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HomeMy WebLinkAboutPermit Electrical 2009-10-7 . '; Check on status of permit Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us " City of Springfield 11I~'~~_,.. Electrical Authorization To Begin Work E-mailedTo:dan@reynoldselectric.com 0' ~cw'c~ns~~~bt;-;.:?::':::.\.:::;,. ~,!;;~. .... ~ :}~.~d'!tionialteration/rep]llCement 0] or 2 family d~e~l.i.ng. '. 'OMulti.-I~\: ~,Oco~,~rcial. o Accessory . B.i~~~OB.. 'SI!~!IIII.FcORMAfioN7ANDlliOCATION~~~$~~1 I Job Address: 2076 1l"'"~A!'J~,WAY'~' ..... . I ~ity/State/ZIP: SPRIN~:jEl~D. OR 97477 1 .': lSuitet~,~g.lap't:no.:.\~;.:. . .. '''!,-~~,:.: .,. _ . I '1 Project Name: Kistner I Cross StreetJdirectionsto job site: Harbor Drive" T"m.plp.",'.'" 11003\ \ 'n2rOISOO' repJacemainbreaker , ,,1- 1 ;H" ~l~r " I Name: I Phone: Email: Fax: ., Elec lie. no.: C451 ":' I CCBliC. no.: 18492] lIminas Name: NEW ~YNOLDS ELECTRIC INC C..,,,,, Nnni'J:." Address:21~5~~I~:i~r\JlIT ~U^I CYblDC IC TUC 'A/f1Qt.( - ---- City/State/Zlr.:,Epg7~~P,R.:~714~j~lnt:D TUIC DCDI\IlIT IC r>.lflT I Pbone: 541-343-729"'1 nC'I~Cn '~D"~ ^Fax: 541_34504808.... C~D . . \ '''''''' ",- " ... .....,,,\,, " ""L-" .. Email:jeremy@r~~-]d~ie~iriZc~m':;"D' 'I~n' '--~- ,-..".. 'XII' ",V 1...11_ r. MefTo lie. no.: City lie. no.: I SuperviSing Electrician', lie. no.: I Sl1pe~ising Eledridan's Name~ - Number of inspections included in paid services: Residential Service: 4 Reconnect Only: ] AlIOlherServices: 2 69600-BEL-09-00170 10/7/2009 1:49pm Approval Code: 03091D Please check all that apply: o A service or feeder beginningal400 Amp~ where the available fault current exceeds JO.OOO'Ampsal 150 Volts or less IOllrounde~cceds J4,OOOAmpsforaJlolher installations o fire pumps o Emergency.systems o Addilion of anew mOlor load of 100 HP or more OSi~ormoreresidenlialunitsinone structure o HeaJthcarefacililies DHazardous'ocu,ions DA service or feeder raled at 600 amps or more DBuildings more lhanlhree stories DMarinnsandboatyards DFloatingbuiJdings DCommercial-useagricullural buildings DJnslallationofal50KVAorlarger sepera1elyderivedsys O"A"."E",or"I.2"Of"I.3" o Recreational Vehicle Parks Dsupp,y vol1age for more than 600 supply volts nominal IOesc.riPrion 1 Service reconnect only ISubtota] I State surcharge (12%ofpem'lit total) 1 Technology fee (5% of penn it total) I TOTAL PERMIT FEE C/'\-14M $63.00 $7.561, $3.151, $73.71 I, ~. '10/110'1 ATTENTION: Oregon law requires youto follow rules adopted by the Ore(jon Utility Notification Center. Thoserules are set forth in OAR 952.001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by catling the center. (Note: the telephone number for the Oregon Uti lily Notification Center is 1.800.332-2344). . 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 'ns~~~~il' :~. '. ~. . '~ ..:~~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. , j.-'-P<~ ~.\\\ ~~. - .: _:' 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 ' Ij;) Q-/ cf'. \\)'~ p-~Q- This AuthO~jZation To.Begin W~rk. must be posted at the job site until feplaced by a Permit , " . J. :1 t 1 , fl. ; ,.. - ::-, : ~:'~. '/.' CITY OF St'Kl1~lJJ1lELD Building/Combination Permit PERMIT NO: COM2009-01482 ISSUED: 10/07/2009 APPLIED: 10/07/2009 EXPIRES: 04/07/2010 VALUE: . Status Iss'ued:. - ,',. ".". ~. . '225 Fifth Siree(SPrl.ngfield,pR: 541-726-3753 Phone' . " ,. . 541-726-3676 Fax. 541-726-3769 Inspection Line SITE ADDRES~;', :: 2076 INLAND WAY ASSESSOR'S pARCEL NO.: 1803112201500 Springfield TYPE OF WORK: Electrical Work Only '.:-:. o PROJECT DE~<;:turTION:. . Repl~.ce main breaker in residence. ;.'1.,::.", . TYPE OF USE: New Residential Owner: KISTNER DWAYNE E Address: 2076 INLAND WAY 'SPRINGFIELD OR 97477 , ..' .1 ~ (' ~ . I CONTRACTOR INFORMATION I . , , 1-. ~ Contractor Type,: Electrical ,;' Contractor , NEW REYNOLDS ELECTRIC INC License 184921 Expiration Date 0110112011 Phone 541-343- 7297 BUILDING INFORMATION I " # 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: ATTENTIOSg FtGarage/,CarpO',-les you to II(. v,til..jUll .UvV 1t.:'-iU I follow rule~qt-!'