HomeMy WebLinkAboutPermit Electrical 2009-10-7
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Check on status of permit
Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us
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City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:dan@reynoldselectric.com
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~cw'c~ns~~~bt;-;.:?::':::.\.:::;,. ~,!;;~.
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~ :}~.~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
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'1 Project Name: Kistner
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Cross StreetJdirectionsto job site: Harbor Drive"
T"m.plp.",'.'" 11003\ \ 'n2rOISOO'
repJacemainbreaker
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I Name:
I Phone:
Email:
Fax:
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Elec lie. no.: C451
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CCBliC. no.: 18492]
lIminas Name: NEW ~YNOLDS ELECTRIC INC
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Address:21~5~~I~:i~r\JlIT ~U^I CYblDC IC TUC 'A/f1Qt.(
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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
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Email:jeremy@r~~-]d~ie~iriZc~m':;"D' 'I~n' '--~-
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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.
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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 '
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This AuthO~jZation To.Begin W~rk. must be posted at the job site until feplaced by a Permit
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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:.
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'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
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o PROJECT DE~<;:turTION:. . Repl~.ce main breaker in residence.
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TYPE OF USE: New
Residential
Owner: KISTNER DWAYNE E
Address: 2076 INLAND WAY
'SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION I
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Contractor Type,:
Electrical
,;' Contractor
, NEW REYNOLDS ELECTRIC INC
License
184921
Expiration Date
0110112011
Phone
541-343- 7297
BUILDING INFORMATION I
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# 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:
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.1 Valuation Descri?tiont
Description "Type of Construction
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$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Pa2e 1 of 2
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Status
Issued
225 Fifth Street, Spri,!gfield, .oRj;~<;'!,c:
"., " ~. -~.~..., :", , ", ":' "'-' .
541-726-3753 Plfone>.\'.""~' '.,:,
541-726-3676 Fax \;:' .
.. 5,41-726-3769 I~~~~~tio~,:Line
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Fee Description,
".j. 12% StaieSurcharg~;~~.;
+ 5% Technol~iiY Fee .'"
Service Reconnect
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Total Amount Paid
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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
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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, ' ~
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.ReolJired lnsnections I
Electric Service: ':Approval required prior to utility company energizing service.
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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 "
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Paee 2 of 2
Date
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225 Fifth Street) .
-c.,'
Springfield, Orego~.9.7~77J::...i({')
541 ~ 726-3 7 5?:.:p;~i~ ~?';;&:f;J\Miir::i;',
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;RECEIPT .#:
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Job/Journal Number\~ _~. ;,' Description':['::',;(,':'~'::_~' .
COM2009-01482}' :. ::S'e~iceR~c6I\d~ci':'
COM2009-01482 . '+5% Technology Fee
COM2009-01482. 12% ~tateS~sharge.
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Payments:.. . ...,..,.....,., .....
Type of Payment :' >:}r~id{~~""
ONLINE CHGS'!';',.QJ:'!En"EPERMIT. CHGS.
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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
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Page I of I
Amount Paid
ONLINE NEW Online
REYNOLD
S
$73.71
Payment Total:
$73.71
10/7/2009