HomeMy WebLinkAboutPermit Electrical 2008-2-6
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00179
ISSUED: 02/06/2008
APPLIED: 02/06/2008
EXPIRES: 08/06/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2447 19TH ST
ASSESSOR'S PARCEL NO.: 1703244301600
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Two Circuits
Owner: LYNCH LOREN H & PATRICIA E
Address: 2447 N 19TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
DELLS ELECTRIC
License
109864
BUILDING INFORMATION I
Expiration Date
01/14/2009
Phone
541-935-2154
# 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:
nla
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:
Notes:
NOTiCE:
",'HIS PERMIT SHALL EXPIRE IF THE WORK
\u I rlUKILtU UI\JUtt'l I n'~ ;:'~;:;'1..117 I.... lie":"
COMMENCED OR IS ABJ,f'Wa}~liadlO&escription I
ANY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
I PUBLIC IMPROVEMENTS , ~ ~TT::NTION. Oregon I
oll~w rull?'~ arlooted I 8W requires you to
NoSl,l!ctm~Wcype:', by the Oregon Ut I
in Q~o - elIte, Those r I f fty
o R n~p<fu$sm(3)iO~nro u es are set forth
09. ou may obtain c ugh OAR 952-001_
calling the center (N o{'es of the rules by
number for the Or~ 0 e: the telephone
Center is 1-jO~~3~%/~Z~~~ificatlon
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Type of Construction
Value
Date Calculated
Pa!!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00179
ISSUED: 02/06/2008
APPLIED: 02/06/2008
EXPIRES: 08/06/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$5.20
$6,24
$2.60
$48.00
$4.00
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
Receipt Number
2200800000000000161
2200800000000000161
2200800000000000161
2200800000000000161
2200800000000000161
Total Amount Paid
$66.04
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.
Reouired 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
Page 2 of2
ZON
INITIALS
DATE
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689
ELEl;lWCALPERMIT APPLICATION
City Job Number Gom Z()O e - {)O/ 79
Each Manufact'd Home or
Modular JAwellirut.Serv.ice or $50.00
Feeder II II::NTION. Oregon'
fol~ow rules adopted b ClW reqUIres you to
N....ttfj'.C, ' Y the. Qreonn f/fil;
2 CONTRACTOR INSTALLATION ONLY B. Servlh~b~~~l!ifle~_tiflfflJ~dM~~:mon~ rtxelocation:
. /' -.11. 852-001-0010 th ra set forth
Electrical Contractor ()e / / { > blft5( /, t (.200A~i.oiJ~~~ay ~btatn c~~~~: ~~~m~~~1-
f () 201 AmPS'.tp400.Amg~n:er. (Note: the teleltO;;1)O )
:J ('"~{) '7 ~c; 'Ul1'rle U 'ec: ~116rTe'
401 Amps to 61l1\,Anms ~ <Jon Utl/lfY Notl$jR'c..ru;)
\IV "l'tt'Ti IS 1-800-3 ~ - "",..,,,,,,,
L, 601 Amps to 1000 Amps J,--~,j44). $163.00
t:A..-{ ~ C0f1-e Phone &?V 'J:rLJ e. Over 1000 AmpsNolts $375.00
\J ) Reconnect Only $ 50.00
(P'l'1/S
10/011 (}q
I / /
/ oq rt It tj
~O]
1. LOCATION OF INSTALLATION:
2.447 ,q 7k CS-t-..
LEGAL DESCRIPTION:
/'70~ 2.V 43 O/f.o 0-0
,
JOB DESCRIPTION:
.--.-- ~
/Wo CrYWck:
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address
City
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
;/~kvv ~U
Owners Name L...tJ 1Ze:U ~ (1 C-I-I-
Address 0 LiLlI I q-Jl., SI
City ~/ fJ iJ..-. Phone
'#
OWNER INSTALLA nON
The installation is bemg made on property I own which
is not mtended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date
3. COMPLETE FEE SCHEDULE BELOW
A. New -!tesidential - Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
C. TemINU'Af!?ices or Feeders
InstaJJaj~...BfJ~n~~itble~lflE IF TI-'E \NOR'{
200~ ~ORIZED UNDER THIS PE;j,$50:00~\..1I'
201 A~~f0~rw OR IS Atlf\NUUi\i_ ~$ 69:00
401 Amps t !~~ ~ PERIOD, - $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit I
Each AdditIonal CIrCUIt or With I
Service or Feeder Permit
$ too
$100
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~
4. SUBTOTAL OF ABOVE -.5:1. _ {
8% State Surcharge :;) ~ & 0
J.O% Administrative Fee J.,) ~ (0. :;)-'1'
5% Technology Fee .5- , OC;J
0& ~ ()~
TOTAL
Shared Drive(T')/Buildmg FonnslElectrical Penmt Apphcation 8-06,doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 179
COM2008-00 179
COM2008-00179
COM2008-00179
COM2008-00179
Payments:
Type of Payment
Check
cRecelOt J
RECEIPT #:
2200800000000000161
Date: 02/06/2008
DescnptlOn
Add, Alter, Extend Ctrc
Add, Alter, Extend Ctrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Paid By
PAUL S VERMILYEA
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 133 In Person
Payment Total:
Page 1 of 1
2:56:31PM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
2/6/2008