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Home My WebLink AboutPermit Electrical 2010-6-15 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ;.. C-; ,", .., '1.-. /':'- . "'~.L_'_~" ;.:, r..,' ,",',"'"'''''''t ,~"<"""",".,"~ Rl'<f" .--~ D New Construction IRl Addition/alteration/replace menl I , ., " '''";CATEG.ORY,OF.cONSJRUCTlON , .-. .' .: . ...~"'." , 1ZI 1 or 2 family dwelling D Multi-family D Commercial D Accessory let"," ""- '" . ":ioBsi'rE INFORMATION,AN]:lI..OCATION , .')/:-, I Job Address: 4147 BLUEBELLE WAY City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no. : " Project Name: Darren Parmenter . ''- Cross StreetJdirections to job site: So 42nd 51 Tax mapfparcel no.: 1702323302418 " Ii.- ,;~V . "..,te;' ";"'f~Dg$:CRIRfiO"N:QF~W6RK:'" .U' ." ", .":ti:,""] replace burnt meter base ,. <. 7.:\j'~""<r" (~" " I~;:"'J:. .......":..""Y'.f ;" .' f ._~~s:::>. , .. Name: "_.' Phone: Fax: Email: Ic' ,', ,'. " '.' 0," ::C.c,6N'r~9JlJR' ~,. , ;;"'" .., t '"..~ Elec Iic. no.: C451 CCB lic. no.: 184921 Business Name: NEW REYNOLDS ELECTRIC INC Contact: Address: 2175 W 2ND AVE .. . ~.~. City/State/ZIP: EUGENE, OR 97404 Phone: 5413437297 Fax: 5413454808 Emall: jeremy@reynoldselectric.com Metro IIc. no.: City lic. no.: Supervising EI.ectrician's lie, no,: 5404S JEREMY A REYNOLDS ,., ;~_ i~;>.;., i Supervising EI.ectrician's Name: ..;:..... , ,,, Number of inspections included in paid services: ''''!.", i"'i:""' ,.. ~? Residential Service: 4 ' ~4;, i 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 10 schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. (JjQ,7ri-f/ Residential Electrical Authorization To Begin Work 69600-BEL-10-00263 Approval Code: 02919D 6/1.5/2010 10:28 am E-mailedTo:dan@reynoldselectric.com d~':"1 ' ....,..- .y "'fi>tAN'REI,tIEW", '.' .''.'':'' . . ., , " Please check all that apply: D Hazardous locations D A service or feeder beginning D A service or feeder raled at at 400 Amps where the 600 amps or more available fault current exceeds D Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds D Marinas and boat yards 14,000 Amps for all other D Floating buildings D Fire pumps D Commercia!~use agricultural buildings D Emergency systems D Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more D "AU, "E", or "1-2" or "1-3" D Six or more residential units in D Recreational Vehicle Parks one structure D Health care facilities D Supply VOltage for more than 600 supply volls nominal >". ,.,'". ..,.:.'..._. .,.,"~EE\SGHEDULE"\;;\';:') ''',"''''.,.'. C:, Description I Qty. I Ea. I Total Services,or feeders"!';-> ", ''''.,?,'., ",;:, }., .,' ., > '';', ',~ Services 200 amps or less 1 $81.00 $81.00 ~19ctrical,P9rmitF,ges" ,\. ........... "," '''. " .. " Subtotal $81.00 Stale surcharge (12% of permit $9.72 totaH Technology fee (5% of permit total) $4.05 TOTAL PERMIT FEE $94.77 I. " ',' I'., ~ ~ $J \\.~ ~\\o.\O \g' ~ ~:t Cornlj) \ 0 -- CD764 G -15-- 10 NM . Inspections fi>hone: 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: COM2010-00769 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4149 BLUEBELLE WAY ASSESSOR'S PARCEL NO.: 1702323302418 f....,: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace burnt meter base Owner: PARMENTER CHERYL R & JAMES D Address: 3553 GARDEN AVE SPRINGFIELD OR 97478 I CONTRACTOR.INFORMATlON ~ Contractor Type Electrical Contractor NEW REYNOLDS ELECTRIC INC License 184921 Expiration Date 01101/2011 Phone 541-343- 7297 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupan9' Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heal: Water Type: . 'R'iiiigC'TYpe: . Energy Path:" $pi'inkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a , DEVELOPMENT INFORMATION ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . . _.""s.yoll.to . . 1'i" '~ '\I <; ,- , I I PUBLIC IMPROVEMENTS ..~",(!iW..@'8goci \~~! 103. oregoO et IOlth ~lIl\"'U"-', ,,,c'.ople.... \eS are s 0'- fu)\to'Si(t~\\f..I~r!:ype~ ['lose rll. ap..R 952-0 1 lWl\1il<at. Ion ,e, , ['Ilf10 through ttM lules '0'1 . ~?lliilsll\llltsioqlilti~p\es 0 \ phOne ~. 'I'O.Uimay Otel. lNote..:the ~o~itica\iOn . ~~~;:i~l ~~~.al~~~~~~~~ia~4).. nUl"~ (kantel.Ist Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description NOTlG : p'tH: H::' THIS PERMIT SHAll E) Valua '!JTHDRIZEO UNDER TBH~\~/$;rilll,FOF1':' . Sqllare Footage Type ofjConsfr-uclion'S A ".~' ::. .- . . '., ".....-- or multIplIer or Bid Amount \ - "! Pr:RP'"\,Il. Value Date Calculated Page I of 2 Status lssued ,." ,'I, \ ;p,"', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00769 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,i,'.i' .,."., <t', Total Value of Project I, ;WeeS Paidj' . "". ..,n, Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less j-.';(rii'" Amount Paid..' ; HI' , J~: $9.72 $4.05 $81.00 Date Paid 6/15/io 6/15/10 6/15/10 Receipt Number 2201000000000000693 2201000000000000693 2201000000000000693 Total Amount Paid $94.77 Plan Reviews ~ '-",., . ; 'f' " J . . "~"", ,'..y,. 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. I Reouired Insoections I Electric Service: Approval required prior ~Of:~~li.t~I?,n~'~I~~,~nergiZing service. .\,~~,~, '\l;_i!,Ii<""~<'l,.. .. ,.",,,, . ,,,;',,,:ff ',}, By signature, 1 state and agree, that I have carefull):i.~~amined the completed application and do hereby certify that all information hereon is true and correct, and I furtheVc'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 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 arc 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. '! ,(,," Date Owner or Contractors Signature ..... ,..,' ..;1M'{~ \:~ ") t~ ~Ifi;'. i' ' . i'h~~t>:', :~'~f~' 'n.l,'" ... """.... '-'~".Pa2e 2 of 2 \:}:;,i~r H H'" 225. Fifth Street Springfield, Oregon 97477 541-726-3759 Phone '", ~Ai:Q~ wr~ I City of Springfield Official Receipt Development Services' Department Public Works Department RECEIPT #: 2201000000000000693 Date: 06/15/2010 I :58:06PM Job/Journal Number COM20 10-00769 COM20 I 0-00769 COM20 I 0-00769 Payments: Type of Payment ONLINE CHGS cReceintl Description Penn ServlFdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 81.00 9.72 4.05 $94.77 .;1. Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm new Online reynolds Payment Total: ONLINE $94.77 $94.77 j:i " ',' .'t'l ,. Page I of I 6/15/20 I 0 i'i.