HomeMy WebLinkAboutPermit Electrical 2009-8-13
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Electrical Authorization To Begin Work
[-mailed To: dan@reynoldseledr;c.t'om
69600-BEL-09-00073
8/13/2009 8:59 am
Approval Code: 006510
Check on stalus of permit
By Phone: 541-726-3753 or [mail: permitcentcr@ci.springfield.oLus
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I D NewConstruction
DHazardo\ISIO'3Ii,.>ns
DA service or feeder rated at 600 amps
or more
o
Please cneck aJl lhat apply:
o A service or feeder beginning at
400 Amps wbere the available fault
currenlexceedslO,OOOAmpsat
lSOVollsorlesstogrouod
exceeds 14,000 Amps for alJ ofher
installations
Addition/alteration/replacement
I D 1 0' 2 f=ily dw,lling
[JBuildings more than three stories
DMarinas and boat yards
[JFloalingbuiJdillgs
DCommerciaJ-useagriculturaJ
buildings
DJnsraJlalionofa150KVAorlarger
seperatelyderivedsys
D"A". "E". or "1.2" or "1-3"
[JRecrcmional Vehicle Parks
E]Suppl} voltage for more than 600
supply volts nominal
DMUhi-familY
DACCeSSOry
o Commercial
o Fire pumps
o Emergencysystcms
DAddilionofanewmotorloadof
JOOHPormore
DSixormoreresidcntialunitsinone
struclure
DHcalthcarcfacililies
Job Address: ]369 8 ST
City/State/ZIP: SPR]NGFIELD, OR 97477
Suile/bldg.lapt.no.:
Project Name: Hope Lutheran
CrossStreetldirections tojobsite: ]4th Street
I Tax map/parcel no.:
IDescriPtiOn
Bathroom remodel
I Branch circuilswithout service or.
feeder
IBranchcircuitseaehadditional
circuit wIthout service
1~!~~i!i'cu(i),ern.ijfFees. -,c,.,_
ISubtot;!l
I Stale surcharge (12% of pen nil
lotal)
ITechnology fee (5% ofpermillOtal)
'TOTAL PERMIT FEE
$55.00
$55.00
$6.00
$18.00
It"
I Name:
I"hone:
I Email:
$73.00
$8.761
$3.651
$85AII
Fax:
CCB'Iic. no.: ]8492]
Eleclie. no.: C451
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
Address: 2]75 W2NDAVE
Cit}'/Sl:lle/ZIP: EUGENE, OR 97404
Phone: 541-343-7297
Fax: 541-345-4808
Email: jercmy@reynoldselectric_com
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Metro lie. no.:
City lie. no.:
SUllen!isinKEleetricilln'slic.no.:
Supenising Electrician's Name:
Number of inspections included in pllid sen'ices:
Residentia] Service: 4
RecoflllectOn]y: I
All Other Services: 2
~
Upon review and approval by your local juriSdiction, your permit will be
a-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
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NOTE: This Authorization To Begin Work expires within 180 days if a
pennit is not obtained.
The local building department may determine that an Authorization To
Begin Work is nutl and void if it does not meet applicable land use laws
and local ordinances
This Authorization To Begin Work.must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: OS/21/2009
EXPIRES: 02/13/2010
VALUE:' $;,60,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1369 B ST
ASSESSOR'S PARCEL NO.: 1703362313700
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Springfield TYPE OF WORK: Church
PROJECT DESCRIPTION:
TYPE OF USE: Alteration
Existing Church: Aiterations to Men's and Women's Bathrooms, Ai'terations to
Vestibule, Janitor's Closet and Storage Room -Adjacent to Bathrooms, and Roof
Repair. Reroofing does not include structural roof repair. Required'Mechanical,
Plumbing and Electrical Permits are Separate.
Commercial
Owner: CHURCH OF SPRINGFIELD
Address: 1369 B ST
SPRINGFIELD OR 97477
,
Phone ~umber: 541-746-1255
I CONTRACTOR INFO~MA TlON I
Contractor Type
General
Electrical
Plumbing
Contractor License
DA VID ZARZYCKI GENERAL CONTRACTIlI05626 .
REYNOLDS ELECTRIC 184921
CARLOS GILBERT MACIAS & RAQUEL TO 110117
BUILDING INFORMATION I
Expiration Date
04/26/2011
I;.
