HomeMy WebLinkAboutPermit Electrical 2009-8-19
(,
.City of Springfield
69600-BEL-09-00082
8/19/2009 4:55pm
Approval Code: 0 I 092Z
Electrical Authorization To Begin Work
E-mailedTo:revolutionelectric@comcast.net
Check on status of penn it
By Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us
DlIazardousloC81ions
DAs~rviceorfeederraledat60llamps
armore
D New Construction
o Addition/alteration/replacement
Please check all that apply:
o A service or feeder beginning al
400 Amps where the available faull
currenlexceeds JO,OOO Amps al
ISO Vohs or less 10 ground
exceeds 14,000 Arnps for all other
installations
DBuildings more than IhreeSl0ri"s
DMarinai;:mdboalyards
DFloRlingbuildings
DCommercial-useagricuhural
buildings
Dlnstal'ationofa'50KVAor'arger
seperatelyderivedsys
O"A',"E".or"I-2"oT"I.3"
DRecreati?nal Vehide Parks
DSupplyvohagcformorelhan6oo
supply VOllS nominaJ
o I or 2 family dwelling
DMulti-family
DACCt:SSOry
DCommerCial
Job Address: 2160 DEBRA DR 1
City/State/ZIP: SPRINGFIELD, OR 97477 1
Suite/bltlgJapt.DO.: ,
!l'l"ojectName: Climate Control "'I
I C,""S,,,,./d',,,".", toi.b,it" I
11,~;~::';;:%':;~'"1i1,~I[l~ \~~~4~~f!2'T~~'4"" ,~,~I
;"f#':/5\@s*&1'"-~l'C:'~~,..~::j!;:t~.DES.CRIRcTIONlOf0WORK'A.~J,?E?:,..::;;-:'iiip;:r;q~~4fi.
InstalJ mini split system
DFirepumps
DEmeIgenCYSystems
o Addition ofa new mOlOr load of
100 HP or more
DSi~ormoreresidentialunitsinone
stru~luIe
DHealth~arefacijities
I Destription
I Branch circuits without service or
feeder
IBmnch circuits each additional
circuit without service
$55.00 $55.001
S6.00 $6,001
$61.00
$7.32
$3.05
571.37
I NJlme: Judy VanBuskirk
I. Phone:
I Email;
I State surchargt: (12% of penn it
tota])
I Technology fee (5% ofpt:rmit total)
I TOTAL PERMIT FEE
Fax:
I
I t 9 - \ lq~
[lee lie. no.: C354 aTTI="'Tlnt\.l. ('R~BJln:rp4flw'~~llirp.R vou to
B."",,, N,m" REYO~nllg~,EHI1'O\lC1Wlopted by the Oregon Utility
I CO",",, Notltlcatlon L;enter, I hose rUles a~e SHllOrm
Address: 2171 BIRCHUrbbmf1<Jc.-UV I-VV I V llllUUYl1 v/"\n vvc.-uv I~
):::. \'~... ,-,-,::,,:,,:,:':~.:.:;-; .::~::: 3'7 !~z ::..:~:: '21
City/StatclZIP: EUGENE...OJ:I P,1,4,.Qlfl'.og f"'ontoI"If\lnto' the tolonhnno '
Pb.."'41-505-8351 nllmh;;r 1m the"'H"'lJ~'H11!litv Notiiication
ElDail:.revolutionelectTlc@comcast.n'i::enter is 1-800-332-2344).
K1L ~\ ~\ {)q
NOTICE:
THIS PERMIT SHALLEXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Metro lie. DO.:
City lie. DO.:
Supervising Electrician's lie. DO.:
Supervising Electrician's Name:
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
AlIOtherScrviccs: 2
\~cf\
V~~
~~
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.
~
~~~.
NOTE: This Authorization To Begin Work expires within 180 days if a
pennlt is not obtained.
The local building deparbnent may determine that an Authorization To
Begin Work is null and void if it does not me~ applicable land use laws
and local ordinances
This Authorization To Begin Work must be posted at the job, site until replaced'by a Permit
Status
Issued,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01l98
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITEI\DDRESS: 2160 DEBRA DR
ASSESSOR'S PARCEL NO,: 1703261103100
Springfield TYPE OF WORK: Heating System
TYPE' OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump in residence
Owner: VANBUSKIRK D D & J L
Address: 2160 DEBRA DR
SPRINGFIELD OR 97477
.I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor,
REVOLUTION ELECTRIC, INC
MARTIN CASTLEMAN LLC
License
179066
169547
Expiration Date
10/30/2009
04/07/2010
Phone
541-505-8351
541-736-3438
BUILDING INFORMATION'
# 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 I~t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Setback: Overlay Dist: ' Total:
Side I Setbac,4nENTION: Oregon law requires yrJiJ $lfeet Trees Rqd: OlICE> Handicapped:
Side 2 Setba~1ow rules adopted by the Oregon lPciiy.~ Drive Rqd:N '. U!'WPf!# WORK
Rearyard S~(!)a~l>~tion Center, Those rules are seWicoll'Lot Coverag~:HIS PERMIT SHALL EXPIR
Solar Setba~ks:AR 952,001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
r::r:r:r:. "-:." --., _I-...._:~ ..........;,..,.... ",.f.f.h... ....1.......... h'f -- ._.....-... p..... ,.... ^r^fllnnl\lI:n cnR
. ~. _ .' -. '''''WILI"VI-U VI' ,... ..., n._ -
calling the center, (Note:.thel[PDBUlI(i\:'1MPROVEME~;r~ Iso DAY PERIOD,
number for the Oregon Utility IN""V~"V"
Street Improvementcenter is 1-800-332-2344), Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
I DEVELOPMENT INFORM A TION ,
Notes:
Paee 1 01'3
_~,r;;R1!:!e!!l!il!!~r;
I,~, -f'-.,; "c..
- r._ .
Status
Issued
225 Fifth Street, Springfield, OR
,541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CITY OF Srl'OJ"\.JFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01198
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: Oi/20/2010
VALUE:
Value
Date Calculated
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
Receipt Number
2200900000000000926
2200900000000000926
2200900000000000926
1200900000000000949
1200900000000000949
1200900000000000949
1200900000000000949
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,
$9,48
$3,95
$79,00
$7,32
$3,05
$55.00
$6,00
8/18/09
8/18/09
8/18/09
8/20/09
8/20/09
8/20/09
8/20/09
$163,80
I Plan Reviews I
Rerlllirerl Insnections I
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
_~!,I"lGIj;I1I,L:9.J
:1 '
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01198
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02/20/2010
VALUE:
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby 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
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w~rk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servkes 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 3 of 3
Date
City of Springfield Official Receipt
Development Services Department
Public Works Department
22~ Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1198
, COM2009-01198
COM2009-01198
COM2009-0 1198
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
1200900000000000949
Date: 08/20/2009
8:52:40AM
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
55,00
6,00
3:05
7,32
$71.37-
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLlNEREVOLUTI Online
ON
ELECTRIC
INC
Payme~t Total:
$71.37
Aniount Paid
$71.3 7
Page I of I
8/20/2009