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HomeMy WebLinkAboutPermit Electrical 2009-6-17 City of Springfield Electrical Authorization To Begin Work E-mailedTo:revolutionelectric@comcast.net R~ceipt # EC5539211 " 6i1712009 8:31:38 PM c-p ~)b () Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ~c" \.9.\~V ~~ 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 ~j*~:;1\E'i~*"~ ==~","".,..~m"'''.''''''4."""",,,,,~_,,~,=,~",,,~"~;;;,,,.~,,,,,,,,:,,.;,.,~~1':~~'~ZJ. 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:' iii' UY~~/~Q~ 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' ." 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 , ", I" 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