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Home My WebLink AboutPermit Electrical 2009-12-2 {/q, 1114- 1~'1..1 Residential Electrical Authorization To Begin Work 69600-BEL-09-00263 Approval Code: 02714D 12/2/2009 1:58 pm E-mailedTo:dan@reynoldselectric.com -!-to'F'; ,PLA'N~'REVIEW' :' . i' ~~~I~G:~~L .0,' ' .~' 7'.'" !,.,:~ ( (~"l . .~;,~ \. ~EGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Ema.il: permitcenler@cLspringfield.or.us r /.;'i;';' " ~ :~.:if,:T:YPE {jF:WORK':'<,.~ .~~~'C~ ;':.~1#, J; ."j ~_~, T (R] Addilionlalterationlreplacemenl I 0 New Construction , CATEGORY OF'CONSTRuc;nON' ,.::'I.:,7~i.:r:;"~,:~":~:j [g] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory . ! ':"",< " iJOi3SITE IIifFORMATIONAND LOCATION , . I Job Address: 3220 RALEIGHWOODAVE I CltyfStatelZlP: SPRINGFIELD, OR 97477 I Suite/bldg.lapt.no.: I Project Name: Cushman I C,oss St'aa."'actlons to Job slta: Gama Fann Rd I Tax map/parcel no,: 1703221318400 Cb!i,iJ-ESj::RIPtION'6(wORK,~'.;'",~,". c. '~..~-;~':.::'F'c ~'." '. ~ replace panel and Bathroom remodel I" '.- ...;r't.?:?;~':' __ "'~'t:{~ 'ItE::tONTAC_1:~~~~tfi~?".:: Name: Phone: Fax: Email: ,Ii. ,,,;,,'/CONTRA'CtOR"', '~.:;:~~ I Elec IIc. no.: C451 CCB lic. no.: I Business Name: NEW REYNOLDS ELECTRIC INC I Contact: I Address: 2175 W 2ND AVE I Clty/Sti>ta/flJ.llUIi:1i::oR 97404 ' I I HISrtIiIVII' .:,nI\LL i~-lh~E~jIlE WOO1{ Phone: 541S43m a", '"" ... .'Inr hU-;-i13:1;{(: Uf18U\ T ,~t - I< ,.." I Emall, J"a'l."~~r~,~l:'1~'~O'l'l\lIC:: @ANOONEO FOR I Metm "0. nANY 180 DAY PERIOD, C;ty "0. no" I Supervising Electrician's lic. no.: 54045 I Supervising Electrician's Name: JEREMY A REYNOLDS 184921 Number of inspections included in paid services: Resicjential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local JurisdictIon, your permit will be e.malled or taxed within one business day, with InstNctions on how to SChedule your Inspection. NOTE: This Authorization To 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 applicable land use laws and local ordinances. I .. ,',0'., .. .. 'i.;,....:~ ..' .....;1-:'. $~. . ~ ,..~ .' - .::.." -: :.--." 1 Description J Qty. IS:a:::::~:~I:~:~~.::~~Jii~: '1. '5:'j~It;:" ISranchcircuiis:,; :.;. ..~ "....,~,."'" I Branch circuits"with service or feeder each circuit IElectrical Permit F.99S"~'>~: - ':"t',\_~:;'~':'"' I Subtotal I State surcharge (12% of permit total) I TechnOlogy lee (5% of permit total) I TOTAL PERMIT FEE I" - _. .. "_0' .",....""".-_.,V... . ..' ..."c'......<~...... Please check all that apply: o A service pr leeder beginning at 400 Amps where the a....ailable fault current exceeds 10,000 Amps al150 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 structu,re o Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor D Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately deri....ed sys o "A~. ~E", or ~1-2" or ~1.3~ o Recreational V~hicle Parks o Supply voltage for more than 600 supply volts nominal ,l'FEESCHEDULE ';, I c'C\-IIIY 2 ~ \Ll2[CA .l-:' memON: OI..{j01. taw requires you to tlnow rulea adopted by the Oregon UtilitJ Notification Center. Those rules are lIet forth ~ OAR 952-401-41010 through OAR 952-OOt. CI09O. You may obtain copies of the rules br Calling the CllII1ter. (Note: the telephone IlU/IIIMlr for the Oregon Utlllty NotlficaIIon Gentar II t-800 112-2344)- ~~r . wt~ I('jY \ \ \0-- cJ< \V ~~ Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted atthe job site until replaced by a Permit -;,6, ,R,.AINQ'"P,'JEL, ..i'j" ',.",., ',.:,,:. Wirt .. . .,'_' 'i " "t ., - ,.' '"',_,_ ,'", _,. ..