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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 ~~t;,; .);~~~;~5f;:~*~C'AiEGORy[6EJCONStRucfi6,..i:Gi0B<: ~',;'" 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 \l~~ l\1 (j 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 '-1II1!!'r~:~!~:>"c "1_'4;~,' ',t:' ..' .', '",..', ",..'" 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