HomeMy WebLinkAboutPermit Electrical 2008-6-17
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00883
ISSUED. 06/17/2008
APPLIED 06/17/2008
EXPIRES. 12/17/2008
VALUE'
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 442 1/2 16TH ST
ASSESSOR'S PARCEL NO 1703362409700
Spnngfield TYPE OF WORK Electncal Work Only
TYPE OF USE
AlteratIOn
ResIdential
PROJECT DESCRIPTION Hook up hot tub CirCUIt
Owner L CULVER TRUST TR
Address 442 1-2 N 16TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor Type
Electncal
Contractor
REYNOLDS ELECTRIC
License
17252
ExpIratIOn Date
02/08/2009
Phone
541-343-7297
BUILDING INFORMATION I
# of UOIts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary Construction Type
# of Bedrooms
# of Stones
HeIght of Structure
Type ot Heat
Water Type
Range Type
Energy Path
Sprmkled Bmldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GJrage/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT I~FORMATlON I
REQUIRED PARKING
Frontyard Setback
SIde I Setback
SIde 2 Sethack
Rearyard Setback
Solar SetbJcks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
0/0 of Lot Coverage
Total
HandIcapped
Compact
IPUBLIC IMPROVEMENTS'
Street Improvements
SIdewalk Type
ATTENTION f)reoQ~ I~.., III
follow rules all'&"i"~g\m"/fflI1 .lIS you to
No!lticatlon Cent~ eThoYs the, Oregon Uli"ty
m OAR 9 e ru es are set forth
NOTICE: 0090 )\ 52-001-0010 through OAR 952-001_
Tau may obtam copies of the rules b
HIS PFRMIT ~IJ^, ~ ::V~Ir.{ Ir '('::- r;r::-,:,' "~~~na the f'"nlp, "'~.- ~~~ Llo,.,;,,,,,,, y
AUTHORIZED UNDER THIS PERr.:: . - ..:._,for the Oregon Utility Notlfl
COMMENCED OR IS AS fllV"JtbA.mn Descr~ptJon enter IS 1-800-332-2344) cation
A ANDONcu run
NY 180 DAY PFRIOD $ Per Sq Ft
DescnptlOn Type of Construchon I I
or mu tIp ler
Storm Sewer AvaIlable
Specl3llnstructlOn
Notes
Square Footage
or BId Amount
Value
Date Calculated
Page I of2
-~. ,,-,.
CITY OF ~rK1j'l\.Jl'IELD '
Building/Combination Permit
Status
Issued
PERMIT NO. COM2008-00883
ISSUED' 06/17/2008
APPLIED: 06/17/2008
EXPIRES' 12/17/2008
VALUE:
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Palll ,
Fee DescnptlOn
+ 10% Admmlstratlve Fee
+ 12% StJte Surcharge
+ 5% Technology Fee
Add, Alter, Extend CIrC
MIOImum/Adjustment Electncal
Amount PaId
Date PaId
ReceIpt Number
$500
$600
$250
$48 00
$200
6/17/08
6/17108
6/17/08
6/17/08
6/17108
2200800000000000915
2200800000000000915
2200800000000000915
2200800000000000915
2200800000000000915
Total Amount PaId
$63 50
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.
