HomeMy WebLinkAboutPermit Electrical 2009-8-26
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<::ity of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:dao@re:).ooldselectric.com
Check 00 status of permit
B)' Phone: 541.726-3753 or Email: permilcenter@ci.springfield.or:us
I -~:~i'!l'~~TYPE'~OF.;_wbRK,'~.7f.'7 :b.i.2'';~,~~:j,'_47:. .-~':~~:: ,
I D New Construction ~ Addition/alteration/replacement
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I [~} 0' 2f=i1y 'wolli',' DMolti-r=i1Y DCO~"'i" D A"",",>,
I"-~;'~~ " ,,:;-,:-~:t'JOB"SITitiNfORMA'rioNAND'LOCATI()N': ~
I Job Address: 540 EST
I City/StateJZIP: SPRINGFIELI;:>. OR 97477
I SuiteJbldg.lapt,no.:
I ProjectName:.Siegle
I CrossStreetldirections tojobsite: 5lhSt
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69600-B E L-09-00098
8/2612009 J: 10 pm
Approval Code: 037010
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PlellSccheck all lhalapply: DHazardous'ocations
DAserviceorfcrederbeginningat400 DA service or feeder rated at 600
Amps where the available fault amps or mot;
current exceeds lO,OOOAmpsal
150 Volts or less to grolDld exceeds
14,OOOAmps for aH other
installations
o Fire pumps
o Emergencyiiystems
o Addilionofanewmotorloadof
100 HP or more
o Six or morc residentllll units in one
Stru.lure
DllealthcareflLCiJities
DBuildin;:s more thanthreeslorieii
DMarinas and boal yards
DFJoatingbuildings
DCommerciaJ-useagricuhurlll
buddings
Dlnslallationofal50KVAorlllrger
seperate)y derived sys
D"A"."E",or"'-ror"'-3"
DRecreatiunaJVehideParks
DSUpply voltage ror more than 600
supplyvoltsnominaJ
.u~?'~~f:'EE:Sc::HEDL.lLfE">~~.k. ~-+~-::.:;;..._;
Tolal
J QIy J E.
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Branch circuits each additional circuit $6,00 $30,00
without service
ElwJjcalPerrititFtes_ '_
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
~~~
Description
Kitchen Remodel
I'.
-. ,.' ~~'~~~.:::,cr~i!,~~SlfE:CONTA'CT~~~,~!t(~~':~~:~~.~
Name: Dan Boaz
Subtotal
State surcharge (12% of permit total)
Technology fee (5% of penn it total)
TOTAL PERMIT fI.:J::
Phone: 54].34].7297
Fax: 54].345-4808
Email: dan@reynoldselectric.com
~:%z;>r\tttirrl:e;f_;'t ~ ~_ CONTRACTOR ~'~_~__.".~~:;"l. j~-;"f~
Elee lie. no.: C45In.uC' DCDA~IT ("II ^ IC~B,lihfPrb,.I81:U1.,..IIE" ,
1 ~ . -...:... C .1,'.... ...,,, lIiL.. d II /y:3ftl\.
"",i.". N,m" NEW~RF_Y.NOLDS~FLECTRJk IN
- Llll f~n~l 0:~ ~r~~h.'~ I TH~~ r[n:.~:T 18 fi8-:-
I Co",,," rmmc^,C',:~ 2~ ~.::: ^~",~m:m:::D ~J:1
I Address: 2175 w.e~R.^YIh0 ::.^Y ~f~I~[,"
CitylStatelZIP: EUGENE, OR 97404
Cq-\(B3
,/
Phone: 54].343.7297
Fax: 541-345-4808
Emili!: jcrcmy@reynoldselcctric.com
City Jic. no,:
Metrolic.Do.:
I Supervising Electriciao's lie. no.:
Supervising Electrician's Name:
Number or inspections included in paid services:
RcsidentialService: 4
Reconnect Only: 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 null 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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$85,00 I,
SlO,20 I
$.1.251
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Status
Issued
CITY OF SPRIN\Jl'u,LD
Building/Combination Permit
PERMIT NO: COM2009-01223
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 540 E ST
ASSESSOR'S PARCEL NO.: 1703352403700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Window Replacement, Hood Duct Reloc, Rewiring
Residential
Owner: SIEGLE JONATHAN & LISA
Address: 540 E ST
SPRINGFIELD OR 97477
, I CONTRAC!OR INFORMATION 1
Contractor Type
General
Plumbing
Contractor License
DA VID ZARZYCKI GENERAL CONTRACTlII05626
BARNES HIGH TECH PLUMBING INC 83311
BUILDING INFORMATION I
Expiration Date
04/2612011
02/17/2010
Phone
541-688-0243
541-726-9854
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq FtOther:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-I
nla
I DEVELOPMENT INFORM~T10NTI)N: Oregon law requires you to
NOTICE: tallow rUles adopled by lREQUI!ffi[}"Rilil~KING
TF~~~~d~rt&.fi!~:LL EXPIRE IF THE WORK Overla Dist: ~otification Center. ThOSPi, ~W? are set forth
P' 'THjj~l~m'" y In OAR 952-001-0010throIJwI1 'AR 95::>-001-
S~~~ 1:'~,t~c","NDER THIS PERMIT IS NOT # Street Trees Rqd: 0090, You may obtain cOp''1,a:?eicl~l1.p,eu~1ls by
CSii1ef:2!~~l>~tkOR IS ABANDONED FOR Pave.d Dnve Rqd: calling the center. (Nott:o,WJ'WitPhone
AR/;ll1jXit,y<\]:ffb."E.1fHOD. % 01 Lot Coverage: number for the Oregon Utility Notification,
Solar Setbacks: Center is 1-800-332-2344).
I PUBLIC IMPROVEME~TS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixture
MinimumlAdjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
'Amount Paid
$23.40
$9.75
$79.00
$58.00
$38.00
$20.00
$10.20
$4.25
$55.00
$30.00
Total Amount Paid
$327.60
1 Plan Reviews 1
Date Paid
8/20/09
8/20/09
8/20109
8/20/09
8/20/09
8/20/09
8/27109
8/27/09,
8/27/09
8/27/09
CITY OF SPRIN(JJ<lJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01223
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/2012010
VALUE: $ 2,000.00
Value
Date Calculated
Receipt Number
2200900000000000943
2200900000000000943
2200900000000000943
2200900000000000943
2200900000000000943
2200900000000000943
1200900000000000991
1200900000000000991
1200900000000000991
1200900000000000991
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.
L.Rp.ouired Insnictions 1 '
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Page 2 of 3
Status
Issued
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: COM2009-01223
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE: $ 2,000.00
By signature, I state and agree, thai 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 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 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 property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 3 of 3
Date
2251Fifth Street,
Springfield,Oregon97477
541-.126-3759 Phone
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Job/Journal Number
COM2009-0 1223
COM2009-0 1223
COM2009-0 1223
COM2009-01223
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
1200900000000000991
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/27/2009
8:20:52AM
Amount Due
55,00
30,00
4.25
10.20
$99.45
Amount Paid
ONLINE NEW Online
REYNOLD
S
$99.45
Payment Total:
$99.45
8/27/2009