HomeMy WebLinkAboutPermit Electrical 2010-3-4
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@cLspringfield.or.us
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o New Construction
IKJ Addition/alteration/replacement
"" , CATEGORY,OFCo'NSTRUCTIQN'<"''-''.
(RJ 1 or 2 family dwelling
o Multi-family 0 Commercia!
o Accessory
'JOB SITE INFORMATION 'AND LOCATION
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Job Address: 6605 E 8T
CitylStatelZIP: SPRIN-GFIELD, OR 97478
Suite/btdg.Japt.no.:
Project Name: Wahlberger
Cross Street/directions to job site: Thurston Rd To 66th
Tax map/parcel no.:
1702341403829
". ':DESCRIPTioN OF ,wiiRK',~ ,s, '
Kitchen REmodel
"~or
SITE CONTACT
Name:
Phone:
Fax:
Email;
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'he,' CONTRACTOR.;"
Elec lie. no.: C451
184921
eea lie. no.:
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
Address: 2175 W 2ND AVE
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CityfStatefZIP: G!CI17404
Phone, 5413431ffl1S PERMIT
Email: jeremy@AJJJ:
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Metro lie. no.:
.ty lie. no.:
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Supervising Electrician's lie. no.:
5404$
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 pennl! will be e.malled or faxed
within one business day, with lnslructlons on how to schedule yourlnspe cUon.
NOTE: ThisAuthorlzatlon To Begin Work expires within 180 days If a permit ,is rio~obtalned.
The tocal building Clepartment may detennlne that an Authonzatlon To Begin Work Is null and
voId if It does nol meet applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-1 0-001 01
Approval Code: 00037D 3/4/2010 4:30 pm
E-mailedTo:dan@reynoldselectric.com
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h"'",,"'{"" -",->,",'.'PL:ANREVIEW,' "",,",''''- . :1
Please check all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings mOre than three stor
10,000 Amps at150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
o Fire pumps D Commercial-use agricultural
buildings
o Emergency systems D Installation of a 150 Kl/A or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A", "E", or"I+2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health Care facilities o Supply voltage for more than
600 supply volts nominal
I';tq,;::;,. "Y';' FEE SCHEDULE" ., : i;,;.",:;>~ "
Description I aty, I Ea, Total
~r~!1Ch'l;ir~ua5 + 't;~"";_:,;.. -":t, -.' :" ";'" ;" " '''i,; "",,"",f
Branch circuits without service or 1 $55.00 $55,00
leeder
Branch circuits each additional 5 $6,00 $30,00
circuit without service
~le~tricaIRermlfFees. . -. ' ," ,>,
Subtotal $85.00
State surcharge (12% of permit $10,20
tota)}
Technology fee (5% of per.mit total) $4.25
TOTAL PERMIT FEE $99.45
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A'fi'EN110N: Oregon law TequlrG9va~
Cl:lIIow rMGQ 8CIopted by the Oregon UtilIO;7
NotIfIcsffon Center. Those RIles are set forGJ
tn OAR 952.001.001 0 through OAR 952.000.
CI09O. You mQJf obtdn copies of tho RIIellit;7
ding ths oanter. (Note: the telephone
~ for Ihe Oregon Ulillly N~
Center 10 1..aoo-,3,2,2344).
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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
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SF!lI1NOI;IIlL,Q,
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6605 E ST
ASSESSOR'S PARCEL NO.: 1702341403829
PROJECT DESCRIPTION: Kitchen remodel
Owner: WALBVRGER MARILYN ROSE
Address: 6605 E ST
SPRINGFIELD OR 97478
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00252
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/26/2010
09/05/2010
$ 5,000.00
Springfield TYPE OF WORK: Kitchen
"
TYPE OF USE: Alteration
Residential
Phone Nnmber: 541-505-9249
I CONTRACTOR INFORMATION ~
Contractor License
DA VID ZARZYCKI GENERAL CONTRACTIlI05626
NEW REYNOLDS ELECTRIC INC 184921
BUILDING INFORMATION I
Contractor Type
General
Electrical
# of Vnits:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
04/26/20 II
01/01/2011
Phone
541-688-0243
541-343-7297
n/a
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 ~
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard SetbackN' OTlell!
Solar Setbacks: 1:;:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
':'::s~:...':~:~~~~,~~f.i.~,~:~:.,~:9y:~r.age:
REliulRED PARKING
Total:
Handicapped:
ATi"ENT10N:'Ore~'YfIU1ii
follow ruloo adopted by the Oregon UtImv
NotlflcatlonCenter. Those rules are ll9t forI9i
AUTHORIZED UNDER~MENTS ~
Street Improveme~QfVlMENCED OR IS,'i:-';,'-'
ANY 180 DAY PERIOD. . "c,',,'v. i'i:"'" .
Storm Sewer Available: ,'. '. .
Special Instruction:
0090. You may obt8ln copies of ttle rul8Qll!J?
l!lI/llng,lhI oenter.(NoIe: ttle telephone
rilIft\l)'8l'foTtllll:Oregon UtIllly'NotIflCtlltlcllil
Downs~Wi>JqiA~.2344).
Notes: .
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Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeclion Line
Description
Eslimale
Tvpe of Construction
Estimate
Fee Description
Plan Review Residenlial
+ 12% Stale Surcharge
+ 5% Techuology Fee
Add, Alter, Exlend Circ
Add, Alter, Exlend Circ Eo Add
Total Amount Paid
Public Works Review
Structural Review
03/03/20 I 0
03/03/20 I 0
Initial Review
Planning Review
03/01/2010
03/03/2010
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I Valuation Description ~
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amounl
5,000.00
Total Value of Projecl
. Fees Paid ~
,
.~' .. ,~
Amounl Paid'
$56.71
$10.20
$4.25
$55.00
$30.00
$156.16
Date Paid
2/26/10
3/5/10
3/5/10
3/5/10
3/5/10
Plan Reviews ~
03/03/20 I 0
03/03/20 I 0
APP LLH
APP DDK
Reauired Insoections ~
Rough Electric: Prior to Cover
. Final Eleclric: When all electrical work is complete.
Page 2 0/"3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00252
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/26/2010
09/05/2010
$ 5,000.00
Value
Date Calculated
$5,000.00
$5,000.00
02/26/20 I 0
Receipt Number
1201000000000000181
1201000000000000205
1201000000000000205
1201000000000000205
1201000000000000205
Interior remodel only. No planning
issues.
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Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00252
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/26/2010
09/05/2010
$ 5,000.00
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
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO occur ANCY 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 properiy, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Page 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
lif~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000205
Date: 03/05/2010
9:34:28AM
Job/Journal Number
COM20 I 0-00252
COM20 I 0-00252
COM20 I 0-00252
COM20 I 0-00252
Payments:
Type of Payment
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
Amount Due
55.00
30.00
10.20
4.25
$99.45
Item Total:
, . Check Number Authorization
Received By Batch Number Number How Received
Amount Pnid
$99.45
ONLINE NEW Online
REYNOLD
S
Payment Total: .
cReceintl
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Page I of I
$99.45
3/5/20 I 0