I ReoUlred Insnechons I
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby cerhfy that all
mformahon hereon IS true and correct, and I further certify that any and all work performed shall be done 10 accordance With
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure wltbout permISSion of the CommuOlty 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 mspectlOns are requested Jt the proper time, thJt each dddress IS readJble 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 durlOg construction
Owner or Contractors Signature
Date
Page 2 of 2
CIty of Sprmgfield
ElectrIcal AuthorIzatIOn To Begm Work
E-maded To dan@reynoldselectrIc com
ReceIpt # EC532323
6/17/20082 22 II PM
Check on status of perm It
By Phone (541)726-3753 or Emall permltcenter@clspnngfieldorus
o New construction
[K] AddltJonlalteratlOnlrepldccment
CATE_GbRY~6~F CONS~U9!ON_
I [X] I or 2 family dwelling
I
IJob no 19684 lJOb address 4421/2 16TH $T
I Cily/Slale/ZlP SPRINGfIELD OR 97477-4956
I SUlte/bldg lapt no
I Project name John Culver
o Multi family
D Commercial/Industrial
Cross street/directIOns to Job site
Mam to 16th st
I SubdiVISIOn
I Tax map/parcel no
I
I Lot no
1703362409700
"~,DESCRII'tfON~OF WORK
hook. up hot tub CirCUIt
~i1:;;:S!;rE.:CONT.ACT
-,
'-
I Name dan
IPhone (541)343-7297
I [mall dan@reynoldselectnc com
I Fax
-~CONTRA(;TOR
-; "~""^"
I
lEI lie no 20-15SC ICCBhcno
I Busmess Name REYNO! DS ELFCTRIC INC
I Contact Dan Boaz
IAddress 2175 W2NDAVE
I Clty/StaterLJI' EUGENE OR 97402
II'hone (541)3437297
I Emdl' dan@rcynoldsclectnc com
17252
I Fax (541)3454808
Metro he no I Llty he no 2520S
SupervlslOg electnclan's he no 2520S
SuperVlsmg electncmn's name JOHN A REYNOLDS JR
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed within one business day,
with instructions on how to schedule your inspection
NOTE ThiS Authorization To Begin Work expires within 180
days If a permit IS not obtained
The local bUilding department may determine that an
Authorization To Begm Work IS null and VOId If It does not
meet applicable land use laws and local ordinances
~"
11 000 sq ft or less
I Ea addl 500 sq ft or portion
I ~lInlted
I - Llllllted energy reSidentIal
(With above So ft)
I-Limited energy, multifamIly
reSIdential (WIth above sa ft)
- LimIted energy, commercla-1
(With above So ft)
- Stand-alone limited energy
reSIdential
I - I:Jland-alone limited energy
multi-famIly
I - Stand-alone lImIted energy,
commercial
I SCrvICC~ O!! f~c~~~'lstallatlOn; alt~ratlOn, o\~'PIOR ~~I€~atll!~
I 200 amps or less I
i 20 I amps to 400 amps
I 40 I amps to 599 amps. I
I ~EMRO!M~~e5~~~ee~~~rl~illt;~I~~h~~1Lfr~~t!on,~
1-~/OR,relocat!0~~~~2AI^!"" _~ (f"J$'i{~;;Mv; :::
I 200 amps or less
J 20 I dItlpS to 400 amps
140 I amps to 599 amps
1~!1fur-r~~'~:t~~!,.W;:alteriitl~OR~t~nslOn,
I A Fee for branch CirCUIts wIth
servIce or feeder fee, each
branch ClfCUlt
I B fee for branch CircUIts
WIthout service or feeder fee
first branch circuit
I each addl branch CirCUIt
I
,
I
$48001
I
$48001
I
I
I
I
I
I
I
I
Subtotal $48 00 I
MlDlmum fee used IDstead of Subtotal $5000 I
State Surcharge (12% of ~ermlt fee) $600 I
CIty OfSonngfield fces'" $750 I
TOTAL PERMIT FEE $63 50 I
10% Local Admm Fce 5% Local Technology Fee
ServIce reconnect only
Each manufactured or modular
d\\elhng servIce and/or feeder
J Pump or lITIgatIOn circle
I Sign or outlme Ilghtmg
I Signal clrcUlt(s) or hmltl.d-
energy panel, alteratlOl1 or
extensIOn
I
I
I
I
I
I
... CIty OfSprmgficld
not offered onlme at thIS Jutlsdll.t!on
PERMIT FEES:'j:;~
ThiS Authorization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Spruigfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00883
COM2008-00883
COM2008-00883
COM2008-00883
COM2008-00883
Payments
Type of Payment
ONLINE CHGS
LReLemtl
RECEIPT #.
2200800000000000915
DescnptlOn
Add, Alter, Extend ClrC
MIDlmumlAdJustment Electflcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
CIty of SprIngfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Date. 06/17/2008
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE REYNOLD Online
S
ELECTRIC
Payment Total
2 40 33PM
Amount Due
4800
200
250
600
500
$63 50
Amount Paid
$63 50
$63 50
611 7/2008