HomeMy WebLinkAboutPermit Electrical 2009-8-4
City of Springfield
Electrical Authorization To Begin Work
E-mailed To: revolutionelectric@comcastnet
Check on status of permit
By Phone: 54J~726-3753 or Email: permitcente~@ci.springfield.or.us
o NewConSITUction
o Addition/alteration/replacement
I 01 "2fwn;Jydw,U;ng DM"lt"f~;Jy 0C"~m"1 0 A,,,,,my
1~4";\:'",~..:~~:i~~02EHsITE,I.NFORMA~TlO~NFAN6tO'CATiON~.J.,~;J, ~:~~,~'I
I Job Address: 4660 MAIN ST I
I City/StalelZIP: SPRINGFIELD, OR 97478 I
I Suitelbldg.fapt.no.: 500 I
I Project Name: Mac Industries I
Ie,"" S""dd',,"'n""n inb ,'t<, _', I
i~i~~:;~~~~~~~~~N;Oll~~~~t~;~"~~~~~l~1
lnslallcircuitsfornewwaterjetmachinc.
Name: Brian McDonald
Phone:
Fax:
Email:
Elcelie. no,: C354
CCBlic, no,: 179066
Business Name: REVOLUTION ELECTR1C lNC
Conlatl:
Address: 2171 BIRCH WOOD AVE
City/State/ZIP: EUGENE, OR 974017409
Phone: 541-505-8351
Fax: 54]-505-8454
Emllil:revo]utionelectric@colllcast.net
Metrolic,no,:
City lic. no.:
Supervising Electrician's lie, DO.:
Supervising Electrician's Name:
Number ofinspectio~s included in pllid senices:
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.
Please check all that apply'
DAserviceorfeederb~ginningat
400 Amps where the available faull
current exceeds 10,000 Amps at
150 Volts or,less to ground
e,~cceds 14,000 Amps for all other
installations
o Fire pumps
o Emergency systems
o Addition of anew motor load of
JOOHPormore
o Six or more residential unitsinone,
structure
o Heahhcarefacilitics
C1-1130
69600- B E L-09,00059
8/4/2009 7:06 pm
Approval Code: 04342Z
location,
ser.'iceorfeederratedat600al1lps
or more
DBuilding~morethanthreestories
DMarinasandboatyards
DFloatingbuildings
DCoinmercial-u~eagriculturaJ
buildings
Dln.lallation ofa 150 KVA or larger
scperatelyderivedsys
[J"A","E",or"I-Z"or"I-3"
DRecrealion~1 Vehicle Parks
Dsupplyvoltage for more than 600
supplyvol1;nominal
I Description
$55.00
$55.00
Branch circuitswithoul service or
feeder
Branch circuitscach additional
Circuit wilhoul service
'I Subtotal
IStatc surcharge (12% of penn it
total)
IT~chJtology fee (5% of per mil tOlal)
1 TOTAL PERMIT FEE
I
I
I
I
.~
"~~O'cf'
~\)~
'\
56.00
$6,00
$61.00 I
$7,321
$105 I
571.371
~\.o~
1l.,\O
U t.&J 9/
~~
eo:n 2(J7JP ~ ()// s-o
/)/YI 6-05 -09
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 Authorization To Begin WOfk must be posted at the job site until replaced by a Permit
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I130
ISSUED: 08/05/2009
APPLIED: 08/0512009
EXPIRES: 02/0512010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4660 MAIN ST Suite 500
ASSESSOR'S PARCEL NO.: 1702324200200
Spriugfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install circuits for new water jet machine
Owner:
Address: .
HYLAND BUSINESS PARK LLC
PO BOX 7867
EUGENE OR 97401
Contractor Type
Electrical
I CONTRACTOR INFORMATION I
Contractor License
REVOLUTION ELECTRIC, INC 179066
BUILDING INFORMATION I
Expiration Date
10/3012009
Phone
541-505-8351
# of Units:
Primary Occupancy Group:
Secondary 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:
Lot Size: '
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rq<!,:
% of Lot Coverage:
: REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I ' ,
ITTEN:nON: ?regon'law requires you to
foHow Sldewalk(f;ype: by the Ore::;or '~:my
Notification Center, Th,;,p rules a'''' set I'C 'th
' OAR Downspouts/Drams: ,c, I
In "''''''-vu I-VV IV mroug!1 0/,:-, c'~ ~-OJ1-
'0090" You may obtain copies 01 the r'J ~s cy
calling the center, (Note: the t8ic' '.:, ('
number for the Oregon Utilily f'!Cl,;;c:... '(I
r.:p.ntpr ic 1S1f)n_....II'..r) "'... ,\
Storm Sewer Available:
Speciall~s'i'r'licfjon:
THIS PERMIT S
Notes: AUTHORIZED HALL EXPIRE IF THE \IV
('n,,,, ._, UNDER Tl-l/c n...~. ,,_ ORK
..",~rvvCU UR IS -, ...,,' ,- """
ANY 180 DAY P ABANDONED [..."" I' ~ , . D .. I
,ERIOD, -lYla uatlOn esc~lOtIon
,.
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
-Square Footage
or Bid Amount
Value
Date Calculated
Paee I 00
_~'~:~~~I.~::,e~,,;
Ii'
b ,''''
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01130
ISSUED: 08/05/2009
APPLIED: 08/05/2009
EXPIRES: 02/05/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid"
Fee Description
+ 12% State Surcharge
+ 5% Te~hnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7,32
$3,05
$55,00
$6,00
8/5/09
8/5/09
8/5/09
8/5/09
3200900000000000565
'3200900000000000565
3200900000000000565
3200900000000000565
Total Amount Paid
$71.37
I Plan Reviews I
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~!9I1iredlnsnections I
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete,
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certi(y 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 work described herein, and
that NO OCCUPANCY will be 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.
1 further agree to ensure that all reqnired inspections are reqnested at tbe proper time, that each aodress 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
c
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01130
COM2009-01130
COM2009-0 1130
COM2009-01130
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000565
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: 08/05/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How '~eceived
Paid By
ONLINE PERMIT CHGS
NJM
ONLlNEREVOLUTI Online
ON
Payment Total:
Page I of I
7:07:55AM
Amount Due
55,00
6,00
3,05
7.32
$71.37
Amount Paid
$71.37
$71.37
8/5/2009