HomeMy WebLinkAboutPermit Electrical 2009-10-26
..
,;:
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726:3753
Emall: permitcenter@cLspringfield.or.us
"-',~ ",.;: -.....'.:"t':-'" '.
Residential Electrical Authorization To Begin Work
69600-BEL-09-00206
Approval Code: 073130 10/26/2009 4:34 pm
E~mailed To; dan@reynoJdselectric.com
o New Construction " '
lRJ Addition/alteration/replacement
~'J'~,,~~ATif([crR:Y:{Qgl::9ij$.tRI.i,[TIQNJl'!L~!.l~N'1f-!!l,
[X] 1 or 2 family dwelling 0 ,Multi-famiIY~:" [] Commercial 0 Accessory
If~1-;:~!l;~1!jfJOBrsriEl1Nl;oj:lM",iroN''<<Nbl1!6i::ATfoNlill!lllli~~J,d
I Job Address: 1035 AST
I CityfStatelZIP: SPRIN.GFIELp, .qR '9747_7~.'
I Suite/bldg.laptno.: ':'
I Project Name: Allbrigh,t
'I Cross S"eeUdlreetio:s t~ J~b ~I;';: 10th' .
I Tax map/parcel no.: 1703354102600
install receptacle locations in garage
Name:
I Phone:
Fax:
Email:
Elec lie. no.: C451
CCB lic. no.:
184921
I Business Name: NEW REYNOLDS ELECTRIC INC
I Contact:
Address: 2175 W2ND AVE
CityJStatelZlP: EUGENE, OR 97404
Phone' 54134foW.TIGE: .._ _. ~'5413,i54~OJl,,'EWOPIt
I .1 HI:-' }o'"K'VIII "ft"LL ..."Plne It l-fl " '
Eman, jeremY~7fI'iO~~:Clr:mrEP. nUl: DJ:RMIT IS NOT.
I Meuo lie. no.' f'nMMI'Mr.m OR I!; ~NOONED FOR
I Supervising EI~'Y'a~'81&' fJ'AY PEIi\4GID.
I Supervising Electrician's Name: JEREMY A REYNOLDS
Number of Inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local jurisdictIon, your permit will be e-mailed or faxed
within one business day, with Instructlona on how to schedule your Inspection.
NOTE: This Authorization ~o Begin Work expIres within 180 days If a permit Is not obtaIned.
The local building department may determIne that an Authorization To Begin Work Is null and
void If It does not meet appllc~ble land U$e laws and local ordInances.
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault curren1 exceeos
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
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 facilities
o Hazardous locations
o A service or feeder .rated at
600 amps or more '
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 I0/A or
larger seperately derived sys
D "A" "E" or "1-2" or "1-3"
. ,
o Recreational Vehicle Parks
. 0 Supply voltage for more than
600 supply volts nominal
Description
Total
I Branch circ~its without service or
feeder
Branch circuits each.additional
circuit without service
$55.00
$55.00
9
$6.00
$54.00
I Subtotal
I Stcite surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
C-q - \5lD5
$109.00
$13.081
$5.45 I
$127.53 I
kt
IDI2l[ DC;
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952.oo1-0010thfOUghOAR 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),
--- ''6?~f{jif"'
. -.""\\), ~<y
~~
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
~~
~V '\ \:
"
'." .It:
.. ~;:
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01565'
ISSUED: 10/27/2009
APPLIED: 10/26/2009
EXPIRES: 04/27/2010
VALUE:
Status
Issued
,"'".., '
225 Fifth Street, Spr.ing(ield, OR'::. :".
541-726-3753 Phone:
541-726-3676 Fax
541-726-3769 Inspection Line <__
SITE ADDRESS: 1035 A ST
ASSESSOR'S PARCEL NO.: ~7~3354102600
Springfield TYPE OF WORK: Electrical Work Only
l/.':;,:'," TYPE OF USE:
PROJECT DESCRlPTION:'.'lO'Branch cicuits for receptacle locations in garage.
