HomeMy WebLinkAboutPermit Electrical 2010-5-7
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00199
Approval Code: 049950 5/7/2010 12:42 pm
E-mailedTo:dan@reynoldselectric.com
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726~3753
Email: permilcenler@ci.springfield.or.us
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0 New Construction IRJ Addition/alteration/rap laeeme nl
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0 1 or 2 family dwelling D Multi-family IRJ Commercial D Accessory
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Job Address: 6330 MAIN ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suitefbldg.lapt.no.: 31
Project Name: east village apartments
Cross Street/directions to Job sIte: 63rd
Tax map/parcel no.: 1702343103001
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electrical trim and Add circuits as needed
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Name: "if:'
Phone: Fax:
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Elec lie. no.: C451 CCB lie. no.: 184921
Business Name: NEW REYNOLDS ELECTRIC INC
Contact: "
Address: 2175 W2ND AVE ..... " "
City/State/ZIP: EUGENE. OR 97404
Phone: 5413437297 Fax: 5413454808
Email: jeremy@reynoldselectric.com
Metro lie. no.: City lie. no.:
Supervising Electrician's lie. no.: 54045
Supervising JEREMY A REYNOLDS ....
Electrician's Name:
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Number of inspections Included in paid services: ,-
Residential Service: 4 ,
Reconnect Only: 1
All Other Services: 2
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
o Emergency systems
o Addition of a new molar load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
'1?:',j~FEE J>9'Hi::OULE"
Qty.
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Description
~r~:fi'dh: cifcuitS~'ff\;>'"ij;'
$55,00 $55.00
9 $6,00 $54,00
$109.00
$13.08
$5.45
$127.53
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Ehfctrical,Permf(feeS;-"+ '~: .
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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Upon review and approval by your local jurisdiction, your permit will be e.malled Qr faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permil is not obtained.
The local building department may determine that an Authorization To Bogin Work is null and
void if it does not meet appllcablo land uso laws and local ordinances.
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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-0058I
ISSUED: 05/07/2010
APPLIED: 05/07/2010
EXPIRES: 11/0712010
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726}769 Inspection Line
SITE ADDRESS: 6330 MAIN ST APT 31
ASSESSOR'S PARCEL NO.: 1702343103001
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: electrical trim and add circuits as 'needed
Owner:
Address:
V-E DEVELOPMENT
5729 MAIN ST PMB 302
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
NEW REYNOLDS ELECt:.RIC INC
License
184921
Expiration Date
01101/2011
Phone
541-343-7297
BUILDll';;GiNFORMATION .
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
.... 'Overlay Dist:
# Street Trees Rqd:
Paved Ddve Rqd:
% of Lot Coverage:
REQUIR~D PARKING
Total:
Handicapped:
Compact:
,I PUBLIC IMPROVEMENTS ~
Street Improvements:
Sidewalk Type:
'Ai';:;> i \\.
Storm Sewer Available: ",.,-:i.'~;, "ii:" "iV" " .. DownspoutslDrains:
Special InstWOTItE:'1:.w-6;~~~:':- ATTENTION: Oregon law requires you.t,o
THIS PERMIT SHALL EXPIRE IF THE T follow rules adopted by the Oregon Utility
Notes: AUTHORIZED UNDER THIS PERMIT IS NO Notification Center. Those rules are setforth
I n \ R hOAR 952-001-
I: ~!VIIVI I U I . . . iQ90. You may obtain copies of the ru es y
, '/180 DAY PERIOD, ValuatIOn DeSCrIptIon hlling the center. (Note: the telepho~e
umber for the Oregon Utility Notificalion
$ Per Sq Ft Square PootageCenter is 1A\OO-332.2344\. C lId
I. I" B'd A Vlllue Date a cu ate
or mu tlp ler or I mount
Description
Type of Construction
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Pa~e I of2
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00581
ISSUED: 05/07/2010
APPLIED: 05/07/2010
EXPIRES: II/07/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$13.08
$5.45
$55.00
$~4.,!!O"
5/7/10
5/7/10
5/7/10
5/7/10
3201000000000000198
3201000000000000198
3201000000000000198
3201000000000000198
Total Amount Paid
$127.53
I Plan Reviews ,
To Request an inspection call the 24 hour re(;(,~di'i1g'at'726-3769. All inspections requested before 7:00
a.m. will be made the same working day, in'sp!~ctions requested after 7:00 a.m. will be made the following
work day. ''',-~' ..,.
Reauired Insoections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the com~leted applicatiou and do hereby certify that all
information hereon is true and correct, and I further certify that any arid 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 str'ueture without permission of the Community Services Division, Building Safety,
1 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
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Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1 :58:48PM
3201000000000000198
Date: 05/07/2010
Job/Journal Number
COM20 I 0-0058 I
COM20 1 0-00581
COM20 1 0-00581
COM20 1 0-00581
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add. Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
55.00
54.00
13.08
5.45
$127.53
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Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm ONLINE new Online
reynolds
Payment Total:
$127.53
Amount Paid
$127.53
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5/7/2010