HomeMy WebLinkAboutPermit Electrical 2010-5-20
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00217
Approval Code: 05902D 5/20/2010 1 :19 pm
E-malledTo:dan@reynoldselectric.com
D New Construction
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D 1 or 2 family dwelling 0 Multi-family IZl Commercial 0 ~ccessory
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Job Address: 3545 GATEWAY ST
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City/State/ZIP: SPRINGFIELD, OR 97477
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Suite/bldg.lapt.no.:
Project Name: Chase
Cross Street/directions to job site: Beltline
Tax mapfparcel no.:
1703153301200
T, DESCRIPTloN'OF .'NORK
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repair circuit to sign
'c" k;':,,:~:,J.I SITE'CONTACT..' ":~:,,
Name:
Phone:
Fax:
Email:
Elec Iic. no.: C451
CCB lie. no.:
"GON1J~;\C.TOR'; :
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
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Address: 2175 W 2ND AVE
City/StatefZIP: EUGENE, OR 97404
Phone: 5413437297
Fax: 5413454808
Email: jeremy@reynoldselectric.com
Metro Iic. no.:
City Iic. no.:
Supervising Electrician's lic, 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 permit will be e-rnailed or faxed
within one business day, with instructions on how 10 schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.. '
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The local building department may determine that an AuthQrlzation To B.~~_!9':.:r'0!~. :~s'~ ':I~I' and
void if it does not meet applicable land use Jaws and local ordinances.
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.~P0IN.REVjEW
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 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
Branch circuits without service or
feeder
Misc~,IJ~t1~Ol!~\C;'
Balance of permit fees
!=I~c~rjcal;p'ermit Fe-es
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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D Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
D 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
$3.00
$58,00
$6.96
$2.90
$67.86
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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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00652
ISSUED: 05120/2010
APPLIED: OS/20/2010
EXPIRES: ll/20/2010
VALUE:
Status
Issued
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225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3545 GA TEW A Y ST
ASSESSOR'S PARCEL NO,: 1703153301200
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Repair circuit to sign
Owner: WESTERN SERVICE CO
Address: PO BOX 7788
NEWPORT BEACH CA 92658
Contractor Type
Electrical
I CONTRACTOR INFORMATION I
Contractor License
NEW REYNOLDS ELECTRIC.INC 184921
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BUI~?ING INFORMATION I
Expiration Date
0110112011
Phone
541-343-7297
# of Units:
Primary, Occupancy Group:
Secondary Occupancy Group:
Primary COIlstruction 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, 'Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd;
0/0 of Lot Coverage: .
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I PUBLIC IMPROVEMENTS I
, .. ,., AlTENTlON: di"'!fJ'r!l~ulre5 you to
:i:i,-~" 11;';~' ,fullow ~Ies adqm~~~Ioo6/1lltfjS!n Utility
1"o!'" ""'" Notification Center, Those rules are set forth
':~":'.j; , ."';'InOAR952-oll1-0010throughOAR952-001-
'~ 0080. You may obtain copies of the rules by
oalllng the center. (Note:, t,he tel~~ho~e
Street Improvements:
Storm Sewer Available:
SpeciallnstrIlction:
Notes:
I'HIS PERMIT SHALL EXPIRE IFJI-lr; IAInR.I( D . t' Q:lnter is 1-800-332-2344).
.' 'Y"a1It:\tI'On escnp IOn..
AUTHORIZED UNDER THIS PER II Iv I'U I
Descriptr.;QMME~-Kf6P098J~b~tlh\RONEIJ rnflSq Ft Squa,re Footage Value
ANY 180 DAY PERIOD, or mulhpher or BId Amount
Date Calculated
Page I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00652
ISSUED: OS/20/2010
APPLIED: OS/20/2010
EXPIRES: 11/20/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]:726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
LFees Paid 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid Date Paid Receipt Number
$6.96 5/20/10 2201000000000000548
$2.90 5/20/1 0 2201000000000000548
$55.00 5/20/10 2201000000000000548
$3.00' 5/20/10 2201000000000000548
Total Amount Paid
$67.86
I Plan Reviews I
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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, i1lsp'ections requested after 7:00 a.m. will be made the following
work day. ' "'" ' "
Reouired Insoections I
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 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 struci~~e 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
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Date
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Paee 2 of 2
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
1:36:39PM
2201000000000000548
Date: OS/20/2010
Job/Journal Number
COM2010-00652
COM20 I 0-00652
COM20 I 0-00652
COM20 I 0-00652
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Amou'nt Due
55.00
3.00
6.96
2.90
$67.86
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Ret:~.iYed.~y Ba'tch Number Number How Received
Amount Paid
W~",.
ONLINE NEW Online
REYNOLD
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$67.86
Payment Total:
$67.86
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