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Home My WebLink AboutPermit Electrical 2009-8-31 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 liL 10 NewConstruction o Addition/alteration/replacement 10 I ,,2 [=lly dwdll,. o Multi-family o Commercial o Accessory Address: 985 NDRTHRIDGE AVE I City/State!ZIP: SPRINGFIELD, OR 97477 I Suite/bldg.fllpl.no.: I Project Name: Climate Control I Cro~s Street/directions tojobsiie: I Tn'plp""loo., \1) D"tJ'L\p \ \ [) ~ 1~~~'!P~~~1~~i~~ESg:Bip.Jfo"NT6~iwQi~R~~~~~~~ Install split system Name: Harry EbnnantJawt Pbone: Fu: Email: Elee lie. no.: C354 CCB lie. no,: 179066 Business Name: REVOLUTION ELECTRIC INC Contact: Address: 2171 BIRCHWQQD AVE City/Slate/ZIP: EUGENE, DR 974017409 Phone: 541-505-8351 Fax: 541-505-8454 Email: revolutionelectric@comcasl.net Metro Iic. no.: City Iic. no.; Supervi$ing Electrician's lie. no.: SUllervising Electrician's Name: Number of inspections inclmltd in paid services: Residential Service: 4 Reconnect Only: I All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-malled 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 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 ?Ieasecheck all thaI apply DAserviceorfeederbegirining~1400 Amps where lhe available fauh cUfTenlexc..us 10,000 Amps nt 150 VoltsQr less 10 llround exceeds 14,000 Amps rorllll Qlhcr installations OFir~pumps DEm~rgencysystems o Addilion ofa new motor load of 100 HP or more o Six or more residential unilsinone Slructure DHealthcarefacililies 69600- BE L-09-00 II 0 8/31/2009 5:17 pm Approval Code: 06673Z c \ J.- ~'Y ~/ D'lazardouslocaliom DA service or feeder, rated at 600 amps or more OBuildingsmoTelhnnlhreestories DMarinas and b031 yards DFloatingbuildings DComm<'fcial.useagriculturaJ ,buildings Dlnslallationofal50KVAorlarger sep~ralely derived sys O"A","E",or"I:2" or "1-3" DReC1~ationalVehiclePark5 [gSupplyvohagc for more than 600 supply vohs nominal Total $55.00 ~55.00 I $6.001 I Description I Branch circuits~ithoutselvice or feeder I Branch circui!seach additional circuit wIthout service IStale surcharge (12% ofperrnit total) ITechnology fee (5% of penn it total) 1 TOTAL I'ERMIT FEE $6.00 $61.00 $7.32 $3.051 $71.371 . ~ffi~ AA~~~" ~~y ~~ ~ This Authorization To Begin Work must be posted at the job site until repJacedby a Permit Wm L (JV 9 pt/Ol/O; 01;), 6' L )J /?'1---' -"'~J:!l"'r~C!!\'!J!:!,:~'.... ,n ., '.," .' ~ , ' CITt: OF SPRINGFIELD Building/C~mbination Permit ,. Status Issued PERMIT NO: COM2009-01282 ISSUED: 09/01/2009 APPLIED: 09/01/2009 EXPIRES: 03/01/2010 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 985 NORTHRIDGE AVE ASSESSOR'S PARCEL NO.: ]70326]]08400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New' Public PROJECT DESCRIPTION: Install split system Owner: Address: EHRMANTRAUT HARRY C & SA 985 NORTHRIDGE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION II Contractor Type Electrical Contractor REVOLUTION ELECTRIC, INC License ]79066 Expirati~n Date ] 0/30/2009 Phone 54]-505-8351 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Setondary 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 Flo!'r: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: . n/a J, DEVELOPMENT INFORMATION' Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: . Handicapped: . Compact: I.PUBLIC I~PROVEMENTS 'ATTENTION: Oregon law re . tOUOVlSiih\W1lIk)1lYP~lJ b th qUIres you to NotifICation Cenf"'f I' Y e Oregon Utility Storm Sewer Available: in OARQ,~':r~J!Jo~tsIDIaii'ls? rules are se! forth Special Instruction: 0090 "" I UUlO through OAR 952-001- NOTICE: ca';jn;~h~~~~t~~aJn(NcotPies of the rules by , Notes: THIS P' numb f . 0 e. the telepho a III ITun~~~~ .~.H~~L EXPIRE IF THE WORK e~~~t~~eiP~e~~~ ~~t~lity. Notificat~;n COMM -.--... VI~uLn.Jrll~ :'L';;~';;-;- is I\JUt ,1---"'V-r'"tJ. ANY 18ENCED OR IS ABANDO/I"Valuation DescriDtion I o DAY PERIOD. ' .. $ Per Sq Ft Square Footage or multiplier or Bid Amount Street Improvements: Description TVpe of Construction Value Date Calculated Page I of 2 -~I!'1!,.Ft!,~!iI!if1,*,R-!: :l." '. :,;" . -') Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01282 ISSUED: 09/01/2009 APPLIED: 09/0112009 EXPIRES: 03fOl/2010 VALUE: 225 Fifth Slreel; Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ Paicl , $7.32 $3.05 $55.00 $6.00 9/1109 9/1109 9/1/09 9/1109 Receipl Number .32009000000000006]5 320~900000000000615 3200900000000000615 3200900000000000615 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Dale Paid" Total Amounl Paid $71.37 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. .AII 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 wor'k day. I. Reouirecl 1nsnections , Rough Electric: Prior to Cover Final Electric: When allelectrical work is complete. .. By signalure, I slate and agree, Ihall have carefully examined Ihe compleled application and do hen;by certify tbat all information hereon is true and correct, and I further certify that any and all work performed shalf 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 thafNO 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. I further agree to ensure that all required inspections are requested at the proper time, Ihat each' address is readable from the slreel, Ihallhe permit card is locate~ allhe fronl of Ihe properly, and Ihe approved sel of plans will remain on Ihe sile al all times during construction. . Owner or Contractors Signature Dale Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii- ,._'.....~'.._.L._,...~..~ - City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200900000000000615 Date: 09/0112009 8:05:02AM Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 3.05 7.32 $71.37 Job/Journal Number COM2009-01282 COM2009-0 1282 COM2009-0 1282 COM2009-0 1282 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Amount Paid ONLINE CHGS ONLINE PERMIT CHGS NJM ONLINE REVOLUTI Online ON ELECT $71.37 Payment Total: $71.37 cRcceil'ltl Page 1 of I 9/1/2009