HomeMy WebLinkAboutPermit Electrical 2009-6-4
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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
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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. .
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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. ...
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.... .................~.... ).
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