HomeMy WebLinkAboutPermit Electrical 2009-11-11
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':":S,~~pringf!e'd,,OR~~747.7. '
":' .Phone: 541:"72?37~3 .
Email: permitcenter@ci.sprlngfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00243
Approval Code: 09650D 11/11/2009 1 :38 pm
E-mailedTo:dan@reynoldselectric.com
o New Construction
. .;; J";; :-;;:~'> .";;~ '~'~i~,):~,:;;~}:,.:,: IX] " Addition/alteration/replacement
D 1 or ~ fami!y, dW,elling.)' 0 .~,u~ti-~mily .lE] Commercial
o Accessory
~~oBlsiTE!fNi1ORMfi,.froNrANi!)l~c:6:,;:ioN~~;$~~
Job Address: 1369 B S1
City/State/ZIP: SPRINGFIELD, OR 97477
Suitefbldg.lapt.no.:
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Project Name: Hope Lutli~rin.e_~hurCh
Cross Street/directions to Job ~ite: Centennial
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Tax map/parcel no.:
1703362313700 .
upgrage Electrical' Service Install circuit for AC and'heating units
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Name:
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Phone:
Fax:'
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Elec lie. no.: C451
'~- CCBllc:'n'o.:
184921
Business Name: NEW REYNOLDS ElECTRIC INC:'
Contact:
Address: 2175 W2ND AVE
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City/State/ZIP: EUGENE, OR 97404
Phone: 5413437297
Fax: 5413454808
Email: jeremy@reynoldselectric.coml. '
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Metro lie. no.:
f:'
,
City~lic. no.:
Supervising Electrician's lie. no.: "
54045
Supervising Electrician's Name: JEREMY A REYNOLDS
I Number of inspections Included in paid services: .
Residential Service 4
Reconnect Only 1 ,)
All Other Services 2
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Upon review and approval' by Vour' local Jurl$dictlo~, your penni! will be e-mailed or faxed
within one business day, with Instructions on how to schedule your inspection.
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NOTE: This Authorization T~~.eg'p "Yo,*~xpirlts-:-wjthi.~ 180,dayslf II permit is not obtained,
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The local building department may determine th~i-; an:. Authorization To Begi~ 4'Worll. is null and
void if it does not meet applicable lan~ use laws and iocal ordinances.
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
. available fault current exceeds
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
. 0 Marinas and boat yards
. D Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 'rWA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
. 0 Recreational Vehicle Parks
o Supply voltage ,for more than
600 supply volts nominal
l.DescriPtion l Qty. I Ea. I, Total
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SC).ry!c.e~,,()J::f~^y^g~r.~1.n;';,~;U";E~4ti:'L"~~;M1fA:~7~~';W~~~.1~Jr.r,...-Flk
I Services 201 to 400 amps I 1 J $95:00 J $95,00 I
ISranch'ClrcuiiS''llf.,;''-'''''"'iIif.r*IlIt'\fii., ,'""-;'''~8'''"'''"'''''':'~:lf{i~'~'11
._~~.__...~~"^'u"_.~" ,_.T,.,;\iX~~,"c:. _ry-.".li~~",,$'.lif~' ..^~''l@Bd~t.~_~CJ:o_..
I Branch circuits with service or 4 $24.00 I
feeder each circuit
I Subtotal
I State surcharge (12% ofpermit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$119,00 I
$14.281
$5,95 I
$139.23 I
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/7/YL 11//,)/09
e_. ,'" Inspections Phone: 541-726-3769
.'.' This Authorization To Begin Work must be p09ted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
<Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: 05121/2009
EXPIRES: 05/1212009
VALUE: $ 60,000.00
Status Iss~~,d;:;,:;~(,.:;~j)\.:i;.; ,
225 Fifth Street,'Sprillgjield;"ORc.,>1" .-:
541-726-3753 Pholle'f:', - '
. 541-726-3676 Fax '. ,,;' .
.. 5'41-726-3769 IJ.;p~~iio~'~ine,<,;l
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Springlield TYPE OF WORK: Church
SITE ADDRESS: 1369 B ST, .
ASSESSOR'S PARCEL NO,: 1703362313700.
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PROJECT DESCRIPTION:.'.'..: Existing Church: Alterations to Men's and Women's Bathrooms, Alterations to
, :.r"; 0 -" , Vestibule, Janitor's Closet and Storage Room Adjacent to Bathrooms, and Roof
,0:', " ",,' Repair. Reroofing does not include structural roof repair. Required Plumbing and
:;,f};j'f;j:;;.;,:;::;;,'r". Electrical Permits are Separate. Mechanical permit obtained hy Comfort Flow
"', ".. .;,'.', ,:,,::'~,Heati.ng. Permit is for 4 a/c gas furnace systems. Running gas to 4 fnrnaces, a/c's set
, . 'on"ground:'"
Owner:
Address:
CHURCH OF SPRINGFIELD'
1369 B ST .", ",
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SPRINGFIELD OR :97477
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I CONTR;\CT?R INFORMATION.
