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Home My WebLink AboutPermit Electrical 2009-10-29 v ~ ' \ 1f\t}; City Of Springfield, <.'; ,;' 22? Fift,~~.~t ':L~;li:~:/(:~:::".>, ., " Springfield,:qR 9747~ Hn'Phone:,541.726-3753 __ , _, :j..:..;.Email:.permitcenter@cLspringfield.or.us OREGON:,;. Commercial Electrical Authorization To Begin Work 69600-BEL-09-00212 Approval Code: 07786Z 10/29/2009 9:48 am E-mailedTo:revolutionelectric@comcast.net . I 0 New Const~ction, .~" > '._;. "c":;;?:'::;;. IV1 Addition/alteration/replacement '.~' '; L6J o Haza'rdous locations o A service or feeder rated at 600 amps or more o Buildlngsmore than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 't0JA or larger separately derived sys o "A", "E", or "1.2" or "1.3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Please check all that apply: D A service or feeder beginning at 400 Amps where the', available fault current exceeds 10,000 Amps at 150 Valls or less to ground exceeds' 14,000 Amps for all other 1~~~~C~TE(39RjlQFic:Q~$;rRu_c.fiQN~:~r~ I 0 1 or 2 family dwelling D. ~UIti~~amifY . IX] Comm,=rcial D Accessory !lili!j.IlU~!joB1Sj'iETiNifOR~'tJONfANorrrOCA:T10N~~ Job Address: 1'1005s'HlfLi.i{sf;;:'<',?:~~' '""'-','.' ' ..1 Ci~JS~teIZlP: SPRi~_~,f.IE.~'[( 9R. 97~77 -I SUite/bldgJa~(.n:~/;~~;S;:::~~:tW(r::~':.' I Project Name: Tutle Mount~iii,", I Cross StreeUd;reCtlo:~s to JO~ ~;~: I Tax map/parcel no.: 170327000090{ D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure . D Health care racilities ...... I Description Total Install 2 new 200 amp' panles. Install cord drops for equipment. Connect equipment. " , " n " , ~'i.' , " I 'Services 200 amps or less I $162.00 I I Branch circuits wit~ service or feeder each circuit $132.00 Name: Ted Celrov I Phone: J Email: ":'~; Fax: . I Subtotal I State surcharge (12% of permit total) 1 Technology fee (5% of permit total) I_TOTAL PERMIT FEE $294.00 $35.28 $14,70 I $343,98 I I Elec lie. no.: C354 .~! ' CCB lie. no.: Businlilss Name: REVOLUTION ELECTRIC'IN/: ~ . 179066 Contact: ~\cf\\~ \~ ('5\..0 \?:,~ Address: 2171 BIRCHWOOD AVE C;ty/Stater.BnlifJlI.~::'R 974017409 ,-,;"",,' c'''''' ~' . o.1K PhO".:541!m~rtKIVIII.;;HALL -~al, T ,\l:JTII0mZ::3 ~tJ::::n I Emall: revo~tilW!Ufl IS ARANnONEO FOR I Metro I;e, "ANY 180 DAy"PERIOO;, City lie, no,: I Supervising Electrician's lie. no.: I Supervising Electrician's Name: <. 5247S ATTENTION: Oregon law requIres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952'()01- 0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notilicallon . Center is 1-800-332-2344). # ' :.T~oc~:'::'::~n:':::.:::::'~m::rkd:~:;:~t:~t'::d:~:::~:,::'::':::::'n:rk i. """ .nd ,,~~ ~\( ". ,": ' -N\Y Voldlfltdoesnotmeetappllcablelanduselawsand.l~c.~I.~rdJnanees.! ~ t1.-n V \~ ~ ,",,,",, """,:i_~' '().~' \\!);~~ ;,___.;' ' , Inspections Phone: 541-726-3769 ~'<.' 'if: ,r :: Th,i,S A~thoriZati,On To Begin Work must be posted at the job site until replaced by a Permit ~ v:> MATTHEWL SCHUL ~z Number of Inspections In~luded In paid services=e" Residential Service: :4 "-.;_" .. I- Reconnect Only: ;::1 ~. ,f , All Other Services: 7' . '2 . .. .. , Upon review and approval by your local jurisdiction, your permit will be e-malled or falled within one ~uslnUB day, with Instructlons.on ho~ to schedule your inspection, " .. ;;. o CITY OF ~rK.lj~\.JJ<1J!.L1J , Building/Combination Permit Status Issued .,,~ PERMIT NO: COM2009-01393 ISSUED: 09/21/2009 APPLIED: 09/21/2009 EXPIRES: 04/29/2010 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , ... ,^' 541-726-3769 I~~pe~~i~~Line: , " . -, . "SITE ADDRESS: ',/lioo SHEI'.LEY ST ASSESSOR'S PARCEL'NO.::? 