HomeMy WebLinkAboutPermit Electrical 2007-9-11
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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