HomeMy WebLinkAboutPermit Electrical 2007-12-5
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dan@reynoldselectric.com
Receipt # EC521912
1215/20077:49:53 AM
~
Il- .
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I Description l Qty. J Ell. Total
I~J~,"~ideitt;id ~IN~~~E".;t"9~~'~~IV~j7,"[~~~jJ}'.dweJJiDg
attached garage,:,o,<<,>">'~":"""
I 1,000 sq. ft. or less
I Ea. addl 500 sq. ft or portion
I-Limited energy, residential
(with above sq. [1.)
I-Limited energy, multifamily
residential [with above 59. ft.)
I. S~r:vi.~~~:Q_~-;f~~:d~-rs ins'ialiatlon, alte~ltti~~/AN!?/9~~e-I~C#ii~{n-~;'
1200 amps or less I
I 201 amps to 400 amps
1401 amps to 599 amps
! 0 New construction
[XJ Addition/alteration/replacement
, CATEGORY-OF'CONSTRUCTION '~, _ ,.
10 I or 2 family dwelling
I
,1.I0bno.: /9033 /Job8ddress: 812 WOLYMP1CST
I City/State/ZIP: SPRINGFIELD, OR 97477-2771
I Suitelbldg.lapt.no.:
I Project name: Zarzycki
Cross street/directions to job site: Centennial to Prescott to west Fairview to Rainbow
)r to W Olympic
D Multi-family
o Commercial/ Industrial
I Subdivision:
ITax map/parcel no.:
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ILot no,:
I Name: dan
I Phone: (54 I) 343-7297
I [mail: dan@reynoldselectric.com
IF.x:
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'" City Of Springfield
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I Branch. cirl',u,i~\.:. NEW, aIWr:atioll"()Il~xtension, per.Il~~'#1
I A. Fee for bran, ch C,ircuits with
above service or feeder fee,
each branch cIrcuit
I B. Fce for branch circuits
without service or feeder fee,
first branch circuit:
I each addl branch circuit
1'~iisc:cli1liieous
I Service reconnect only
I Each manufactured or modular
dwelling. servIce and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circuit(s) or limited-
energy panel. alteration, or
extension.
$48001
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1
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Subtotal $48.00 I
Minimum fee used instead of Sub 10m I $50.00 I
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees'" $7.50 I
'fOT,U,PERMIT n~E $61.50 J
10% Local Admin Fee; 5% Local Technology Fee
$48,00
]70327420]008
DESCRIPTION OF WORK
master bed and bath remodel
I
SITE CONTACT,'
lie. no.: 20-155C I CCB lie. 110.: 17252
I Business Name: REYNOLDS ELECTRIC INC
I Contact: Dan Boaz
!Address: 2J 75 W 2ND AVE
I City/State/ZIP: EUGENE OR 97402
I Phone: (541 )3437297 I Fax: None
I Email: dan@reynoldse]ectric.com
J Metro lie, no.: I City lie. no.: 2520S
I Supenising electrician's lie. no.: 2520S
I Supervising electrician's name: JOHN A REYNOLDS, JR
not offered online at this jurisdiction
ELECTRICAL PERMIT FEES
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with instructions on how to schedule your inspection.
~"
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NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained,
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances,
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00963
ISSUED: 09/10/2007
APPLIED: 06/2712007
EXPIRES: OS/21/2008
VALUE: $ 26,368.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 812 W OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703274201008
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Bedroom and bath addition
Owner: TRUDIE ATKINSON
Address: 812 W OLYMPIC ST
SPRINGFIELD OR 97477
Phone Nnmber: 541-726-2769
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor License
DAVID ZARZYCKI GENERAL CONTRACTIll05626
REYNOLDS ELECTRIC 17252
ROCS PLUMBING 110117
BUILDING INFORMATION I
Expiration Date
04/26/2009
02/0812009
01/0312008
Phone
541-688-0243
541-343-7297
541-607-8704
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
14.00
Wall Heat
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
256
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
R-3
Path 1
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.60
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
21.00
0.00
28.00
I PUBLIC IMPROVEMENTS I
Street I"Nl'T\!'m~~: Oregon law requires you to ., f . Sidewalk Type:
Storm !#~WlAWnlib1e!opted by the Oregon U'~~ .n ICE: I.l s <lUWlli i' ,.J:c,Storm Sewer
SpecialN.il~iIH'@iililll:Centers~~~lJJ.w>Jffi~.if'Ji 'I hexisting. 6127/0'iINtS'ERMIT ::;m~r I:Xt'IK~ WTHE WUKI\
In OAR 952-001-0010 through'OAR 9"5!1- 0 - UTHORIZED UNDER THIS PERMIT IS NOT