170~270000902 ',~"..' ':J Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: Remodel QA Lab . :1" Owner: TURTLiNi6uNTAINLLC Address: PO;pO~H938' " . EUGENE OR 97402 ': , ' ( ~-. . . I CONTRACTOR INFORMATION I . Contractor Type General Electrical Plumbing , " '" Contractor MCINTYRE CONSTRUCTION INC .' JB ELECTRIC . BAXTER PLUMBING & ROOTER LLC License 3550 104929 169028 Expiration Date 10/08/2011 03/14/2010 03/13/2010 Phone 541-687-2841 541-687-5770 541-935-6696 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ''''' .: -." -- ~. a, ~~ " BUILDING INFORMA nON I IIIB ,- # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 155 , F2 F7~1}:7' ;, (. '; h . ~~ . ....~,..... ,.,.. "-",,:.- '.-. t' I DEVELOPMENT INFORMATION I REQUIRED PARKING \,:. 1- Frontyard ~ttCE: Overlay Dist: Total: Side 1 SetbIHlS PERMIT SHAll EXPIRE IF THE ~t Trees Rqd: Handicapped: Side 2 SetbAWHORIZED UNDEB tHIS PERMI11&'J-mtDrive Rqd:. ATTENTION: Oregon 1~6t;es you to ~etry;rdb W/~\'J1ENCE.D OR IS ABANDONED FOIt 01 ot Coverage. follow rules adopted by the Oregon Utility oar et i\'Wf'180'DAY PFRlnn ' , NotlflcalionCenter. Those rules are set forth i I J]lU~tIt)':;""'UI-UUIU"nuuYllunn;:r..J/;.-uul. \' 1.~UBLlC IMPROVEMENT 1)90. You may obtain copies ofthe rules by Street Improvements: ' ' , , " call~~lIWe:(Note: the telephone ., . number for the Oregon Utility Notification D~/~2-2344). ' Storm Sewer Available: Special Instruction: " Notes: .t i. ,..f .i , ., . J~ . ~i, . .il I'" . ,,". . ~ Page 1 of3 " CITYOF SPRINGFIELD 'Status ' Issued" " '. . ..., .' :~~:;'" <,' . ':;~. .;, 225 Fiftb Street;;Sprlngfi.ld,'o_~t 541-726-3753 Phone ; ~':.. 541-726-3676 Fax' 541-726-3769 Inspection Line , Building/Combination Permit PERMIT,NO: COM2009-01393 ISSUED: 09/21/2009 APPLIED.:' 09/21/2009 EXPIRES: 04/29/2010 VALUE: $ 15,000.00 '-' .. .:~~':~: > ,. .J ~~r;:;(r'; ",-:' .,'" I Valuation Descriotion , 'c-' . . ;'. . ,..,t..->.;, ....;:. '-, ~., Descriptioni,'" TVP(6f ~onst~,~~-!ion .':::' ~7' $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated .:) Total Value of P~oject " ......;...i' ; II i' I.. Fees Paid I , Amount Paid Date Paid Receipt Number Fee DescriPtion~L":'L-:~ ...:,~;,~ + 12%, State Surcharge':' , $29.13 9/21/09 2200900000000001071 + 5% Technology, Fee . $12.14 9/21/09 2200900000000001071 Building Permit $184.75 9/21/09 2200900000000001071 Fixture ',.> $19.00 9/21/09 2200900000000001071 Minimum/Adjustment Plumbing $39.00 9/21/09 2200900000000001071 Plan Review CommlIndfPnblic ,," ,:,' , $120,09 9/21/09 2200900000000001071 + 12% State S~rcbarge , $8.76 10/9/09 3200900000000000701 + 5% Technology Fee $3.65 10/9/09 3200900000000000701 Add, Alter, Ext.~~dFirf. $55.00 10/9/09 3200900000000000701 Add, Alter, Extend Circ Ea Add' ~ $18.00 10/9/09 3200900000000000701 + 12% State Surcharge . $35.28 10/29/09 1200900000000001209 + 5% Tecbnology Fee $14.70 10/29/09 1200900000000001209 Add, Alter, Extend Circ Ea Add ,$132.00 10/29/09 1200900000000001209 Perm Serv/Fdr 200 amI's o~ ~e~s, ., {tb.. $162.00 10/29/09 1200900000000001209 _'J :. Total Amount Paid $833.50 !'