HomeMy WebLinkAboutPermit Electrical 2008-7-21
Building/Combination Permit
PERMIT NO' COM2008-01099
ISSUED: 07/21/2008
APPLIED. 07/21/2008
EXPIRES: 01/21/2009
VALUE:
-~,..
\~~Dt
,r::(JfL/
Status
Iss u ed
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF ~rKll~\.JJ1u<,LD
SITE ADDRESS 1966 L ST
ASSESSOR'S PARCEL NO 1703253403100
Spnngfield TYPE OF WORK Electmal Work Only
PROJECT DESCRIPTION Replace panel
TYPE OF USE New
ReSIdential
Owner ADLER JILL S
Address 1977 L ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
REYNOLDS ELECTRIC
License
17252
BUILDING INFORMATION I
# of Umts # of Stones
Pnmary Occupancy Group HeIght of Structure
Secondary Occupancy Group Type of Heat
Pnmary ConstructIOn Type Water Type
Secondary ConstructIOn Type Range Type
# of Bedrooms ATTENTI Energy Path
follow ru, ON Oregon law requrffllflllkled BUlldmg nla
I. es adrnt"", ~..'L" you 10
I~OAR~~2nOcoelnter Tho$DBW.ri';{)~~l'N:r INFORMATION I
O - -0010 thru'i/, ~ I
090 You may obt ugn UAR 952-001_
calli Ih am copies of I '
Frontyard Setback ng e cenler (Note th t ' 'Iil~ Ojst
Side I Setback number for the Oregon Ut/litye Ne ~I?t't€.fterrees Rqd
S,de 2 Setback Cenler IS 1-800-332,2344 !/f.!li/OO,ve Rqd
Rearyard Setback 0 of Lot Coverage
Solar Setbacks
ExpiratIOn Date
02/08/2009
Phone
541-343-7297
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant LOdd
REQUIRED PARKING
Total
Handicapped
Compact
Street Improvements
Storm Sewer AvaIlable
Specldl InstructIOn
I PUBLIC IMPROr.~fS~~ I
THIS PERMIT sffAt'r~~TR'EeIF THE WORK
AUTHORIZED U[I.'brT{,"fflr.N'l:'l'u~n IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Notes
I ValuatIOn Descflotion I
Description
$ Per Sq Ft
or mulhpher
Square Footage
or B,d Amount
Tvpe of Construchou
Pa2e I of2
Value
Date Calculated
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED:
EXPIRES
VALUE:
COM2008-01099
07/21/2008
07/21/2008
01/21/2009
225 Fifth Street, Spnngfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
TOtdl V dlue of Project
Fees P",d I
II III
Fee DescnptlOn
+ 10% AdmmlStratIve Fee
+ 12% Stdte Surchalge
+ 5% Technology Fee
Add, Alter, Extend Clrc Ea Add
Perm Serv/Fdr 200 amps or less
Amount PaId
Date PaId
ReceIpt Number
$860
$10 32
$430
$1600
$70 00
7/21/08
7/21/08
7/21/08
7/21/08
7/21/08
3200800000000000515
3200800000000000515
3200800000000000515
3200800000000000515
3200800000000000515
Total Amount PaId
$10922
I Plan RevIews ,
To Request an inspection call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7:00
a.m. wIll be made the same workmg day, mspectIOns requested after 7:00 a,m, wIll be made the followmg
work day.
