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Home My WebLink AboutPermit Electrical 2007-9-11 /\ ~\u u Y(l/\~ 1)) ~y ()~~~ ,,~\ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01385 ISSUED: 09/11/2007 APPLIED: 09/11/2007 EXPIRES: 03/11/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1084 G ST ASSESSOR'S PARCEL NO.: 1703351103400 Springfield TYPE OF WORK: Electrical Work Only , TYPE OF USE: New Public PROJECT DESCRIPTION: Install plug mold for laptop charging ATTINT10N: Oregon law requfres you to ~\!~:: ndee M8lBt:t ::)'-the-e. ~w'~""~': N~t~~tlon Center. Those rules are set forth m QA~ ~QQ1..oo10 through OAR 952..0()1- ~" YQ~ n:u~y obtain copies of the rules bJ '~".;': '''''. ........-;r. (~Jet:::: ~t.e teJei9";~'':' I CONTRACTOR INFORM~J~\tj~4onhe Oregon Utility Notification ~I.lt.et.ls, 1-80~.2344~ Expiration Date Phone 02/08/2009 541-343-7297 License 17252 Owner: Address: SPRINGFIELD SCHOOL DISTRICT 19 525 MILL ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor REYNOLDS ELECTRIC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: NOTICE: Sq Ft 2nd Floor: Water Type: THIS PERMIT SHAll~lMis\&nlWi WORK Range Type: AUTHORIZED UNDE~m6<FiliVMfal&cmlT Energy Path: s:n OR IS ~~JUfa0m:D FOR Sprinkled BUild~~MMENC11l\.:.ERIO ccupant Load: ARiv 1An nA:T ., . . I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard 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 I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsillrains: Notes: I Valuation Description I .- Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01385 ISSUED: 09/11/2007 APPLIED: 09/11/2007 EXPIRES: 03/11/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid J Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $9.20 $4.60 $7.36 $48.00 $44.00 9/11/07 9/11/07 9/11/07 9/11/07 9/11/07 3200700000000000611 3200700000000000611 3200700000000000611 3200700000000000611 3200700000000000611 Total Amount Paid $113.16 I 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. L Reouired Insnections , 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 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 Date Pae:e 2 of2 , ~, City of Springfield Electrical Authorization To Begin Work E-mailedTo:dan@reynoldselectric.com Receipt # EC516731 9/11/20079:21 :25 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction [K] Addition/alteration/replacement Description Qty. Ea. Total o 1 or 2 family dwelling o Multi-family lliJ Commercial/Industrial 1,000 sq. ft. or less 1 Ea. addl 500 sq. ft. or portion I-Limited energy, residential (with above sq. ft) - Limited energy, multifamily ~residential (with above s.9 ft) . . . . ; Set:Vice~.ORf~~'Minstallatioli~iteP~ti~lio/t~DfOR ri\i6catlorl" . -L!_"'X:"'\?';':;li'~!<III":IS,,:L:O",;:-: ,,:,;- " :",_,"",',-","'-":'-'~"<':":~"'~'1_1Nt;llii:t;:",18:(Lt, -iYfji::,-i~-; -~:~ :'::~_::>_~~' ,"!~1_'f;-"_":'~:"}1::"'-",~- d"IH,i:'-"io-,'-:- -;' - ,:_: _ ,->~' '"." -' 'i 200 amps or less 201 amps to 400 amps 401 amps to 599 amps Job no.: ) 8679 I Job address: 1084 G ST I City/State/ZIP: SPRINGFIELD, OR 97477-4]06 I Suite/bldg.lapt.no.: I Project name: Springfield Middle Cross street/directions to job site: Centennial to ] Oth to G street I Subdivision: I Tax map/parcel no.: 1703351103400 I Lot no.: 200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps install plug mold for Laptop charging A. Fee for circuits with above service or feeder fee, each branch circuit. B. Fee for branch circuits without service or feeder fee, first branch circuit; each addl branch circuit $48.00 $4800 Name: dan I Phone: (541) 343-7297 I Email: dan@reynoldselectric.com II $4.00 $44 00 IFax: EI. Iic. no.: 20-155C ICCBlic.no.: I Business Name: REYNOLDS ELECTRIC INC I Contact: dan I Address: 2175 W 2ND AVE 1 City/State/ZIP: EUGENE OR 97402 I Phone: (541 )3437297 I Fax: None I Email: dan@reynoldselectric.com 1 Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 2520S I Supervising electrician's name: JOHN A REYNOLDS, JR 17252 1 Service reconnect only I Each manufactured or modular dwelling, service and/or feeder 1 Pump or irrigation circle 1 Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. I I I I * City Of Springfield Subtotal $9200 State Surcharge (8% of permit fee) $7.36 I City Of Springfield fees * $13.80 I TOTAL PERMIT FEE I $113.16 10% Local Admin Fee; 5% Local Technology Fee 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. COM: ,;J uO J ,- 0 \ ~ 7,C:; NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. RCPT#. S~:. (:)v, - Ce ( \ DATE PROCESSED' 9 -- II - CJ., PROCESSED BY:C~(Y\., This Authorization To Begin Work must be posted at the job site until ed by a Permit. 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. 225' Fifth 8jreet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01385 COM2007-01385 COM2007-01385 COM2007-0 1385 COM2007-01385 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: 3200700000000000611 Date: 09/11/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE REYNOLD S Online Payment Total: Page 1 of 1 9:40:28AM Amount Due 48.00 44.00 4.60 7.36 9.20 $113.16 Amount Paid $113.16 $113.16 9/11/2007