HomeMy WebLinkAboutPermit Electrical 2008-4-3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00464
ISSUED: 04/03/2008
APPLIED: 04/03/2008
EXPIRES: 10/03/2008
VALUE:
SITE ADDRESS: 1555 S BROOKLYN ST
ASSESSOR'S PARCEL NO.: 1703344402600
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: 1 feeder and 20 circuits
Owner: MCCLAIN LINDA S
Address: 1555 BROOKLYN AVE
EUGENE OR 97401
Contractor Type
Electrical
I CONTRACTOR INFORMATION I
Contractor
MITCHS ELECTRIC INC
License
146745
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
BUILDING INFORMATION I
# of Stories:
R-3 Height of Structure
Type of Heat:
VB Water Type:
A TrENT Range Type:
fOf/oW r /OFiit03Yr!CiJft
;~~/~i?~~;?J!~~lt,l}Jrn~ft~~!~~ ;OU vll
0090T1J!ffl.VEEOVltt'~Mr~1~
calling th~ .~~ uuram COPies of "'Ii 952-001_
nUmber for tt@':{m~~~t'; the t~~:;~/es by
Center#j~tf~ 0JWs/~qtliotificaone
Paved' ri~~~q(j~4). tlon
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Residential
Expiration Date
01/18/2009
Phone
541-521-5690
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NonCE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AIITI-/nQI7cn I 'F,n.-o -,',- --
'--'!- e :"./L. . ,,) rCh/VI/ I I~ NU r
1~~'Vi'VI~~B~t~tl8d~ONED FOR
I I, ~ 'M I r l:hl U.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Pal!:e 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00464
ISSUED: 04/03/2008
APPLIED: 04/03/2008
EXPIRES: 10/03/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid Date Paid Receipt Number
$15.00 4/3/08 2200800000000000402
$18.00 4/3/08 2200800000000000402
$7.50 4/3/08 2200800000000000402
$80.00 4/3/08 2200800000000000402
$70.00 4/3/08 2200800000000000402
Total Amount Paid
$190.50
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
Electric Service: Approval required prior to utility company energizing service.
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
Pal:!:e 2 of2
Date
ZON t-f\A r
INITIALS NM }
DATE ,(j -..Lj -01
SOURCP ~~~
\. "\
rlj~tf'
SPRINGFIE1.D ~~7:;"'VX.~
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541}726-3753 . FAX: (541)726-3689
ELEl,'1.K1CAL PERMIT APPLICATION
CIty Job Number COIAA zoor- OOt/bY
~ -h r,. 't h "" q- ",- ...... ..... <h",""< I I ' _ ,,......,,.... ;r<
1. :,LOCA..TION OF'INST.4LLATION:,'. ':',
"""~"'''~''>N~V.~ ',,"".^-"~,.n.... t"(,~'A>" ~':J.- ,~,.t"" ~i""h_ ~ )". ~n~ A~A.-t.;:;,;..;;:...""" ;l/""} ....
/s5"'!> 5. "RrD~\c.../yCA sf-
LEGAL DESCRIPTION
J 76 ~3 4'-1L/
JOB DESCRIPTION
oz~oo
200 Amps or less
201 Amps to 400 Amps
,<11 '. c-, AO 1 Amps to 600 Amps
.. >\1, I.....
i~ ,'. . I'." ''',6()J)~n@15 t,Q 1000 Amps
,j. ',I' . ' .~ ~~ ,Of? talA
54 r ('Z (" S~'t. fIC II -,~II(Qverp~~~,OlbfpB~\{~rSoUirl'l $37500
0;: "'0 Ji ::l,';.R't.~M&t O~s t, e OfGnc~ Vau to $ 50 00
V YO/jn-, -0010', .er,jIA~,';: '7Ut"'f
/"'\-', .....',/,:::,1,. il]'" "'~dr:""" 'IY
~r'I?~H 'V, Qht#f' "'()I4~tJfY}I.'';'':';:~$'fA' """"- .. ,"'V"-",,- -," ,
nVrn(> CJ e~e r&mnor~~~ IC~.&, e ~Y'stl:t., -'" _,' ,,--' ~'.[, c . i','_ -- )
.lei fOr t~71m-r. "'''1,-" '1:.., oft~' ~e07 '" ,-, ,,,.." . '" "
C lie '" 1",Jf", t .lIe r"/ .
'0- I:..::.r uro,"'r .... f)fO t f J C$ b
"11t&s~~Il~#~&te'r~l~h &tJ~H>&aHon
GU',:;J',' - r J[lflc'"
200 Amps or leS'S'<'v~4). Q'/en
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 J:mps or 1.~00 Volts ~ee "B" abo~e ,
S,gn''AOf suP'm~n D. N,:::!r:t~:U~; E;t;n;ion;,~p::l"~ ", '" ...:: .:
~~ ~;Q5;/?#-;F-- -,,_, _" One CIrCUIt $ 4300
'/ Lc d ~ ~ Each AddItIOnal CIrcUIt or WIth
/ I '. ~1}6f'- SemceorFeederPenmt 70 y500
Owners Name ,^,/1-",^" c..clk,~: ~',:
Address I ~ SS- L? r~ 0 (c. (... /1:; r,' ,':.J 7 ~J ~!~ ~T, ifr /l~~s(M1lla1Ieo~~ (S~r~ic'e/fe~d~~ 'n~t- mc1~de~) ~Each I~Istall:l tion
f ~_ 1/, U 'J~'C"':: >, l::XP ,Q.r- r'" --.-",'" . -' ,.-. u,.., ,. -, " ,
'. ("UfD-' ,"'i"r-.
