HomeMy WebLinkAboutPermit Electrical 2008-8-1
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Status
Issued
CITY OF SPRINuJ11J1,LD .
Building/Combination Permit
PERMIT NO. COM2008-01149
ISSUED 08/01/2008
APPLIED' 08/01/2008
EXPIRES. 02/01/2009
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 636 1/2 F ST
ASSESSOR'S PARCEL NO 1703351210600
Sprmgfield TYPE OF WORK ElectrICal Work Only
TYPE OF USE
AlteratIOn
ReSldent..1
PROJECT DESCRIPTION Replace rIser wires
Owner EMERSON LISA F
Address 642 F ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
ElectrIcal
Contractor
REYNOLDS ELECTRIC
License
17252
ExpiratIOn Date
02/08/2009
Phone
541-343-7297
BUlLD~NG INFORMATION I
# of Umts
Pllmary 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
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
REQUIRED PARKING
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
Storm Sewer Available
SpecIal InstructIOn
J)OJNDSUoufsn)ralqs
ATTtN IIUN uregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
ono" V""II rn~l' ....h......... ................. ,.,/U.._ ...1__ l-__
I~UII"1: ' .' . ----,
, J. _ I calling the center. (Note the telephone
TI-1IS PERMIT SHALL EXPIRE IF THE 1.'V\JltiJGatIon Descrmtion number for the Oregon Utility Noliflcatlon
"THORIZED UNDER THIS PERMIT IS Nu I Center IS 1-800-332-2344).
-, "ENCE""^..D ,,,,..n-,..,,,n"'liD FO,!; Per Sq Ft Square Footage
DescrIptIOn u "". OJ) 1bWl'i....".J10 ft It I B d A Value Date Calculated
ANY 180 DAY PERIOD. or IOU Ip ICr or I mount I
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Notes
Paee I 012
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-0I149
ISSUED: 08/01/2008
APPLIED' 08/01/2008
EXPIRES: 02/01/2009
VALUE:
225 F,fth Street. Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees Paid I
Fee DescrIptIOn
+ 10% AdmlUlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
ServIce Reconnect
Amount PaId
Date PaId
ReceIpt Number
$550
$660
$275
$55 00
8/1108
8/1108
8/1108
8/1108
2200800000000001183
2200800000000001183
2200800000000001183
2200800000000001183
Total Amount PaId
$69 85
I Plan ReViews ,
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7 00
a.m. Will be made the same workmg day, mspectlOns requested after 7:00 a.m. WIll be made the followmg
work day.
L.~~nUlred InsoectlOns I
ElectrIc ServIce Approval reqUIred prIor to utilIty company energIZIng servIce
By sIgnature. I state and agree, that I have carefully examll1ed the completed apphcatlOn and do hereby certIfy that all
mformahon hereon IS true and correct, dud I further certify thdt JOY and all work performed shall be done lD accordance With
the Ordll1ances 01 the CIty of SprIngfield and the Laws of the State of O. egon pertammg to the work descrIbed herem, and
lhat NO OCCUPANCY Will be made of any structure WIthout permiSSIOn of the CommuUlty ServIces DIvISion, BUlldmg Safety
I further certlly that only contraclors and employees who are m comphance WIth ORS 701 005 wIll be used on thIS proJect
I further agree to ensure thaI all reqUIred mspecllOns are requested at the proper lime, that each address IS readable from the
street, that the permIt card IS located at the Iront 01 the property, and the approved set of plans wIll remall1 on the site at all
times dunng constructIOn
Owner or Contractors SIgnature
Date
Paee 2 of 2
clty of.Sprmgfield
Electncal AuthonzatIon To Begm Work
E-ma.led To dan@reynoldselectnc com
Receipt # E(S}5305
8/112008 10 51 38 AM
~
By Phone
Check on status of perm It
