HomeMy WebLinkAboutPermit Electrical 2007-6-28
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00012
ISSUED: 06/28/2007
APPLIED: 01/02/2007
EXPIRES: 12/28/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1824 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252100200
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replacing fuse panel
Owner: WARREN JULIAN GUY II & BONNIE K
Address: 1824 LA WNRIDGE AVE
SPRINGFIELD OR 97477
Phone Number: 541-744-9288
I CONTRACTOR INFORMA nON I
Contractor Type
Electrical
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMEN~ , w requireS yOU .t~
. "'TfENT~ or~~lIDtQ1~gon ~t~~~1h
10\\0'11 r~'esc~~~e~.Ib.OS~~~52-001-
Noti~~~~~"()01_001'tl'~ . s 01 the rules by
\n 0 may obtain copl9 he te\ephOne
Notes: OO:-l\~~~he center~ (~rit~~\~ity Notification
a,~ I UUmber 10r the ~~ _~(\n-332-2344).
hullGe. IRE lFT~r~ 'It''l~g. \- .
THIS PERMIT SHA~ElREXPTHIS PERM] I on Description
AUTHORIZED UNO
D . P flMMEl\~!:n na~~~BA~DONEDi~ Sq Ft Square Footage
escnpl'Ion u~ M'e:: ruction . . .
I,NY 180 DAY PER. or multlpher or BId Amount.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: cOM2007-00012
ISSUED: 06/28/2007
APPLIED: 01102/2007
EXPIRES: 12/28/2007
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
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$6.30
$3.15
$5.04
$63.00
$6.30
$3.15
$5.04
$63.00
1/2/07
1/2/07
1/2/07
1/2/07
6/28/07
6/28/07
6/28/07
6/28/07
Receipt Number
2200700000000000003
2200700000000000003
2200700000000000003
2200700000000000003
3200700000000000435
3200700000000000435
3200700000000000435
3200700000000000435
Total Amount Paid
$154.98
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.
1 Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
Electric Service: Approval required prior to utility company energizing 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 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 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
Pa2e 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dan@reynoldselectric.com
Receipt # EC513316
6/28/20072:27:45 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[2U Addition/alteration/replacement
Description
Qty.
Ea.
Total
1,000 sq. ft or less
1 Ea. add I 500 sq. ft. or portion
I-Limited energy, residential
(with above SQ. ft)
I-Limited energy, multifamily
residential (with above s9. ft.) .
I S~n:ices .dR'f~ffsijiistanationfalteration;;XND/OR:;relocation i"
Id~::",<,,,w;,('"'"''';<''''' - x- n-_ ,-,-, '_;_, ,~,-__-,,_-____ '_ _ '_ ""~,,,,_'_BI(',": _i:.,'6i,c:.t+..,,,,,-.,,,:i:',, .--"ct.,,, , ."""'_'_-CO ""n'. - "_"'.'_,.; _" M(,,11ti,'i~'H!U*,'~*,r.:,
_, /
1200 amps or less $6300 $6300 I
1201 amps to 400 amps I
1401 amps to 599 amps I
[K] I or 2 family dwelling
D Multi-family
D Commercial/Industrial
IJob no.: 18404 I Job address: 1824 LA WNRIDGE AVE
1 City/State/ZIP: SPRINGFIELD, OR 97477-2451
I Suite/bldg./apt.no.:
I Project name: Warren
Cross street/directions to job site: Hayden Bridge to 19th to rambling drive to
Lawnridge aye
I Subdivision:
ITax map/parcel no.: 1703252100200
I Lot no.:
Relocating electrical service
1200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
each addl branch circuit
Name: dan
Phone: (541) 343-7297
1 Email: dan@reynoldselectric.com
I Fax:
I Service reconnect only
I Each manufactured or modular
dwelling. service and/or feeder
I Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or limited- not offered online at this jurisdiction
energy panel, alteration, or
extension.
lEI. Iic. no.: 20-155C I CCB lic. no.:
I Business Name: REYNOLDS ELECTRIC INC
I Contact: dan
1 Address: 2175 W 2ND AVE
I City/State/ZIP: EUGENE OR 97402
1 Phone: (541 )3437297 I Fax: None
I Email: dan@reynoldselectric.com
I Metro Iic. no.: 1 City Iic. no.:
I Supervising electrician's lic. no.: 2520S
l~~e~i~ng electrician's name: JOHN A REYNOLDS, !~
17252
I
I
I
· City Of Springfield
Subtotal $63.00
State Surcharge (8% of permit fee) $5.04
City Of Springfield fees · $9.45
TOTAL PERMIT FEE $77.49
10% Local Admin Fee; 5% Local Technology Fee
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or 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 permit is not obtained.
000/)..,
RCPT #: '3 2.S::>o f - '+.55
DATE PROCESSED' (e I ::< ~ } 0 f
PROCESSED BV:.lfffifl 6 N.
This Authorization To Begin Work must be posted at the job site until replacea by a Permit.
COM' ~O () {
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.
22~F.inh Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -00012
COM2007 -00012
COM2007-00012
COM2007-00012
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000435
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 06/28/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page 1 of I
ONLINE REYNOLD In Person
S
ELECTRIC
Payment Total:
2:48:52PM
Amount Due
63.00
3.15
5.04
6.30
$77 .49
Amount Paid
$77.49
$77 .49
6/28/2007