Notes: 0090. You may obtain copies of the rules by CO~~I~ENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone '
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344). ,
Pa2e 1 of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellin2s
V Wood Frame
Fee Description
-Mechanical Issnance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Plan Review Residential
Plan Review Residential
Refund - -Mechanical Issuance
Refund - + 10% Administrative
Refnnd - + 5% Technology Fee
Refnnd - + 8% State Surcharge
Refund - Building Permit
Refund - Fire SF Fee - Residen
Refund - Fixture
Refund - MinimumlAdjustment Me
Refund - Plan Review Minor - P
Refund - Plan Review Residenti
Refund - Sanitary Sewer - Impr
Refund - Sanitary Sewer. Reim
Refund - SDC SanitarylStorm Ad
Refund - Storm Drainage Imperv
Refnnd - Storm Sewer - 1st 50
Refund - Vent Fan
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Vent Fan
-Mechanical Issnance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
I V aluation n~scr~ntio~ I
$ Per Sq Ft
or multiplier
$103.00
Amount Paid
$10.00
$38.09
$24.01
$29.45
$236.10
$12.80
$42.00
$39.00
$112.00
$153.47
$153.47
$-10.00
$-38.09
$-24.01
$-29.45
$-236.10
$-12.80
$-42.00
$-39.00
$-112.00
$-153.47
$-138.53
$-182.19
$-21.17
$-102.78
$-45.00
$-6.00
$138.53
$182.19
$21.17
$102.78
$45.00
$6.00
$10.00
$38.09
$24.01
Square Footage
or Bid Amount
256.00
Total Value of Project
Fpp,". tIiIIJ
Date Paid
6/27/07
6/27107
6/27/07
6127107
6/27/07
6/27107
6/27/07
6/27/07
6/27/07
6127107
6127/07
6127/07
6/27107
6/27107
6127107
6127107
6/27/07
6127107
612 7107
6/27107
6127107
6127107
6/27107
6127107
612 7107
6/27107
6/27107
6127107
6/27/07
6/27107
6/27107
6127/07
6127/07
9/1 0107
9110107
9/10107
Pa2C 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00963
ISSUED: 09/10/2007
APPLIED: 06/27/2007
EXPIRES: OS/21/2008
VALUE: $ 26,368.00
Value
Date Calculated
$26,368.00
$26,368.00
06/2712007
Receipt Number
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
2200700000000001039
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
2200700000000001038
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000000830
1200700000000001178
1200700000000001178
1200700000000001178
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Snrcharge
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Vent Fan
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
MinimumlAdjustment Electrical
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00963
ISSUED: 09/10/2007
APPLIED: 06/27/2007
EXPIRES: OS/21/2008
VALUE: $ 26,368.00
$29.45
$236.10
$12.80
$42.00
$39.00
$112.00
$138.53
$182.19
$21.17
$102.78
$45.00
$6.00
$5.00
$2.50
$4.00
$48.00
$2.00
9110/07
9110107
9110/07
9110/07
9110107
911 0/07
9110107
9/10107
9/10/07
9110/07
9110/07
9110107
1215/07
12/5/07
12/5107
12/5107
1215107
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
1200700000000001178
2200700000000001777
2200700000000001777
2200700000000001777
2200700000000001777
2200700000000001777
$1,254.09
I Plan Reviews I
Initial Review 06127/2007 0612712007 APP LLH "Express Process"
Plannin2 Review 06/2712007 06127/2007 APP TAJ
Public Works Review 0612712007 06/27/2007 APP MS Storm drainage to existingI6/27/07
MS
Structural Review 0612712007 06127/2007 APP DLM
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.
~,'irprl1n.nections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Underttoor Plumbing: Prior to insulation or decking.
Pa2e 3 of 4
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CITY OF SPRIN(jf<lELD '
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00963
ISSUED: 09/10/2007
APPLIED: 06/2712007
EXPIRES: OS/21/2008
VALUE: $ 26,368.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
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, Bnilding 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 4 of 4
225 Fifth Street
Springfield, Oregon 97477 '
541-726-3759 Phone
Job/Journal Number
COM2007-00963
COM2007-00963
COM2007-00963
COM2007-00963
COM2007-00963
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001777
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/05/2007
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page I of I
ONLINE REYNOLD' Online
S
ELECTRIC
Payment Total:
3:18:31PM
Amount Due
48.00
2.00
2,50
4,00
5.00
$61.50
Amount Paid
$61.50
$61.50
1215/2007