HomeMy WebLinkAboutPermit Electrical 2009-10-27
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'I :' '.: City Of Springfield. '.
S~~INalFI;,!-.s.,,' 2?'FifthS!,:, ,:::.
;,l'if\ . ., Spnngfield, OR 97477, ~
_'=";:,,"i:.'~ .Ai.~ ; l,"Phone 541-i26-3753'
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:'I~~~~lr~~i%l~if.~~f\l!1:YP,E'~OF.~.WORK;~~~il_~~~: ;-~::;-;?~
I 0 New constructi~;(':.' :<: .~.;.'~f~~_,) -~~:t:'.:';;';';'i;~';:i;-0~ IX] Addition/alteration/replacement
1~1Jii'I~C"tEG9Ry[ciF[colisfF:iu~tTQI!i"W~
.1001 or 2 family dwelling . 0 Multi-family ~ 0 Comm~~cial 0 Accessory -
IIiir~il5'l1'!lt1.;il':JOBrsitETINF.c:iRMATIONr.o:NDjiloCATION!lI;;'H)j.'~!r-':'Jil
I J"obAddress: 1422}N~.E~;;O~\N.._:
I CitylStatelZlP: SPR'lIj~F'iECD:~.OR 97477
"I' Suite/bidg./apt~o::
'I Project Name: Kevi~ Brow'~':'
I Cross Street/dlrectio~s to job sl~: wcen!~~~;a.IBlv~::
I Tax map/parcel no.: 1703284002400
1~j(!Ji>'~F_l,j';:;~t:<I~IIOJ~IQi;i:WeiRR~~~<;(fi~
install heaters and install hot tub circuit and install new lights
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1"\-;'$',"i;;"\fj:;,~".1I.~1 ~SitEfCONTAC]1\~l"'~"':i',..;,;}~,'~
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Name:
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Phone:
Fax:
Email:
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K<;~"'0'_ _ o'..~ _ _:i!:C.O",TRA_CrOR~~~''-#1;'~-'c.':~~.:~l~'3i
Elec lie. no.: C451
CCB lie. no.: 184921
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Business Name: NEW REYNOLDS elECTRIC INe
Contact:
Address: 2175 W2ND AVE
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City/StatelZlP: ~Kl:fB:97404 _.
Phono: 541343r~S PERMIT SHALl~~tU5Jdo81 MI: nOf\r\
I ,. J\51bMIIKIIW ul~ucn ,iii3 iJERMl1'lS tl~T
Emall: JeremYrgJAe n r~ml!~~."f6fn A ^ ng'lr:n enD
I u J:..1ndGCE) 3n 18 . .B. .~I.. . E~ . - -
Metrolic.no.' IIMy'1iul.ullv PI=RIaD"ly IIc. no.'
I Supervising Electriclan'~ lie. no.: 54045 .
I Supervising Electrician's Name: JEREMY A REYNOLDS
Number of Inspections Included In paid services:
Residential Service: :4 :' - l.l
Reconnect Only: ~' ,1 oJ: "'-~ ,'(
All Other Services: ;.. ~ 2:
Upon review and approval by your local Jurladlction, your pennlt wlll be e-malled or faxed
wlthln one bualne~s day, with InttnJctI~:ms on howt~!<=hedulll your Inspection.
NOTE: This Authorization To Begin Work expJr'Ol within 1,80 days If a pennlt Is not obtained.
The local building department may detennlnll that an Authorization To Begin Work Is null and
void If It does not meet applicable land use la_ and 1~1.?n1lnance~J
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Inspections Phone: 541-726-3769
~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Residential Electrical Authorization To Begin Work
,
69600-BEL-09-0020B
Approval Code: 05647C 10/27/2009 1:44 pm
E-mailedTo:dan@reynoldselectric.com
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Please check all that apply: 0 Hazardous locations
o A service or feeder beginning 0 A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds 0
Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for aU other 0 Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVAor
larger seperately derived sys
o "A", "E", or"I-2~ or "1-3~
o Recreational Vehide Parks
o Supply voltage for more than
600 supply volts nominal
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care faciliti~s
~'j~....~*;1,!.arN't 't IY'Y';-~'"-:-'';;~'E E' "SC'H~-ED--U' !'E"..:<Jj=l.r <'!'~"d~",~.r-:.;,;:.. "II
1~(~,;~~:-'~~:,i'-tA:;lt"-';!!>r.;r;...._, ___' _~ <h~"""''''''';i:.;R..e~.;~..: "_..ri
I Description
I Branch circuits without service or
feeder
I Branch circuits each additional
circUit without service
1~lectrlcaFp~~t@(fe~.~::tr'51"~~~~I:-:r;;
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$55.00 $55.00 I
5 $6.00 $30.00 I
; _<\"':'~~,::-~~,2.:t;;Z$~ii.t~~~~k~;)'JI
$85.00 I
$10.20 I
$4,2S I
$99.45 I
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ATTENTION: Oregon law requires you t.O
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 tel~~hone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01576
ISSUED: 10/27/2009
APPLIED: 10/27/2009
EXPIRES; 04/27/2010
VALUE:
Status Issued . ',':-~'
" : .' "I, ;/ ::'<:;~{p,\ ';;"
225 Fifth Street; Springfield; OR',; . '\\
541-726-3753 Phone'
541-726-3676F~x " .:'
541-726-37691nspection Line. i'..
