HomeMy WebLinkAboutPermit Electrical 2010-6-10
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Ernail: permitcenter@ci.springfield.or.us
(!,I{) . 740
Residential Electrical Authorization To Begin Work
69600-SEL-10-00253
Approval Code: 00592D 6/10/2010 10:13 am
E.mailed To: dan@reynoldselectric.com
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o New Construction
1Zl1 or 2 family dwelling
o Multi-family D Commercial
JOEfSITE INfORMATioN ANDIdcA TION:~'u
Job Address: 2188 DEBRA DR
City/State/ZIP: SPRINGFIELD, OR 97477
Sulte/bldg.lapt.no.:
Project Name: Mear
Cross Street/directions to job site: hayden bridge
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Tax map/parcel no.:
1703261102900
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install circuits for mini split system
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SITECQf\jTACT
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Name:
Phone:
Fax:
Email:
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.'%.:" 1;.. .CONTRA'qOR: .' . "
Elee lie. no.: C451
eGB lie. no.: 184921
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
Address: 2175 W 2ND AVE
CityfState/ZIP: EUGENE, OR 97404
Phone: 5413437297 Fax: 5413454808
Emall: jeremy@reynoldseleclric.com
Metro lie. no.: City lie. no.:
Supervising Electrician's lie. 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
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Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one .buslness day, with instructions on how to schedule your in5P8ct.i~n..:'t-: ;~::."
NOTE: This Authorization To Begin Work 8l1;pires within 180 days if a permit Is 001 obtained.
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The local building department may determine thai an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
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
Description
.B'rarl'chfcirc~i~5~5'
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
ElectricaliPermitFees' i,,-;.~,
~ubtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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(o~IO-/O
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
D "A", "E", or "1-2" or "!-3"
D Recreational Vehicfe Parks
D Supply voltage for more than
600 supply volts nominal
E.. Total
$55.00 $55,00
$6.00 $600
,.., ......,
$61.00
$732
$3.05
$71.37
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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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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00740
ISSUED: 06/12/2010
APPLIED: 06/09/2010
EXPIRES: 12/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2188 DEBRA DR
ASSESSOR'S PARCEL NO.: 1703261102900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install Air conditioner
Owner: MEER CARL DEAN
Address: 2188 DEBRA DR
SPRINGFIELD OR 97477
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I CONT'RACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor License
NEW REYNOLDS ELECTRIC INC 184921
INNOVATIVE AIR INC 161742
BUILDING INFORMATION ~
Expiration Date
01/01/2011
10/11I2010
Phone
541-343-7297
541-746-1040
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:""
Range Typei'
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
nln
I DEVELOPMENT INFORMATION ,
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#~treet Trees Rqd:
P:aved'Drive Rqd:
..,,""-,~..' ""',.--.L .,. .
. %' of Lot Coverage:
r.:,:;')".. .: ";"'; ATTENTION'
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I PUBLIC IMPROVEMl1lNmS'~i~~~ adopted b;ih~ Or:ges you to
~f\ I enter. T!J,Qse on Utility
0090 ~952-0eil~~ll<tl'ird1erUles are set forth
. .ou mljy Ohf' ugh OAR 952 0
calling the ~'Hr1tfP'\l6\\l/lliaiMthe rul - 01.
nUmber for the oer. (Note: the teleph as by
regon Un one
Center is 1-800'33 J Ity Notification
2-2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS'NOT
COMMENCED OR IS ABANDONED FOR,
ANY 180 DAY PERIOD. ,"',
Page I of 3
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Status
Issued
225 Fifth S'reet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Description ,
Description
$ Per Sq Ft
or multiplier
Tvoe of Construction
Square Footage
or Bid Amount
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7 32!' .~" ., " .
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$3.05:;.::"
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$55.00 ~~'J)J. " :~~,~",'
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$6.00".. '
Total Amount Paid
$71.37
I Plan Reviews ~
Date Paid
6/10/10
", 6/10/10
6/10/10
6/10/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00740
ISSUED: 06/12/2010
APPLIED: 06/09/2010
EXPIRES: 12/12/2010
VALUE:
Value
Date Calculated
Receipt Numher
2201000000000000672
2201000000000000672
2201000000000000672
2201000000000000672
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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, insp~ctionsre:quested after 7:00 a.m. will be made the following
I''lf" . ,
work day. .'
l...P.eouirecUnsnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover ?~L:;rt ",_'
.'!1.p .,r"t;.,"
Final Electric: When all electrical work is complete., .:.".:-
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00740
ISSUED: 06/12/2010
APPLIED: 06/0912010
EXPIRES: 12/12/2010
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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By signatnre, I state and agree, that I have carefnll{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 perform'ed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws ofthe 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.
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Owner or Contractors Signature
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Date
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Page 3 of 3
225 Fifth Street
Springfield"Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000672
Date: 06/10/2010
12: 19:58PM
Job/Journal Number
COM20 I 0-00740
COM2010-00740
COM20 I 0-00740
COM2010-00740
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Description 'lP;.~l:
Add, Alter, Extend Circ "';;)";
Add, Alter, Extend Circ Ea Add:,;."T
+ 12% State Surcharge
+ 5% Technology Fee
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Amount Due
55,00
6.00
7,32
3,05
$71.37
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Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
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ONLINE
new Online
reynolds
Payment Total:
$71.3 7
$71.37
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