HomeMy WebLinkAboutPermit Electrical 2009-10-29
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";,City Of Springfield'
~,J;':;225 Fifth St ''';'.',;:' ,
,:-.t Springfield, OR 97477
i~ . Phone: 541-726-3753
.} :;J~;~lTlail: permit~n~er@ci.springfield.or.us
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'Residential Electrical Authorization To Begin Work
69600-B~L-09-00216
Approval Code: 08378D 10/29/2009 1:55 pm
.E-mailedTo:dan@reynoldselectric.com
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I 0 New Construction
;0 Hazardous locations
o A service or feeder rated al
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 KV A or
larger seperately derived sys
o "A", "E", or "1-2" or"I-3"
o Recreational Vehicle Parks
[] Supply voltage for more than
600 supply volls nominal
~ Addition/alterationfreplacement
Please check all that apply:
D A service or feeder beginning
al 400 Amps where the
available faull current exceeds
10,000 Amps al150 Volts or
less to ground" exceeds'
14,000 Amps for all other
1!il!!~C8IE9.1'>~YlQFlcQ~~-rnQC,j1]1Q1ii~~\'%f'J'!~
1001 0', 2 f:~,ilY, dwel,ri~~" E MU":'f~.::!:. p com::=~:,,~,~ Accesse", ,.
l1Ji2 ::~!j~OB!SITE5iNF,ORIMTlONrAND1l0:CATION~
.1 Job Address: 1380' Q S1- "\ ;',
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'City/StatelZJP: SPR1~~GF.I~~.D, O.R' 97~77
o Fire pumps
D Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
Q Health care facilities
Suitefbldg.faplno.:
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Project Name: Chinook Q 51 '
Cross Street/directions to job site: Q St
I Tax mapfparcel no.:' 1703252301713
I Description
Total
Repair Meter Base
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I Service reconnecl only
$63.00
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of perrnit lotal)
I TOTAL PERMIT FEE
$63.00
$7.561
$3,15
$73.71
Name:
I Phone:
Emall:
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.k-42 I D!z..q leA
CQ-159o
'1 Elec lie. no.: C451
184921
CCB lie. no.:
Business Name: NEW REYNO.LD_S.~~LECTRICINC
Contact:
I Add,e..: 2175 "Ml'm'P.I='
I CilylStatelZlP: E~'PEPlMtlr SHAll EXPIRE If THEW~~
I Phone: 5413437297JTHORIZED UNDEl?Jtl~4r.~IVIlns-,
I ";"/d"'"\/JH\lL~U UK ,,, J-\oi\iGEiCI4ED FOn
Emall: jeremy@reyno sefectr1t:.tbl'n
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I /1.1\11 1 uu Llnl I I- /..10-.
Metro lie. no.: ' City lie. no.:
ATTErmON' Or I
follow rules ~do egon aw requires you to
Notification Cent:e~ by the Oregon Utility
In OAR 952--001.0010 t~se rules are set forth
0090. You ma ob . rough OAR 952--001.
calling the ~nte~'n(Jores of the rules by
number for the O' 0 e:. the telephone
Center is ~~g;~~!~~~~fication
Supervising Electricl~n's lie. no.:
54045
JEREMY A REYNOLDS
Supervising Electrician's Name:
, ,
Number of inspections Included In paid services:
Residential Service: ,4'
Reconnect Only: 1
All Other Services: 2-'
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Upon review and approval by your local Jurtsdlctlon, your pennlt will be e-malled or faxed
within one busIness day, with. InstructIons on how to sctuKtule your Inspection.
NOTE: thIs Authortzatlon To Begin Work expires within 180 days If a pennlt Is not obtained,
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The local buildIng department may delennlne that 'an Authortzatlon To Begin WorX Is null and
void If It does not meet applicable land use laws and~ l~c~I;~rdlnances.
Inspections Phone: 541,726,3769
This Authorizatiol} To Begin Work must be p'osted at the job site until replaced by a, Permit
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CITY OF SrKmGFIELD
Building/Combination Permit
Status
Issued, "<>, ,,'
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PERMIT NO: COM2009-01590
ISSUED: 10/29/2009
APPLIED: 10/2912009
EXPIRES: 04/29/2010
VALUE:
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225 Fifth Street! Springfield, OR
541-726-3753 Pbone '
, , ,
541-726-3676 Fax: 'i ..:';, .
