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HomeMy WebLinkAboutPermit Electrical 2009-2-12 , .. ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00207. ISSUED: 02/12/2009 APPLIED: 02/12/2009 EXPIRES: 08/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Spriugfield TYPE OF WORK: Electrical Work Only SITE ADDRESS: 3150 MAIN ST . ASSESSOR'S PARCEL NO.: 1702310000400 Commercial TYPE OF USE: New PROJECT DESCRIPTION: Service ou mobile lestiug unit and Circuit to outhuilding Owner: OREGON STATE OF BOARD OF FORESTRY Address: 2600 STATE ST SALEM OR 97310 Owner: STATE BOARD OF FORESTRY Address: 2600 STATE ST SALEM OR 97310 Contractor Type Electrical I CONTRACTOR INFOR~ION I I(Jj/o ." v Tt. Contractor 11)1\t0IikllieiJ%fAl" ~xpiration Date REYNOLDS ELECTRIC O()n~-11;8i,2}1 r<'10'0o,P'0,oMI.2/2011 BUILDING INFORJ\>)1\:'ifImii;d07~O~r. rhoOy th;i!l.Jires <'fib ~ ")e <lyobt. 70tl} serl.J/, 'l"e,.. YOI.Jt. . er {, oe <Ii ro/,. es <f01) l.J. 0 # of Stones: C or tl} nter n ot!to(IS,'tj <Ire S ltiit Height of Structure ef}ter ~ Or; (l\toi~~lEta,srFil!!g~t fortt Type of Heat: S 7.,,'9001) LSqfF~2n~EF;lnor907 u, 0 f/W (FJ/I:"> 'CIte .. Water Type:.. -.:r.:r;>p,F(i>>.a.se'1'anf:by Range Type: sq'E~2Vi:"\l;~b~arport Energy Path: Sq Ft Other:.n . Sprinkled Building: n/a Occupant Load: Phone 541-343-7297 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvemeuts: Storm Sewer A vailahle: Special Instruction: Notes: NOr. I DEVELOPMENT INFORMATION I rHIS tee.- /lUrf-!. 'tRl/1lr Overlay Dist: COIt1/w. ORI.?EO SH4ll # Street Trees Rqd: /lNy 'tNCE, UNOE, ~Jl,~rive Rqd: 18004 0 OR!. R r;Ym:::.tf/Z'ht,rage: y PER/~'1/1B/lII/!)~~~~/'" ~ WOR,,: I PUBLIC IMPROlt1~ REQUIRED PARKING Total: : Handicapped: Compact: Sidewalk Type: DownspoutslDrains: ~"~ &:fj ~ y-.\.'F Paee 1 of2 '- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00207 ISSUED: 02/12/2009 APPLIED: 02/12/2009 .EXPIRES: 08/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V aluation Descriptio~ , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F~e~ ~airl I Fee Description + 12% State Surcharge + 5% Technology Fee. Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $10.44 $4.35 $6.00 $81.00 2/12/09 2/12/09 2/12/09 2/12/09 2200900000000000169.. 2200900000000000169 2200900000000000169 2200900000000000169 Total Amount Paid $101.79 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. I Riwllirl'rl Ins'1~ctions , Rough Electric: Prior to Coyer Final Electric: Wheu all electrical work is complete. By signature, 1 state and agree, that I have carefully examined the completed applicatiou 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 nsed on this project. I further agree to eusure 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 Date Page 2 of2 Electrical Authorization To Begin Work E-mailedTo:dan@reynoldselectri<;.com Receipt # EC546676 2/12/2009 10:55:32 AM pty of Springfield Check on status of permit , . By Phone: (541)726-3753 or Em.iI: permitcenter@ci.springfield.or.us I Descript~D 15ResidciitiKI:S-- ~T~!iI~~~~!k I ],000 sq. ft or less [4] 1 Ea. addi 500 sq. ft. or portion Ea. Total D New construction [2U Addition/alteration/replacement I 01 or 2.family dwelling D Multi.family [Xl Commercial/lndustrial !Jobno.: 20718 IJobaddress: 3-150 MAINST I City/StateIZIP: SPRINGFIELD, 'OR 97478-5800 (Suitelbldg.tupt.no.: I Project name: WillanietteNationai"Fores Cross street/directions to job site: . Mainst to address circuit to out b~i]ding - Limited energy, residential (with above sa. 'fU I-Limited energy, multifamily residential (with abOve sq. n.) I - Limited"energy, commercia-l not offered online at this jurisdiction (with above SQ. fU . I - Stand-alone limited energy, residential , I - Stan~-a!one limited energy, multi-family ; ',", ",' 1':,':lti; S.tand-alone Ii.mited energy, 'i'".,.-" commercia] It)O""C'rii.1 _ If.... "/"1 , L200,~~ps", less [2] I J2{j],~~P)> to':490j:mpsJ2] , ~I ,,~4({t@r:p.ho~I~,9,9~~mp5J~J.' .?I ---"~" " 1',.\4fRMPx)n.A:"RWservIcesrbR.[~,ec.der,.S~i.n..'Siiillaii,~It'cr.a,tI~n.-. ";7-.;~,,;.,:;lr "61 j'-'7<mi'm.\r.ii'il"'''l'',,'~~~~' ~',,~ '1]161' .~:",_lrS,,_~\\;;rr~~'~~'d"'.'" ,"___. '" .~,' , l !iU -,' ''i "~I 0 ." I 2$OA'~iplAJ(!$ii.T2h I.,. e "",' 01. 120] a~>%'1P~&mnsltf'ph():1' bv I I 140] amps to 59~\1ii1Il')[\jf'Oqbr:r. I I If'BrallHltcrro'm~NEWtaiteraiioMroR7exiensiontpcr:'panCfiTk,4~r~~:1 12~~2[~~:;rf.=~:;;h'~'~='~~~'=='-;~';'''~';6;;1 B. Fee for branch circuits ' I without se~ice or feeder fee, first branch circuit f21 I each add] bran~h circuit I I I I I I Subdivision: ITax map/parcel no.: I Lot no" 1702310000400 $81.00 $81.001 I I Name: dan I Phone: (54])343-7297 I Email: dan@reyno]dselectric.com' .IFa" lEi. lic, 00,' C451 '. ' Ic~,~",no., 18492] I Business Name: NEW REYNOLDS ELECTRIC~. lie/:. IContact: Jeremy Reynolds "i:,~l). Pftl~ IAdd"''' 2175W2NDAVE CilffOfNZc. 8HA.ll I City/StatclZlP, EUGENE OR 97404 1J!I:~I/tfCAffi~ UNI1E!i ExPfRI: ,.. _ ISm,,, ",oon,,,, only [2J IPhon" (54])3437297 'r a kal" J{ofJR/ Iff/~s.'1~~~'OUf'''U''dO',"OdU]'' ....q~. .~-,16 '!J'r!JItt;fVlCe and/or feeder ! Email: dan@reyno]dselectric.com JJERJIJe AN ~\,,-,. ", ,", Il\1ctro lie. no.: I City lie. no.:' MUIll"rngatlOn Clfcle_ [2] I Supervising electrician's lie. no.: 54048 I :gn or outline lighting [2] I I SIgna] drcUlt(s) or llmited- I Supervising electrician's name: JEREMY A REYNOLDS I energy panel, alteration, or extension PL- __ I~, '~"~~E[!ECTRICAITi>ERMIT"7F:EES"''''ll''!ZAl!i!!"liili;il ,_f..~~~:ei;gmllL_~,_,~"~_ ....... .>.""....~+>-,.,,_.._ .~48rt'll(i .__ I Subtotal $87.00 I . I State Surcharge (12% of penn it fee) $10.44 I I City OfSpringfie]d fees * $4.351 I TOTAL PERMIT FEE . $]01.79 . City or Springfield fees: 5% Technology Fee IDefalllt number .of inspecti011S allowed) Upon review and approval by your local jurisdiction, your permit will be e~mailed 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 detennlne that an . Authorization To Begin Work is null and void if it does not meet applicable-land use laws and local ordinances. C,q - 001 k1(, (m00q- \\jo. ~\\1.\Oq This Authorization To Begin Work must be posted at the job site until replaced by a Permit. . City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Spr"ingfield, Oregon 97477 541-726-3759 Phone. RECEIPT #: 2200900000000000169 Date: 02/12/2009 1I:07:57AM Paid By Item Total: Check Number Authorization Received By Ba"ch Number Number How Received Amount Due 81.00 6.00 4.35 10.44 $101.79 Job/Journal Number COM2009-00207 COM2009-00207 COM2009-00207 COM2009-00207 Description Perm Serv/Fdr 200 amps or less Add; Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Payments: Type of Payme'nt Amount Paid ONLfNE CHGSONLfNE PERMIT CHGS KR ONLINE Reynolds Online Electric PaymentTotal: $101.79 $101.79 cReceintl Page I of I 2112/2009