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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, ';: