HomeMy WebLinkAboutPermit Electrical 2010-6-15
City Of Springfield 'l.'. .<.
225 Fifth 51 "'::'}'~".
Springfield, OR 97477
Phone: 541-726-3753 ':t:':,<~~i: ':r~
Email: permitcenter@ci.springfield.or.us I'''' ,'.
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'Residential Electrical Authorization To Begin Work
69600-BE L-1 0-00264
lRl Addition/allerationlreplacemenl
o New Construction
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[g] 1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
'~~:.-':'.7jOB SITE IN~.oR.MA'TrdN AND'LOCATION'
Job Address: 4149 BLUEBELLE WAY
CityfStatefZIP: SPRINGFIELD, OR 97478
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Suite/bldg.1apt.no.:
Project Name: Darren Parmenter
Cross Street/directions to job site: So 42nd St
Tax map/parcel no.:
1702323302418
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Approval Code: 06705D 6/15/2010 10:35 am
E-mailedTo:dan@reynoldselectric.com
'..bH: 'pi2.A.f,f,REVIEW':.
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
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Replace burnt meter base
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Name:
Phone:
Fax:
Email:
.~." "':CONTRACTOR'
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Elec Iic. no.: C451
184921
cce Iic. 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@reynoldseleclric.com
Metro Iic. no.:
City Iic. no.:
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Supervising Electrician's lie. no.:
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5404$
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Supervising Electrician's Name:
JEREMY A REYNOLDS
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Number of inspections inclucted 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-mailed or faxed
within one business day, with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Worlo; expires within 1aO days if a permit is not obtained.
The local building department may determine that an Authorization To Begin. Work is null_~nd,
void it it does not meet applicable land use laws and local ordinances.
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D~scription
, Services;o{f~'eders
Services 200 amps or less
!;Iectf! tal ~Pe firi it; Fees
Sublota!
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o 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
$81.00
$9.72
$4.05
$94.77
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Inspections Phone: 541-726-3769
This Auth~rization 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: COM2010-00768
ISSUED: 06/15/2010
APPLIED: 06/1512010
EXPIRES: 12/1512010
VALUE:
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4147 BLUEBELLE WAY
ASSESSOR'S PARCEL NO.: 1702323302418
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" ,,:..springfield TYPE OF WORK: Electrical Work Only
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TYPE OF USE:
New
Residential
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PROJECT DESCRIPTION: Replace bnrnt meter,hase
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Owner:
Address:
PARMENTER CHERYL R & JAMES D
3553 GARDEN AVE
SPRINGFIELD OR 97478
Contractor Type '
Electrical
I CONTRACTOR INFORMA TION I
Contractor License
NEW REYNOLDS ELECTRIC INC' 184921
BUiiDING INFORMATION I
Expiration Date
,01/01/2011
Phone
541-343-7297
# of Units: '
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
S1friri~~~d,~uilding:' '
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 DEVEIoOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: laW requires you ,t~
ATT5Nl\ON: ore{~~ by the Oregon ~t;~~ih
PUBLIC IMPROVEME ation cente~1 0 through OAR 95~'0 b~
'n 0 R 95?:,o,o1-0 , opies olihe ru es
~090 YoJ'f/!!l\"dkI<I1l?t!c)\e' tile telephOne
, caliing 1bg'~~8y'es~g,,'liii~jty Not)iliC~\IOn
number for t , 1_800-332-2.344.
center IS,
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Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
Description
;',TrlCE:
THIS PERMIT SHALL EXPIR~aWJttil!j},~escriPtion I
~ iJTi~~~$~~ UsND~t~ THIS PH~[S%~?T ..' S~ua.~e Footage
, JK""'~"IJL/l"l5\1i"i0 ?fJAN['or~mn16jl1lg;-'''''!li> 'or Bid Amount
!.if 180 DAY PERIOD.''''''';:' "",;.:'C',
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Value
Date Calculated
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00768
ISSUED: 06/15/2010
APPLIED: 06/15/2010
EXPIRES: 12/15/2010
VALUE:
Status
Issued
Total Valne of Project
LFees Paid ~ '
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Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
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Amount Paidl'::::, .~'
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$9.72'"
$4.05
$81.00
Date Paid
6/15/10
6/15/10
6/15/10
Receipt Number
2201000000000000694
2201000000000000694
2201000000000000694
Total Amount Paid
$94.77
Plan Reviews t
To Request an inspection call the 24 houf.;r~cording 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.
I Re(]uired Insoections ~
Electric Service: Approval required prior to utility company energizing service.
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By signature, I state and agree, that 1 have carefulhl~xa'1',ine~! the completed application and do hereby certily that all
information hereon is true and correct, and I furthe.i-.'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 Oregou 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 Ihat 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
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000694
Date: 06/1512010
I :58:39PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
9.72
4.05
$94.77
Job/Journal Number
COM20 I 0-00768
COM20 I 0-00768
COM20 1 0-00768
Description
Penn Serv/Fdr 200 amps or less
+ ) 2% State Surcharge
+ 5% Technology Fee
Payments:
Type ofpayment
ONLINE CHGS
Amount Paid
njm
ONLINE
new Online
reynolds
Payment Total:
$94.77
$94.77
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