I ReoUlred In,snectJons I
Electnc Service Approval requIred pnor to utIlIty company energIZIng servIce
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
By signature, I state and agree, thdt I have cdrefully 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 10 accordance WIth
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg 10 the work descnbed herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permISSIon of the CommuDlty Services DIVIsIOn, BUlldmg Safety
I further cel tIfy that only contractors and employees who are 10 complIdnce WIth ORS 701 005 WIll be used on thIS project
1 further agree to ensure that all reqUired mspectlOns are requested at the proper tIme, that each address IS readable f. om 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 durmg construction
Owner or Contractors SIgnature
Date
Page 2 of2
CIty of Spnngfield
Electncal AnthonzatIon To Begm Work
E-malled To dan@reynoldselectnc com
Receipt # EC534386
7/21/20081 41 17 PM
~
By Phone
Check on status of permit
(541)726-3753 or Emall permltcenter@clsprmgfieldorus
TYPE OF WORK'
10 New constructIOn
[K] AddItIOn/alteration/replacement
CATEGORY OFCONSTRUCTION"' '
I [K] ] or 2 famIly dwellmg
I
o MultI famtly
o Commercia] / Industrial
,JOB SITE INFORMATION AND LOCATION
IJabRo 19852 IJobaddress 1966 LST
IClty/Statc/.l1l' SPRINGtH:LD OR 97477 3432
I SUlte/bldg lapt no
I Project name )1]] Adler
Cross street/directions to Job site
Centennial to 21st to L street
ISubdl\ISIOn
IT,IX mdp/pIrcel no
I Lot no
1703253403100
DESCRIPTION OF WORK
n...placmg panel
SITE CONTACT
IName
I Phone
I Emall
d.n
(54]) 343 7297
I Fa,
dan@reynoldsdLctnccom
CONTRACTOR
lEI he no 20155C ICCBhc 110
I Busmess Name REYNOLDS ELECTRIC INC
I Contact Dan B01Z
IAddress 2175 W 2ND AVE
\ City/Sidle/ZIP EUGENE OR 97402
IPhone (54])3437297
I Em.1I1 dan@reynoldse]cctnc com
I Metro he no
1 Supen Ismg elletnelan's he no 25205
I ~upervlSlng eleetnelan'<; name JOHN A REYNOLDS JR
17252
I Fa, (54] )3454808
I Cltv he no 25205
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one bus mess day,
with mstructlons on how to schedule your mspecbon
NOTE ThiS Authorization To 8egm Work expires within 180
days If a permit IS not obtamed
The local bUilding department may determine that an
Authorization To 8egln Work IS null and vOid If It does not
meet applicable land use laws and local ordinances
I I FEE SCHEDULE
II De!>lflptlOn I Qty I Ea I Total
I ~~~~d~t~~ SINGLl- O!t ~uIJI-falRdy~d\\el!lDg ~!lIt Includes;.~A
I _at!~h~ g~rage fT;'~ 4 t-~+ r \'St ~~f
III OOOsq ft or less I I
I Ea addl 500 sq ft or portIon
I I Limited En,~']iY ~~
I I LImited energy resldenlla]
I (With above SQ ft)
I-LimIted energy, multifamily
I resldentla] (With above SQ ft)
I Limited energy commercla-l
(With abme SQ ft)
I Stand-alone llmltcd enlrgy,
reSidential
I-Stand dlone limited energy
multi family
- Stand alone limited energ),
commerc131
Scrvu;es OR feeders Installation. alteration, AND/OR relocation
1200 amps or less $70001
I 201 amps to 400 dmps I
401 amps to 599 amps I
TEMPORARY "lcrvlces OR fl'eder"llOstallatlOn, altLratlon,"'''- 'w
AND/OR relocatton~ ~~~ 0 ~ - ~~ 0v^-f~:?~
I 200 amps or ]es!>
1201 amps to 400 amps
I 40] amps to 599 amps
I Branch Clrc~Ults - NEW, .llterJtlO/i, OR_~xtensIOD, per panel
I A fee for branch ClfCUltS WIth 4 $4001
service or feeder fee each
branch CIrculi
I B Fee for branch ('lrcUlts I
Without service or feeder fee
first branch CirculI.
1 each addl branch CirCUIt I
! ~ll#Cellane!lu~,:~~
I Service reconne(,t only
I Each manufdctured or moduldr I
dwellmg service and/or leeder
1 Pump or lITIgation CIrcle I
I Sign or outline ]Ightmg ,
I Signal clrcult(s) or Ilmlted~ not offered onhne at thiS JunsdlctlOn I
energy pane] a]teratlon, or
e>..tenSlOn
I ELECTRICAL PERM]T FEES I
I Subtotal $8600 I
I State 5urcharge (12% ofpcrmlt fee) $10321
1 ell). OfSpnngfield fees" $1290 1
I ICTAL PlRMIT FEE $]0922 I
"f""~ n,Qpr'nlJ"".lrl t",,,,~ InDIA '.rWIJ.~rlmm ree 5% Locallechnology
COM,~()h<K' -D\rPl01 '
~
I
I
I
$7000 I
$]600
RCPT#' ,:S ':) (}V r.- .5/6
DATE PROCESSED '-1--02/ /OY
ThiS AuthOrization To Begin Work must be P', Il;~~H~~Q<H"t::U uy G1 ;", Tmlt
2-25 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 I 099
COM2008-0 I 099
COM2008,O 1 099
COM2008,Ol099
COM2008-0 I 099
Payments
Type of Payment
ONLINE CHGS
LRccClOtl
RECEIPT #.
3200800000000000515
Date' 07/21/2008
Descnptlon
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc 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
nJm
Page I of I
2 12 04PM
Amount Due
7000
1600
430
1032
860
$109 22
Amount Paid
$109 22
$10922
7/21/2008