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Home My WebLink AboutPermit Electrical 2010-5-31 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-/26-3753 Email: permitcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00234 Approval Code: 097612 5/3112010 12:46 pm E-mailedTo:revolutionelectric@comcast.net o New Construction [Xl Additionlalteration/replacement r~'=;4,;:''";'i, . "~CATE~O~Y;PF:CONSTRUC1iON 00 1 or 2 famity dwelling D Multi-family 0 Commercial 0 Accessory "'~cJi:iB:SJTE.1NF6RMAi10N'AN6:LOCATjON'~5:it:.4 : Job Address: 1 094 ISLAND ST Clty/statelZlP: SPRINGFIELD, OR 97477 SuitelbldgJapt.no.: Project Name: Pedleton Cross Street/directions to job site: Tax map/parcel no.: 1703342100313 Install new service panel and interior can lights. Name: Dave Pendleton Phone: Fax: Email: Elec lie. no.: C354 CCB lie. no.: 179066 Business Name: REVOLUTION ELECTRIC INC Contact Address: 2171 BIRCHWOOD AVE Clty/StatelZlP: EUGENE, OR 974017409 Phone: 5415058351 Fax: 5415058454 Em ctriC@comcast.net 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 pennlt. will be e-malled or faxed within one business day, with Instructions on howto schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a pennlt ls not obtalnlld. The local building department may delennlne that an Authorization To Begin Work Is null and void If It does not meet applicable land use la_ and local ordinances. 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 Volts or less to ground exceeds 14,000 Amps for all other 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 facilities Description Branch circuits with service or feeder eadl circuit ~j~~ICl!IJ~~m>~lJ;....~ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total> TOTAL PERMIT FEE CJD-loC\g- (!;O'(//s D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three star D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "An, "E", or "1-2" or "1.3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Qty. Total $81.00 $12.00 $93.00 $11.16 $4.65 $108.81 kJL LQ h \\ \:) ...,.,.;,.._~ . AlTENTlON: Oregon law requires you to follow rules adopted by the Oregon UtIlity Notification Center. Those rules are set forth In OAR 952~1~10 through OAR 952~1. 0090. You may obtain copies of the rules bf calling the center. (Note: the telephone number for the Oregon Utility NotlflcatlOft Center III 1~2.2344). ~ ~~ ~~ ~~~\ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00698 ISSUED: 06/0112010 APPLIED: 06/0112010 EXPIRES: 12/0112010 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1094 ISLAND ST ASSESSOR'S PARCEL NO.: 1703342100313 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install new service panel and interior can lights. Residential Owner: PENDLETON DAVID M & MARCIA C Address: 1094 ISLAND ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor License REVOLUTION ELECTRIC, INC 179066 BUILDING INFORMATION~ Expiration Date 10/30120 II 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 Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION i Frontyard Seth~fJl' Overlay Dist: Side I Setback:/VUTlCE: #'Street Trees Rqd: Side 2 Setback:THIS PERMIT SHAll EXPIRE IF Tnt'W(JRjfe Rqd: Rearyard Setb;iWfHORIZED UNDER THIS PERMft ISMSfoverage: Solar SetbacksCOMMENCED OR IS ABANDONED FOR 100. PUBLIC IMPROVEMENT REQUIRED PARKING Total: Handicapped: ATTENTlON: Ol"'~~"-. foUow ruIGa adopted by the Oregon UU., NotIIIcaIIon Center. Those ruIe8 81'8811_ . You may obtain copIee of the rulesliJ oanl6gJthe.lI8l)tAA,: (Note: the telephclnt IIIIIIIbar for the ~ UtIlity N~ ._.l)~~/~:2344).. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00698 ISSUED: 06/0112010 APPLIED: 06/0112010 EXPIRES: 12/0112010 VALUE: 225 Fifth Street, Sprinl:field, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amonnt Paid Date Paid Receipt Number $11.16 6/1/10 1201000000000000588 $4.65 6/1/10 1201000000000000588 $12.00 6/1/10 1201000000000000588 $81.00 6/1/10 1201000000000000588 Total Amonnt Paid $108.81 I Plan Reviews I 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. - l..ReolliretUnsnec~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne 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 oCany strncture without permission ofthe 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 tbis project. I further agree to ensure tbat all required inspections are requested at tbe proper time, that each address is readable from the street, tbat tbe permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000588 Date: 06/01/2010 9:42:41AM Job/Journal Number C0M20 10-00698 C0M20 I 0-00698 COM20 I 0-00698 COM20 I 0-00698 Payments: Type of Payment ONLINE CHGS cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS KR Page 1 of I Amount Due 81.00 12.00 11.16 4.65 $108.81 Amount Paid ONLINEREVOLUTl Online ON ELECTRIC Payment Total: $108.81 $108.81 6/1/2010