HomeMy WebLinkAboutPermit Electrical 2010-8-3
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City Of Springfield
225 Fifth 81
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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o New Construction
00 AddilionJatteratior\.lreplacemenl
. .~~\ ,: CATEGORy' OF',CONSTRUCTION '14'.,1.:-" - -,4"": 1:\'1
(Z] 1 or 2 family dwelling
o Commercial.1 ~Q Accessory
D Multi-family
r- , . ", ,,- ,JOB -SITE INFORMATION AND LOCA TION-
Job Address: 1125 58TH ST
City/StatelZlP: SPRINGFIELD, OR 97478
Sulte/bldg.1apt.no.: 36
Project Name: Golden Oaks Mobil ~ome
Cross Street/directions to job site: 58th to address
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Tax map/parcel no.:
1702342200100
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DESCRIPTI0'N.OF W(:'RK', ...:- . -;"'.
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reteed posllight
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SITE CONTACT-: ,,-;-C:'"
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Name: Dan Boaz
Phone: 541-343-7297
Fax: 541.345~4808
Emall:
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Elee lie. no.: C451
184921
CCB lie. no.:
Business Name: NEW REYNOLDS ELECTRIC INC
Contact:
Address: 2175 W 2ND AVE
City/State/ZIP: EUGENE, OR 97404
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Phone: 541-343~7297
Fax: 541.345-4808
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Emall: jeremy@reynoldseleetrie.com
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Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
5404S
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 wi!! _~~. e-malled
within one business day, with Instructions on how 10 schedule your inspBct~?4n~::,:'; "~.,~'
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NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obta'lned.
The local building department may determine thai an Authorization To Begin Work is null and
void if it does nol meel applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00358
Approval Code: 05296D 8/3/2010 9:41 am
E-mailedTo:dan@reynoldselectric.com
I
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~Iease check all that apply: o Hazardous locations
tl A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
avaHable 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 Commercial-use agricultural
buildings
D Emergency systems D Installation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A", "E", or "1-2" or "1-3"
D Six or more residential units in o Recreational Vehicle Parks
one structure
D Health care facilities D Supply voltage for more than
600 supply volts nominal
"-' ,;.c'" ,,' ~,' 'FEE.SCHEDUlE , , " "
Description I Qty- I Ea. I Total
Branch Circuits . : +:'.' '.. '/' ".' " :,,'
Branch circuits without service or 1 $55.00 $55,00
feeder
!VIiscellaneous - ,
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Balance of permjt fees I $3.00
Electrical Permit Fees , ,
Subtotal \ $58.00
State surcharge (12% of permit $6.96
total)
Technology fee (5% of permit total) $290
TOTAL PERMIT FEE $67.86
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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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CITY OF SPRINGFIELD
Status
Issued
,
Building/Combination Permit
PERMIT NO: COM2010-01041
ISSUED: 08/03/2010
APPLIED: 08/0312010
EXPIRES: 02/03/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: II25 58TH ST SPACE 36
ASSESSOR'S PARCEL NO.: 1702342200100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Refeed post light
Owner:
Address:
GOLDEN OAKS MOBILE HOME PARK LLC
798 PRESCOTT LN . .,
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION I
Con tractor Type
Electrical
Contractor License
NEW REYNOLDS ELECTRIC INC 184921
BUILDING INFORMATION I
Expiration Date
0110112011
Phone
541-343-7297
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Typ~: .
.- -"RiiitgiiTyper
,- ....Energy Path:
. Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#.'Street Trees Rqd:
:;J~~yedpriye Rqd.:;.
_.%, or Lot Coverage:
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Total:
Handicapped:
Compact:
,
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLic IMPROvE'MENTs~regon law requires you to
. .... . .. Ipt8d by the Oregon Utility.
Notilic:e.tion Center. TSid.e:Wall;}:rJijl~:set forth
in OMi 952-001-001 OD'hrolJoh OAm952-001-
, ' ownsRouts~ rams:
0090. YOU may obtam CUplGS Ul { e rUles by
caliing the center. (Note: the telephone
number for the Oregon Utility Notification
'. Center is 1-800-332-2344).
Notes:
Description
NUi .
THIS PERMIT SHALL EXPIRE F\fMft:W&fi
IITHORI7ED UNDER THIS PE~ . -I v
-. 'T-"--'~-c~nt'r r'^NDOI$~~t
':' .~p,eJ:~. L ODS roue IOnl o~ multiplier
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Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01041
ISSUED: 08/03/2010
APPLIED: 08/03/2010
EXPIRES: 02/03/201 I
VALUE:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I. Fees Paid ~, .
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid'
Date Paid
Receipt Number
$6.96
$2.90
$55.00
$3.00
8/3/10
8/3/10
8/3/10
8/3/10
3201000000000000508
3201000000000000508
3201000000000000508
3201000000000000508
Total Amount Paid
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$67.86 -.
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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, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired InsDections ~
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is cOfllplete.
By signature, I state and agree, that I have carefully 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 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,.are..r~..q~.~st~d allhe proper time, that each address is readable from the
street, that the permit card is located at the front oqlie.pilijfe:rty;.aim:the approved set of plans will remain on the site at all
times during construction. ::..JLt1\.. .:..-,jj~~ll ~l
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Owner or Contractors Signature
Date
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
5:n~ 726-3759 Phone
RECEIPT #:
32010P#~O~O~~P00508
Date: 08/03/2010
II :27:34AM
Job/Journal Number
COM2010-01041
COM2010-01041
COM2010-01041
COM20 I 0-0 I 041
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcltarge
+'5% Technology Fee
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Amount Due
55.00
3.00
6.96
2.90
$67.86
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
REYNOLD
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Online
$67.86
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Payment Tolal:
$67.86
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