HomeMy WebLinkAboutPermit Electrical 2007-8-8
Status
Issued
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CITY OF SPRINGFIELD.
Building/Combination Permit
.PERMIT NO: COM2007-01169
ISSUED: 08/08/2007
APPLIED: 08/08/2007
EXPIRES: 02/08/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 265 24TH ST
ASSESSOR'S PARCEL NO.: 1703361410000
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New Circuits (Install by others)
Owner: LA VOlE CHRISTOPHER
Address: PO BOX 242
BLUE RIVER OR 97413
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
REYNOLDS ELECTRIC
License
17252
Expiration Date
02/08/2009
Phone
541-343-7297
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled 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
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
ATTENTION: Oregon law requires you to
follow rules adopted by the.Oregon Ut~lity..
NotIfication l.Iem~I. IIIU~t' ",,"'., <:l't:. .."ll~r+ll - :""''''''''f't: THE WUK'"
In OAR 952-001-0019thro .M.<ft Po 01- ri t~~~O ERM\1 SHALL EXP\RE If M\T \S NOT
0090. You may obtam co UNOER TH\S PER
callin,g the center. (Not~~~~ l\Rhone S u\J~el-\PoRlZEO ARANDONED FOR
WillnB~AIDsfI'i!C{j~egon .~.; f~\fi~ation o}Jild~~FO OR \S Value Date Calculated
Center is 1-800-3 2~~~ ~. ANY 180 DAY PERlOD.
Description
Page 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01169
ISSUED: 08/08/2007
APPLIED: 08/08/2007
EXPIRES: 02/08/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$6.00 8/8/07 3200700000000000538
$3.00 8/8/07 3200700000000000538
$4.80 8/8/07 3200700000000000538
$48.00 8/8/07 3200700000000000538
$12.00 8/8/07 3200700000000000538
Total Amount Paid
$73.80
I Plan Reviews I
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.
LReouired Insoections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 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.
Owner or Contractors Signature
Date
Paee 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dan@reynoldselectric.com
Receipt # EC515128
8/7/20072:00:41 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
lliJ Addition/alteration/replacement
I Description
Qty.
Ea.
Total
[iJ 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
1,000 sq, ft, or less
Ea, addl 500 sq, ft. or portion
I-Limited energy, residential
(with above sq. ft.)
- Limited energy, multifamily
residential.(with above sq. ft)
Sef\iice~ bR~ieedersiitsiallatioD"'alteration AND/OR relocation,
'~"~)W'M\~:;, Vffi!ilW\;'i!i;jW!iW:d~li{~0-'~,:::LUNii@:I;:!"\~'i::e'"ki'ikt"_'-''':"i;;:;L~~i''1(; ~'::_'Y')'-':i"1:>I'~" ," .:'.!}'!l_*::: F~:>~~i,;.'.'-"_,, :-', ,,'" f <<~ W_'''_''''"'
"'", .,,:_.A " "
200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I
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Job no.: 18550 I Job address: 265 24TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-5114
I Suite/bldg.lapt.no.:
I Project name: La Mar 24th
Cross street/directions to job site:
Main to 23rd to A street to 24th
I Subdivision:
ITax map/parcel no.: 1703361410000
1 Lot no.:
200 amps or less
I 201 amps to 400 amps
I 401 amps to 599 amps .
I,~ra~c.h :Ci~<<\ili::',&EWt~ltetationt<>Rie~t.e~~i~~,;,,~~'pa'1el.
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits $48,00
without service or feeder fee,
first branch circuit;
I each add I branch circuit 3 $4,001
new circuits install by others
$48.00
Name: dan
I Phone: (541) 343-7297
1 Email: dan@reynoldselectric.com
$12,00
I Fax:
EI. lie. no.: 20-l55C I CCB lie. no.:
I Business Name: REYNOLDS ELECTRIC INC
[Contact: dan
[Address: 2175 W 2ND AVE
City/State/ZIP: EUGENE OR 97402
Phone: (541 )3437297 1 Fax: None
1 Email: dan@reynoldselectric.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 2520S
I Supervising electrician's name: JOHN A REYNOLDS, JR
17252
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension,
I
I
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I
;,. City Of Springfield
Subtotal $60.00
State Surcharge (8% of permit fee) $4,80
City Of Springfield fees · $9.00
TOTAL PERMIT FEE $73,80
10% Local Admin Fee; 5% Local Technology Fee
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
"i"r7) I - v--. t \ 4? q
COM~ 0<.. I,J v I....-)
.~L"<I'l - 53~
RCPT #"../ U '-'
DATE PROCESS?\: 9: /0 r,/ 0 I
PROCESSEDB~l_2Cn(~)^ ~-
/ \
This Authorization To Begin Work must be posted at the job site until r ~Plajed ~~ a Permit
v l/\ .
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
22$ Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000538
Date: 08/08/2007
8:18:43AM
Job/Journal Number
COM2007-01169
COM2007-01169
COM2007-01169
COM2007-01169
COM2007-01169
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
48.00
12.00
3.00
4.80
6.00
$73.80
Amount Paid
ONLINE CHGS . ONLINE PERMIT CHGS
NJM
ONLINE REYNOLD Online
S
$73.80
Payment Total:
$73.80
,,/
cReceint 1
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8/8/2007