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Home My WebLink AboutPermit Electrical 2009-5-1 _!il;ll!~INGliliIl;~/ ""''''ll',... I :'f. 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