,. . ~
New
Residential
Owner: STANDIFERD SHELLIE L
Address: 3115 SW PERI DOT-A VE
REDMOND OR 97756
.> I CONTRACTOR INFORMATION I
Contractor Type;.
Electrical :
c
.~ Contractor
NEW REYNOLDS ELECTRIC INC
License
184921
Expiration Date
0110112011
Phone
541-343-7297
BUILDING INFORMATlONI
# 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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, ,
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
"
S~de I Setback: : ".. # Street Trees Rqd: ATTENTION: Oregon'W'Ii&ilB&fi: au to
Side 2 Setback: , ': . ~; !,' , :..,J~aved Dnve Rqd: follow rules adopted (,fWRi'8tegol Utility
Rearyard sNI\llT4CE, I. ,., %.~t Coverage: Notification Center. Those rules are set forth
Solar Setba~1S PERMIT SHALL EXPIRE IF THE W. In OAR 952-001-0010 through OAR 952-001.
- - ......[.. -"I^ rfr.....'(! MOT _. -, \. " ,
AU InunlL.I:'LJ UI'lU fa ., I .... .---- - ........,;{\I. ....... lilA' VUIAIII "V"I'O~ VI UIO' IUIUI:Ii UJ
COMMENCED OR IS ABANDO~IMPROVEMENTS I calling the center. (Note: the telephone
Street Imprlllvelp'l'66 DAY PERIOD nU~\lt.fpllthP..Q~~gon Utility Notification'
", Center (sl-a00-332-2344), '.
Storm Sewer Available: DownspoutslDrains:, .
"
Special Instruction:.' . ,
Overlay Dist:
Total:
Notes:
"
\;
,
"
I Valuation Descriotion I '
Description
Type of Construction
$ Per Sq Ft
or multiplier
,
Square Footage
or Bid Amount
Valne
Date Calculated
P'2e I of 2
u
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01565
ISSUED: 10/27/2009
APPLIED: 10/26/2009
EXPIRES: 04/27/2010
VALUE:
225 Fifth Street; Springfield, OR
....." ,-. ....'!.
541-726-3753 Phone . ',' ",;
541-726-3676 Fax. . .-.
541-726-37691nspection Line
..',
,.
,
j:
Total Value of Project
",
Fees Paid I
,','.', -,
.~/:
.;::tl,.,...
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
'C.
$13.08
$5.45
$55.00
$54.00
10/27/09
10/27/09
10/27/09
10/27/09
1200900000000001187
1200900000000001187
1200900000000001187
1200900000000001187
Total Amount Paid
t' .
. '
$127.53
Plan Reviews I
"
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 Insn"ctjon. .
, " IiIiiiiiiiiIitM
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 ~tate'and agree, that 1 have carefully examined the completed application and do bereby 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 NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 eonstruction.
Owner or Contractors Signature
Dale
.,
1:- I.
Pa~e 2 of 2
,. OJ
225 Fifth Street
.Springfield, Oregon 9I477. '
541-726-3759 Phone.'> '"
Job/Journal Number
COM2009-0 1565
COM2009-0 1565
COM2009-0 1565
COM2009-0 1565
.~~.
RE~EIPT #:
8Pi:~;a
r=.,--...,, -".,'.,'
I ..:.:-~- .-_. .. -- "
j' !
BiL. ..
~ -,-".,"' " ',""'. ..
-' " J.', ;'
. --....-_....-
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001187
Date: 10/27/2009
. . .~" '.~.'.
Description - ," .:, ~1;.
Add, Alter, Extend Circ
Add, Alter, Exterd Circ. Ea Add
+ 5% Techr?logy Fee
", + 12% State Surcharge
.:~, '-:'.' . - .. ';'
Payments:
Type of Payment iPaid By;
ONLINE CHGS
cReceintl
ONLINE PERMIT CHGS
.~. ". .
~~ .ii~. . .
.;,
:; ';'
. ,
".;.
, .
:. '" r ;..;
"
lIem Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE REYNOLD
SELECT.
Online
Payment Total:
Page I of I
8:47:52AM
Amount Due
55.00
54.00
5.45
13.08
$127.53
Amount Paid
$127.53
$127.53
10/27/2009