HomeMy WebLinkAboutPermit Electrical 2008-4-10
(iP) cl
"- G rl': U u
~l1:Q~~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00503
ISSUED: 04/10/2008
APPLIED: 04/10/2008
EXPIRES: 10/10/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 498 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703220002800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Install circuits for floor receptacles and extend circuits for lighting misc equipment
hook up.
Owner: SKYHA WK PROPERTIES LLC
Address: 32671 SKYHA WK WAY
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Tvpe
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:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMA TI~~ , .
",.1'1::1 niB! . gon law reqUlr!fAN~l~1i'D PARKING
follow rules adopted by the Oregm'l"Utrlttf
Overlay DistNotlflcation Center. Those rules a'ilQ)tan forth
# Street TrelJtl~ 952-001-0010 through OAH~~nQfP1red:
Paved Drive lOO9O. You may obtain copies of t~fR'#fft@.y
% of Lot Cove.:ngang the center. (Note: the telephone
number for the Oregon Utility Notification
f"ont.:>r ic:: 1-ROO-::l32-2344).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
i\UTIIOnIZCD NOI:K I HIt> fJl:KIVlI1 Ib I\JU 1
Valuation es ti n OR IS ABANDONED FOR
ANY 1 RO DA'tFPERIOD.
$ Per Sq Ft Square ootage
or multiplier or Bid Amount
Value
Date Calculated
Notes:
Pal?:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00503
ISSUED: 04/10/2008
APPLIED: 04/10/2008
EXPIRES: 10/10/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$6.80
$8.16
$3.40
$48.00
$20.00
4/10/08
4/10/08
4/10/08
4110/08
4/10/08
1200800000000000338
1200800000000000338
1200800000000000338
1200800000000000338
1200800000000000338
Total Amount Paid
$86.36
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.
LIILReouired Insoections I
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
Paee 2 of2
~ City of Springfield
Electrical Authorization To Begin Work
E-matled To: dan@reynoldselectnc.com
Receipt # EC528535
4/10/2008 1 :55:47 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us
I " ,,~O,f:J ~ITE,),NF.oRMATION,ANI?LOCA.q'pN
1 Job no 19502 I Job address 498 HARLOW RD
1 City/State/ZIP' SPRINGFIELD, OR 97477.1336
I SUlte/bldg /apt no .
I Project name Hayden Family
II
I DescriptIOn Qty. Ea. Total
Residential SINGLE- OR multi~flimJly dwellmg unit. Includes
,I !lttacped garage '
11,000 sq ft or less
I Ea addl 500 sq ft or portion
, ' ,", 1 Limited' Energy ,,::: ,
"',, \, '
I-Limited energy, residential
(with above sa ft)
I-Limited energy, multifamily
residential (with above sq ft)
I' "Limited energy, commercial
(With above sq ft)
I - Stand-alone limIted energy,
reSIdential
I - Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial
I Services OR feeders mstallahon, alteration, AND/OR relocatJon
",! I 1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
TEMPORARY services OR feeders"lIlstallation;' alterahon, "
i\N~/OR relocation ',' , ,
FEE SCHEDULE
TYPE OF WORK
D New constructIOn
Ii] AdditIOn/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
D I or 2 family dwellmg
D Multi-family
[i] Commercial / Industnal
II ti,n "0
"~'I <
< I,"
Cross street/dlrechons to Job sIte'
PIOneer Parkway to harlow rd
1 SubdiVISion, I Lot no .
I Tax map/parcel no' 1703220002800
! ,,", " ,,\D~SCRlPTION OF WO~!< " '"
mstall Circuits for floor receptaclesextend CircUits for lightmg mlsc eqUipment hook up
SITE CONTACT
200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
I Branch CIrcuits - NEW, alteratJon, OR extensIOn, per panel
A Fee for branch Circuits With
servIce or feeder fee, each
branch circuit
B Fee for branch CircUits
Without service or feeder fee,
first branch CirCuit,
I each addl branch circuit
I Miscellaneous "
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or Irrigation Circle
I Sign or outline lightmg
Signal clrcUlt(s) or limlted-
energy panel, alteratIOn, or
extension
I
I
1
I
I
" City Of Spnngfield
$48 00
$48 00
Name dan
!Phone (541)343-7297 I Fax
1 Emall: dan@reynoldselectnc com
I CONTRACTOR
lEI hc no 20-155C I CCB hc no' 17252
I Busmess Name. REYNOLDS ELECTRIC INC
I Contact. Dan Boaz
IAddress 2175W2NDAVE
I CIty/State/ZIP EUGENE OR 97402
I Phone' (541 )3437297 I Fax. (541 )3454808
I Emall dan@reynoldselectnc com
1 Metro hc no' I CIty hc. no . 2520S
! Supervlsmg electriCian's hc no 2520S
I Supervlsmg electriCian's name, JOHN A REYNOLDS, JR
5
$400
$20 00 I
not offered onlme at thiS JUrISdiction
NOTE ThIS AuthOrization To Be9m Work expIres wlthm 180
days If a permit IS not obtamed
ELECTRICAL PERMIT FEES I
Subtotal I $68 00 I
State Surcharge (12% of penTIll fee) I $8 16 I
CIty Of Sprmgfield fees "I $1020 I
TOTAL PERMIT FEE I $8636 I
10% Local Admm Fee, 5% Local Technology Fee
Upon revIew and approval by your local JUrisdIctIon, your
permIt WIll be e-malled or faxed wlthm one busmess day,
WIth mstructlons on how to schedule your mspectlon
The local bUlldm9 department may determme that an
AuthOrizatIon To Be9m Work IS null and VOId If It does not COM: '\ rm Vo_ c...-O ')
meet applicable land use laws and local ordmances 0 \J U (\ U .=:::.
RCPT #. / ~ oz; t:' -- 33 c:r
DATE PROCESSED: 11-/0 '-(j J-'
ThiS AuthOrization To Begin Work mu:,t be post~ at~b site until replaced ?ya Permit
PROCESSbU 7t-' /Y/ ~ i
(
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-00503
COM200S-00503
COM200S-00503
COM200S-00503
COM200S-00503
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
1200800000000000338
Date: 04110/2008
DescriptIOn
Add, Alter, Extend Ore
Add, Alter, Extend Ore Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthOrizatIOn
ReceIVed By Batch Number Number How Received
ONLINE
reynolds Online
Payment Total:
nJill
Page I of 1
2:36:41PM
Amount Due
4S 00
2000
340
S 16
6 SO
$86.36
Amount Paid
$S6 36
$86.36
4/1 0/200S