HomeMy WebLinkAboutPermit Electrical 2009-6-17
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:revolutionelectric@comcast.net
R~ceipt # EC5539211
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6i1712009 8:31:38 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
o New construction
o Addition/alteration/replacement
[K] I or 2 family dwelling
o Multi-family
o Commercial I Industrial
1~"'~~t&OB:SITE'1NroRMATIONt",ANO;irOCATI(iN",g,::~_'~~2!0
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Job no.: I Job address: 455 L6.KSONEN LP -
ICity/StatelZIP: SPRINGFIELD, OR 97478.7262 -
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to )ob site:
ISllbdivision:
Tax map/parcel no.: 1702352305600
I Lot no.:
I Phone:
!Email:
IFax:
lie. no.: C354 ICCB lie. no.:
I Business Name: REVOLUTION ELECTRIC INC
I Contact; Mart Schultz
IAddress; 2171 BIRCHWOODAVE
I CityIStateJZIP: EUGENE OR 97401.7409
I Phone: (541)5058351
I Email: revolutionelectric@comcast.net
jMetrolic. no.:
Supervising electrician's lic. no.: 5247S
1 Supervising electrician's name: MATTHEW L SCHULTZ
179066
I Fax: (541 )5058454
I City lic. no.:
Upon review and.~pproval.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 Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is'null and void if it does not
meet applicable land use laws and local ordinances.
~6'
I Description '. _ I:: Qty. I Ea. l' Total I
~"Resid,'enii~KSINGtE~rO^RTmlrlti;famity;dwefliDgl'unii:'fI:nClUdl~~: ';117 ~ '1
o...~~~.~._'_..~'"" "t!,jV"O!S:l&'
[attac"ett'garag~ /i~~~" '';;;;" ,0'E '~;g~" 'f~~iff''\
"'~....,,~.~..~ ., .. .=i't. _ ,. ."". '_.._~'.' _"*"".' '_~. .~~
11,000 sq, ft, 0' less [4J I~' I I I
1 Ea. addl 500 sq. ft. or portion I I
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I - Limited'energy, commercia"1
(wJth above SQ. ft.)
I - Stand-alone limited energy,
residential
. Stand-alone limited energy,
multi-family
. Stand.alone limited energy, I :
c~~merc:i~L-.:. .. . '.:..:,.'
11!~EtJl~~&~cr€$;~]~@i[~~~![~~1gIt!if~~i!!i~~ '
1200 amps 0' less [2J I I
I 201 amps to 400 amps [2] I .
40 I amps to 599 amps [2J
not offered online at this jurisdiction
'<
I
I
I
J
200 amps or less [2]
1201 amps to 400 amps [2J
1401 amps to 599 amps [2]
I A. Fee for branch circuits with
servlce or feeder fee, each
branch circuit
lB. Fee for branch circuits.
without service or feeder fee,
first branch circuit r21
each addJ branch circuit
I
$5500
$55,001..
"
$6,00
$6,001
Service reconnect only [2]
Each manufactured or modular
dwelling, service andlor feeder
f21
I Pump or irrigation circle (2]
I Sign or outline lighting [2]
I Signal circt!it(s) or limited-
energy panel, alteration, or
extension f2] . I
'~~~"liEiJEC'fRJ~Ai.!f,P ERMit)F,E ES~!i~t~F-I'i'''\j
~a~~~,,-,,,,_,,,,"=-,,,,,,,,~__,,y~,~.",,.qy~0J'0.-+~.
I i. Subtotal I $61.00
I State Surcharge (12% Ofpennit fee) $7.32 I
I City Of Springfield fees" I . $3.051
I, , TOTAL PERMIT FEE I $71.37 J
.. City Of Springfield fees: 5% Technology Fee
[Defaul! numbil" a/inspections allowed]'
CoYY\2.<svO(- F'So
NM ee-/ '0::-09.
CITY OF SPRINGFIELD'
Building/Combination Permit
II
PERMIT NO:' COM2009-00850
ISSUED: 06/12/2009
APPLIED: 06/12/2009
EXPIRES: 12/16/2009
VALUE:
. _~~~J~~<!!I.'l;!-C'!,
':!it '
'1:'
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r 0/\'~JX
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. SITE ADDRESS: 455 Laksonen Lp .
ASSESSOR'S PARCEL NO.: 1702352305600
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Air Handler - Heat Pump
TYPE OF USE: New
Residential
Owner:
Address:
KIENLE KORBY M & JENNIFER J
455 LAKSONEN LOOP
SPRINGFIELD, OR, 97478
I CONTRACTOR ~NFORMA ~ION ,
Contractor Type
Electrical
Mechanical
Contractor
REVOLUTION ELECTRIC, INC
MARTIN CASTLEMAN LLC
License
179066
169547
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondar-y 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: n/a
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar' Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
. Special Instruction:
Expiration Date
1013012009
0410'(/20 I 0
Phone
541-505-8351
541-736-3438
r
I
Lot Size:
I
Sq Ft 1st Floor:
Sq FUnd Floor:
"
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
,
I REQUIRED PARKING
;. Total:
,. Handicapped:
': Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
v
Paee I of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
o'r multiplier
Tvpe of Construction
'Square Footage
or Bid Amount
Total Value of Project
Ff'p<. Pqirl ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$1356
$5.65
$79.00
$17.00
$17.00
$7.32
$3,05
$55.00
$6.00
Total Amount Paid
$203.58
I Plan Reviews ,
Date Paid
6112109
6112109
6112109
6112/09
6112/09
6118/09
6118/09
6118109
6/18/09
CITY OF SPRINGFIELD
Building/Combination Permit
,
PERMIT NO: COM2009-00850
ISSUED: 06/12/2009
APPLIED: 06/12/2009
EXPIRES: 12/16/2009
VALUE: ~:
'0
"
,
Value,
Date Calculated
l'
Receipl Numher
.1
320q~00000000000448
3200900000000000448
3200900000000000448
320?~00000000000448
3200900000000000448
"I .
3200900000000000467
3200900000000000467
3200900000000000467
3200900000000000467
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. .
L.iwirf'\i "r'III,lrh/n<, I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanicai work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
ji'
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CITY OF SPRINGFIELD
Building/Combination Permit
"
Status
Issued
PERMIT NO: COM2009-00850
ISSUED: 0~/12/2009
APPLIED: 06/12/2009
EXPIRES: 12/16/2009
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 h~l:eby certify that all
information hereon is true and correct, and I 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 wo'rk described herein, and
that NO OCCUPANCY will he made of any structure 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 a:ddress 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 3 013
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225 Fifth Street <
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00850
COM2009-00850
COM2009-00850
COM2009-00850
Payments: .
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000467
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
, Public Works Department
Date: 06/1*/2009
, ,
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
ONLINEREVOLUTI Oill,ine
ON
Page I of I
Payment Total:
7:44:15AM
Amount Due
55,00
6,00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
6/1812009