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SITE ADDRESS: 1422 ANDERSON LN
ASSESSOR'S PARCEL NO.: 1703284002400
Springtield TYPE OF WORK: Electrical Work Only
.. . _.,. '. :/ f; . TYPE OF USE: New
PROJECT DES.CRJ!:'pON: 6 circuits for heaters, hot tub, and lights in residence,
Residential
Owner: 'DAME CHERYL A' ,'::
Address: 1422 ANDERSON LN.
SPRINGFIELD OR 97477
:' I CONTRACTOR INFORMATION ,I
Contractor Type:!
Electrical 'f
-)2 Contractor
, NEW REYNOLDS ELECTRIC INC
License
184921
Expiration Date
0110112011
Phone
541-343-7297
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~UILDlNG INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction'Type:
# of Bedrooms: : '
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
'. 'n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft'2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setbac~! OTI CE:. . Paved Drive Rqd: ATTENTION: OregoftllWl'Plif!Ulres you. ~o
Rearyard Setlf*.~!f) PERMIT SHALl EXPIRE IF TH'&~KCoverage: follow rules adopted by the Oregon Utility
Solar SetbackAtJTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth
- I QA'A l~ ell!!'" Q,n (,~:l M1
vUIVIJVltl~(,tU UK ICl Al;jANU~!;/1!L _ n. v........ Ov~-vv ~_. - ,r . '
ANY 180 DAV PERla . fr 'IMPROVEMENTS I 0090, You may obtain copies of the rules by
,I D. ., c<>l\' th" ~ntl1r, (Note: the telephone
Street Improvements: nu1hre:'f6~ t'h'e:Oregon Utility Notification
Storm Sewer Available:" DowJ6J1nbUlBrii6~-332-2344).
Special Instruction:
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I DE\,ELOPME~T INFORMATION I
Notes:
.,',
, ~ 1-
-
I Valuation Descriotion ,
Deseription
Type of Construction
$ Per Sq Ft
,or multiplier
Square Footage
or Bid Amount
Value
Date Calculaled
Paee 1 of 2
Status
, Issued:' . .i(. "
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01576
ISSUED: 10/27/2009
. APPLIED: 10/27/2009
EXPIRES: 04/27/2010
VALUE:
225 Fifth Street, Springfield, OR';'
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
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I Fees Pair! I
Fee Description
+ 12% State Surcharge".,
+ 5% Teehnology Fee: " '.,
Add, Alter, Extend Circ
Add, Alter, Extend pr~ Ea Add
.. .
~~ 1. I
Total Amount Paid
Amount Paid
Date Paid
$10.20
$4.25
$55.00
$30.00
10/27/09
10/27/09
10/27/09
10/27/09
Receipt Number
1200900000000001194
1200900000000001194
1200900000000001194
1200900000000001194
$99.45
I Plan Reviews I
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To Request air 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.
), ReoIJirer! rnsnec~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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By signature;1 statCand agree; t~at I have carefully examined the completed application and do hereby certify that all
information hereop is true and correct, and I further certify that any and all work performed shall be done in aecordance 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 eertify that only contractors and employees who are in compliance with ORS 701.005 will he 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 duri~g construction.
It
Owner or Contractors Signature
Date
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Paee 2 of2
225 Fifth Streer .,"; :;/,,"
Springfield, Oregon':97477' .
541-726-3759 PIioi1~ "
Job/Journal Number
COM2009-0 I 5'76
COM2009-0 1576
COM2009-01576 .
COM2009-01576
Payments:
Type of Paymenl
ONLINE CHGS
cReceiotl
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RECEIPT#:
.1200900000000001194
Description
., Add, Alter, Ex~?pd Circ'.' ,
.' . ,Add; Alter; Extend Circ Ea Aod
. t:,' .' _ - :':' ", . .. t-" - t. ,~ I .; l'.. '.' .
: ,,;',+, 5% Technology Fee
", \+'12% State Surcharge
,-, " ';,;'<...\" <'>,'
Paid 'By'".
ONLINE PERMIT CHGS
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/27/2009
1:55:17PM
Amount Due
55.00
30.00
4.25
10.20
$99.45
Amount Paid
ONLINE NEW Online
REYNOLD
SELECT.
$99.45
Payment Total:
$99.45
10/27/2009