~, : fr . -.,~....~ .Of> ,.,~ ,- I Plan Reviews I Structural Review 09/21/2009 . 09/21/2009 ' APP CJC Approved as noted on plans To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be ~ad~,the same working day, inspections requested after 7:00 a.m. will be made the following workday. " ' . _ ' L .' ~, I l1~.-' r 'I' . l'1 ~!;' . .., , I ,Reouired Inspections I . Framing In'spection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. " , Rougb Plumbing: Prior to' cover and including required testing, ~'.': ii" :'.~ Final Plu.mbing: When all pl~mbing work is complete. Rougb Electric: Prior to Cover \t.ll~ . ~~ :.. t;.;'1 '; . . Page 2 of 3 CITY OF SPRINGFIELD .t:--;': Building/Combination Permit > Status . Iss'ued ,,};'::.. ;'" i'4,'" 225 Fifth Street, Spri!,gfleld, OR",!"}"" 541-726-3753 Phone 541-726-3676 Fax , )" .J, 541-726-3769 Inspection Line. cc,:;;')I\;;,,;,.,; , > .' '. . .;'':;. "".,s,;:;'~i',(:.''''.' ~> PERMIT NO: COM2009-01393 ISSUED: . 09/21/2009 APPLIED: 09/21/2009 EXPIRES: 04/29/2010 VALUE: $ 15,000.00 .:.~ ~! ~..:: :\; ":::..:: ;, Final Electric: When all electrical work is complete. .~l. _ _ l Finai Building: ,After all required inspections have been requested and approved and the building is complete. .-' " ":' '. ....- .,' ...::;.;:)" By signature, I state and agree, that I bave carefully examined the completed application a!,d do hereby certify that all information hereon is true and corr~ct; and I furtber certify tbat any and all work performed shall be done in accordance with the Ordinances of tbe City of Spri!,gfield a!''d the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPA,NCY~willbe,ritild~,of any structure without permission of the Community Services Division, Building Safety, I further certify,tbafonly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, tbat tbe permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all . times during cOIi'stni"ction. Owner or Contractors Signature,' u Date ~: ~!;; ;" ;;+ .:T,: , .~~ . ;l,L ' ~r , ;' '. .....:t:: u :; ...~ ;! I;';': ':1"~". .... " ,( H: ; lr-. j, 1! .l" ~' ~. ~;.... ',,' l " .~. .~~" ~ "::. \ i ,-. t '~;r.ll,'/"" !~~ Pa2e 3 01'3 225 Fifth Street" ," .'t..,:::.'' \) . :. .' ", "- ,~. ';:,: .;.;:'- -;; ':"-' Sprmgfield, Oregon:,9-747.7:,iy~::iFt:};, 54'1-726-3759 Phimc't:1"""':;" '.' .' '.}:', - - . City of Springfield Official Receipt Development Services Department Public Works Department . -. :::,"' ':....,.-.. . ~. . , :,iX ~;"IlECEIrT.#: .'- 1200900000000001209 ..-' . Description J. ' Perm Ser-,iFdr 200 amps or less Add, Alter, e,,-i~!ldCircEa Add . ..,......:-,..,'. ....- . COM2009-01393 c",.),;~)ro,n,c,~?!9:gyfee " COM2009-0 1393:'!;::(:r;F%'State:Sur~harge Job/Journal Number COM2009-01393 COM2009-01393 ,,: Payments: ,:, :'.-',.': ".." Type of Payment' :';;P~i:;/'o~:~)\ . ONLINE CHGS ONLINE PERMIT CHGS' 1';' ?} ! , . ~;T;~:I: ._~.. ~ ~.,._.-- ,.-.""...........~,.~. l)', ,;) " ~r '.. j '!" ,- C, 1.,I'n ,. ~ '; ~! '-' .~~.._. ~.._,~...,...... .......-.-..--,.- ;~. . 'I: I I {i~ ;, ;; , "TJ ' ., -,t " - ., .~it " i. C H , ~ 1:4 I <, 1" " cReceintl Date: 10/29/2009 9:53:29AM Item Total: Amount Due 162,00 132,00 14,70 35.28 $343.98 Check Number Authorization _ Received By Batch Number . Number How Received Amount Paid KR ONLlNEREVOLUTl Online ON ELECT $343,98 Payment Total: $343,98 ') " l:.:, ,) " Page I of I 10/29/2009