Contr~ctor License
, DAVID ZARZYCKI GENERAL CONTRACTI!l05626
REYNOLDS ELEfTRIC 184921
COMFORT FLOW HEATING CO. 460
, --".' ,;,....;..CARLOSGILBERT MACIAS & RAQUEL TO 110117
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.,i , 1 ~UlLDI.NG INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumhing .
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# of Units: ~:. .. " "
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type ,..VB ,)
~eoc:~:~~o~s~struc;H~n"Ty~.e: ;'itl:'~j;" .
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
,.: , A3
n/a
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I"DEVELOPME~T INFORMATION I
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Commercial
Phone Number: 541-746-1255
Expiration Date
04/26/2011
01/02/2011
06/27/2011
01/03/2010
Phone
541-688-0243
541-343-7297
541-726-0100
541-607-8740
1
Lot Size:
, Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: 580
Occupant Load:
REQUIRED PARKING
Frontyard SetbacJ,:: 1- Overlay Dist: Total:
Side 1 Setback: ATTENTrON: Or~ .. # S,treet Trees Rqd:' Handicapped:
Side 2 Setback: 1\~~"0W rules adOPt~~~raVl( requlnJ!liYt1b~ive Rq~[ OT/CE' Compact:
Rearyard Setbaf,lC'litication Center' Th y the OregM;pIJ!i.vtfoveragelS P .
Solar Setbacks:OnOgOAR f!q2-001:(j0i{0 those rures are set forth '\' ['j'T' HnERMIT SHAll EXPIRE IF THE WORK
0: y"" ~_. .' rouoh OAR ,,~... ~. ' R/7i=n IIW'rr. T/ ~
,Catlin ' --""" <JOPlt' - -~,- ,_. -- .. II", fEnlVIIIIl:> NUl
. nUmb gt~e center. (Nete: r.roBlil(lJl~IJHPVEMENTSII\}CED OR IS ABANDONED FOR
.. ,e" fur the Ore ' ,.-...."une . "II DAY.I:lCD',-,
Street Improvements: Center 'is'.1 g_oll Utility Notinc't' . .. SidewaliDrype:
,.. l) -9UO-332-2344) " Ion
Storm Sewer Available: .:" . - . Downspouts/Draius:
Special Instruction:
'0
Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: 05/21/2009
EXPIRES: 05/]2/2009
VALUE: $ 60,000.00
Status . Isst'~W"';(i" "
,
225 Fifth Street, Springfield, OR ,
541-726-3753 Phone
541-726-3676 Fax , , . '~4f '
541-726-3769 Inspection Line>'~.2"::::N;':::,:'
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Tvpe of Construction
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Description
Estimate
Estimate
I V alu~~ion D~scriDtio!1 I
, , $ Per Sq Ft
"'or mnltiplier
. $1.00
Square Footage
or Bid Amount
60,000.00
Value
Date Calculated
. Total Valoe of Project
$60,000.00
$60,000.00
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OS/26/2009
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Fee Description' :l ~ (~';".~'" " '.~ .!
Plan Review CommlIndlPublic ,", ;.
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance ,
..
Building Permit .. ,,<
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Fixture , ". 1 '" ,
"
Plan Review Fire &,Lif~ Safety
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Vent Fan ;~h,:' M L ,.,.. ,
+ 12% State Surcharge "..
...... ..
+ 5% Technology.Fee
Water Line - 1st 100'.
Water Line- Each Addtl 100'
+ 12% State Snrcharge ,:~~~
+ 5% Technology F;~.e ,+ ";/, . .,. "
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% Staie Surcha~ge:': . ..
+ 5% Technology Fee ''; .,
Mechanical-Value ......
+ 12% State Surcharge
+ 5% Technology Fee "
Add, Alter, Extend Circ Ea Add..;:.'l~. , I
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Perm ServlFdr}O~ "!o..~:O~ amps , \:
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Total Amount Paid
:~ . -t... ,r
Initial Review
Plannin2 Review
Public Works Review '~
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Structural Review I" .
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Receipt Number
2200900000000000543
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
3200900000000000538
, 1200900000000000898
1200900000000000898
1200900000000000898
1200900000000000898
3200900000000000582
3200900000000000582
3200900000000000582
3200900000000000582
2200900000000001277
2200900000000001277
2200900000000001277
3200900000000000748
3200900000000000748
3200900000000000748
3200900000000000748
Amount Paid
Date Paid
$334.Q7
$92,75
" $38.65
$79.00
$513.95
$171.00
$205.58
$9.00
$11.40
$4.75
$76.00
U $19.00
$8.76
$3.65
$55,00
$18.00
$50,56
$21.07
$421.33
$14.28
U $5.95
, . $24.00
$95.00
5/21/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
8/11/09
8/11/09
8/11/09
8/11/09
8/13/09
8/13/09
8/13/09
8/13/09
11/10/09
II /1 0/09
11/10/09
11/12/09
II /12/09
11/12/09
11/12/09
$2,272.75
," ~ I Plan Reviews I
OS/22/2009 OS/26/2009 APP LLH
OS/26/2009,j OS/26/2009' APP EMM
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OS/26/2009 06/0 1/2009 DON CTM
06/01/2009 06/01/2009 10 KLK Plan review in progress.
