HomeMy WebLinkAboutPermit Electrical 2007-02-28\5 Building/Combination Permit
PERMIT NO: COM2007-00310ISSUED: 0212812007APPLIEDz 02t28t2007
EXPIRES: 08/2812007
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
S4l -7 26-37 69 Inspection Line
SITE ADDRESS: 445 23RD ST
ASSESSOR'S PARCEL NO.: 1703361407800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Install3 fan forced heaters in bedrooms.
Owner:
Address:
Contractor Tvpe
Electrical
VARNON DEE SHARRIE TE
445 N 23RD ST
SPRINGFIELD OR 97477
Contractor
REYNOLDS ELECTRIC
License
17252
Expiration Date
0210812009
Phone
541-343-7297
)RMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Fronfyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
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LIJI\ I I(AL T \,'K T1.lI U-ry-.]
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2007-00310ISSUED: 0212812007
APPLIEDT 0212812007
EXPIRES: 08/2812007
VALUE:
Fee Description
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
2t28t07
2t28t07
2t28t07
2t28t07
2t28t07
Receipt Number
1200700000000000217
1200700000000000217
1200700000000000217
1200700000000000217
1200700000000000217
$4.90
$2.45
$3.92
$43.00
$6.00
$60.27
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnect
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
Pase 2 of 2
Date
F ees rato I
City of Springlield
ffi
Electrical Authorization To Begin Wo
E-mailed To: dan@reynoldselectric.com
Check on status of permit
By Pho ne : (yl\7 7G37 53 or Em ail : perm itcenter@ci. s prin gfi eld.or. us
'City Of Springfreld llPlo
Receipt # EC508994
A28|2OO7 l2:43:35 PM
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed rvithin on€ business day,
with instructions on howto sch€dule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building depa(rnent may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
TYPEOFWORK
l-l New coretruction fXl edditiorValteration/replacement
lX I I or 2 fmrily dwelling I U,rtti-f*tity l-l Commercial / lndustrial
JOB SITE INFORMATION AND LOCATION
Jobno.:17960
City/StateZIP: SPRINGFIELD,OR C7477-5112
Suite/bldg./apt.no.:
Projed name: Ron Vamon
Cross streeUdire€tions to job site: Ivlain street to N on 23rd
Subdivision:
Tar maplparcel no.: 1703361407800
DESCRIPTION OF WORK
install 3 fan fmeed heaters in bodrcoms
SITE CONTACT
Name: dan
Phone: (541) 343-7297 Far: 345-4563
Em ail : d6@eysoldselectric.com
El. lic. no.: 20-155C lic.no.:
Business Name: RE\NOLDS ELECTRIC INC
Contact: Dan
Address: 2175 W 2ND AVE
CitylStateZlP: EUGENE OR 97,m2
Phone: 5413437297
Ernail: dan@r6ynoldselectric.com
Metro lic no.Citv lic no.
Supervising electrician's lic. no.: 25205
Supervisin g electrician's name: JOHN A REINOLDS, JR
FEE SCHEDI,'LE
Description Qty.Ea Total
Rsidential SINGLE- OR multi-family dwelling unit. Includes
attached garage
1,0@ sq. ft. or les
Ea. addl 500 sq. ft. orportion
- Limited energy, reridential
{with above sq. ft.)
- Limited energy, multifamily
rsidential (wi0r abwe sq. ft-)
Services OR feederc instelldion, aheration, ANDIOR relrocrtion
200 amps or lass
201 amps to 400 amps
401 amps to 599 amps
installalion,
AND/OR relocrtion
2ff) amps or le*r
201 amps to zlo0 amps
z$l amps to 599 ampc
Branch circuits - NEW, alteration, OR exlension, per panel
A Fee for branch circlits with
above service or feeder fee,
each branch circuiL
B. Fee for branch circuits
without service or feeder fe,
fint branch circuit
t $43.00 $43.00
each addl branch circuit 2 $3.00 $6.0{)
Misellanmus
Swice reconnect on.ly
Each manufactrred or modular
dwellirc. servic€ and/or feeder
hmp or irrigation circle
Sign m outline lighting
Signal circui(s) or limited-
energy panel, alteration, or
edmim-
not oflered online d thisjurisdiction
ELECTRICAL PERMIT FEES
Suhtotal s49.00
MinimmFw s45.00
$-3.92
City Of Springfield fees s s7.35
TOTALPERMIT FEE
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
CATEGORY OF CONSTRUC]TON
lJob udd.*' 445 zlRD s'l'
I tot ,o.,
17252
lFar:54I3454508
State Surcharre (8
225 Fifth Street
Sj,ringfield, Oregon 97 477
541-726-3759 Phone
Ci;- of Springfield Official Receipt
t rlopment Services Department
Public Works Department
RECEIPT#: 1200700000000000217 Date: 0212812007 2:54:2ePM
Job/Journal Number
coM2007-00310
coM2007-00310
coM2007-00310
coM2007-00310
coM2007-00310
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5olo Technology Fee
+ 8% State Surcharge
+ 10o/o Administrative Fee
Amount Due
43.00
6.00
2.45
3.92
4.90
Item Total:$60.27
Payments:
Type of Payment Received By
Check Number
Batch Number
Authorization
Number How Received Amount PaidPaid By
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Reynold's
Electric
Online $60.27
Payment Total:$60.27
cReceint I Page I of I 212812007
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