HomeMy WebLinkAboutPermit Electrical 2010-5-20
City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield.or.us
~IO.w4-'6
Residential Electrical Authorization To Begin Work
69600-BEL-10-00216
Approval Code: 043590 5/20/2010 8:31 am
E-mailedTo:dan@reynoldselectric.com
o New Construction
[R] Addition/alteration/replacement
c.4,i;;:.'h,:}C"'TEG6RY:6F~c6NSlRucfioN;z; "
[Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
"I.' _:"
-'~:JcllfsITE INFORMATiON AND--~ocATION,.;
Job Address: 792 S 70TH $T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.fapt.no.:
Project Name: S 70th
Cross StreeUdirections to job site: Main Street
''':(1t;,
.'."r.....
",
Tax mapfparcel no.:
1802022201500
DE$9RI_FfnON~Of'YVQRK' ~:~~":t~;~~~:~;;~Ylr,,"h;".r, ,~J
siTE~cor{TAcf\ '.' .
Name:
Phone:
Fax:
Email:
r.":"
('~,
'CONTRACTO~ ::..;, , '"
Elee lie. no.: C451
184921
CCB lie. no.:
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
Address: 2175 W 2ND AVE
City/State/ZIP: EUGENE, OR 97404
Phone: 5413437297
Fax: 5413454808
Email: jeremy@reynoldselectric.com
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
5404$
Supervising Electrician's Name:
JEREMY A REYNOLDS
Number of inspections included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
..
Please check all that apply:
o 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
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
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
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
::. ~'
Description
~la~ cti\#fl'c u itS'::~i~~:'-
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
~^l9'4(ricalTp-~rmii ~e9sr-;' ,...';'.
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
Total
$55,00
$55,00
TOTAL PERMIT FEE
.'/
~'tJ \~
\: "
$6,00
$6.00
'<:i
"'\7",.,.._ ,.",,-
$61.00
$7,32
$3,05
$71.37
~
O.fl.\.\D
~~Q-
~
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. CarYl L.o J 0 __ G:J0~
NOTE; This Authorization To Begin Work expires within 180 days if a permit is not obtained. ~ 10
The local building department may determine that an Authorization To Begin.Work is null and n~ 5 - /'
void if it does not meet applicable land use laws and local ordinances. ,>-(;;l'~;fl' . r" 'i.'~r,)':. ~
l>;;"\~.t:, ;';": .'\ .
,;.,--,-,.;.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00648
ISSUED: OS/20/2010
APPLIED: OS/20/2010
EXPIRES: 11/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 792 S 70TH ST
ASSESSOR'S PARCEL NO.: 1802022201500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
. PROJECT DESCRIPTION: Install light fixtures and repair circuits to bedroom and carport
Residential
Owner: PENNY ANN E
Address: 792 S 70TH ST
SPRINGFIELD OR 97478 "~",
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
NEW REYNOLDS ELECTRIC INC
License
184921
Expiration Date
01/01/2011
Phone
541-343-7297
BUILDING INFORMATION I
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Re.ryard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Ddve Rqd:
Y~:~f Lot Coverage:
REQUIRED PARKING
. Total:
Handicapped:
Compact:
Notes:
I PUBLIC IMPROVE~10N: Orero; b~ the Oreg;n Utility
les a~op e utes are set forth
Notification C~iIlewaT~~~h OAR 952-001-
In OAR 952-O%1-.~l\~e3iOl:the rules by
??OO. You may (Note: the te\epho~e
calling the center. Utility Notification
IIlImber tor the. ore~~~""2_2344).
'Center 181""VV-VV
Street Improvements:
Storin Sewer Available:
Special Instruction:
Description
-rOTlCE: ~scriPtion I
'HIS PERMIT SHALL EXPIR .' .
IT~f'PelilEeo\JWrui:lflohHIS PII!MAI14S<l'JOT Squ..re Footage
-"lMENCED OR IS ABAND~l!,ttffVRr or BId Amonnt
. 180 DAY PERIOD.
Value
Date Calculated
" "r+","-"':'"
Page I of2
),;;' ),-; ,~\ i! '(: .
':~""'" . J -',
_~ !:H !'.
"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00648
ISSUED: OS/20/2010
APPLIED: OS/20/2010
EXPIRES: 11/20/2010
VALUE:
Status
Issued
r'~4.
.'"i"
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
Add, Alter, Extend Orc
Add, Alter, Extend Orc Ea Add
Amount Paid Date Paid Receipt Number
$7.32 5/20/10 3201000000000000213
$3.05 5/20/10 3201000000000000213
$55.00 5/20/10 3201000000000000213
$6.00 5/20/10 3201000000000000213
Total Amount Paid
$71.373: ....\. ,'.' '-.
":,' ,.. t".
I.,f,.!lm ~~y\~ws ~
","
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.
LReauired InsDections ~
Rough Electrie: Prior to Cover
~ t'
,j
Final Electric: When all electrical work is coniplete.
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.
1 further certify that only contractors and employee! \Vho '!r~ in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectiori's'a"re'requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of,tJif'p,'O'j)ii'ty, arid the approved set of plans will remain on the site at all
times during construction. ._~.~?~i' ,.,~;'.;'ri,
, M~~. .t,
'I;"
Owner or Contractors Signature
Date
.e.
"".!,
'j
.i
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000213
Date: OS/20/2010
9:28:43AM
Job/Journal Number
COM2010-00648
COM20 I 0-00648
COM20 I 0-00648
COM20 I 0-00648
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Paid
nJm
ONLINE
new Online
reynolds
Payment Total:
$71.3 7
$71.37
Ii':
i-'~('): .
, "'j
,.,j'
-'. '..
Page I of I
5/20/20 I 0
l~}.f~ ,"J, ';: