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Home My WebLink AboutPermit Electrical 2008-4-3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00249 ISSUED: 02/20/2008 APPLIED: 02/20/2008 EXPIRES: 08/28/2008 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5774 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702334401204 Springfield TYPE OF WORK: Family Room TYPE OF USE: Residential PROJECT DESCRIPTION: Enclosing patio into living space Owner: GRISWOLD TAMI D Address: 5774 CAMELLIA ST SPRINGFIELD OR 97478 Phone Number: 541-741-3862 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745 Expiration Date 01/18/2009 Phone 541-521-5690 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat;- -I ~ yr,-, 'V , "'>-:'~~on laW~<J,il';~ifJ.3 ~~O{Q Water Type: - , _ [1" Jpted by tI~e? faa:g1jIlJt~~f Range Typ~: ./ I; ;1' '-<I _ 88mB!. Those ~ {s!i~~eMtS~ffort Energy Pat~: OAR 852-001-001 0 throu~ A# 2-0{)1- Sprinkled ~1!0.n~ou may o19t~in copjQ~lQflUWl IWby .:.:.l!;:, "\ ~l!" "~.A,,,. ,I Jv~c;. l; Ie lt1It1J..1IIVlle I DEVELOPMENT ~Mer~gon Utility Notification (.;en1e'i"iST-8oo-332-2344)~EQUlRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: 100 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Description Tvpe of Construction NOTICE: THIS PERMIT SHAl AIITWf'll1pr-D Ufr -~ EXPIRE rF THE WORJ( I G.r vet! I HI~ PERMIT IS NOT Valuation Desc~' I CEO OR IS ABANDONED FOR . AY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Notes: Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00249 ISSUED: 02120/2008 APPLIED: 02/20/2008 EXPIRES: 08/28/2008 VALUE: $ 1,000.00 225 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 MinimumlAdjustment Electrical Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $48.00 $2.00 $32.50 $1.60 $1.92 $0.80 $16.00 2/20/08 2/20108 2/20/08 2/20/08 2/20/08 2/20/08 4/3108 4/3/08 4/3/08 4/3/08 2200800000000000223 2200800000000000223 2200800000000000223 2200800000000000223 2200800000000000223 2200800000000000223 2200800000000000403 2200800000000000403 2200800000000000403 2200800000000000403 Total Amount Paid $116.32 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L Reouired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatIOn hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commumty Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 ZON \ r'"Lv ~~ _,"',,- .f':.'1':Er'.:.,.,.~ INITIALS n.0A ~~:F~...k~~-t:l"ib:~;:i{'.:' . ,r<),' I@_o ':::~c::<;'. DATE:-4-- \....L.- ~ '\ ,/, ~ ~~ -j"(~ v....~~ ~r :,t"";1:a. ' '-44 SOURCE ~-1f'30--/..1 Dale o/y6% ;:'t~ ~ { .. ~~ ~..:~~~,.,...>.>'<f" ~~ ok ~v~ * ,....~ ""''i,;- """'_ ->>:,' ,.{I'~.. "~"t'_-y.."~N""1 t" ::;..:.,~... t',:'rI"'/>" :<~, :' _C01l-1PLET/? FfE SCHEDULE BEL 0 lV,:;:, ,,>'!: ;~,Ti!;~:,~~;~t~:,:i:3r :<J.k.."'f""',).....'.. ~~ A.........~"~,,..,.ili~""--<r..l.<,^'4J.'<-.... ^,..n~_-<<~'l'~...... ~lw'" ...J. ."'"""..."""'....{..,.w..t...."~,_.::.~'l."~~".:u-i$~:4....>i:~;:,";V' ~~ ..:'i~,,~....f 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541~726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number CO&Alt z.o 0 F - 0 0 Z <-\ , II ,.,..~r....< 'vO' "-'<J. ,~... <r i ~.... ,~- v"'-~ ~ ~'." .. ..:t......'l.....? "?'I/~ 1. -'LOC4.TION OF INST.4.LIATION:)'::'i\;,J;>':,~ 3. ~ ~ " " ~v , "" ~ , ~ ~:<l' ,;,-,1 ~ \. ~. .,;:t <;u,~ ,<<...... ........ <""","lIo.,~~" -"'....~...... ...,s",.'t.~~-.AS."MI. "'-1 M',(k"<..M;o'N(<~'=\"~h<{.r 5 77l.{ CAw1~,- / I i A , LEGAL DESCRIPTION. J 70 Z. 331{L( o (Z-oC{ ;r \ ",11,'~1""h~4:"Y"~r;..