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Home My WebLink AboutPermit Electrical 2009-6-23 City of Springfield Electrical Authorization To Begin Work E-mailedTo:revolutionelectric@comcast.net Check on status of permit By Phone: 541-726-3753 or Email: pcrmitcenter@ci.springfield.oLus 69600-BEL-09-00005 6/23/2009 11 :26 pm o AdditionJalteratiowreplacemclII ~Sf'~4~ij.::~;"':~'~.itt:~~"gPLAN~REVIEW;:r~'~~ _j .",e':'"5i['0i;-,..'~ ;;;-a:i~CheCkall(halappIY: .'~[JIIa:lardouslocalions DA servkeor feeder rated at 600 amps I D NewConstructioll o Ase,rviceorfeederbegin.ningal 400 Amps whel'e the available fault ~urTenlexceeds 10,000 Ampsal 150 VOIIS or less 10 ground ~ce.dsI4.000Ampsforallolher installations 01 or2 family dwelling DMUlti-fhmilY Dcommei-ciul DACCeSSOry 1~~~i.,<^"r;;;;o/~OB~siTE:jNFORMATI8N1AND,Lbt:ATIO~'~~ .~ Job Adlh.ess: 566 65TH ST DFj,~pumps DEmergenCYSYSlemS D,Additionofanewll1olorloadof 100 l-IP or more DSi~ornH.>fere;idenl;alllnil.\inon" SlfllClllre o Heallh care facilities City/Statc/ZIP: SPRINGFIELD, OR 97478 SuitelbldgJllpt.no.: Project Nllme: Climate Control CrossStreet/dii-ections to job site: . I Taxmllp/pllrcelno.: :, OlJ~o 'l-o Orll1ore DBu;ldingsmorethanlhreeslOries [!]Marinasandboatya~ds DFloalin~buildin~s []Commercial-use agr;cultuml buildin~s Olnslallationofal50KVAOrlarger j; sepcmtelyderiwdsys O"N'. "E".or"r.2"of "1.3" ORecreationalVehicleparks Dsupplyvoha~efofmorethan600 ;I'IlPplyvoltsnominal Description QIy, Install mini s11itsystem Branch circuits without service or feeder Branch circuitscachllddilional. circuit without service Name: DOn Bartlen SublOlal $55,00 $55,00 $6.00 $6,00 $61.00 $7.321 nos I $71.371 Phone: Fax: T Slllte surcharge (q% of penn it Emai]: .'1 J~MT10f\I. n..:-:::,_,,, :_. . I '>0' "....'0"'.';:><_ ~ ~ " ...... :,'~""'-:i!i;p.~;:'-'""%'%'"'' '">.",""'.. "'~, ~ ~0"'_'="2"'_4''''-i'',..;t.eKW''~qlf~0l;A-'_..!:IJC!T~C~I!~ll?gy;:.fes(~~.2(peflJll.ttolal) reOUJ '..q~ 11..... , .f._ ~-!j,),..:.~~:::,,,,?V:=tv~~d-~ _..~~~....~':CONTRA'CTOR;~i.r":"t\~~"""i""'+'"$st~j>~\Y~:.NG; ~i11:T()+~IrPERI\1I1~FEE~ uy me C)rt ""lrl' 'i1~;, :~Sci~~~Sn~~~::s:EVOLUTION ELECTRIC INC CCIl lie, no,: . ]79066 ~~~llt~~~rfA~f)~j ~ t;\~~h.~~6~A~I~A~lf1o!lrb9 I' ~l"ayl.\!o.am FP ., \Y-\t!il'o\. ConI"" ~f Img the center, ufJl,es or ,he rV:JS b :J-,,,Ler lor the 0 (Nofe, the'telephc - Y Address: n.:'7~:nJl\qF!y;'GlOD AVE C regon Utilifv N' t" Ie " enter is 1-800 33 . - ,. 0 IflCation c;ly/s"'~"l!'i,~Ug~N_E'19,~'~7~oJJjJl11 !:YDIR!: H: TI-l!: WnRI( , - 2-23',l4), Phone: S4,]_i?Frli~3IDI7i:n 11t\lni:D T~~:..:.54tSl2i~~;~!T IS: t-lnT I ' F:mail:scl.'til,t~o.:J.~n:i~@f,c:~c!!-,!'I!c:IO Ie: f'..Rf'..t\lnnf\li=n i=nR I Metro]ic~:,~.~:~y -I on r'lAV DCDI()1l Cit)'lic.no.: 1 Supcrvisinl! Elcetridan'slic,no.: 1 SupervisingEleclridan'sName: I Number of inspections included in paid services: Resid~ntiu] Service: .~. &: If' .~~.d' \9~~\V ..fiTlY' n;yO ~ .~~ ~. 