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Home My WebLink AboutPermit Electrical 2010-2-16 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfreld.orus Q,\(j- 81Lt Residential Electrical Authorization To Begin Work 69600-BEL-10-00076 Approval Code: 07713Z 2/16/2010 8:39 pm :"~"z/:,,, ','::" K:~ :, "':1":,:, : :~: 0 New Construction IKI Add ition/alterationkeplace ment i~:',,:" ,I "", CAJEGORYOi=icONStRUCTioN;4 B, ':""''',: '"t": IKI , or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory , " .':'~ "',,,', JOB SITE INI'ORMA TION AND',LOCA TION:;.'~;.; " ,. 'd Job Address: 947 B ST City/StatefZIP: SPRINGFIELD, OR 97477 . Suitelbldg./apt.no. : Project Name: Climate?Hargreaves Cross Street/directions to job site: Tax map/parcel no.: 1703354200100 ",', "'DESCB[~T1bN:cii=~W9RK;,":'~;:;:;??: .;1;,;;.0'1 Service Change, Hook up new HVAC equipment :' ,'. ::.;,. .,' ',; . f',. SITE:C:ONTAcTlP" ...;.;,;' 'c' .. 7; Name: Tim Haroreaves Phone: Fax: EmaiJ: :'; " ';"'~'.,' ,';j f~cQriI"PRAcTOR':' ,; , " , " "!'J '.,":.\,',f"" -f., Elec lie. no : C354 eea lic. no.: 179066 Business Name: REVOLUTION ELECTRIC INC Contact: Address: 2171 BIRCHWOOD AVE City/State/ZIP: EUGENE, OR 974017409 Phone: 5415058351 Fax: 5415058454 Emall: revolulioneleclric@comcast.net Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 52475 Supervising Electrician's Name: MATTHEW L SCHULTZ Number of inspections included in paid services: 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 schvdule your inspection. NOTE: This Autl1orization To Begin Work expires within 180 days If a permit is not obtained. The local building department may determine that' an Authorization To Begin Wor!<. is null and void if it does not meet i'lpplicable land use laws and local ordinances, E-mailedTo:revolutionelectric@comcast.net '~"PLAN,REVIEW ' Please check all that apply: . o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems o Addition of a new moto'r load of 100 HP or more o Six or more residential units in one structure o Health care facilities Description S~'fVfce~;,orJeeders Services 200 amps or less Br~nch Clrcuits- Branch circuits with service or feeder each circuit Electric'al;p;ermit Fees ,+,-" Subtotal State surcharge {12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ~C\~~ ~~. \\J Com2D\ 0 - hr0 D Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal ,.. c.. $99.00 $11.88 $4.95 $115.83 ~}b.\o ~~\A ~~ 002-1 Lf Q)-11-,J 0 Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit .,.'1' . 1;-. CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00214 ISSUED: 02/17/2010 APPLIED: 02/17/2010 EXPIRES: 08/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 947 B ST ASSESSOR'S PARCEL NO.: 1703354200100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service Change and HV AC Owner:' HARGREA VES TIMOTHY Address: 947 B ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License REVOLUTION ELECTRIC, INC, . 179066 BUILDING INFORMATION ~ Expiration Date 10/30/2011 Phone 541-505-8351 # 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 Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING 'Total: Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS I on law requires you.~~ AmNIIU'" 8. 9 ~ Qr~on UtllW ., ~Ilow r~les ad~~~e~h~se ru%~ llJi%llt ~~~ NotilicatlOn Co en, 00' 0 t~QA~B~.aB~:bY I OAR 952-0 . ies olthe rUt ~090 '(ou may obtain ~fe' the te'ep\1O~e ca\iing the cen~~'ecion Utility NotilicatiOn number lor the. .BOO-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: NOTICE~ Valuation Descri tion , THIS PERMIT SHALL EXPIRE IF TH Ft Descri~U~'Ho R Izroll5~~91nlMl{5tIlWRMlT 19'~lier ~~'::i~e :~o::~; 0MMENCED OR IS ABANDONED fOAl '.I ; Qn rvw PERIOD. Value Date Calculated Page I of2 ..;, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00214 ISSUED: 02/17/2010 APPLIED: 02/17/2010 EXPIRES: 08/17/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , Total Valne of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ,Ea Add Perm ServlFdr 200 amps Or less Amount Paid Date Paid Receipt Number $11.88 $4.95 $18.00 $81.00 2/17/10 2/17/10 2/17/10 2/17/10 3201000000000000052 3201000000000000052 3201000000000000052 3201000000000000052 Total Amount Paid $115.83 Plan Reviews ~ '. 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. I ReQuired InsDections ~ Rough Electric: Prior to Cover Final Electdc: When all electrical work is complete. Electric Service: Approval required prior to ntility company energizing service. 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 [ further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springtield 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 nsed 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 Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000052 Date: 02/17/2010 7:20:I7AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization R~ceived By Batch Number Number How Received Amount Due 81.00 18.00 11.88 4.95 $115.83 Job/Journal Number COM20 1 0-00214 COM2010-00214 COM20 I 0-00214 COM20 1 0-00214 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid njm ONLINE revolution Online elect Payment Total: $115.83 $115.83 1~1l :" :), .. i~i.).~~ \H ' cRcceinll Page I of 1 2/17/20 I 0