/"":=, &~ ~~ 'I_ "., 'F '-'" L II TfJi,. ""_ ",'~"l""?
CIty C-"^"' (..>7'(~ Phone '\I'd',.)::!:,UURPf6mJ:l,Rr,'l..r;'Igat~bll~'''-:,,; ~K $5000
"' J,L\ Y pr rfltfl.J~Jhhit:IJictj.,tml7 . I" ) 1 $ 50 00
J "",viD ,.tJA~, r.;:J')/,
II 1 j l
Lmuted Energy/ResIdentIal $ 25 00
Lumted Energy/CommercIal $ 45 00
lYlimmum Electric Permit Inspection Fee is $45.00 + Surcharges
~d(.~
4
LtrL-' ~S
ZD
I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
,__ l"~ "'"~ ~~'" t ).,,,,N .!:-.. \. -i<_ .Jv/ .... < ''"x~,,-.-..
2 l CONrRACTOR~INSiALiATION ONL'Y ~
. Z-:"~"".;p.vYv""~ -l'".V'}J'~M"'i.,.':;'illc. .~#.._"' """Yk"''''^~ _...;.... :;Y.;../:..,"^~,~>f'l'~"'''''>''
Electrical Contractor
fh I' r H ~ fer --:rH c.-
Address . ~l W t11~
CIty slha
~
Phone
SupervIsor License Number
L,-r7 l.. S
EXpIratIOn Date
10--0;- Dcr
Constr Contr Number /l-{{, 7'-1 <;-
EXpIratIon Date
/- I~'",.r
OWNER INSTALLATION
The lllstallatlOn IS bemg made on property lawn whIch
IS not mtended for sale, lease or rent
Owners Signature
Inspection Request: 726-3769
;f,,'-- ., <'~ ,{,r <(, "< -~v ~ '-N" ", 0- v_ ,~, ~..." I '" ;-'7",>:^",~","'" 'f
3. . COll/IPLETE FEE SCHEDULE BELOW,:,';',
TI.... ~ '" ::->>., 'I "o'~ ~ ~..,1/~.....<Hl!> _"... N' ~_v> ...::::, VW ~-N" ~... ~ ~.lv'" 'M A~~"'''''~",,,,,,,, "'?" v
,,;: -;........ r...J.I>~<" ;..-'!.....Iy~,,<".... ~ ,,'~)' J:l:t<'y;r"""":J"fjJ..""'Ii'l,-'i?:"'''({ ~1~<">. r'.,..'~ir-~<"'" !<-~ ^'~ ",''''
A. ';Ne,,, Residcntiaf- Single or l\'luiii-Fanlil);'p~r 'dweilili~, '~'uit::':~;
~~"::N""':"~~""'-. N._~~",;::,^', ~N_^ N' <> W.,J ~~_::.-C!~"'l_~"l.I't,_ '1...",,<,~...>.,t<-j):~~> "..v,>...~<,.\:
Service Included
1000 sq ft. or less
Each addItional 500 sq ft. or
portIon thereof
Each Manu fact' d Home or
Modular Dwellmg ServIce or
Feeder
$106.00
$ 19 00
$50.00
.
,_"\",,j / ~'~"\ ""<'~ ,~_ n)~ NY ~ ,,,:< "'''in" "~~""'""N..,.^,,,"~""^'",, '..J>~~~~" ~......~ ,\Y)~"" \
B. ': "S'ervi~es or Fe~ders ~ In~tallatio~:Aiter~tio~~ or R~]~~~tio'A: ',\
:l'riw>~ ",...~:;lJ'~ -.;:~'-<~,v\"',\~" ~".,._<N' ~.""'" 'N., < ,;,. ,1/ ~.,.').';.v" ~ ~~.'..,,,,,,;,~...t".J> .t,.- " ...., .."",,,,;:>l. ~ ~;,,1{'
I
$ .e3-iJO
$ 75 00
$125.00
$163 00
70
$ 50 00
$ 69 00
$100 00
go
4. S[lBTOTAL OF ABOVE
1')0
I~
/5
" j~
l$Yo State Surcharge
10% AdmmIstratlve Fee
5% Technology Fee
1'1'-'
TOTAL
170~
Shared Dnvt:{T )lBuddmg FonTIs/Electncal Pemut ApplicatIOn 8-06 do~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00464
COM2008-00464
COM2008-00464
COM2008-00464
COM2008-00464
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000402
Date: 04/03/2008
Description
Perm ServlFdr 200 amps or less
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 R055lZ In Person
Payment Total:
Page I of 1
1:43:14PM
Amount Due
7000
8000
750
1800
1500
$190.50
Amount Paid
$190 50
$190.50
4/3/2008