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Home My WebLink AboutPermit Electrical 2008-5-5 \ ~{c:'/ 0 t ~~~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00617 ISSUED: 05/02/2008 APPLIED: 05/02/2008 EXPIRES: 11/02/2008 VALUE: Status Issued 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1462 I ST ASSESSOR'S PARCEL NO.. 1703362203700 Sprmgfield TYPE OF WORK. Electncal Work Only TYPE OF USE AlteratIOn PROJECT DESCRIPTION. Install CirCUits for applIance and for future secunty system Residential Owner MCKENZIE MEDICAL LEASING LLC Address 1462 I ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor REYNOLDS ELECTRIC License 17252 Expiration Date 02/08/2009 Phone 541-343-7297 BUILDING INFORMATION I # ofUmts' Pnmary Occupancy Group- Secondary Occupancy Group. Pnmary Construction Type Secondary Construction Type. # of Bedrooms. # of Stones' Height of Structure Type of Heat Water Type Range Type Energy Path Sprmkled BUlldmg 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 I Front yard Setback: Side 1 Setback Side 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst. # Street Trees Rqd: Paved Dnve Rqd. % of Lot Coverage' REQUIRED PARKING Total' Handicapped Compact I PUBLIC IMPROVEMENTS ~ A I ENT~Urt~w~kBflon law requires you to follow rUles a~optE!cfty the Oregon Utility Notlflcatl(Down~i)lIts!iilJ-aiiOOles are set forth In OAR 952-001-0010 through OAR 952-001- 0090 You may obtain caples of the rules by calling the center. (Note: the telephone NnTIr.~~ number.for the Oregon Utility NotifIcatIon THIS PERMIT SHALL EXPIRE: It"~ \,\"_'~.'" \.I~iILt;1 i~ l-o\JI:J-,),)'-'.;l....I. AUTHORIZED UNDER THIS PER al61Am"n Description I COMMENCED OR IS ABANDONE~te~~q Ft Square Footage DescnPtIOJ.!.NY 1 S'l'wtl.\Ofrfi",.,,;.ftlctIon 1\ OI:J/"\l 1"'"'I:n1V\T or multiplIer or Bid Amount Street Improvements Storm Sewer AvaIlable Special Instruction' Notes' Value Date Calculated Page 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00617 ISSUED: 05/02/2008 APPLIED: 05/02/2008 EXPIRES: 11/02/2008 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme Total Value of Project Fees Paid' Fee DescrIPtIon + 10% AdmlDlstratIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Amount PaId Date PaId ReceIpt Number $600 $720 $300 $48 00 $12 00 5/2/08 5/2/08 5/2/08 5/2/08 5/2/08 2200800000000000570 2200800000000000570 2200800000000000570 2200800000000000570 2200800000000000570 Total Amount PaId $76 20 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired InsoectIOns , Rough Electnc Pnor to Cover Fmal ElectrIc. When all electrIcal work IS complete By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wIth the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work deSCrIbed herem, and that NO OCCUPANCY wIll be made of any structure wIthout permIssIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m complIance wIth ORS 701 005 wIll be used on thIS proJect. I further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each address IS readable from the street, that the permit card IS located at the front of the property, and the approved set of plans wIll remam on the sIte at all tImes dUrIng constructIOn Owner or Contractors SIgnature Date Pae:e 2 of 2 Clty of Sprmgfield Electrical AuthorIZation To Begin Work E-maIled To dan@reynoldselectnc com ReceIpt # ,EC529701 5/212008 8 38 33 AM Check on status of permit By Phone (541)726-3753 or EmaIl permltcenter@cl sprmgfield or us TYRE,OF WORK~~;; wrMlcvi" 1"II"wt&~r D New constructIon !XJ AdditIOn/alteratIOn/replacement " :;:q if" "^ "~II?0"~" w =t>:'I<~:ms '" ~C;A:ri,g.9~Y OF Q~I~~JRUCTlql\!.;" ~' [Xl I or 2 famIly dwellmg D Multl-falmly 0 Commercial/ Industnal w "$ 'r~~~1 ~11il I ~ JIWllilir,w' ~ WJ~h'('I ~ 4"' *w~J,B~ ~~TE(IN~Q~I)(I~IION1AND, ~9CATIONiJ"I'~' Job no I 9567 I Job address 1462 I ST City/State/ZIP SPRINGFIELD, OR 97477-4116 I Smte/bldg /apt no I Project name MIlke tayloe Cross street/directIOns to job sIte Mohawk to I st [ SubdIvIsIOn [Tax map/parcel no [ I Lot no 1703362203700 "I"{X"1$[1d1 DEscl!Hi?'tIoNI OF WO'RKk'::I' ~A4, '^o< "Wi II iJ'111 II jQ III mstall CircUIts tor Appliance and 1 CIrCUIt for future securIty system it*VC1fW~ffij~II@<1 Stii1%iH:i'1 Y ~, X{ SITtE"IICONTACT 'IliJ "111(,:s, ""M~IIIIIIIII"" ) liW0, I Name Dan I Phone (541) 343-7297 I Fax [Em all dan@reynoldselectrIc com I CONT~~~9R lEI hc no 20-155C I CCB hc no 17252 I Busmess Name REYNOLDS ELECTRIC INC I Contact Dan Boaz I Address 2175 W 2ND AVE [CIty/State/ZIP EUGENE OR 97402 I Phone (541)3437297 I Fax (541)3454808 I Emall dan@reynoldselectnc com [ Metro hc no I City IIc no 2520S I Supervlsmg electriCian's hc no 2520S I Supervlsmg electrICian's name JOHN A REYNOLDS, JR 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 ':FjEE;SCHEDliLrE~1 , l M)" RIIIII ~ !,If" (<J '4 I Qty I Ea I Total OR mulh~family dwelhI\g Dlut. Inclu1Jes~~ 1~{I%A~W$101 /1' = ""~\+,1~1J~~~ We .,;*"121111 " 1 11MIJ'WfW mr,~Iii~-";y j\, I I I DeSCriptIOn )iResldentlal {Sm; j.1JW0W%WI'jj~~ ,< attacij'~~'0gJ!:age 1,000 sq ft or less I Ea addl 500 sq ft or portIon [ .", -.i01IMU'U'%:m ~ "J:I)lmlted Energy"WMWl%lt\ 'e"'-'-\:j~,,'Mlhillp F >0- I-LImited energy, reSIdentIal (WIth above sq ft) I-LimIted energy, multJfarmly resldenltal (WIth above sq ft) - Limited energy, commercIal (WIth above sq ft) - Stand-alone hmlted energy, resldenltal I - Stand-alone lImited energy, multI-family I - Stand-alone lImited energy, commerCIal , Se::Vl~s O~V\l:~F~ IItstal~atJ,~n, ,l!!teratJ6n;{{Al~]?i(lRlrelocatJon 1200 amps or less 1201 amps to 400 amps 140 I amps to 599 amps TEMPO~~ se ces ~OR~feeders0mstallatJoll~lliteratlOn, 1:i\ND/OR relocab6 ' '%!<"';'bl;j~011:",,1 "'0THIPlilJI2, .2.mIQ+ 11111/4 c>o'" % l' It 11# w~ d" \ 11 111 I ~j~ l' ~1U1 II ~ Ilj ~ f I ~ I 200 amps or less 201 amps to 400 amps 140 I amps to 599 amps I 'BranCbJ,c!rCifit~.'NEW" altera6d1'lt OR extenslhh;+pe.J:"panel: I 'T Ii l' >>>~# jlfWl1iW!"lN%1!' .Jt. ro 11I!i1111W:' ~f'" "0 1 I l!j i0 ;y " Ii11 A Fee for branch cIrcuIts With servIce or feeder fee, each branch CirCUIt B Fee for branch CirCUIts $48 00 $4800 Without service or feeder fee, first branch CIrCUIt, 1 each addl branch CIrCUit 3 $4 00 $12 00 , :ii I ServIce reconnect only I Each manufactured or modular dwellmg, servIce and/or feeder I Pump or lITIgatIOn CIrcle I SIgn or outlIne hghtmg SIgnal clrcult(s) or IImlted- not offered onlme at thiS JUrISdIctIOn energy panel, alteratIOn or extensIOn EL!=F!RICAL 'pERllliiT'F,EES pl"l!" ill1 I, Subtotal $60 00 State Surcharge (12% ofperImt fee) $720 I CIty Of Spnngfield fees * $9 00 I TOTAL PERMIT FEE $7620 10% Local Admm Fee, 5% Local Technology Fee I I I I * CIty Of Spnngfield ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit 225 FIfth ,Street Sprjngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00617 COM2008-00617 COM2008-00617 COM2008-00617 COM2008-00617 Payments Type of Payment ONLINE CHGS cReceml] City of Sprmgfield Official ReceIpt Development ServIces Department Public Works Department RECEIPT #: 2200800000000000570 Date: 05/02/2008 9 45 14AM DescriptIOn Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Amount Due 4800 1200 300 720 600 $7620. Paid By ONLINE PERMIT CHGS Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received Amount Paid DDK Onhne $76 20 ONLINE REYNOLD S Payment Total $7620 Page 1 of 1 5/2/2008