01102/2011
01103/2010
Phone
541-688-0243
541-343-7297
541-607-8740
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 ~t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occup~nt Load:
580
VB
n/a
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot C?verage:
REQUIRED PARKING
'Total:
, Handicapped:
:, Compact:
Street Improvements:
I PUBLIC IMPR(l)VEMENOfS IJregon law requires yuu. '.u
, lunu", . ~.~_ _~opted by the ,oregon Utility
. Notification Center. SidewalklType:3 settorth
, OAR 952-001-001 n through OAR !:\52-001-
In . Downsp.outs/Drams:,s by
0090. You may obtalrl ~u~.'" v' ".~ ,","
calling the center. (Note: the tele~hone
number for' the Oregon Utility Notlf!catton
Center is 1-800-332-2344).
Storm Sewer Available:
Specialliiis7.mction:
THIS PERMIT SHALL EXPIRE IF THE WORK
Not~UTHORIZED UNOER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPuhlic
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixture
Plan Review Fire & Life Safety
Vent Fan
+ 12 % State Snrcharge
+ 5% Technology Fee
Water Line - 1st 100'
Water Line - Each Addtll00'
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
Plannine Review
OS/22/2009
OS/26/2009
Public Works Review
Structural Review
OS/26/2009
06/0l/2009
Structural Review
06102/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 0.7/17/2009
APPLIED: 05/21/2009
. EXPIRES: 02/13/2010
VALUE: $ 60,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000.00
OS/26/2009
Value
Date Calculated
Total Value of Project
$60,000.00
$60,000.00
F....<, P~W
Amount Paid
Date Paid
Receipt Number
2200900000000000543
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
1200900000000000898
1200900000000000898
1200900000000000898
1200900000000000898
3200900000000000582
3200900000000000582
3200900000000000582
3200900000000000582
$334.07
$92.75
$38.65
$79.00
$513.95
$171.00
$205.58
$9.00
$1l.40
$4.75
$76.00
'$19.00
$8.76
$3.65
$55.00
$18.00
5/21/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
8/1lI09
8/1lI09
8/1lI09
8111109
8113/09
8/13/09
8/13/09
8/13/09
$1,640.56
I. Plan Reviews I
OS/26/2009
OS/26/2009
APP LLH
APP EMM
06/0l/2009
06/0l/2009
DON CTM
10 KLK
Plan revi~w in progress.
0610212009
Left phone message for engineer.
Permissi~n required for plans
examine; to mark corrections for
code conipliance on plans. AI~o,
plans exa"miner needs to verify
materials used, loads and limitations,
of reroofing.
WE KLK
Paee 2 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Co,mbination Permit
PERMIT NO: GOM2009-00706
ISSUED: 07/1712009
APPLIED: 05121/2009
EXPIRES: 02/13/2010
VALUE: $' 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fire Department Review
OS/2612009
06/0312009
APP GRG
Plans Review: modifications to
upgrade'men's and women's
bathrooms and upgrade roof. Job
#COM2009-00706. Occupancy
Classification: A-3. Construction
Type: V~B. Occupant Load: 580.
Structural Review
. 06/03/2009
06/0312009
APP KLK
Provide or maintain fire
extinguishers with a minimum
rating of2-A:IO-B:C every 75 feet 01
, travel distance. The top of the
extinguisher(s) shall be between 3
and 5 feet above finished 11001' (2007
Springfi~ld Fire Code 906).
Required Plumbing, Electrical and
Mechanical Permits Separate. Phon!
call to engineer of record to confirm
alterations DO NOT include any
changes to Egress.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
I,
a.m. will be made the same working day, inspections requested after 7:00 a.m. wiIl!lbe made the following
work day.
IRP'lI~
Framing Inspection: Prior to cover and after all rough in inspections have been approved. '.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the huilding is complete.
Rough Plumhing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Water Line: Prior to filling trench and including required testing.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 3 of 4
_"lIi'~!,!tl1I~t!;!'R,'"..
-.k.
.
I
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: OS/21/2009
EXPIRES: 02/13/2010
VALUE: $,60,000.00
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 shan 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 he 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 used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is, readahle 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
Paee 4 of 4
Date
City of Springfield Official Receipt
Development Services Department,
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00706
COM2009-00706
COM2009-00706
COM2009-00706
Payments:
Type of Payment
ONLINE CHGS
cReceintl
\ ,1
RECEIPT #:
Date: 08/1:3/2009
10:lO:26AM
3200900000000000582
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
55.00
18.00
3.65
8.76
$85.4\
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
$85.41
njm
ONLINE
reynolds In Person
elect
. Payment Total:
$85.41
Page 1 of 1
8/13/2009