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Home My WebLink AboutPermit Electrical 2009-6-4 I'{\ '\ Receipt # EC553090 V q/ 6i4/2009 5:2] :40 PM City of Springfield Electrical Authorization To Begin Work E-mailedTo:revolutionelectric@comcast.net Check on status of permit By Phone: (54])726-3753.or Email: permitcenter@ci.springfield.or.us 1""",<,' ... ''l7.:tt> I 0 New construction I~:: t_ 10 lor 2"fomily dwelling o Addition/alteration/replacement D Multi~famjly D Commercial/Industrial IJob no.: l.Job address: .523 65TH ST ICity/State/ZIP: SPRINGFI~LD, OR 97478-7044 I Suite/bldg./apt.no.: I Project !lame: Cross street/directions (0 job site: ISubdivision: ITax map/parcel no.: ] 702341300425 I Lot no.: Install split unit system. I Nllme: Richard Norris I Phone: !Email: I ...-~-. .... '. . 1 Fa" I [I. lie. no;: C354 I CCB lie. no.: 179066 I Business Name: REVOLUTION ELECTRIC INC I ContHet: Matt Schultz IAddress: 2171 BIRCHWOODAYE I City/Stater/..lP: EUGENE OR 97401-7499 I Phon" (541 )5058351 I Fax: (541 )5058454 I Email: revolutionelectric@comcast.net I Metro lic.'no.: I City iiI'. no.: I Supervising electrician's lie. no.: 52475 I Supen'ising electrician's name: MATTHEW L SCHULTZ Upon review and approval by your local jurisdiction, your pe~mit will be e-mailed-or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an 1{r Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. . , ~ "l\th ~~.d^- :'\);. o..r8' ~ \\)~ ~\9'V I "I )~ I .".1 -,.,:~ 1 I 1 1 1 I Description Qty. l Ea. ,I Total ;.Residential'SINGLE/bR?ffilliti~-fj"fmilydweiling~unit.~liiduJer' -~ - -"' _~., ;uttac~~~'~a,;~(g~Z':~~/J{~:;ki~~~';'h,:-:~f .~.." ~~~_:_"' r~:.c," ~: ~ 11,000 sq, ft. or less [4] lEa, addl 500 sq. n. or portion I . Limited energy, residential (with above sq, ft.) I-Limited energy, multifamily resid~nlia1(with above S(1, ft.) I - Lirriited energy, commercial not olTered online at this jurisdiction (wIth above sq, It.) I - Stand-alone limited energy, residential I - Standcalone limited energy, muhi-familv I - Stand-alone limited energy, commercml 1200 amps or less [2J 1201 amps to 400 amps [2] 140] amps to 599 amps [2] 1200 amps or less [2] 1201 amps to 400 amps [2] 140 j amps 10 599 amps [2J !~~t€~fll~H:Y~lt~i'NE,~~,"~~rf,rati~;~~R:e~~~n's,j~o,~~perjia~~t I A. Fee for branch CirC.llits with sernce or feeder fee, c<lch brallchcircuit lB. Fee for branch circuits without service or feeder fee, first brunch circuit f21 I each addl branch circuit :~;~';r, $55.00 $55.00 $600 $600 I Service reconnect only [2] I Each manufactured or modular dwelling, service and/or feeder [21 I rump or irrigation circle [2] I Sign oroutline lighting [2] I Signal circuit(s) or limited- panel, alteration, or I I I I TOTAL PERMIT FEE * City or Springlh:ld fees: 5% Technology FICe {Default number of inspections allowed} Subtotal Stale Surcharge (12% of permit fee) City or Sprill_gfleld fees * $7.32 I $3.05 I $71.371 ~ um9 - {J:J1lt] ./Jrn &....s-OCf This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 541-726-3769 Inspection Line CITY .OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00779 ISSUED: 06/03/2009 APPLIED; 06/03/2009 EXPIRES: 12/03/2009 VALUE: SITE ADDRESS: 523 65TH ST ASSESSOR'S PARCEL NO.: 1702341300425 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Heat pump Owner: NORRIS FRANCES W HETZ Address: 523 65TH ST SPRINGFIELD OR 97478 TYPE OF USE: New Residential I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor REVOLUTION ELECTRIC, INC MART]N CASTLEMAN LLC License 179066 ]69547 Expiration Date ] 0/30/2009 04/07/2010 Phone 54 I -505-835] 54 I - 736-3438 BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constructio~ Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I ^TTI=h1TION: Oreqon law requires Y?~.:,~. I PUBLIC IMPROVEMENTS11,\Iow rules adot pte~h~\~~':~~~~V,':::'~~ifo;;h ...ttlflcatlon Cen er, ... 1... (\;:'" ""01~ in OAF.Sj<!e~"alk-l'ype:thr0I19~' ~.:I," - . -'I 0090 V'll! may obtain CO.,le . :)..' , . Downspouts/Drains::!.' ,I. " t. ,- calling me ...;elll\;il. \.w.....:,I.. r . number for the Oregon U:~',',.. ..--...... Center is 1-80C-3~~-""~")' Frontyard Setback: Side] Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: S . I I "',n-.,__ pecI3 nstructl.oE:.:: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . Page I of 3 REQUIRED PARKING Total: Handicapped: Compact: _S,.P,'R1N:D.. F;lfil..!'O 'fii........... .. ..1...., ~:M. ... ~.! F -' ., . ~. .... .................~.... ). Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54 ]-726-3769 Inspection Line I Valuation DescriDtion I Descriotion Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project J;'pp<. P~irI . Fee Description + 12% State Surcharge + 5% Technology Fee ]st Appliance Heut Pump + ]2% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 $55.00 $6.00 Total Amount Paid $183.69 I Plan Reviews I Date Paid 6/3/09 6/3/09 6/3109 6/3/09 6/5/09 6/5/09 6/5/09 6/5109 CITY Or< ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00779 ISSUED: 06/03/2009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 VALUE: Value Date Calculated Receipt Number 3200900000000000417 3200900000000000417 3200900000000000417 3200900000000000417 3200900000000000423 3200900000000000423 3200900000000000423 3200900000000000423 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 Rpn~prtil1n<'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. Page 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00779 ISSUED: 06/03/2009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 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 I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and] further certify that any and all work performed shall be done in llccordance 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. ] further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. ] 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 Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00779 COM2009-00779 COM2009-00779 COM2009-00779 Payments: Type of Payment. ONLINE CHGS cReceinll RECEIPT #: Date: 06/05/2009 3200900000000000423 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received nJm. ONLINE revolution Online Payment Total: Page I of I 7:33: lOAM Amount Due 55.00 6.00 3.05 7.32 $71.37 Amount Paid $71.37 $71.37 6/5/2009