HomeMy WebLinkAboutPermit Electrical 2009-12-14
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City Of Springfield
225 FifthSt
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
,.Residential Electrical Authorization To Begin Work
69600-BEL-09-00282
Approval Code: 09713D 12/14/2009 7:43 am
E#mailed To: dan@reynQldselectric~cam
I 0 New Construction IRJ Addition/alteration/replacement
i'iCATEGORYOF~cQ~SjfRl.icTION~~ii,i!;'-t'~J
[R]'1 or 2 family dwelling 0 Multi-familY 0 Commercial 0 Accessory
:;;,'~OB SITE1f.jF[ORMATjON'Af.jDii!OCATION.M;:;;:'~;'ft'",,;,r"l
I Job Address: 1828 CARTER LN
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.:
1 Project Name: Malcom
Cross Street/directIons to job site: Mohawk to M to Carter Ln
Tax map/parcel no.:
1703253214900
Remove and Replace Electrical Service
\:
Name:
Phone:
I Emai!:
Fax:
I Elec lic. no.: C451 CCB Iic. no.: 184921
I Business Name: NEW REYNOLDS ELECTRIC INC
I Contact:
I Address: 2175 W 2ND AVE
I City/State/ZIP: EUGENE. OR 97404 -.p-
I PhOne~!~'fl7~~: Fa,1'5413454ioa"
I Em.n'f~~~RI\lII"l''SItAtL EXPIRE IF THE WOR~
I MetmJf~U>9-HORIZED UNDER THISB~Iil.M.l,! I:) NUl
I supe.f.QJ\~M~;~lL.;~Q,I,JJ:lI:; A~./31'/;uui~cu Hir. ,. .
I' MIH 100 DbV f'tiilc;~.
Supervising Eleclrlcian s ~ame: JEREMY A REYNOLDS
Number of inspections included in paid services:
Residential Sef\/ice: 4
Reconne.ct Only' 1
All Other Services: 2
Upon review and approval by your' local jurisdiction, your permit will be e.malled or faxed
within onebusinessday,withlnslrucllons on howlo schedule your I nspectlon,
NOTE: This Authorlzation To BegIn Work elpires within 18Q (lays if a permit is not obtained.
The local building department may delennlne thai an Authorization To Begin Work Is null and
void If il does not meetapplicablli land use laws and locaJor~lnan[;es.
Please check all that apply:
o A service ~r feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at i50Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o 'Emergency systems
o Addition 01 a new motor load
of 100HP or more
o Six or more residential units in
one structure
o Health care facilities
cq-/11&
o Hazardous locations
,0 A service or feeder rated at
600 amps or more
o Buildings more than three s.tor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installationofa 150 't0JAor
larger seperateiy derived sys
o "A","E".or"I-2"or"I-3"
o Recreational Vehicle Parks
o Suppiy voltage for more than
600 supply volts nominal
I Description I Qty. Ea. Total
1~~:~;i~~~r~O~:~;;F,O~~;:~~~J$~J,~o~ ::At~~,t~:~:":;~}OJ
I Subtotal $81.001
I Slale surcharge (12% of permit $9.721
lotal)
I Tech~'ology fee (5% of permit total) $4.05 I
I TOTAL PERMIT FEE $94.11 I
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon UtIlity
Notification Center. Those Nles 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 telephone
number for the Oregon Utility Notification
Center Is 1~0-332-2344).
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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
"
CITY OF SPRmu.li1~LD
Building/Combination Permit
PERMIT NO: COM2009-01776
ISSUED: 12/14/2009
APPLIED: 12/1412009'
EXPIRES: 06/14/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1828 CARTER LN
ASSESSOR'S PARCEL NO,: 1703253214900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTIqN: Remove and replace electrical service in residence,
Residential
# of Stories:
Height of Structure
, ,.Type of Heat:
"....,~., Water Type:
,'_~!i.';'-,':if.~: -.~--
Range Type:
Energy Path:
Sprinkled Bnilding: n/a
AnemON:OregonlaW~l"tmm'lC J mrORMATION '
"'\lOW roles adopted by t~fY J,:c., c. ..1 R -
N tificattonCenter. Thoserule,Bare~2~~~ REQUI EO PARKING
Front yard setb'lli\lOAR952-OO1-OO10thrOU9hO~h'W 'st: ,NOTICE' Total: "..,;;,:::",,-,,
Side 1 Setback: 0090. You may obtain CQPI~:;O'te iSI\8 rees Rqd: THIS PER'MIT SH HandicallllSd:'
Side 2 Setback: calling the center. ,(Note., it eN ~~ve Rqd: A ALL ECb',mJi.Jt: I HE WORK
Rearyard Setbac~ tor the OIe9on,Util ~ 0 01 Lot Coverage: UTHORIZED UNDER THIS PERMIT IS NOT
Solar Setbacks: CenterI81-600-332~ ". COMMENCED OR IS ABANDONED FOR
A~IV ;~~ t\'\\' r:r1l3S.
I PUBLIC I~PROVEMENTS I
....,~.......---.-..
Owner: MARGARET E MALCOLM REVOCABLE TRUST
Address: PO BOX 70366
EUGENE OR 97401
I CONTRACTOR INFORMATIO~ ~
Contractor Type
Electrical
Contractor
NEW REYNOLDS ELECTRIC INC
License
184921
BUILDING INFORMATION'
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type'
Secondary Construction Type:
# of Bed rooms:
. Street Improvements:
Expiration Date
01/01/2011
Phone
541-343-7297
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descriotion ,
Description
Tvpe of Construction ' $ Per Sq Ft,
or multiplier
Square Footage
or Bid Amount
L.I., ," "
Paee 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01776
ISSUED: 12/14/2009 '
APPLIED: 12/14/2009
EXPIRES: 06/14/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
~ Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$9,72
$4,05
$81.00
12/14/09
12/14/09
12/14/09
3200900000000000807
3200900000000000807
3200900000000000807
Total Amount Paid
$94,77
I Plan Reviews I
To Request an inspection caIl 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,
R~f1".ire~" In:snectio~s.1
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 aud correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordiuances of the City of Springtield and the Laws of the State of Oregon pertaining to the work deseribed herein, and
that NO OCCUPANCY win be made of any structure,without permission of the Community Services Division, Building Safety.
I fUt'ther certify that only contractors and employees who are in compliance with ORS 701.005 win be used on this project,
1 fttt'ther 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 win remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 01'2
225.Fifth Street
Springfield, Oregon 97477
541'-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000807
Date: 12/14/2009
8:57:5IAM
,Job/Journal Number
COM2009-0 1776
COM2009-0 1776
COM2009-0 1776
Description
Penn Serv/Fdr 2qO amps or less
+,5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
4,05
9,72
$94,77
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE NEW Online
REYNOLD
S
$94,77
Payment Total:
$94,77
,< : .,Ii ~.i, ,
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cReceintl
Page] of 1
12114/2009