~l'!..e5y the Oregon Utility N nla t' Occupant 'Load . I f G..,,:;a Ion v~'" .,. .I ,Www :u es are set orlh # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type , Secondary Construction Type: # of Bedrooms:" ,.. . ...........". ....vl:.o VV, "'v, v lIIIUU!:P' Vr\ll ';;;vt:..-uu I~ NOTICE: . I DEVELOPMENT INFORMATIONfJ'., You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK . calling the center.R;EQm~,EPI!)~~Kl:r,.l,G Frontyard Setlllicl<;QRIZED UNDER THIS p'ERMITo~ej,il>)fDist: numbe~~~t~rei~~~1;egJ~t~~~3~~tification Side 1 Setbac!j::JMMENCEO OR IS ABANDONED r#~~\reet Trees Rqd: Handicapped: ). Side 2 Setbac~i~Y 180 DAY PERIOD. Paved Drive Rqd: Compact: Rearyard Setback: ',' .,. % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer AvaiJa"le:~ Special Instruction: ' '. .:. '" ..,..... Sidewalk Type: Downspouts/Drains: Notes: '. -i .1 Valuation Descri?tiont Description "Type of Construction . I; . $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ~j Pa2e 1 of 2 ,~ ..f "'-. .... '..:,.,,' ;l,::;'i/ Status Issued 225 Fifth Street, Spri,!gfield, .oRj;~<;'!,c: "., " ~. -~.~..., :", , ", ":' "'-' . 541-726-3753 Plfone>.\'.""~' '.,:, 541-726-3676 Fax \;:' . .. 5,41-726-3769 I~~~~~tio~,:Line .~~ ':'. Fee Description, ".j. 12% StaieSurcharg~;~~.; + 5% Technol~iiY Fee .'" Service Reconnect "."'. ",,'..<.' Total Amount Paid ~l,-" lj''ri:~. ,": ~ ,. .., . ~~'. . '" "j' . .f < \ ,~~ ,_\~ ~,; , .' Amount Paid $7.56 $3.15 $63.00' , $73.71 Total Value of Project Fees Paid' Date Paid I Plan Reviews I 1017/09 1017/09 1017/09 CITY OF SPRll'iljl'lELD Building/Combination Permit PERMIT NO: COM2009-01482 ISSUED: 10/07/2009 APPLIED: 10/07/2009 EXPIRES: 04/07/2010 VALUE: Receipt Number 1200900000000001121 1200900000000001121 1200900000000001121 , 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, ' ~ . , .......,.. , . .ReolJired lnsnections I Electric Service: ':Approval required prior to utility company energizing service. . , 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 1 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 N.o .oCCUPANCY ~iIl 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 wi!1 be nsed on this project. I further agree to ensnre 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 constniction.. .owner 01' Contractors Signature " , , .,. - . ,- ~... ~--.. i" Ji .;;1.0 ....; . 'l \ , i;~ ," I ~ : ' ., ,. !i ." . . . '" "'~ :' Paee 2 of 2 Date J '. .'f" ..' 225 Fifth Street) . -c.,' Springfield, Orego~.9.7~77J::...i({') 541 ~ 726-3 7 5?:.:p;~i~ ~?';;&:f;J\Miir::i;', ..'c.....;'. ;RECEIPT .#: . .. . : ". ,.. .... . -:.. ': ..; ::- .,' .~:" :., .. Job/Journal Number\~ _~. ;,' Description':['::',;(,':'~'::_~' . COM2009-01482}' :. ::S'e~iceR~c6I\d~ci':' COM2009-01482 . '+5% Technology Fee COM2009-01482. 12% ~tateS~sharge. '. . ,.:~,;..L/;;;i';t~~;f~~'f' .: Payments:.. . ...,..,.....,., ..... Type of Payment :' >:}r~id{~~"" ONLINE CHGS'!';',.QJ:'!En"EPERMIT. CHGS. ".; . , '. .:. I. .'. ..~:::., :;~}:::.>"~::~~?". A~2Et~1~.:;~~~',,'; u, . ,: ~'I; , , i Jhn~ ~i', .:;~e ~l u - , " . ;! t; ~. t cReceint 1 1200900000000001121 City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/07/2009 2:39:37PM Amount Due 63.00 3.15 7.56 $73.71 Item Total: Check Number Authorization R:eceived By Batch Number INumber How Received KR .. Page I of I Amount Paid ONLINE NEW Online REYNOLD S $73.71 Payment Total: $73.71 10/7/2009