HomeMy WebLinkAboutPermit Electrical 2009-5-1
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CITY OF SPRINGFIELD
. Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00600
ISSUED: 05/0112009
APPLIED: 05/0112009
EXPIRES: 11/0112009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1247 HA YDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703261101600
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Change out fnse panel
Owner: ZARZYCKI DA VID M
Address: 344 RIVER RD
EUGENE OR 97404
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
, Contractor
REYNOLDS ELECTRIC
License
184921
Expiration Date
01/02/2011
Phone
541-343-7297
BUlLDlN~.I~FORMATlON.1
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Constrnctioo Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st 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 I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
, Downspouts/Drains:
Storm Sewer Available:
Speciallnstruclion:
ATTENTION: Oregon law requires you to
Nt. follow rules adopted by the Oregon Utility
o es. Notification Center. Those rules are set forth
NOTICE:
~._ ,..., ^r'I I"\~I"\ TV"" n'H" +......~.,~,h ro.^n f"Ir::n An'" TIIIC' n~IT C"U^II CVOIOC' It TUJ: \~lnRI(
0090, You may obtain copi~s 01 tl'fi rUles by il;U'I-4nFaZED UNDER THIS PERMIT IS NOT
calling the center. (Note:the t: ,~v.aluattOn Desc~t,J,~,~..JCED OR IS ABANDONED FOR
number lor the Oregon Utility Notlflcalion M 'P'~'8IFdtJAv. PERIOD
Descri"lion -t:metijr@oh~P'\Hl~ri-23441. perl~ql~t , ' q Ba'd A . g . Value Date Calculated
or mu tip ler or I mount
Paee I of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00600
ISSUED: 05/0112009
APPLIED: 05/0112009
EXPIRES: 1110112009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paidl
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$13.32
$5.55
$30.00
$81.00
5/1/09
5/1/09
5/1/09
5/1109
3200900000000000294
3200900000000000294
3200900000000000294
3200900000000000294
Total Amount Paid
$129.87
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.
~~?w\~e_d J~specrions I
Rough Electric: Prior to Cover '
Electric Service: Approval required prior to utility company, energizing service.
Final Electric: When all electrical work is complete.
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 Springlield 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.
Il'nrther 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 prOIJerty, and the approved set 01' plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of 2
City of Springfield
Electrical Authorization To Begin Work
K..mailed To: dan@reynoldselectric.com
Receipt # RC550989
5/1/2009 10:37:59 AM
~,
a
Check on status of permit
By Phone: (541)726-3753 or EmaiI: permitcenter@ci.springfield.or.us
10 New construction
o Addition/alteration/replacement
10 I or2 f:.J.mily dwelling
o Multi-family
D Commerci<llI lnduslrial
I,Jabno.: 20963 IJobllddrcss: 1247 HAYDEN BRlDGE RD
I Cit)'/StaterJ:lp: SPRINGFIELD, OR 97477-1558
) Suite/bldg.lapt.no.:
I Project name: Hayden Bridge
Cross street/directions to job site: ,Hayden Bridge to Address
I Subdivision:
ITax rnap/p.ln~t:'I no.: 1703261101600
I Lot no.:
change oul fuse panel and small kitchen remodel
dan
I Phone: (54l) 343~7297
I Email: dan@reynoldselectric;com
IF""
IEL lie. no.: C451 ICCB lie. no.: 184921
I Business Name: NEW REYNOLDS ELECTRIC INC
I Contact: Jeremy ReynOldS.
Address: 2175W2NDAVE
j CityfStaterL.:lf': EUGENE OR 97404
I Pholle: (541 )3437297 1 FllX:(541 )3454808
I [mail: dan@reynoldsclectric.com
II\1etro lie. no.: I City lie. no.:
I Supervising electrician's lie. nu.: 5404S
I Supervising cJcetrici:m's name: JEREMY A REYNOLDS
Upon review and approval by your local jurisdiction, your
permit wifl be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
Dt'seription
11.000 sq. ft, or less[4J
I Ea. addl 500 sq. ft. or portion
I
1
'I
<
I
I
I
I
I
I-Limited energy,residentiiil
(with above Sq_ ft.)
I-Limited energy, multifamily
residential (with above sq_ ft,)
I-Limited energy, commerqial
(with above sq, f1.)
I - Stand-alone limited energy,
reSIdential .
I - Stand-alone limited energy,
multi-famllv
- Stand-alone limited energy,
commercial
~-~'-e'i:Vfce:s'(jRTieeders~iMtull;;tjon;'.:.aHcnl.Ho,;FANbloR~el;fcatioii;;ift,'.i:;
,~"'~_-'=-"'*,,,"'~'V '* ~-"-'''''_'''_;,,",''''''''''~M'V'''~''<'"''''",-, ':M." ~,,"',~:,.,"-=""""'" "'" ""'_....~_,_ "=
/200 umps or less [2J $81.00 $81.00 \
20 I amps to 400 amps [2] I
140 I amps to 599 amps [2] 1
I
I
Ino! offered online at this jurisdicli01:
1200 amps or less [2J
f;ii~;i;~;l;~i~~~'~[~'l9R.~~ten.Sii~"P~]J~'i~i
I A. Fee fo.r brunch circuits with 51 $6,00 $30.00 I
service or feeder fee, each
branch CIrcuit
lB. Fee for branch circuits I I
I without service or feederJec,
first branch wcuit 121
1 I each addl branch circuit 1
I
Service reconnect only [2J
Each manufactured or modular
dwelling, service and/or leeder
121
I Pump or irrigation circle [2J
I Sign or outline lighting [2]
I Signalcircuit(s) or limited-
alteratlOn,or
. Subtotal I
Stute Surcharge (12% of permit fee)
City Of Springfield fees ..
l TOTALI'E:R<\HT I-'I<:[ I
.. City O~ Springfield fees: 5% Technology Fee
{Defaul/lll1mber of inspections allowedJ
OJn:Joo 9 - (XJ6cJO
o-o/~ 09 ///?-J
$1 I 1.00 I
$13,32 I
$5,55 I
$]29.87 I
NOTE: This Authorization To Begin Work expires within 180 .nJ
days if a permit is not obtained. $',
The local building depai1ment may determine that an ~ 00.,
Authorization To Begin Work is null and void if it does not \.
meelapplicable land use laws and local ordinances, 0~~o/
~~. ~-i
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
City of Springfield Oflicial Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00600
COM2009-00600
COM2009-00600
COM2009-00600
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
3200900000000000294
Date: 05/0112009
12:33:45PM
Description
Perm Serv/Fdr 200 amps or Jess
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
81.00
30,00
5,55
13.32
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
$129.87
ONLINE REYNOLD
S
Online
$129,87
,NJM
Payment Total:
$129,87
Page I of I
5/1/2009