'vO Reconnect Only AIIOtherScrviccs: Upon review and approval by your local jurisdiction, your permit will be a.mailed or faxed within one' business day, with instructions 041 how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. The local building department may determine that a.... Authorization To Begin Work is null and void If It does'not meet applicable land use laws and local ordinances This Authorization To Begin Work mLJst be posted at the job sit~ until replaced by a Permit' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-009I2 ISSUED: 06/25/2009 APPLIED: 06/24/2009 EXPIRES: 12/25/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 566 65TH ST ASSESSOR'S PARCEL NO.: 1702341300432 Springlield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install mini split heating system Owner: DONALD & RHEA BARTLETT FAMILY TRUST Address: 566 65TH ST SPRINGFIELD OR 97478 I CONTRA~TOR INFORMATION I Contractor Type Electrical Contractor REVOLUTION ELECTRIC, INC License 179066 Expiration Date 10/30/2009 Phone 541-505-8351 # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I i # of Stories: Height of Structure Type of Heat: Water Type: ' Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2~d Floor: Sq Ft B~sement: Sq Ft GaragelCarport Sq Ft Other: Occup~nt Load: nla I DEVE,LOP~ENT INFORMATIO~ I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . . .l"-':,'l;! :;\:<l';~~;/:~lr:;i~":~f.';~~~rotal:-' " ' , , Handicapped: ATTENTION: Oregon lalcomplil:t:; you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in f"\AD Oh0-"\"1J'\(i1n thl"';'\llnh r111Q QJ:;')-'1()1_ NOTICE: ' I PUBLIC IMPROVEMENl:S!lu. You may obtain cqpies of the rules by nuc: DCD"IT SHALL' . ,,"ailing !he center. (Note: the telephone Street fmprovem~n s: EXPIRE IF THE WORK numbe~\<!!I'ti\l!<O~nUtility Notification Storm~~Je~.<l~\tfil~JV:NDER THIS PERMIT IS NOT fr6Wifspifut~71)J.Qi~~f-2344), Special'i.l~IJ.~ttlH~~U UR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I Valuation, DescriDtion I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount ' Value' Date Calculated Page I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541_726-3769Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $7.32 $3.05 $55.00 $6.00 Total Amount Paid $71.37 I Plan Reviews I'. 6/25/09 6125/09 6/25/09 6/25/09 CIT'i OF SPRINGFIELD' Building/Cqmbination Permit PERMIT NO: COM2009-00912 ISSUED: 06/25/2009 APPLIED: 06/24/2009 EXPIRES: 12/25/2009 VALUE: ' Receipt Number 1200900000000000731 1200900000000000731 1200900000000000731 1200900000000000731 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 . R,eolJirerl I n~q~~tinns . Rough Electric: Prior to Cover Final Electric: When aU electrical work is complete. By signature, 1 state and agree, that 1 have carefuUy examined the completed ,application and do hereby certify that aU information hereon is true and correct, and 1 further certify that any and aU work performed shaU be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiU be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 willbe 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 the property, and the approved set of plans wiH remain on the site at aU times during construction. Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Developme~t Services Department Pu~lic Works Department Job/Journal Number COM2009-00912 COM2009,00912 COM2009-00912 COM2009-00912 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: 1200900000000000731 Date: 06/25/2009 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge ' Paid By ONLINE PERMIT CHGS Item Total: t.:heck Number Authorization Received By Batch Number Number How Received KR ONLlNEREVOLUTI Online ON ELECTRIC " paymebt Total, Page I of I 8,OO:24AM Amount Due 55,00 6,00 3,05 7,32 $71.37 Amount Paid $71.3 7 $71.37 6/25/2009