HomeMy WebLinkAboutPermit Electrical 2009-9-21
City of Springfield
Electrical Authorization To Begin Work
. E-mailedTo:revolutionclectric@cOIricast.net
Check on status of permit
By Phone: 541-726-3753 or Email: pennitcenter@ci.springficld.or.us
~;!J ~'~i-r,~_!,;}',t~Jt~~~~1;YPEf(j~..\WORK~i?~u,~~~~l,:~~~...?v:"~<
o New ConStfUC?OD '
o Addition/alteration/replacement
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I G I 0< 2 fmnily dwdl;o, o MolH,fmnHi , DCo~"d" 0 A",,,o')'
I~L_~;,: .. -~~:,'JOB"SITE INFo'RMAiioN:iND-liocAiI6Nt-1\~.;.J:-~4'ii}~,';'~~~~;1
I Job Address: 3638 OREGON AVE
I City/Slate/ZIP: SPRINGFIELD, OR 97478
I SuitelbldgJapt.no.:
I Project Name: Climate:: Control
I CrouStreet/directioflSfojobsitr:"
I Tu rn.p/p"'"0',' \"\()'2:0~ ~
1~1J>(i r~}-~f:~~~~0f~;~%.~Zip~~cJ~d~JIONr6f;iWOR~.~~~~~~~i:~;~~I
Reconnect furnace. Install new heat pump and service rel;l;ptac1e.
69600- BEL-09-00 145
9/21/2009 8:02 pm
Approval Code: 09632Z
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t'&.=:"';:f,~Jj"~~'~r7S~f~RlEANjREVIEW~~f~s:r~:r'~,~"f. ~";~4~r2
Please check all thal apply: DHazardouslocatioru;
D ^ s~rvj~e or feeder beginning al 400 D^ service or feeder rated at 600
Amps where the available faull amps or more
eurrente)(ceeds 10,OOOAmpsal
150 Vohsor less tCl llTOund exceeds
14,000 Amps for all other
installations
DFirepumps
DEmergencysystems
o Addition ofa neWlIIQlOr load or
100 HP or more
DSixormoreresidentialunitsinone
structure
o Health.arefacilities
DBuildings more than threeslOries
[JMarinasandboatyards
DFloatingbuildings
DcommereiaJ-useallri.uhUrlll
buildings
Dlnstallalionofal50K\'Aorlarger
seperatelyderivedsys
D"A","E".or"I-2"or"I-3"
DRecrealional Vehid.eParks
DSUpply vohage formOfe than 600
supply volts nominal
l~r~~-rrB:-~~&"~fEE}(CHEDUfI;I:S_:_-~k~"d~~~~ ,
I Description .1 Qry. l Ell. J Tolal
l~rlWCb c!~~its~--=>~--:i~{~~;: .:::i*:t.~~~~.~i' ," '~S",~:~'ll: ~~:'f :" .
I Brro;ch circuits without ser....ice or $55.00
feeder
I Branch circuits each lldditional circuit
withoutservicc::
Name: Ray Miller
Phone:
Fa,;:
Email:
~~~
Eleclic. no.:C354
CCO lic. no.: 179066
Busincss Name: REVOLlITlON ELECfRIC INC
Contact:
Address: 2171 BIRCHWOOD AVE
City/Statt/ZIP: EUGENE. OR 974017409
Pbone: 541-505-8351
Fax: 541-505-8454
Emllil: revolulionclcctric@comcast.net
Metrolic.no.:
City Iic. no;:
Supervising Electrician's lie. no.:
Supervisin: Electrician's Name:
Number orinspections included in paid serviees:
Residential Service: 4
Reconnect Only: 1
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.
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
I Subtotal
'State surcharge (I2%orpermit tOlal)
ITechnology fee (5% of permit total)
'TOTAL PERMIT HE
/6"-
~~~ ~:>JO' ,
$6,00
\5)Y
C\.i}:~.c0-
~ s '\( <!--'"
\Y
This Authorization To Begin Work must be posted allhe job site until replaced by a Permit
l'On'" 2..(:,;--0'1 - 0 J3S3
$55.00
$6,00
$61.00
$7.32
$3.05
$71.37
Status
Issued ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01353
ISSUED: 09/14/2009
APPLIED: 09/14/2009
EXPIRES: 09/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line'
SITE ADDRESS: 3638 OREGON AVE
ASSESSOR'S PARCEL NO.: 1702314205600
Springfield TYPE OF, WORK: Heating System
,
TYPE OF .uSE: New
PROJECT DESCRIPTION: Install new lennox heat pump system in.residence
, Residential
Owner: MILLER RAYMOND J & SUSAN A
Address: 3638 OREGON AVE ,
SPRINGFIELD OR 97478
Phone Number: 541-736-8119
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
,I B~ILDlNG INFORMATION I
# 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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback: '
Side 2 Setback: ,
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewerh\"aililble:>N: Oregon law requ'r
S . I I '~"., ,. I res you to
pecl3 nstructlOn. U es adopted by the Oregon Utilit
,NotifICation Center. Those rules are set forth
Notes: In OAR 952-.0.01-.0.01.0 through OAR 952-.0.01-
.0.09.0" You may obtain copies of the rules b
calling the center. (Note: the telephone y
number for the Oregon Utility Notification
Center IS 1-8.0.0-332-2344),
Sidewalk Type:
DownspoutslDrains:
NOTICE: E IF THE WORK
THIS PERMIT SH~~~ ~~~ PERMIT IS NOT
AUTHORIZED UONR IS ABANDONED FOR
COMMENCED
ANY 180 DAY PERIOD.
Page 1 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvne of Construction
Total Value of Project
J;'pp<. ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
, $11.52
$4.80
. $79.00
$17.00
$7.32
$3.05
$55.00
$6.00
9/14/09
9/14/09
9/14/09
9/14/09
9/22109
9/22/09
9/22/09
9/22/09
Total Amount Paid
$183.69
, Plan Reviews ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01353
ISSUED: 09/14/2009
APPLIED: 09/14/2009
EXPIRES: 09/22/2009
VALUE:
Value
Date Calculated
Receipt Number
2200900000000001039
2200900000000001039
2200900000000001039
2200900000000001039
3200900000000000657
3200900000000000657
3200900000000000657
3200900000000000657
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.
~eollirecUnsnections 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
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY VI< ~rKH"IL.NELD
Building/Combination Permit
PERMIT NO: COM2009-01353
ISSUED: 09/14/2009
APPLIED: 09/14/2009
EXPIRES: 09/22/2009
VALUE:
By signature, 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
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.
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 of3
Date
225 Fifth Street",
Springfield; Or~go~91477 '
541-726-3759 Phone
Job/Journal Number:::.
COM2009-0 1353
COM2009-01353
COM2009-01353
COM2009-01353
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT#: : 3200900000000000657
" ri~s~~jption . . .~
, 'Add, Alter, Extend Circ
, ,'Add, Alter, Extend Circ Ea Add
" ,'+ 5% Technology Fee
+ 12% State Surcharge'
Paid By
ONL,INE PERMIT CHGS
Date: 09/2212009
Item Total:
Clleck Number Authorization
Received By Batch Number Number How Received
NJM
Page 1 of I
ONLINE REVOLUTl Online
ON
Payment Total:
8:44:57AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.3 7
$71.37
9/2212009