HomeMy WebLinkAboutPermit Electrical 2009-12-17
SPRINGFlELD
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City 01 Springlield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00293
Approval Code: 01695D 12/17/2009 2:41 pm
E~mailed To: dan@reynoldselectric.com
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I 0 New Construction
{RJ Addition/alteration/replacement
I [R] 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory
1\ ,,'-~ ; ':'"'J()B1SITE1IN1;()RMATi6Ni.A.N():L()CATi()N'~"',}~:1,,i~~
I Job Address: 1462 I 5T
I City/State/ZIP; SPRINGFIElD~ OR 97477
I Suitelbldg./apt.no.:
I Project Name: Mike Tayloe
I Cro.. S!reeUd;rect;o", to job s;!et Moh,wk
I Tax map/parcel no.: . 1703362203700
install sub panel and receplacleand lighting
, Name:
I Phone:
I Email:
Fax:
I Elec lie. no.: C451 CCB fie. nO.:
I Business Name: NEW REYNOLDS ELECTRIC INC
I Contact:
I Address: 2175 W 2ND AVE
I City/State/ZIP: EUGENE, OR 97404
I Phone, 54134Mr.;rIGE: _ ~. _. _ !'~t 54'].45:!!,OB, ,r- "'noll
I ~HI" I-'rlilVII 1 "M"LL cXFIf'i~ I. Trr_ W:J...-
Emall:jeremy t~-P'llds~ec,W~com, I TUIC Dt:RMIT IR NOT
I v,,13r.L_81::~.8ER..u~
Metro ';c. no 'r(lMMi=Mr.i=11 OR I"~"'I\!OONED FOR
I Superv;,;n. EltfW;'i'3i!)cI9AY PERWl}. '
184921
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 pennit will be e-malled or faxed
within one business day, with Instructlons on how to schedule your Inspection.
NOTE: This Authorization To BeginWork expires within 180 days if a pennit 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.
cq'l~b'
Ple'ase eheck 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
D Fire pumps
o Emergeney 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 Marinasand'boatyards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
. .
o Recreational Vehicle Parks
o Supply voltage for more than
, 600 supply volts nominal
I Description
Qty.
I Services 200 amps or less
I Branch circuits with service or
feeder each CIrcuit
Ig!~~1r!~~H~e.rrnitJ:eesL.
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
j
2
$81.00 I
",~I
$12.00 I
"'}4
$93.00
$11.16
$4.65
$108.81
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those Nles are set tortll
In OAR 952;001.0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling ths center. (Note: ths telephone
. number for the Oregon Utility Notification
Center 18 1-800-332-2344).
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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
!
Status
Iss u ed
CITY Or ~rRINljrlJ<,LD
Building/Combination Permit
PERMIT NO:. COM2009-01803
ISSUED: 12/17/2009
APPLIED: 12/1712009
EXPIRES: 06/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1462 I ST
ASSESSOR'S PARCEL NO.: 1703362203700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install sub-panel, ,'eceptacle, and Iigbting in residence.
Residential
Owner: TAYLOE BETTY A
Address: PO BOX 71610
EUGENE OR 97401
I C~)NTRACTOR INFORMATION.
Contractor Type
Electrical
Contractor
NEW REYNOLDS ELECTRIC INC
License
184921
Expiration Date
01/01/201 I
Phone
54 I -343-7297
B~ILDING INFORMATION I
# 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 G~rage/Carport
Sq Ft Other:
n/a' '.'Occupant.Load: H).
I DEVELOP~~NT INFORMATION'
. ATTENTI REQUIRED PARKING
MOTICE' ON: OregQJl ~""'u/r"'" to
Front yard SetbacK:. , Overl~'y' D.J.W follow rules adopted YM . ~vOr .... YOU,
Side I Setback: THIS PERMIT SHALL EXPIRE IF#T!;\~~y[fr\les Rqd: NotificationCenter, 1'I\o%Wfalllllm:~:~%
Side 2 Setback: AUTHORIZED UNDER THIS PER~u;relfdlJbl;r Rqd: In OAR 952-OO1-OO1~1I~'OAR 952-001-
Rearyard SetbaclWMMENCED OR IS ABANDONOOqrcmt Coverage: 0090,. You may obtam copies of the rules by
Solar Setbacks: ANY 180 DAY PERIOD. calling the center. (Note: the telephone
numharf"..~8QFa.-- .,.....- --
-" oQ-" -111111 nIJUIlLii:l.UOn
I PUBLIC IMPROVEMENTS' Center .1-600-332-2344),
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
IValuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Catculated
Paee 1 of2
" ,
Status
Issued
CITY OF SPRINGFIELD.
Building/CQmbination Permit
PERMIT NO: COM2009-01803
ISSUED: 12/17/2009 :
APPLIED: 12/17/2009 .
EXPIRES: 06/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
II', ,1
Fce Description
+ 12% State Surcharge
+ 5% Technology Fee .
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid ,
Dat.Paid
Receipt Number
$11.16
$4.65
$12.00
$81.00
12/17/09
12/17/09
12117/09
12/17/09
2200900000000001401
2200900000000001401
2200900000000001401
2200900000000001401
Total Amount Paid
$108.81
I 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. wiIlbe made the following
work day.
R~opi,re,~ Inspections I
. Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
,.. f
. By signature, I state and agree, that I have carefully examined the completed application and do'hereby certify Ihat 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 Springtield 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 Servic,es 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
tim~s during construction.
Owner or Contractors Signature
Date
Pa2e 2 01'2
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225' Fifth Street
Spr~ngficld, Oregon 97477
54h726-3759 Phone
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City of Springfield Official Rcccipt
Development Scrvices Department
Public Works Department
Job/Journal Number
COM2009-0 1803
COM2009-0 1803
COM2009-0 1803
COM2009-0 1803
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
2200900000000001401
Datc: 12/17/2009
Description
Perm 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 Total:
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i..
Page I of 1
2:48:21 PM
Amount Due
81.00
t2.00
4.65
11.16
$108.81
Amount Paid
$108.81
$108.81
12/1 7/2009