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Home My WebLink AboutPermit Electrical 2010-4-1 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541.726-3753 Email: permilcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00136 Approval Code: 037560 4/1/2010 3:48 pm E-mailedTo:dan@reynoldselectric.com o New Construction i; "'jyPE~rOF'wc5'RK:."" -:<; ':""'7'"'7Z~~!;:''''''''~'~:~:~ ~ Addition/alteration/replacement r . .",. .~,.; /CATEGORY OF CONSTRD.C,TION [R] 1 or 2 family dwelling D Multi-family 0 Commercial o Accessory I' ' ,'.' ~""" .' 'JOB'SITE'INFORMATION'ANo.l.6ci\'noN "', Job Address: 919 4TH ST City/StatefZlP: SPRINGFIELD, OR 97477 Suitelbldg.lapt.no.; Project Name: Emerald Property "\, Cross Street/directions to job site: G Street Tax map/parcel no.: 1703352107500 Fax: , ,CONTRACTOR Elec lie. no.: C451 184921 CCB lie. nc.: Business Name: NEW REYNOLDS ELECTRIC INC Contact: Address: 217 .. :., ,'\, ;~r:,"i;l:";~;h~;":\ o Clty/State/Z1PFfmNP,~MJ1j3.sHAtl ~P1RE IF Phone, 541341~4:rHOR\ZE Email: jeremy@reynoaseec r c.c ,,' Metrolic. no.: City 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 faxed within one business day,wllh Instructions on howto schedule yourlnspec tion. NOTE: This AuthorizatIon To Begin WorX expires within 180 days if a permit is_not .obta!ned. The local building department may determine that an Authoriz.atlon To Begin Work is null and void If It does not meet applicable land use laws and local ordinances. Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other. D Fire pumps D Emergency systems D Addition of a neW motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities Description " Services 200 amps or less Ejectrical:Permie~ees.~ Subtotal State surcharge (12% of permit total Technology fee (5% of permitlotal) CI(J- 401 D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys o "A". "E", or "1-2" or "1-3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal ';J $81,00 $9.72 $4.05 $94.77 k)2. Lf l-cd 10 ATTENTION: Oregon law requfreg ~ ~ follow mea adopted by the Oregon UtiIIiV L\lotlficatlon Center. Those rules n GGi ~ l'll OAR 952-401-41)10 through OAR 852-Gl)~o @l)9Q. You may obtlln ooj)/eQ o'i IhG rubo ~ I/lI!IJIng IhG center. (Note: tho icl8phooo ~forthe Oregon Utility ~~ tenter Ie HIOO"~12..zwJ). J ,.;~\\~.,_. '. ('). ~ ;}J~" .''',.,.~, \j)~- '. \ \.~. Co~Q . tx.. ~ ~'tR ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced bya,Permit :,! TOTAL PERMIT FEE tlO -40'1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00407 ISSUED: 04/02/2010 APPLIED: 04/01/2010 EXPIRES: 10/02/2010 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 919 4TH ST . ASSESSOR'S PARCEL NO.: 1703352]07500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Remove and replace meter base for residence. Residential Owner: SCHERER INVESTMENTS CO Address: PO BOX 87 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor License NEW REYNOLDS ELECTRIC INC 184921 BUILDING INFORMATION I Expiration Date 01/01/2011 Phone 54 I -343- 7297 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction 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 ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback:"Overlay Dist: Side] Setback: # Street Trees Rqd: Side 2 Setback: ''', ~'q},~:i~4;f'f.,~r}~~;R.~ved ~rive Rqd: Rearyar~~DE: W:l::-,'lt Lot Coverage: Solar Set~ffls':PERM1T SHAtl EXPIRE IF THE UI1 . Total: ATTENTION: Oregon ,tw'lUBS'fog to follow rules adopted btffiB~f&=gon UtIlity Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001. COMMENCED OR IS ABANDON Street ImIW!'r'W\Y~AY PERIOD. Storm Sewer Available: Special Instruction: C IMPROVEMENTS calilng the center. (Note: the telephone nU~&twa\ie.Qh~gon Utility Notification . Center is'r:llOO-332-2344). Dowuspouts/Drains: 't I".' Notes: I Valuation Description , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated _j:~~~' ,ij,:,';~~,;\,. , Pa!!e ] of 2 -1', . " lIE.t;~!'!"!',!PJlI~" :l~ "': ...................:.. '"r.: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00407 ISSUED: 04/02/2010 APPLIED: 04/01/2010 EXPIRES: 10/02/2010 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__ Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.nu:. $4.05":" $81.00 , ',;: i;;':-'-,.: 4/2/10 4/2/10 4/2/10 2201000000000000308 2201000000000000308 2201000000000000308 Total Amount Paid $94.77 I Plan Reviews , 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. . ReQuired Insoections I Electric Service: Approval reqnired prior to utility company euergizing 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 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 La~s ofj~'e,Si~te 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 Page 2 of2 , J.'.: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone $fj:a,~~.~~a.""'" '[.':.' Wit.... ~. ..' . . " . - ,. ., " ,- .'. ...~.="c-"_.,~.'._...T.'-.. .' . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000308 Date: 04/02/2010 9:J5:22AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 9.72 4.05 $94.77 Job/Journal Number COM20 I 0-00407 COM20 I 0-00407 COM20 1 0-00407 Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE NEW Online REYNOLD S ELECTRIC Payment Total: $94.77 $94.77 "~ i',~ ':,C '; ,[, " .,:., I ~~.~ Ny;"'r." . cReccintl Page I of 1 4/2/20 I 0