~ -' 'C'>' ^ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 06/02/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3220 RALEIGHWOOD AVE' . ASSESSOR'S PARCEL NO,: 1703221318400 Springfield TYPE OF WORK: Plumhing Only TYPE OF USE: Remodel PROJECT DESCRIPTION: Replace tub with shower and electrical for bathroom remodel Residential Owner: CUSHMAN SUZANNE & MARK A Address: PO BOX 1514 SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION I Contractor License DA VID ZARZYCKI GENERAL CONTRACTIIl 05626 NEW REYNOLDS ELECTRIC INC 184921 CARLOS GILBERT MACIAS & RAQUEL TO 110117 BU~LDING INFORMATION I Expiration Date 04/26/20 II 0110112011 0110312010 Phone 541-688-0243 541-343-7297 541-607-8740 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # 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 GaragelCarport Sq Ft Other: Occupant Load: R.3 nla I DEVELOPMENT INFORMATION I NOTICE: , ATTENTION: Oregon IdtmllC1ftHl)ll8~ING Front yard sr.ill~cI?:ERMrr SHALL EXPIRE IF THEWaRK Di't: toll,OW r~les adopted ~~\~~~~n~~~ Side I Setba~~!HORIZED UNDER THIS PERMIT~:i~r Trees Rqd: Notification Center. Th !SP.'e1i/R;2.{)(11- Side 2 Setb,\c'ilMMENCED OR IS ABANDONED F NitJ Drive Rqd: In OAR 952-001.obOta1~thc 11l'f&Y\he rules.... R d c</b" k t'L C 0090 You may 0 In ... earyar c><.. pc, EO DAY PERIOD. o? ot overage: caliing the center. (Note: the telephone Solar Setbacks: , number lor the Oregon Utility.Notilicallon I PUBLIC IMPROVEMENTS I "emlll III I"'U\I_-_~)' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslOrains: . . - --"", .... -..--.---.... " Notes: - Pa~e I of 3 Status Issued 225 Fifth Street, Springlield,OR 54] -726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line DescriJltion TYI)e of Construction Fee Description + 12% State Surcharge + 5% Teehnology Fee Fixture Minimum/Adjustment Plumbing + ]2% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid I V~luation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 06/02/2010 VALUE: Value Date Calculated Total Value of Project Fees Paid I Amount Paid Date Paid Receipt Number ]200900000000001287 1200900000000001287 1200900000000001287 1200900000000001287 ]200900000000001292 1200900000000001292 ]200900000000001292 ]200900000000001292 To Request aD 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. $6.96 $2,90 $19,00 $39,00 $11.16 $4,65 $12.00 $81.00 1211109 12/1109 12/1109 1211109 12/2/09 12/2/09 12/2/09 1212/09 $176,67 I Plan Reviews I I Rrouired Insneetions I Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing, Final Plumbing: When all plumbing work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 06/02/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informntion hereon is true and correct, and I 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, I further certify that only contractors and employees who 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, 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. Owner or Contractors Signature Date Paee3 of 3 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone a".!'~.AI"<!F1'IlLO.", "",',""" ".". ." .. . ~; . ~.,',.' City of Springfield Official Rcceipt Dcvclopmcnt Scrviccs Dcpartmcnt Public Works Dcpartmcnt Job/Journal Number COM2009-01714 COM2009-01714 COM2009-0 1714 COM2009.0 1714 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 1200900000000001292 Datc: 12/02/2009 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE NEW Online REYNOLD S ELECTRIC Payment Tota\: ,i.' Page 1 of 1 2:08:57PM Amount Due 81.00 12,00 4.65 11.16 $108,81 Amount Paid $108,81 $108,81 12/2/2009