HomeMy WebLinkAboutPermit Electrical 2008-4-29
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00601
ISSUED: 04/29/2008
APPLIED: 04/29/2008
EXPIRES: 10/29/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2822 WAYSIDE LN
ASSESSOR'S PARCEL NO.: 1703224403200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Upgrade 200 amp service refeed existing circuits and install circuits for HV AC and
receptacle.
Owner: HASS JERED B & JENNIFER
Address: 6805 LARCH ST
GREAT FALLS MT 59405
I CONTRACTOR INFORMATION.
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:
n/a
I DEVELOPMENT INFORMATION.
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 IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special ~1M''t!WtMN: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notes:NGtlflcatl8n Center. Those rules are set forth
In Ot\R 952-001-0010 throuah OAR 952-001- NOTICE: - - .- ~..... \"0"'1'
OU:!O Youmayobtaincoplesofthefi Tiil3 ERMII SHALLtAt'lncll IIIL , ..\
calling the center. (Note: the tele h\mduation Descri trion RIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notifi ~:O.~~ "'ED OR IS ABANDONED FOR
Descrl'ptl'on Center ISfh.BOOt-332~2344). $ Per Sq Ft Sq l> a ~1 v PERIODv I D C I I d
1 vpe 0 COns ruClIOn It' I' UWA1 Q.\ a ue ate a cu ate
or mu Ip ler or /ISm ,i1tI
Pal!e 1 of 2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00601
ISSUED: 04/29/2008
APPLIED: 04/29/2008
EXPIRES: 10/29/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$16.40
$19.68
$8.20
$24.00
$140.00
4/29/08
4/29/08
4/29/08
4/29/08
4/29/08
2200800000000000542
2200800000000000542
2200800000000000542
2200800000000000542
2200800000000000542
Total Amount Paid
$208.28
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.
I ReQuired Insoections I
Electric Service: Approval required prior to utility company energizing service.
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 # EC529454
4/28/20082:57:37 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New constructIOn
TYPE OF WORK"
, II,," "', ;
IX] Addll1onlalteratlOnlreplacement
~" ^^;
I '
, ~"''/ ""~~""''/liIi,'liIi~4{tCATEGORY OF CONSTRUCTION;iilil;ilill~ilidltilitl?;;.4F '\1::;1411",11"";+";'11 '1111' I
,'" 0,,~'W4H('1j" Wo ~ " ,>>"j"!"Ii" ,( 4l I 'f'H' ~1 I I I II!
[X] I or 2 family dwellmg D Multl-fmmly D Commercial/IndustrIal
I JOB SITE INFORMATION AND LOCATION I ,I, I /, ~
I Job no.: 19538 I Job address: 2822 WAYSIDE LN
I City/State/ZIP: SPRINGFIELD, OR 97477-1306
I SUlte/bldg.!apt.no,'
I Project name: Jared Hass
Cross street/directIOns to Job site. Martm luther Kmg Blvd to wayside In to Wayside
Loop
I SubdIvIsIOn.
/Tax map/parcel no.:
I
I Lot no.:
1703224403200
DESCRIPTION OF WORK, ,
, , ^ (wi< '
upgrade 200 amp servIce refeed eXlstmg CIrcUIts mstall CircUits for HVAC and receptacle
p,'11 (:'1,
j ,i\>
S(TE" CONTACl'
II"
Name: dan
I Phone: (541) 343-7297
I Emall: dan@reynoldselectnc com
I
lEI. hc. no.: 20-155C ICCB hc. no.:
I Busmess Name: REYNOLDS ELECTRIC INC
I Contact: Dan Boaz
IAddress' 2175 W 2ND AVE
I City/State/ZIP. EUGENE OR 97402
I Phone: (541)3437297
1 Emall' dan@reynoldselectnc com
I Metro hc. no.:
I Supervlsmg electriCian's hc. no: 2520S
I Supervlsmg electriCian's name: JOHN A REYNOLDS, JR
I Fax:
"'",
CONTRACTOR
'I'
, "
"
17252
I Fax. (541)3454808
I City hc. no.: 25208
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
NOTE: ThiS AuthOrization To Begin Work expires Within 180
days If a permit is not obtained
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
I' I
II *, " 'i' ,FEE SCHEDULE
I DeSCriptIOn Qty. I Ea. Total
It~,~~j!lentlal SIN?L~,- ~R "}1UI~~~~mll~,~;we,lling 1}!Ilt. Inclu~es
~tt~~~~~,g~"rt'~~I~llw'ce;~~/II(>\:J(I', ; ~ I, I' "I"}
11,000 sq ft or less
1 Ea addl 500 sq ft or portIOn
I Llm~t~d Energy
- LImIted energy, resIdential
(WIth above Sq ft)
- LimIted energy, multifamily
residentIal (With above sq ft)
I-LImIted energy, commercIal
(WIth above sq ft)
I . Stand-alone hmlted energy,
reSIdential
I - Stand-alone hmlted energy,
mull1-famlly
I - Stand-alone limited energy,
commercial
I ServicesORfeed~t~I~~~t~li~tion, alteration, AND/OR ,,"~Iocation
1200 amps or less 2 $70 00 $140 00
I 20 I amps to 400 amps
140 I amps to 599 amps
T~~,QR,ARY'serv,l~es p~Me~d~rs ms~allatlOn, alteratl~n,
AND/OR relocatIOn '~r " ~ I' ,
200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
I Branch 'c.'rcDlts -,NEW,' alteratJ()n;" OR 'extenSIOn, per panel
A Fee for branch CIrcUIts With 6 $400 $2400
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 IIghtmg
SIgnal clrcult(s) or hmlted- not offered online at thiS JunsdlctlOn
energy panel, alteratIOn, or
extensIOn
ELECTRICAL PERMIT,FEES
, *, > IJ'WI 1>1, , ,0, \- I "-
Subtotal $16400
State Surcharge (12% of penTIlt fee) $1968
CIty Of Spnngfield fees * $2460
TOTAL PERMIT FEE $20828 I
10% Local AdmIn Fee, 5% Local Technology Fee
I
I
I
I
* City Of Sprmgfield
ThiS AuthOrization To Begin Work must be posted at the job site until replaced by a PermIt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0060 1
COM2008-0060 1
COM2008-0060 1
COM2008-0060 1
COM2008-00601
Payments:
Type of Payment
ONLINE CHGS
cRecelOll
RECEIPT #:
2200800000000000542
DescriptIOn
Add, Alter, Extend CIrc Ea Add
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/29/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
DDK
Page 1 of I
ONLINE REYNOLD Onlme
S
ELECTRIC
INC
Payment Total:
9:22:10AM
Amount Due
2400
140 00
820
1968
1640
$208.28
Amount Paid
$208 28
$208.28
4/29/2008