HomeMy WebLinkAboutPermit Electrical 2010-6-7
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.spring!leld.or.us
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Residential Electrical Authorization To Begin Work
69600-BE L-1 0-00249
Approval Code: 05436D 6/7/2010 8:18 am
E-mailedTo:dan@reynoldselectric.com
PLANiRE\/IEW,,,. . "'
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D New ConstruCtion
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 10 gr~und exceeds
14,000 Amps for all other
'. -'~'4:'~;;~4.CATEG6RY~OF'C6~STRUG:rIQN::y, " .
[Z] 1 0; 2 family dwelling 0 Multi-family 0 Commercial 0 Ac~ssory
r '. "~' ;"lii,\,'JOB'SITE'INF.0RMA TfoNAND.LOCATIOf{'''?,
Job Address: 1 051 S 41 ST ST
City/State/ZIP: SPRINGFIELD, OR 97478
D Fire pumps
o Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
Suitefbldg./apt.no.:
Project Name: Larry Trimble
Cross Streetfdirections to job site: Jasper Rd
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Tax maplparcel no.:
1802061418900
':;,. FEE'SCHE~DU[E C,."
Qty.
Hot Tub and circuits to shop
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Electdcal'p'erlT1!(~e-es .
Subtotal
'State surcharge (12% of permit
total
Technology fee (5% of permit total)
Fax:
" ;';CONTRACT,OR
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18492t'~"'" .
TOTAL PERMIT FEE
Elec Iic. no.: C451
CCB Iic. no.:
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
Address: 2175 W 2ND AVE
CitylStatelZIP: EUGENE, OR 97404
Phone: 5413437297
Fax: 5413454808
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Email: jeremy@reynoldselectric.com
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Metro lic. no,:
City lic. no.:
Supervising Electrician's Iic, no.:
54045
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 a-mailed or faxed
within one business day, with instructions On how to schedule your inspection.
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NOTE: This AuthorizlItion To Begin Work expires within 180 days If II permit is not obtaln'ad.
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The local building department may determine that an Authorization' To Begi!:' Work Is null and
void if it does not meet applicable land use laws and local ordinances.
D Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$55.00 $55.00
2 $6.00 $12,00
L~ ""At!.
$67.00
$8.04
$3.35
$78.39
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00726
ISSUED: 06/07/2010
APPLIED: 06/0712010
EXPIRES: 12/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1051 S 41ST St
ASSESSOR'S PARCEL NO.: 1802061418900
~pr.ingfi~ld TYPE OF WORK: Electrical Work Only
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PROJECT DESCRIPTION:
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Hot tub and circuits to shop
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TYPE OF USE:
New
Residential
Owner: TRIMBLE PHYLLIS L & LARRY L JR
Address: 1051 S 41ST ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
I: .l
NEW REYNOLDS ELECTRIC INC 184921
I'-BuiLDING INFORMATION~
Expiration Date
01/01/2011
Phone
541-343-7297
# 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~B\iilding:
'.' ," -~I .'~" J j",-
. Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVE~OPMENT INFORMATION ~
REQUIRED PARKING
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes: Oo\<.
N iICE: Ell' il-lE W "
\ \-\\S PER DER 1\-\\S pE 12
,~.U1\-\OR\ltD UNR IS P\SP\NDONE ~lUation Descri
. COMMENCED 0 \0
Description,,' , ?,Q'J\Vile' Jf~nsRuction
1"\1'1.' \.
I PUBLIC IMPROVEMENTS ! \a requireS you to
. AIII:I'lIl N: o~~~~n.tl11 ~Qregon Utility
" . follow r~les ad f" Those rules are set forth
" ,Notification cen~~'1B\l\YIl~I(!lAA:952-001-
In OAR 952-001- btain copies of the rules by
0090. You may 0 Note' the telephone
calling the cen~r. (on uiility Notification
number for the. r~g -332-2344).
,Street Improvements:
Storm Sewer Available:
Special Instruction:
$ Per Sq. Ft.., ,,,:. . Square Footage'
or mult(i'pH.er~Q~ '},ti~.\' or l;Jid Amount
Value
Date Calculated
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Paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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".: 'i~
:rpv
$8.04'.1,~
$3.351':"":
$55.00?' '
$12.00
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00726
ISSUED: 06/07/2010
APPLIED: 06/07/2010
EXPIRES: 12/07/2010
VALUE:
.. Date Paid
t?11.:;: I',
Total Amount Paid
$78.39
I Plan Reviews ~
617110
617110
617110
617110
Receipt Number
2201000000000000643
2201000000000000643
2201000000000000643
2201000000000000643
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,'i~'spections r'equested after 7:00 a.m. will be made the following
work day.'
l~.i-eauired Insoections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is comP'lete. .
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By signature, 1 state and agree, that I have carefully!:e*.mine<l,the completed applieation and do hereby certify that all
information hereon is true and correct, and I furth'e:~;:c'ertify 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 strncture withont permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all required inspections are reqnested 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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Page 2 of 2
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Reeeipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000643
Date: 06/07/2010
8:31 :03AM
Job/Journal Number
COM20 I 0-00726
COM20 I 0-00726
COM20 I 0-00726
COM20 I 0-00726
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
"'Check Number
. J~ef~i~ed By Batch Number
njm
ONLINE
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Page I of I
Item Total:
Authorization
Number How Received
Amount Due
55.00
12.00
8.04
3.35
$78,39
Amount Paid
new Online
reynolds
Payment Total:
$78.39
$78,39
6/7/2010