HomeMy WebLinkAboutPermit Electrical 2009-2-12
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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