HomeMy WebLinkAboutPermit Electrical 2009-8-5
City of Springfield
Electrical Anthorization To Begin Work
E~mailed To:, revolutionelcctric@comcast.nct '
Check on status of permit
By Phone: 541-726-3753 or Email: p~rillitcentcr@ci.springfield.or.us
I D NewConstruction
o
, Addition/alteration/replacement
10] ,,2 fmn;], dwdh",
DMulti-family
Dcommercial
DACCeSSOry
Job Address: 823 ROWAN AVE
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt,no,:
Project Name: Climate Control
CrossStreetldirections tojobsitc:
?Ieasecheck all lhalapply'
o A service or feeder heginning at
400 Amps wherc the available fault
current exceeds 10,000 Ampsal
150VoIIsorlesstoground
exceeds 14,000 Amps for aJl olher
installations
DFirepumpi;
o Emergencysyslcms
o Addilion of anew mOlOr load or
100 HP or more
o Six or more residential unilS in one
structure
DHealthcarefacilities
I T.mp/p""]n.,, \flJ)3~'{, ~f)..p
1~~t;:f?t:;.,.":::~~~~~21~!DESCRIFlTToN"r6J[w6RK~~J1fft:2:~!~:~t=;1f?i25~1 Description
AddcirCllits for Daikin sp]itsystem,
Name: Dianne Trippett
Phone:
Fax:
Email:
[lee lie, DO,: C354
CCBlie, no.: 179066
Business Name: REVOLUTION ELECTR]C ]NC
Contact:
Address: 2171 B]RCHWOODAVE
Cily/State/ZIP: EUGENE, OR 9740]7409
Phone: 54]-505-835]
Fax: 541-505.8454
Email:re..'o]utione]ectric@comcast.nct
Metrolic,uo,;
Cit)" lie, no.:
Supervising Electrician'slic, no,:
Supervising Electrician's Name:
Number of inspections included in paid services:
Residential Service: 4
ReconnectOn]y: I
All Other Services: 2
Upon review and approval by your local jurisdiction. your permit will be
e-mailed or faxed within one business day, with Instructions on how to
schedule your inspection,
I Branch circuitswithoul service or
feeder .
IBranchcireuilseach additional
circuit without service
1~,lectritlll'l~ef~it Fees;
I Subtotal J
I State sllrchargc (12% of permit
total)
ITechno]ogy fee (5% of permit total)'
I TOTAL PERMIT FEE
~
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~~.
~
Cq--i\?/J
69600-BEL-09-00061
8/5/2009 7:28 pm
ApprovalCode:09992Z
DHiu.nrdouslocalions
[JA service or feeder rated at 600 amps
or more
[JBuildingsmorcthanthreeSlOrics
DMarinasandboaryard.
'DFloatirigbuildings
DCommercial,useagricultural
buildings'
D,nstal'atioriofa'SOKvAor'arger
s"llerarciyderivedsys
D, "A'" "E'" or'[-2"or"1-3'"
, ,
DRecr~a\mllal V~hide Parks
[JSupplyvolrage for more than 600
, ..upply volts flominal
$61.00
$7.32
$3.05
S71.37
~~~
to~
~~
Ccm U5V1 - CHI ~S
nm 8/eol09 t
NOTE: This Authorization To Begin Work expires within 180 days if a
pennit 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
This Authorizatio~ To Begin Work must be posted at the job site until replaced by a Permit,
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01135
ISSUED: 08/05/2009
APPLIED: 08/0512009
EXPIRES: 02/0612010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 823 ROW AN AVE
ASSESSOR'S PARCEL NO,: 1703342200906
Springtield TYPE OF WORK: Heaiing System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Reatpump
Owner:'
Address:
TRIPPETT LYNN & DIANNE M
823 ROW AN AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
REVOLUTION ELECTRIC, INC
MARTIN CASTLEMAN LLC
License
179066
169547
Expirati.on Date
10/30/2009
04/07/20 I 0
Phone
541-505-8351
541-736-3438
BUI~~ING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R'3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
.vB
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coveragc:
REQUIRED PARKING
Total:
Handicapped:
, Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements.:
Storm Sewer Available:,
S. r,',.............
pec..l Instruc!I!'8;::
THIS PERMIT SHA "
Notes: AUmORIZED UND5L EXPIRE IF THE WORK
COMMENCED OR Ie: ~ THIS PERMIT IS NOT
ANY'1S0 DAY PERIOD, BANDONED FOR
Sidewalk Type:
ATTENTIO~,Q'!.'m~p",!!,!~l,l,lm!:\m:es you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
Paee 1 of 3
-~~'I~_~~~,~~et~:'~;;lt,::!;,~~,~,
:1, t ~, -
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I, V aluat~on Descrintio,n I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amouut
Total Value of Project
J{pn P'li~ I
Fee Description
+ 12 % State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$9,48
$3,95
$79,00
$7,32
$3.05
$55,00
$6,00
Total Amount Paid
$163,80
I Plan Reviews I
Date Paid
8/5/09
8/5/09
8/5/09
8/6/09
8/6/09
8/6/09
8/6/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01135
ISSUED: 08/05/2009
APPLIED: 08/05/2009 ,
EXPIRES: 02/06/2010
VALUE: " '
Value
Date Calculated
Receipt Number
1200900000000000884
1200900000000000884
1200900000000000884
220~900000000000885
2200900000000000885
2200900000000000885
2200900000000000885
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.
IRp~
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
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'4' "1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
1
Building/Combination Permit
PERMIT NO: GOM2009-01135
ISSUED: 08/05/2009
APPLIED: 08/05/2009
EXPIRES: 02/06/2010
VALUE:
By signature, I state and agree, that I have carefnlly examined the completed application and do hheby certify tbat 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 work described herein, and
that NO OCCUPANCY will be made of any structure without peqnission of the Community Servi~es 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 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'
Page 3 of 3
Date
\
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department,
Job/Journal Number
COM2009-0 1135
COM2009-01135
COM2009-01135
COM2009-0 1135
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000885
Date: 08/06/2009
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 1
9:18:47AM
Amount Due
55,00
6,00
3,05 '
7.32
$71.37
Amount Paid
$7 I.3 7
$71.37
8/6/2009