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Status . Issutid'---'-==:""":;--- .,---
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225 Fifth Street, Springfield, OR ',: :\'"
541-726-3753 Phone",
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541-726-3676 Fax ..,. " ..",'<:"":"
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541-726-3769 InspectioIl:Line,;cc\'iJ;":(:!o:c(
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Structnral Review', .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: OS/21/2009
EXPIRES: 05/12/2009
VALUE: $ 60,000.00
Left phone message for engineer.
Permission required for plans
examiner to mark corrections for
code compliance on plans. Also,
plans examiner needs to verify
materials used, loads and limitations
of reroofing.
06/02/2009
WE KLK
06/0212009
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Fire DepartmentReview~'f " OS/26/2009
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06/03/2009
APP GRG
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Structural Review .
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06/63/2009 . h
06/03/2009
APP
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Plans Review: modifications to
upgrade men's and women's
bathrooms and upgrade roof. Job
#COM2009-00706. Occupancy
Classification: A-3. Construction
Type: V-B. Occupant Load: 580.
KLK
Provide or, maintain fire
extinguishers with a minimum
rating of2-A:10-B:C every 75 feet 01
travel distance. The top of the
extinguisher(s) shall be between 3
and 5 feet above finished floor (2007
Springfield Fire Code 906).
Required Plumbing, Electrical and
Mechanical Permits Separate. PhODl
call to engineer of record to confirm
alterations DO NOT include any
changes to Egress.
, \, . .
To Request an in~pection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same ,\\,o!king day, inspections requested after 7:00 a.m. will be made the following
work day. " :
~;~~:~ '~~e(]tlirPJU"nsnections I
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Prio~ to cover and after all rough in inspections have been approved.
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Framing,Inspection:
, '
R09fing:~tfir:r ttnstalli~g ~ny roof covering.
Drywall: Prior to taping. "
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to c?ver and, including required testing.
Final Plu~bi"g: .When all pl_umbing work is complete.
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Rough Mechanic"al: Prior to 'Cover
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Final Mechanical: When all mechanical work is complete.
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Water Line: Prior to filling trench and including required testing.
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Rough Electric: Prior to Cover
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CITY OF SPRINGFIELD
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Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00706
ISSUED: 07/17/2009
APPLIED: ' OS/21/2009
EXPIRES: 05/12/2009
VALUE: $60,000.00
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225 Fifth Street, Springfield, OR,:i(;'k\~" ':'
, ";",""'.:'.i.' ,:;~:"!,,:;-."'I',!~~:1.;....
541-726-3753 Phone: .;',.;"i"t,,:" "';-;.;,,;:".
541-726-3676 F~~;"~'?"'-;'" ',;
541-726-3769 InspectiOli Line
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Final Electric: WheD 'ali elecjrical w,ork is complete.
. . . .
Rough Gas: After line is inS.talled an~ required testing and capped if not attached to an appliance.
Gas Service: After line ',s,!':\~i'~lIed aD'd line has been connected to a minimum of one appliance including required
testing. Presure.test done,at:this point.
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Rough Mecb;J'nic.i; Priorto"Cover
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Final G~s:' When all gas work is complete.
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Final Mech;mical: . When all mechanical work is complete.
.
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 I further certify that any and all work performed shall be done in accordance with
'1' ,.,,-, .
the Ordinances pf !h,e ply of SPringfield and the Laws of the State of Oregon pertaining to the work described herein, and .
that NO OCCU~ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certifY,tht only contracto~s and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure'thal'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 construction.
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Owner or Contractors, Signature' '.
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22~ :~ifth s;~~lr~';~:ii!i~f:;"~x;i~:~j;-~,;.(, "'~" "
Springfield, Oregon9747T;' ;"'';i;c<:::.' 'S.'
541-726-3759 Phone . i .;
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" ~.?;!!;~;,;)rRECEiltlBiir' 3200900000000000748
Job/Journal Numbery~:.:r De~cription ,
COM2009-00706i!,ity.)Peim Serv/Fdr 201 to.400 amps
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COM2009,00706 ':i' .;i' ;-Add;'Alter;'Exteild Circ Ea Add
COM2009-00706",+,5O/o T~~kdjo~~ee \.;.
COM2009-00706;+ 12% StateSurch.ri'ge . .
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Payments: .
Type of Payment
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ONLINE CHGS 'ONLlNE PERMIT CHGS
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Page 1 of 1
Check Number
Batch Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/12/2009
Item Total:
Authorization
Number How Received
ONLINE NEW Online
REYNOLD
S
Payment Total:
8:23:52AM
Amount Due
95.00
24,00
5.95
14.28
$139,23
Amount Paid
$139.23
$139,23
III12/2009