HomeMy WebLinkAboutPermit Electrical 2010-7-19
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Emai1: permitcenter@ci.springfield.or.us
(2/0.957
Residential Electrical Authorization To Begin Work
69600-BEL-10-00334
Approval Code: 081580 7119/2010 3:29 pm
E-mailedTo:dan@reynoldselectric.com
o New Construction
[R] Addition/allerati~nl~~~lac'e;i)e~t'.~:'
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[Z] 1 or 2 family dwelling
o Multi-family 0 Commercial
o "Adcessory
C"." )OB:SIT'E iNFORMATklN'AND,'LOCATION
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Job Address: 1125 58TH $T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.: 36
Project Name: Golden Oaks Mobil home park
Cross Street/directions to job site: Highbanks Rd
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Tax map/parcel no.:
1702342200100
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Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault curren! exceeds
10,000 Amps at 150 Valls 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
D Health care facilities
replace meter pedalstal and feeder
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Name: Dan Boaz
Phone: 541-343-7297
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Fax: 541.345.4808
Email:
'CONTRAC'fOR':
Elec lic. no.: C451
184921
CCB lic. no.:
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
Address: 2175 W2ND AVE
City/State/ZIP: EUGENE, OR 97404
Phone: 541-343-7297 Fax: 541-345-4808
Email: jeremy@reynoldselectric.com
Metro Iic. no.: City tic. 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
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Upon review and approval by your local jurisdiction, your permit wiii;-~~'..::.~.:m~-i"l;d.,;.t~. faxed
within onll business day, with instructions on how to Schlldule your inspection. .1:~:"" ,
NOTE: This Authorization To Begin Wor1<; 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 nol meel applicable land use laws and local ordinances.
"t.':;E;,;,l; FEE SCHEDULJ;"
Description Qty.
$e~if:~l:i'q!'!~(jJ3Y~>!:tcjf;';
Services 200 amps or less
g)l;tctrip~(F)~?miJt~~s~",'l
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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Corn/ZO /0
7-- C)--a - pc)
,PLAN REVIEW,,', ~ .
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D Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
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", 'IE", or "1-2" or "1_3N
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$162.00
$19.44
$610
$189.54
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Inspections Phone: 541.726.3769
'fhis Authorization To Begin Work must be posted aUhe job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00957
ISSUED: 07/20/2010
APPLIED: 07/20/2010
EXPIRES: 01/20/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1125 58TH ST SPACE 36
ASSESSOR'S PARCEL NO.: 1702342200100
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Move
Residential
PROJECT DESCRIPTION: Replace meter pedestal and feeder
Owner: GOLDEN OAKS MOBILE HOME PARK LLC
Address: 798 PRESCOTT LN
SPRINGFIELD OR 97477~'''' . " '"
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I C0NT-RAC'fOR'INFORMATION I
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 Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type': -"^' ..
---E\iergy' Path:'
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otlier:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
I,'a~ed Prlve Rqd:
. ~%,~f L,~t ~overage:
.,..........". ..."~_....~. ,.~.
REQUIRED PARKING
Tolal:' : .
Handicapped:
Compact:
"l'l"'lr
Street Improvements:
1...1 II I~, ~l::l~"~" ,
PUBLICTMPROVEMEN I W rules adopted by the Oregon Utility .
ollficati~" Celiler Those rules are set forth
in OAR 95~~5ll'f-5Q11~~irough OAR 952-001-
0090. YcDoWll~Jfolitsmfiilii;f:S of the rules by
calling the center. (Note: the telephone
number. for the Oregon Utility Notification
Center Is 1-800-332-2344).
Storm Sewer Available:
Special Instrnc.tl'on~ .
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Notes: '!'S PERMIT SHALL EXPIRE IFTHE WORK
iT:-iORIZED UNDER THIS PERMIT IS NOT
'r,':hICED OR \S AtlANUUN~
'~ -. -\I PERIOD. Valuation Descri
,
Tvpe of Construction'
_ ""J.-U.;~.~
$ Per Sq<Ft
or mnltiplier
Description
" - ,,' Square Footage
or Bid Amount.
Value
Date Calcnlated
Paee I of2
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Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'Total Valne,of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$19.44
$8.10
$162.00
Total Amount Paid
$189.54. "l:'j
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7120/10
7120/1 0
7120/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00957
ISSUED: 07/20/2010
APPLIED: 07/20/2010
EXPIRES: 0112012011
VALUE:
Receipt Number
3201000000000000456
3201000000000000456
3201000000000000456
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 Reauired Inspections ~
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Approval reqUIred prIor to. utIlity. company energIZIng service.
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Electric Service:
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify Ihat all
information hereon is true and correcl, and I further certify Ihal any and all work performed shall be done in accordance with
the Ordinances of Ihe City of Springtield and the Laws of Ihe Slale of Oregon perlainiug 10 the work described berein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701,005 will be used on this project.
I fnrther agree to ensure that all required inspections are requested at the proper time, tbat 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. ,:':::::::;:. ':~::~,:;j-:"""'. '.
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Owner or Contractors Signature
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Page 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
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3201000000000000456.
Date: 07/20/2010
8:21:40AM
Description ':i,~.r:~~\:~..
Penn Serv/Fdr 200 amps or less'
+ 12% State Surcharge
+ 5% Technology Fee
, :.it:j,.
Amount Due
162.00
19.44
8.10
$189.54
Job/Journal Number
COM20 10-00957
COM20 I 0-00957
COM2010-00957
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
NJM
ONLINE NEW Online
REYNOLD
S'
$189.54
Payment Total:
$189.54
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