HomeMy WebLinkAboutPermit Electrical 2007-12-6
.~
. City of Springfield
ta
Electrical Authorization To Begin Work
E-mailedTo:mahaffy@quixnet.net
Receipt # EC521944
12/5/200710:26:42 AM
Check on status of permit
By Phone: (541)726-3753 or Emaii: permitcenter@ci.springfield.or.us
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FEESC);iEllUCE
I Description I Qty.
IL13fi~4~.:~titd SlN"G., ....L.....,.E...f..~.O.,....~,~....k.!~H~.rJJniilY
'at!ached garage-E' ~~~~0;'~':Et;"<~. ...
11,000 sq. ft. or less
lEa, addl 500 sq. ft. or portion
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above Sq. [1.)
1~s,t;,~'j~erOR'feedeE!lt"'t~i~,#iifl~,,~i(er.atjoll, AKD!OR: .reloc~tTQUL,:.~ i,,'j
1200 amps or less I - IU,VUI- /0 LV I
120 I amps to 400 amps I
1401 ampsto 599 amps I I
1..T~Mr~~~X\Servic~derS'inst.aU~ti?n;altefation; ",.,-,,~
:.\.I\(D/QR.~~,I(),sation ......:,' ~..-:::~
1200 amps or less~ --r- __ $55,00 $55.00
120] amps to 400 amps I ---- ____
1401 amps to 599 amps I
I Brallchcirruits~N~'X;:o"~lter~J~on, ORcxtc~sioll,per panel
I A. Fcc for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee {or branch circuits
without service or feeder fee,
first branch circuit:
Ea.
Total
I 0 New construction
IX] Addition/alteration/replacement
I [.KJ 1 or 2 family dwelling
D Multi-family
o Commercial/Industrial
"'JOB 'SITE@I'O~MATION .AN.o.LI(fCATION
/Jobno.: !Jobaddrcss: 2663 NOVAST
I City/State/ZIP: SPRINGFIELD, OR 97477-7559
I Suitefbldg.lapt.no.:
I Project name:
Cmss street/directions 10 job site:
I Subdivision:
I Tax map/parcel no.: ]703224404300
ILot no.:
~,
,
service replacement
INlIme: Eric
I Phone: (541)9]3-5&06
I Email: mahaffy@quixnet.net
I
I Fax:
I each addl branch circuit
II
I I Service reconnect only
I I EiKh manufactured or modular
dwelling. servIce and/or feeder
I I Pump or irrigation circle
I I Sign or outline lighting
I I Signal circuit(s) or limited-
! energy panel, alteration, or
cxtensJOn.
I
I
I
I
I
I
I
I
I
Subtotal $55,00 I
State Surcharge (8% ofoermit fee) $4.40, I
I City OfSpringfieJd fees" $8~l
I TOTAL PERMIT FEE _liY':65 J
.. City Of Springfield 10% Local Admin Fee; 5% Local TechnoloEif I~fo, CO
nOt offered online at this jurisdiction
I EI. lie. no.: 20-469C
I Business Name: MlTCHS ELECTRIC INC
I Contact: 521-5690
/Address: 2788 MANOR DR
I City/State/ZIP: SPRINGFIELD OR 97477
I Phone: (541 )5215690
I Emllil: mahafTy@quixnet.net
/Metrolic. no.:
Supervising electrician's lic. no.: 47725
I Supervising electrician's name: MITCHELL L PRATT
ICCB lie. no.: 146745
ELECTRICAL PERMIT. FEES .
I Fax: None
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: '11lD'2.. ()1:Il.~
RCPT#:_226!2:J/ ('BY
DATE PROCESSED: 1~'07
PROCESSED BY'
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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
Lit i' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01776
ISSUED: 12/06/2007
APPLIED: 12/05/2007
EXPIRES: 06/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2663 NOVA ST
ASSESSOR'S PARCEL NO.: 1703224404300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service replacement.
Owner: HANCOCK DAVID H & CAROLYN L
Address: 2663 NOVA ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA:T10N I
Contractor Type
Electrical
Contractor
MITCHS ELECTRIC INC
License
146745
Expiration Date
0111812009
Phone
541-521-5690
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp:
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
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Notes:
Downspouts/Draius:
ATTENTION: Oregon law requires you to
foll.ow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 throunh flAp Q<;?_nn.
I~U 11"1:. "'t"'u.. rou may obtain copies of the rules by
THIS PERMIT SHALL EXPIRE I~ ~Jid'lmgK Description IIIng the center. (Note: the telephone
AUTHORIZED UNDER THIS PEklVIII10 "u I . ber for the. Oregon Utility Notification
DescriPtior!;OMM~6<foHjGbl\hf\Jtil\~IDON~[f~~\1 Ft Squa.re Foota€(enter IS 1'&,9.\\~e32-2344)'Dale Calculated
ANY 180 DAY PERIOD. or multiplIer or Bid Amount
Paee I of 2
Status
Issued
CITY OF ~nuNGFIELD '
Building/Combination Permit
PERMIT NO: COM2007-01776
ISSUED: 12/06/2007
APPLIED: 12/05/2007
EXPIRES: 06/06/2008
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
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$3.50
$5.60
$70.00
12/6/07
12/6/07
12/6/07
12/6/07
2200700000000001784
2200700000000001784
2200700000000001784
2200700000000001784
Total Amount Paid
$86.10
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 Relluired lnsoections I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined tbe 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
Pace 2 of2
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fif~ll Street
Springfield, Or~gon 97477
541-726-3759 Phone
Job/Journal Nl!mber
COM2007-0 1776
COM2007-0 1776
COM2007-01776
COM2007-01776
Payments:
Type or Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001784
10:28:IIAM
Date: 12/0612007
Description
Perm ServlFdr 200 amps or Jess
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
70.00
3.50
5.60
7.00
$86.10
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
$86.10
ddk
ONLINE MITCH'S Online
ELECTRIC
Payment Total:
$86.10
Page I of I
12/6/2007