HomeMy WebLinkAboutPermit Electrical 2010-3-4
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Ernail: permilcenler@ci,springfield,or,us
o New Construction
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lRl Addition/alteration/replacement
.: C'ATEGORY'OF.'COI'i~TRUC:nON,
00 1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
. ~.JOB SITEINFORMATlON'ANO LOCATION' -,
Job Address: 1236 MODOC 5T
City/State/ZIP: SPRINGFIELD, OR 97477
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Suitelbldg.lapt.no.:
.1
Project Name: Friends & Neighbors
Cross Street/directions to job site: 12th 51
Tax map/parcel no.:
1703264417400
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Replace electrical service and relocate circuits 10 new service
"~{;SITE CONTACT,,;.
Name:
Phone:
Fax:
Email:
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";',(CONTRAcrOR': ;..
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Elec lie. no.: C451
eee lie. no.:
184921
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
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Address: 2175 W 2ND AVE
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City/State/ZI
97404
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Pho"" 54134lHIS PERMIT SHAlllOO'lRE.Ifi.;J;HE
Emall; jerem
Metro lic. no.:
ity lie. no.:
Supervising Electrician's lie. no.:
5404S
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 permIt will be e.malled or
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin WorX expires within 180 days If a permit 15 not obtained.
The local building department may determine that an Authorization To Begin WorX Is null and
void If It does not meetappUcable land use laws and local ordinances.
(/ I 0 . 't 1q
Residential Electrical Authorization To Begin Work
69600-BEL-1 0-001 00
Approval Code: 002350 3/4/2010' 4:23 pm
E-mailedTo:dan@reynoldselectric.com
a
,', , ,': " , pLAN'REVIEW: , .. ." ,
Please check all that apply: D Hazardous locations
.0 A service Of feeder beginning o A service or feeder rated al
at 400 Amps where the 600 amps or more
available fault current exceeds D Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
D Fire pumps D Commercial-use agricultural
buildings
D Emergency systems D Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of.100 HP or more D "A", "E", or"I-2" or "1-3"
D Six or more residential units in D Recreational Vehicle Parks
one structure
D Health care facilities D Supply voltage for more than
600 supply volts nominal
\:' ",: \.;..~. .40 FEE S,CHEOULE 'c' ..
,
Description Qty. I E., I Total
SeJvJces.6jfeeders " 't '. ,."c., ' '.. ,', " ..
, ,
Services 200 amps or less 1 $81,00 I $81.00
Br~n<;~circuits " ':' -<': c, c' " ' ,;-
Branch circuits with service or 6 $6.00 $36,00
feeder each circuit
~!EtctriCi'tI.p'ermit.F,.e.es; :,; , ' '," ,
,
Subtotal $117.00
State surcharge (12% of permit $14.04
total)
Technology fee (5% of permit total) $5.85
TOTAL PERMIT FEE $136.89
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ATY9IT10N: Oregon law requires YOU,to
~Iow 1lU11il& adopted by the Oregon Utility
Notification Center. Those rules are set forth
.. tlI OAR 952.001.001 0 through OAR 952.001-
~ Vou may obtain copies of the rules bl1
, . _One tM center. (Note: the telephono
~ for the Oregon Utility NotifIIlaIIOlIl
Center io 1-800-332-2344).
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Inspe~ti?,ns Ph~ne: 541,726-3769
This Authorization To Begin Work~_ust.!>.! ~o:sted at th~ job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00279
ISSUED: 03/05/2010
APPLIED: 03/04/2010
EXPIRES: 09/0512010
VALUE:
SITE ADDRESS: 1236 MODOC ST
ASSESSOR'S PARCEL NO.: 1703264417400
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace electric~l service and relocate circuits to new service
Owner: HILL-HICKS LAURA K
Address: 1236 MODOC ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
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Residential
I CONTRACTOR INFORMATION ~
Contractor
NEW REYNOLDS ELECTRIC INC
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
License
184921
Expiration Date
01101/2011
Phone
541-343-7297
BUILDING INFORMATION ~
# of Stories:
Height of Str~cture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~ .
Front yard Setback: Overlay Dist:
Side 1 Setback: ..., ,~.;,.:~,\~Ir.e,et,Fees Rqd:
Side 2 Setback: NOTle!: Paved Driv....Rqd:
Rearyard Setba'lHIS PERMIT SMAll EXPIRE IF liliWltl8lWerage:
Solar Setbacks: AUTHORIZED UNDER THIS PERMrr IS NOT'i
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
REQUIRED PARKING
Total:
ATTENTION: Oregon lAW'fijqulmtyou to
follow rules adopted ~Olegon Utility
Notification Center. Those rules are set forth
In OAR 952.001.0010 through OAR 952.001.
PUBLIC. IMPROVEMENTS calilng the center. (Note: the telephone
num~IlIJor.lh, Oregon Utility Notification
'''(';'~M~r' i6Pf '800-332-2344).
Downspouts/Drains:
I Valuation Description ~
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Date Calculated
Paee 1 of 2
1;:;: ",
Value
..........,.. .. ''-'--.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00279
ISSUED: 03/05/2010
APPLIED: 03/04/2010
EXPIRES: 09/05/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
Fees Paid ,
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$14.04
$5.85
$36.00
$81.00: ,,'
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3/5/]0
3/5/]0
3/5/10
3/5/10
1201000000000000206
1201000000000000206
]201000000000000206
]20]000000000000206
Total Amount Paid
$136.89
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. will be made the following
work day.
Reouired InsDectml
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 co....ect, and 1 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 inspectio~s 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
Paee 2 of 2
225 Fifth Street '
Springfield, Oregon 97477
541-726-3759 Photie
ii:.t4
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000206
Date: 03/05/2010
9:45:55AM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
36.00
14.04
5.85
$136.89
Job/Journal Number
COM20 I 0-00279
COM2010-00279
COM20 1 0-00279
COM20 1 0-00279
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE NEW Online
REYNOLD
S'
$136.89
Payment Total:
$136.89
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