(541)726-3753 or Emall permltcenter@cl sprIngfield or us
100 I or 2 family d\\clhng
D Multl-f.umly
D CommercmlI Industnal
I FEE SCHEDULE
DC!lCnphOn Qt) E8
Re'ildcntml SINGLE- OR mult~.famll) dwelling uml
attAched garage } - -
I 000 sq ft or less
I Ea add] 500 sq ft or portIOn
I J Imlted Fnergy
I Limited cm.rgy, residential
(\\ nh above sa fi)
I . Limited em.rgy, muluf,m1l1y
fl,!lldcntlal (with above sa ft)
I-Limited energy commerr..la"'
(wIth above sa ft)
I - Stand-alone limited energy
rI.'ildentml
I - Stand-alone IlImtcd l.nergy,
multl-famllv
I - Sland-alone Imuted energy,
l,OmmLfClal
I Senlccs OR feeders installatIOn, .alteration, AND/OR relocatzon
I 200 amps or less I
I 201 amps to 400 dmps
I 401 wnps to 599 amps I
T.lMPORARY serVICC1, OR feeders mstallatlOn, alteration,
AND/OR relocatIOn
10t.1I
Includes
TYPE OF WORK
I 0 New l.OnstructlOn
[X] Addltlon/a]teratlon/rep]acement
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
]Job no 19896 IJob address 636112 F ST
Ic.'l/SlalerLlP SPRINGfiELD OR 97477-4037
I SUlte/bldg /apt no
I Project name filgate
Cro~s streetllllrectlOlls 10 Job site
Centennm] to 6th st
I SubdiVISIOn
IldX map/parcel no 17033)]210602
DESCRIPTION OF WORK
I Lot no
replace nsor wires
I NAme dan
1 Phon. <'41) 343-7297
I ~m,lll dan@n.yno]dselectnl.com
1 Fa,
200 dffipS or less
I 20 I runps to 400 amps
I 40 I .unps to 599 amps
I Branch CircUIts - NE'V, alteratIOn, OR extemlOlI, per panel
I A ree for branch CirCUIts wIth
service or feeder fee each
branch CirCUIt
I B rec for branch CirCUIts
without service or feeder lel.,
first branch clrwH.
I each addl branch CIrCUlt
I 1\1 Iscellalleous
I Service reconnect only
I Each manufactured or modular
dwtllmg servIce and/or feeder
I Pump or Ifflg.ltlon circle
I Sign or outlme IIghtmg
I' Signal clrcull(s) or IImlted-
energy panel, ,1Itl.ratlon, or
extensIOn
I
I
I
I
I
. City Of Spnngfie]d fees
Fee
1
1
$55001
I
I
1
I
ELECTRICAL PERMIT FEES 1
Subln'.] I $5500 I
State Surcharge (12% of Denmt fec) $660 I
City Of Spnngf!eld fees *1 $825 l
IOTAL PlRMIT FU I $69 85 I
10% Local AdmIn Fee 50/0 Local Il.chnology
$5500
SITE CONTACT
CONTRACTOR
lEI hc no 20-155C ICCB he no 17252
I BU~lnlss N.lme REYNOLDS ELECT RIC INC
I Contact Dan Boaz
IAddress 2175 W 2ND AVe
I Clty/SlaterL.IJ' EUGENE OR 97402
1 Phon. (541)3437297 I", (541 )3454808
I. mall ddo@rcynoldselcl.tflc com
ll\letro he no ICI') he no 2520S
!~upervlsmg eleclncl'ln') hc no 2520S
I ~upenlSlng dLClnll HI'~ Ildme JO] IN A REYNOLDS JR
not offered onlme at thiS JUrISdIction
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 Authorrzatlon To Begm Work expires Within 180
days If a permit IS not obtained
The local bUilding department may determine that an
Authorrzatlon To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
ThiS AuthOrization To Begm Work must be posted at the Job site until replaced by a Permit
225 Flft./1 Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1149
COM2008-01149
COM2008-0 1149
COM2008-01l49
Payments
Type of Pa} ment
ONLINE CHGS
cRecuntl
RECEIPT #
DescriptIOn
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
P3Id By
ONLINE PERMIl CHGS
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2200800000000001183
City of Sprmgficld Officml Receipt
Development Services Department
Pubhc Works Dcpartment
Date. 08/0112008
Item Total
Chetk Number AuthorizatIOn
ReceIved By Batch Number Number How Received
ddk
Page I of 1
ONLINE REYNOLD Online
S
ELECTRIC
Payment Total
115842AM
Amount Due
5500
275
660
,
550
$69 85
Amount Paid
$69 85
$69 85
8/1/2008