541-726-3769 Inspection'Line "
SITE ADDRESS: ,1380 Q ST , ' ,;,
ASSESSOR'S PARCEL NO.:," ~703252301713
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PROJECT DESCRIPTION: Repair meter base
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:" New
Residential
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Owner: HUNTER GARY ALLEN
Address: 2606 E DRACHMAN ST
TUCSON AZ 85716
I ,CONTRACTOR INFORMATION ~
Contractor Type:'
Electrical "
. Contractor
, NEW REYNOLDS ELECTRIC INC
License
184921
Expiration Date ' Phone
01/01/2011 541-343-7297
I, 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:
Sq Ft Garage/Carport
, Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
'-
n/a
REQUIRED PARKING
Frontyar<lJil!!lack: " ,,'~, '" Overlay Dist: ATTENTION: Oregonlil\9Wl:/ulres you to
Side 1 Setl)\l.N:'CE: " , " ,L, "'"..'o;"#8treet Trees Rqd: 'follow rules adopted b~.I\:UtiIIty
Side 2 Setlij!jjg: PERMIT SHAll EXPIRE IF THE ~ Drive Rqd: Notification Center. ThoSil'fIlIWlIre set forth
RearyardAt9mOOIZED. UNDER THIS PERMI11S ~Lot Coverage: In OAR 952-001-001 0 through OAR 952-001-
Solar SetWMMENCED OR IS ABANDONED F=ORd.:' 009~:. Yo~ mayobtal~ copies oftherulesb,
AI~ Y lllD DAY PERIOD .. ' -....... .I.~ --....... ,tlelel the telelllls...
. I PUBLIC IMPROVEMENTS tumber for the Oregon Utility Notification
S.l':entBr lA HI00-332-2344).
.lI'e'W4m T'ype:
I D~VELOPMENT INFORMATION I
Street Improvements:
.,
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
" $ Per Sq Ft
or multiplier
Square Footage'
or Bid Amount
Value
~
Date Calculated
.
.. . ..... ,~.
Page 1 of 2
CITY OF ~nUj'ltJt<1J'.,L1J
225 Fifth Street, Springfield, OR--
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspec!ion Line, "~',I,
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Building/Combination Permit
PERMIT NO: COM2009-01590
ISSUED: 10/29/2009
APPLIED: 10129/2009
EXPIRES: 04/29/2010
VALUE:
Status
.,.... ,'f
Issued':'
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Total Value of Project
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F~es P~idJ
Fee Description
+ 12% State Surcharge,
+ 5% Tecbnology Fee {"
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
1 0/29/09
10/29/09
1 0/29/09
2200900000000001234
2200900000000001234
2200900000000001234
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Total A.nount Paid
,
$73.71
I Plan Reviews I
u
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be m,ade:the same working day, inspections requested after 7:00 a.m. will be made the following
i 'I 1\
work day.
I R,~(J\L" 'ed J' snections I
, ffli_1i 1..1 III Illr.I,ll. " " .
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Electric Service: Approval reqnired prior to utility company energizing service.
By signature, I state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all
information he~eon i~ true and correct, and I further certify that any a!,d all work perfor';'ed shall be done in accordance witb
the Ordinances of the City' of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any str~ct~re without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees wbo 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, tbat tbe permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction. ~
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Owner or Contractors Signatnre
, Date
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Page 2 of2
225 Fifth Street<'j';t;;
Springfield,Oregori97477
541"726-3759 Phone,
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Job/Journal Number,
COM2009-01590,
COM2009-0 1590
,COM2009-01590 __
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
,
City,of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT#: >.2200900000000001234
Date: 10/29/2009
2:01:14PM
Desc~iption ,,;,,';'. _"
,Service Reco.pn~~t,
,-: +. 5% i~chri61ogy Fee
:" ;;+'i2% State Surcharge
. '~~'-i';:' :i)'
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Paid -'ly'.: ' ,
ONLINE PERMIT CHGS
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Item Total:
Check Number Authorization
Batch Number Number How Received
Received By
KR
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Page 1 of 1
Amount Due
63,00
3,15
7,56
$73,71
Amount Paid
ONLINE NEW Online
REYNOLD
SELECT
$73,71
Payment Total:
$73.71
10/29/2009