HomeMy WebLinkAboutPermit Electrical 2007-11-29
Status
Issued
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CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-01745
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/2912008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5350 MAIN ST
ASSESSOR'S PARCEL NO.: 1702333106501
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Temporary power pole for Christmas tree lot- Crossfire World Outreach
Commercial
Owner: HAYNES JOY LEE
Address: 5350 MAIN ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
MITCHS ELECTRIC INC
License
146745
Expiration Date
01/18/2009
Phone
541-521-5690
BUILDING INFORMATION'
# 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 Ist 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 IMPROVE~WJN: Oregon law requires you to
Street IM(rc~€itr.en.ts: follow rules ac8ifJewMlcYFAAPregon Utility
TJ '/<; . "".... - . Notification Center. Those rule~ are setforth
Stor~l.f/el~~~f!'!:~)}1f7Is in OAR 952_001~V'~~(lMl952-001.
specll,l'~n1sfmM"Pl!b U HALL EXp/R 0090. You may obtain copies of the rules by
Ll.JfVJ/'v1EtVCf NDER THI E IF THE ~ calling the center. (Note: the telephone
Notet\Ny 780 D D OR IS A8 S PERMIT IS OR/( number for the Oregon Utility Notification
AY PER/0S._ ANDONr:r: ro.:.. NOT r.~.wer is 1-800-332-2344).
Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01745
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid.
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$5.50
$2.75
$4.40
$55.00
11/29/07
11/29/07
11/29/07
11/29/07
3200700000000000782
3200700000000000782
3200700000000000782
3200700000000000782
Total Amount Paid
$67.65
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.
I Reauired Insoections I
Temporary Electric: Approval required prior to Utility Company energizing pole.
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
Page 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:mahaffy@quixnet.net
Receipt # EC521528
11/28/20075:31:17 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
. CONTRAC;TOR .
I CCB lie. no.: 146745
'.
Description
Residential SINGLE- OR
attached garage
11,000 sq, ft, or less
Ea. addl 500 sq, ft, or portion
- Limited energy, residential
(with above SQ, ft.)
I-Limited energy, multifamily
residential (with above SQ. ft,)
, Serviees OR feeders installMion~ alteration, AND/OR relocation
1 200 amps or less I
1201 amps to 400 amps
401 amps to 599 amps
TEMPORARY services OR feeders installation; alteration,. .
AND/OR relocation
I 200 amps or less $55,00 $55,00
I 120 I amps to 400 amps
.1 140 I amps to 599 amps
I Branch circuits -NEW, alteration, OR extension, per pan~1
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
1 each addl branch circuit
1 Miscellaneous
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I I Sign or outline lighting
I Signal circuit(s) or Iimited-, not offered online at this jurisdiction
energy panel, alteration, or
extension.
FEE SCHEDULE
Qty. I
Ea.
Total
D New construction
[X] Addition/alteration/replacement
. CATEGORY' OF CONSTRUCTION
[Xl I or 2 family dwelling
D Multi-family
D Commercial/Industrial
JOB SITEI~FORMA'lbN AND LOCATION
I Job no.: I Job address: 5350 MAIN ST
I City/State/ZIP: SPRfNGFIELD, OR 97478-6274
Suite/bldg.!apt.no.: .
I Project name:
Cross street/directions to job site:
1 Subdivision: 1 Lot no.:
ITax map/parcel no.: 1702333106501
. ....:~..OESc::~I~TION OF WORK.
Temorary power pole for Christmas tree lot - Cross fire world outreach
I Name: Eric
I Phone: (541) 913-5806
I Emai!: mahaffy@quixnet.net
I
I Fax:
I EI. lie. no.: 20-469C
I Business Name: MITCHS ELECTRIC INC
1 Contact: 521-5690
IAddress: 2788 MANOR DR
I City/State/ZIP: SPRINGFIELD OR 97477
Phone: (541)5215690
I Fax: None
I
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I
I
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* City Of Springfield
Subtotal $55.00
State Surcharge (8% of permit fee) $4.40
City Of Springfield fees * $8,25
TOTAL PERMIT FEE $67.65
10% Local Admin Fee; 5% Local Technology Fee
ELECTRICALPE~MIT'FEES~ .
Email: mahaffy@quixnet.net
Metro lie: no.:
Supervising electrician's lie. no.: 4772S
Supervising electrician's name: MITCHELL L PRATT
I City lie. no.:
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.
COM' ~ 07:)'( - 017~
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RCPT #. -:s 2. 6l.:> ( - / if" 2
I ,r 1-
DATE PROCESSED: t 1/ d <1 J 0 I I
PROCE~~('l rve .
) /- '- -
This Authorization To Begin Work must be posted at the job site un~Placed by a Permit.
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.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01745
COM2007-01745
COM2007-01745
COM2007-01745
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200700000000000782
Date: 11/29/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE MITCH'S Online
Payment Total:
Page I of I
7:55:09AM
Amount Due
55,00
2,75
4.40
5,50
$67.65
Amount Paid
$67.65
$67.65
11129/2007