<(~~~ J~ ~--;:-~~ ^1,,~::tL:.c'"iZ:i-.i'1"-'(:::~i~/./r;;\f:!(K 1'T;:>;,):.,.'<......f1~';:'~"'...~~~;~;;\.~~~'<~vl;, A. <New ResIdentIal - Smgle or ~'lulh-Fanuly per dwel1Iu'(J'unit. ,_~ r _~~i'}.<<,..;'~f","""~_~_. I~~~..sw... _" ~ <~ ...;!..;-.':....~.~ t:!:n'j".'!. _."'~1lI~ !,~_ ~Ar"1.K<J ...........>J:<..'\ol;_~,~.l.!...4..v~~..~,....~ I:-? Service Included JOB DESCRlPTION 1000 sq ft. or less $106.00 ( I ( _L . ,+'. Each additIonal 500 sq ft or 4d c. ~ (.( rC-&A. \ 'j) --'0 t!-/11 J portion thereof $ 1900 Permits are non-transferable and expire if work i~c.ot'L""^ tEach Manu fac t' d Home or not started within 180 days of issuance or if work is Modular Dwellmg ServIce or $50.00 Suspended for 180 days. Feeder . . 2 ~iCONTi49~qi INSTAlLATION O~l? B. ~~1i~i~~~~;"F;Jd~~~~ I~~it~ll;fi~ri:~(t~;~ti~;~~\jZIi~ig~;;i~~~;> . "'....!,i,jJ~"x...t"!~~ <<~>p><'~"!> j.-.4r:t.....~"1,;,,JL .J:t4~:t~..:..~'hJ.."'''',,~'<<.. ;';.1...$...'::"'x,;"t,,;,""~,^,,">,,\ .~(i.~M.;.':I.ii~t.-<,.,}t<~--:^;',.':::} ..,-../ :.:.....1"';;:_ :?<<-_;:..;.,....:..~;~l'M~..... ;;_~J'"lrl.t.,:;"~" '.,t...,..!:'.......,\~<:...,j:. }~'<'-:.~ Electrical Contractor 11., I _ I , f"'C- --LI Ir\ I ",.IT(, h (- -l-nv Address )R;r /J1 t1M--<- CIty >pi.() ryn..." Phone 54 r ~z r- S~'C Supervisor License Number L,-rl '}., ~ ExprratlOu Date _ /e- 0 '-:;;7 Constr Contr Number /4(, 74 c;- Expiration Date 1- l':s'"'<>.r City Inspection Request: 726-3769 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Ampst:YoJts. \ - .~ 'v r"'c '!_"",Re~o~~ctOnIY'r) I"~ ~.IUlresVnl/~ In l' JAI" .' (. c:n~,; i-I' _ if' Oregon- U ' .0 1 U ') ('C\ ' '\..is,,, r..J_ '/ 009(').., ,l'" ""~JdW'.tNiJ1H ^\.l;'C:~ ~.e"":nP ~'tI' ~'" ~'"' \,... T:Olle r:fO:' S:ti~~ a"eF _ calli .,d,' ,mR~.(Jt7:aTn-"~."Y' Wd '952- n ng the cente COPies of th 01. umbEfh/ooltJtio ~(~tftjrt~ ~U>J~I~by 2~cr1JffirP~~~~3~~~t Nottfic~~ 20 I Amps to 400 Amps 44). 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "Bn above. >l ~ ~ ('~~ 'r ~ "'~ D. : Branch Circu~ts -,,' >: ' -' ... ~~_" , ,>l__ " ~ ~ ~~ ~ ,..- ~ , $ 63 00 $ 75.00 $12500 $163.00 $37500 $ 50 00 $ 50 00 $ 69 00 $100 00 New Alteration or Extension Per Panel One CrrcuIt Each Additional CIrcuit or WIth Service or Feeder Permit TOTAL $ 43.00 4 Jb SIgnature of SupervIsmg ElectncIan j ,,-/~''/) ,4~/~!/~ ~ L~, i,........ \ or;s....o fd Ad"'", 5,7 71{ {~e-{ (,A N fJr, C E. E. .~'.'H:u,o~ (S:'~i;o/;~;.d;~ ~~! ';';iu~a); E~;h. b~;,;~;ti"-n_ s;p-~ Phone A/HIS PERMt Pump or ImgatlOn $ 50 00 C /.; rHORIZEDTs~lrx}sightIng $ 50 00 O\VNER INSTALLATION A~MMENCED !!~BRE1FIl!t;/F.alftPftl $ 2500 The InstallatIOn IS bemg made on property I own wrKchBO DA'Y' 2fi..~d,/f[J}/Iv,Ic!ifff:M,J1c;~ORK $ 45 00 IS not mtended for sale, lease or rent. 1Vlin~~ctri~ >~~fOJlf~{J;~ee, ~s $~5.00 + Surcharges Owners Signature 4. S~'1}r,,~!..~ ,9~ ~OVE" I b I Z% State Surcharge I 'Z- 10% AdmmIstratlve Fee 1'0 5% Technology Fee i!!O $ 300 Shared Dnvt:(T )/BulldlOg FOlms/Electncal Pemut Application 8-06 do~ zo )2. 225 ~ifth.Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00249 COM2008-00249 COM2008-00249 COM2008-00249 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000403 Date: 04/03/2008 DescrIptIOn Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee PaId By HOLLEY MAHAFFEY Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received dJb R0551z In Person Payment Total: Page I of 1 1 :44:37PM Amount Due 1600 080 I 92 160 $20.32 Amount Paid $20 32 $20.32 4/3/2008