HomeMy WebLinkAboutPermit Electrical 2008-3-26
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00409
ISSUED: 03/26/2008
APPLIED: 03/26/2008
EXPIRES: 09/26/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1036 NANCY AVE
ASSESSOR'S PARCEL NO.: 1703272205600
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Upgrade 200 amp service and add (1) feeder to pool house.
Residential
Owner: HANCOCK JOSEPH E
Address: 1036 NANCY AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
JULIE LEIGH FORD
License
171130
Expiration Date
07/20/2008
Phone
541-434-5600
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.
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
\UTHORIZl:lJ UI\lUtK i"MI" rcf\Ml7 If} rmT
''1MNlENCED OR IS ABANDON~~iWition Description I
,;\1 ; 80 DAY PERIOD,
Type of Construction
A I II:NTlON: Oregon law requires you to
~w JUle5l::lUujJltlU uy llltl UltlYUlI UlIllLy
I PUBLIC IMPROVEME ication Center. Those rules are set forth
In OAR 9s.g-&QJllOP19~~rough OAR 952-001-
0090. You may obtain copies of the rules by
calling ~e~.ts{RminSthe telephone
number for the Oregon Utility NotIfication
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal:!:e 1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00409
ISSUED: 03/26/2008
APPLIED: 03/26/2008
EXPIRES: 09/26/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$14.00
$16.80
$7.00
$140.00
3/26/08
3/26/08
3/26/08
3/26/08
3200800000000000190
3200800000000000190
3200800000000000190
3200800000000000190
Total Amount Paid
$177.80
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.
I Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
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
Pal:!:e 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:JULIE-DPE@COMCAST.NET
Receipt # EC527695
3/25/2008 4:32:55 PM
Check on status of permIt
By Phone: (541)726-3753 or EmaIl: permltcenter@ci.spnngfield.or.us
1 . ,,"" ",
I 't ~
D New constructIOn
TYPE OF:lWORK ','
'J. <'1,<,1111,*'1<,
!2U AddItIon/alteratIOn/replacement
11/, I
1 SubdivIsion' 1 Lot no .
1 Tax map/parcel no.. ] 703272205600
j I, <J I, 'I'. if I' "'DeSCRIPTION OF, WO~K<' " iJ i >>~ 'I
"1 I
FEE SCHEDULE/i:""l
I DescriptIOn I Qty I Ea I Total
Residential 'SINGLE- OR multi-family dwelUnglunit ~ncludes '
W,,,"P~I < < I ", ,1}11i?IIJIPli'U" <" "'1'1")>1,
attach~d'lg~5~gr:+/i/\., ,,,,, .".' /i'i
11,000 sq ft or less
I Ea addl 500 sq ft or portIOn
1}'~,~,~~S~'))~i~~~ ~
I-LImIted energy, reSIdentIal
(WIth above sq ft)
I-LImIted energy, multIfamIly
reSIdentIal (WIth above sq ft)
I-LImIted energy, commercIal
(wIth above sq ft)
I - Stand-alone lImIted energy,
reSIdentIal
I - Stand-alo. ne lImIted energy,
multI-famIly
I - Stand-alone lImIted energy,
commerCIal
1 Services'OR'feeders inst~I,'~ti~~, alteration, AND/OR ~e!?~~tion '
1 200 amps or les, 2 $70 00 $140 00
1201 amps to 400 amps
140 I amps to 599 amps
TEMPORARY servu:es OR feeders mstallation,' alteration,
.i\ND/OR r~location '" ,'h'l '7', '''I, " ., , i .
, 'I ", " ",",, ,"1 ~
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
1 'Btllli~h clreults7,NEW, alteratiou, OR'extensl(in; perl panel
Ilil '11,1,1<111' ,
A Fee for branch CirCUIts wIth
servIce or feeder fee, each
branch CIrCUIt
B Fee for branch CIrCUIts
wIthout servIce or feeder fee,
first branch CIrCUIt,
I each addl branch CIrCUIt
I'Mlsc~lIa~~ys:/;ili" "
1 ServIce reconnect only
I Each manufactured or modular
dwellIng, servIce and/or feeder
1 Pump or lITIgatIon cIrcle
I SIgn or outlIne lIghtIng
SIgnal clrcult(s) or IImIted-
energy panel, alteratIon, or
extensIOn
1
I
I
I
I
· CIty Of Spnngfield
I ' l'l rJ,':::"!CATEGORY OfCONSTRUCTIONr
1 ~,J:'-'" Hcf ' , """ ;>-"-<''',<>',i 1"'1, ~
[K] 1 or 2 famIly dwellIng D MultI-famIly D CommercIal /lndustnal
,. JC:l'i3' SiTE INF:O~IVI,t\l!qRAND LOCATION'W;ztU::z. ~.
IJob no' IJob address 1036 NANCY AVE
I CIty/State/ZIP: SPRINGFIELD, OR 97477-1959
I SUlte/bldg /apt.no '
I Project name
Cross street/directIOns to Job site
"'.1
..
upgrade 200 amp servIce and add (1) feeder to pool house
SITE CONtACT
Name julIe ford
Phone (541) 434-5600
I Emall. julIe-dpe@comcast net
I. ....
I Fax (541)762-1056
.~"CONTRACTOR'''''i*1
I CCB hc no
lEI. IIc. no.. C263
I Busmess Name JULIE LEIGH FORD
I Contact. JULIE FORD
I Adl\ress 1368 BARRINGTON AVE
I CIty/State/ZIP EUGENE OR 97401
I Phone (541 )4345600
I EmaIl. JULIE-DPE@COMCASTNET
I Metro hc no'
I Supervlsmg electrIcmn's hc no 2742S
!Supervlsmg electrIcmn's name' DOUGLAS G PALMER
]71130
Iii>
I Fax (541)7621056
I CIty hc no'
not offered onlIne at thiS JUrIsdIctIOn
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed within one bUSiness day,
With instructions on how to schedule your inspection
..' . ELECTRICAL PERMIT FEES
NOTE ThiS AuthOrizatIOn To Begin Work expires Within 180
days If a permit IS not obtained
I
Subtotal $140 00 I
State Surcharge (12% of permit fee) $1680 I
City Of Spnngfield fees · $21 00 I
TOTAL PERMIT FEE $177 80 I
10% Local Admm Fee, 5% Local Technology Fee
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 COM~<~ (\D <:( / uO ~ \
RCPT#':'<'z..uO( / \~ 0
DATEPROCE~SE :. ~ J:2{oIOi ;
ThiS AuthOrization To Begin Work mJsfroe post,ed,at J e Job 'site until rePlace,:. by a Permit
pk~SSEJ} ! ,~\ ~
",
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00409
COM2008-00409
COM2008-00409
COM2008-00409
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000190
Date: 03/26/2008
DeSCrIptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
NJM
ONLINE JulIe ford Onlme
Payment Total:
Page I of I
9:53:33AM
Amount Due
14000
700
1680
1400
$177.80
Amount Paid
$177 80
$177.80
3/26/2008