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Home My WebLink AboutPermit Electrical 2007-11-2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:dan@reynoldselectric.com Receipt # Ec519810 11/1/20072:46:16 PM ~~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us D I or 2 family dwelling D Multi-family IX] Commercial/Industrial 1,000 sq. ft. or less 1 Ea addl 500 sq. ft. or portion I-Limited energy, residential (with above SQ. ft.) I-Limited energy, residential (with above SQ. Job no.: 18882 I Job address: 170 I CENTENNIAL BLVD I City/State/ZIP: SPRINGFIELD, OR 97477-3365 I Suite/bldgJapt.no.: I Project name: Elks Cross street/directions to job site: Cenntennial 200 amps or less I 20 I amps to 400 amps I 40 I amps to 599 amps Subdivision: ITax map/parcel no.: 1703253404502 I Lot no.: Hook up electricity to roof HVAC unit 1 200 amps or less I 201 amps to 400 amps 1401 amps to 599 amps A. Fee branch 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 $48.00 Name: Dan Boaz [Phone: (541) 343-7297 I Email: I Fax: (541)343-7297 I Service reconnect only I Each manufactured or modular dwell in/!;, service and/or feeder I Pump or irrigation circle I Sign or outline lighting Signal circuit(s) or limited- not offered online at this jurisdiction energy panel, alteration, or extension. \EI. lic. no.: 20-155C ICCBlic.no.: 17252 I Business Name: REYNOLDS ELECTRIC INC I Contact: dan I Address: 2175 W 2ND AVE I City/State/ZIP: EUGENE OR 97402 I Phone: (541)3437297 I Fax: None I Email: dan@reynoldselectric.com 1 Metro lic. no.: I City lie. no.: 2520S 1 Supervising electrician's lie, no.: 2520S I Supervising electrician's name: JOHN A REYNOLDS, JR I I I I · City Of Springfield Subtotal $52.00 State Surcharge (8% ofpennitfee) $4.16 City Of Springfield fees · $7.80 TOTAL PERMIT FEE $63.96 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. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. COM' .~DO'1-0\(q3~ RCPT#' '32ou7-iZV: DATE PROCESSED: i \ ;- DJ -- <""tit PROCESSED BY: ,l\oO\(~ This Authorization To Begin Work must be posted at the job site unti~e~d 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. Status Issued vJ~~\d' r\\ \0 t7,," ,iJ , \ \ \ ~ \ ~0~ ~v. CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2007-01632 ISSUED: 11/02/2007 APPLIED: 11/02/2007 EXPIRES: 05/02/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1701 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703253404502 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Commercial PROJECT DESCRIPTION: Hook up electricity to roof HV AC system Owner: BENEVOLENT & PROTECTIVE Address: 1701 CENTENNIAL BLVD SPRINGFIELD OR 97477 Owner: ORDER OF ELKS LODGE #2145 Address: 1701 CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor REYNOLDS ELECTRIC License 17252 Expiration Date 02/08/2009 Phone 541-343-7297 BUILDING INFORMATION I # 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: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMEN~ON' 0 t: . regon law requires you to Street ImQrovements: flow rU.M~te:d>br the Oregon Utility N O~I C E: . Notification Center. ~e rul t. Sto~'in elXM J~IM\~LL EXPIRE IF THE WORK In OAR 95~JOOtq}()~thKf81dS:: es are se IOrtb spelhU rfsfiJil~~\~U' ERMIT IS NOT 0090 \I. ugh OAR 952-001- AUTHORIZ:u UNDER THIS P · ,oumaYObtalncoplesoftherulesby Notpv.lMMENCED OR IS ABANDONED FOR nucamU~g tfohe ~nter. (Note: the telephone t;."0 wer r ",e Oregon Utility NotiflcatJOft ANY 180 DAY PERIOD. Center Is 1-800-332-2344). Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01632 ISSUED: 11/02/2007 APPLIED: 11/02/2007 EXPIRES: 05/02/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid' 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 $5.20 $2.60 $4.16 $48.00 $4.00 11/2/07 11/2/07 11/2/07 11/2/07 11/2/07 Receipt Number 3200700000000000728 3200700000000000728 3200700000000000728 3200700000000000728 3200700000000000728 Total Amount Paid $63.96 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 InsDections . 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 Pa2e 2 of 2 225 F:ifth Street . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1632 COM2007 -01632 COM2007-01632 COM2007-01632 COM2007-01632 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: 3200700000000000728 Date: 11/02/2007 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 ONLlNEREYNOLD Online S Payment Total: Page I of I 7:37:33AM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid $63.96 $63,96 11/2/2007