
I-Limited energy. residential
(with above SQ. ft.)
I-Limited energy, multifami]y
n::sidentiul (with above sq, IU
I . Limited energy, eommcrci,il
(with above SQ, ft.)
I - Stand.u]onc limited energy,
residential
- Stand-alone limited energy,
multi-family
- Stand-alone limited energy,
commercia]
1;~_~j}ilce's:<?fi-fe'e1:1;firis'~JI#~on;"ii!!~~-tj51.J1\AND12R.-re~ociltio~_: -~
j 200 amps or less [2]
1201 amps to 400 amps 12]
140] amps to 599 amps [2J "
1".TE,,~1,YO~\R.':_S~r\'iC~OR_:fecjjt'rs,' iJt~!~I,hllion, alteration.
~~~!?!ql~r~_locah~~ 't - .- _. .-~, '. _:~_:~.-
1200 ",nps or less [2J I
1201 amps 10 400 amps [21 1
1401 amps to 599 amps [2] 1
I '_~~I\c.h':c.irCuit~.::~E"i,a'F~~~tioilT 6~:ejtcilsi~II;.p'e~~-~anel;\! "
A. Fee for branch circuits with
service or feeder fee, each
branch circuit .
B. Fee lor branch circuits
without service or feeder fee,
firs! branch circuit [21
I;,~;~:~~:,~:~~~c;;;:::;t .,:~~t~!,t.,
Inot offered online at this jurisdiction
$55,00
2
$6,00
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$67,00 I
$8,04
$3,35
$7839
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Status
Issued
CITY OF SPRINGFIELD
:Building/Combination Permit
PERMIT NO: COM2009-00675
ISSUED: 05/15/2009
APPLIED: 05/15/2009
EXPIRES: 11119/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 1364 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252202800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace old heating system with new lennox duel fuel heat pump system
Residential
Owner: BRANSON CHRISTOPHER M & JESSICA
Address: 1364 LA WNRIDGE AVE
SPR]NGFIELD OR 97477
Phone Number: Unlisted
I CONTRACTOR INFORMA T10N 1
Contractor Type
Electrical
Mechanical
Contractor
REVOLUTION ELECTRIC, INC
MARTIN CASTLEMAN LLC
License
179066
169547
Expiration Date
10/30/2009
04/07/20]0
Phone
541-505-835 I
541-736-3438
. BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt 01' Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
I
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback: '. ",' Overlay Dist:
Side t Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar SetbacksATTENTION: Oregon law requires you to
I ~ - I '~:I:~\.
TOllOW fUIt:ti aUUt..HCU uy <1''-' ....,........~.. -----....
Notification Center, Those ruIEI,P,UBbICfIMFROVEMENTS 1
. "^" ~52-001-001 0 through Uf'\n ~",,-uu ,- '
Street Improl'ements"
0090. You may obtain copies of the rules by
Storm Sewer A \:!Ij,\~,~I,eihe center. (Note: the telephone
Special InstruG~i9mber for the Oregon Ulillty Notification'
Center is 1-800-332-2344).
Sidewalk Type:
DownspoutslDrains:
Notes:
,
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
Or Bid Amount
Total Value of Project
Fees Paid 1
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - more than 100,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$13.92
$5.80
$79.00
$20.00
$17.00
$8.04
$3.35
$55.00
$12.00
Total Amount Paid
$2]4.11
I Plan Reviews I
Date Paid
5/15/09
5/15/09
5/15/09
5/15/09
5/15/09
5/19/09
5/19/09
5/]9/09
5/]9/09
CITY OF SPRINGFIELD
Building/C.o~bina tionPermit
PERMIT NO: COM2009-00675
ISSUED: 05/15/2009
APPLIED: 05/15/2009
EXPIRES: 11119/2009
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000460
]200900000000000460
1200900000000000460
]200900000000000460
]200900000000000460
]200900000U00000477
]200900000000000477
1200900000000000477
1200900000000000477
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insoections 1
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Paee 2 of 3
_.$Ij!A.INA,f!lgU:>, --; ,
}
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: COM2009-00675
ISSUED: 05/15/2009
APPLIED: 05/15/2009
EXPIRES: 11/1912009
VALUE:
By signature, 1 state and agree, tbat 1 bave carefully examined tbe completed application and'dohereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he 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 structnre 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 tbe property,.and the approved set of plans will remain on tbe site at all
times' during construction.
Owner or Contractors Signature
Paee 3 01'3
Date
225'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00675
COM2009-00675
COM2009-00675
COM2009-00675
Payments:
Type of Payment
8P.RlNc:t.F11lU'.) . II I
';~Ae 4tIt
111:_
RECEIPT #:
1200900000000000477
Description
Add, Alter, EXlend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Dcpartment
Date: 05/19/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE GIGS ONLINE PERMIT CHGS
cRcceint I
KR
\
Page I of 1
ONLINE REVOLUTI Online
ON
ELECTRIC
Payment Total:
8:33:49AM
Amount Due
55,00
12,00
3,35
8,04
$78.39
Amount Paid
$78.39
$78.39
5/19/2009