HomeMy WebLinkAboutPermit Electrical 2010-8-3 S~.,~..I.,.N."GFIE~ ~'I.,\~~ , . ,,, 0tt . ,isl'- \, ~~EGON City Of Springfield 225 Fifth 81 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ",~",,~f';' r . - - '-"", ~. , :;, ' " . " '. . 'TVPEtOF WORK c;:: .,~ 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 \i~!"i~,~, " ],,';, .j d~ '-'I Tax map/parcel no.: 1702342200100 f'- , . '4. , '':' ,., DESCRIPTI0'N.OF W(:'RK', ...:- . -;"'. .;.;;-~ "~-,- . reteed posllight I' ,- : SITE CONTACT-: ,,-;-C:'" c_ Name: Dan Boaz Phone: 541-343-7297 Fax: 541.345~4808 Emall: ,. .~'~1 . _ . ':' ,; .:' -.CONTRACTOR c ., 'J}t'~-; 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 , 4----. :"" --", ~ ~ I E:~ ", .:i, 1 , Phone: 541-343~7297 Fax: 541.345-4808 <'-:', 'i" Emall: jeremy@reynoldseleetrie.com " -' 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~::,:'; "~.,~' , r".."." o~~ .~~~~d" ..;l 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. c/o. /OL// 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 - - . PlJ\N.REVIEW :' ~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 - , , 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 ;: . c, ..'1''' 'I -it , ~ ! ' '0flJ ~Q. ~~~ ,;'\\ \" ~~ ~ ~ Inspections Phone: 541.726-3769 This Authorization To Begin Work must be posted at the Job site until replaced by a Permit CorY/2d/O -()/~ ~~p~:: /7/?-- I"',;,, 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 ,:' ,\,?" c-, ,.', , f~'.:~' ),;' 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: ".',:;:-T:~''':<''' .. ,.,'.,..,.~,., \ 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 . '''.' [,q.7\0~). Square Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued 'l:t.';[ ,~, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01041 ISSUED: 08/03/2010 APPLIED: 08/03/2010 EXPIRES: 02/03/201 I VALUE: . ;.;'~! .. P~ri,>: -) ;.~"l);~,:L;~'li t',- ll,~~, ~ "jt. 1-',," 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 ~, . :',,11'>>""",.:" ,. " .\ , '., 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 '. $67.86 -. t'::v .J t' '-'.'.t'li. 1..iia!J"'~h~iews. ~ "'r..('" 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 }: '.' ... ( \:";. '.-~, ,'\<t..'1;\.!' "I ';.E-1 ~..t""".:;!;1;j . . ~.' a . 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 '..;:C\b:}l~ ,.,:.fI"'''''_-. . .\:;fJ ',~, Owner or Contractors Signature Date . ..' I' ~.~ ~ '\ ," '. . .r. ~"W1\'~'-! '. ~;,,,,,~,, : ,;'4.~'" . 'p,,'ee 2 01'2 ',l; iP~:41 "~:"~I ""0-',' ;:\.," ',f',... . ' ..-....... ..,. \",.. , . 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 . ~,'" , 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 . . . ,:,.- , ~:" '. . ONLINE NEW REYNOLD S Online $67.86 NJM ,-'" Payment Tolal: $67.86 ~.~~:~:~. . ' . .." ..' . ';, . ...~~.\i., J.,,;;J....j.'l.;:; .":...~.I,, . ""1" ;,", {- .,'7j_:_;!\:' '~/'fi' i"f) , ;.\ "v,l ..'~ I,J}. . "':,,1~~,,' \~;-;',~:- ~~~; . i.'i: t. .:'.1 'd~..i ,:~.~~. :.~1,~:-~~~1! f: i.. ". '\flr.~I' . "'A,\- " .~.;\'<..\.:l. ,: ~ ,11 tl,!.J . ".J '~', ~,: ,/, . '. ; ,{~' ;: ~, t;.' ." cRcceintl Page 1 of 1 8/3/20 I 0