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HomeMy WebLinkAboutPermit Electrical 2008-4-4 \ (y\! .. \ {' (Y' /0 D 4/L4 ~J:<f/ (f'~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00472 ISSUED: 04/04/2008 APPLIED: 04/04/2008 EXPIRES: 10/04/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4423 CAMELLIA ST ASSESSOR'S PARCEL NO,: 1702323404417 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Connection for hot tub Owner: HERNDON DARRYL S & SHERRIE L Address: 4423 CAMELLIA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERSELECTRICINC License 4296 Expiration Date 12/10/2011 Phone 541-485-0922 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' 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: I PUBLIC IMPROVEMENTS I Street Improvements: NfE~"'ltl~W~~~~~!llhW requrres yOU.~O Storm Sewer Available: {fr.!~),N n:;tDoWi\'Sji'~l\%)wrtnRfiprego~~~~h Specil\l.I.n~rJ\'i1ion: !~ll\Cation Center. Those ruheOs :~952-001. NU "tlt: ,tn.(\:, E 952-001-0010throug I " .r' " fthe ru as by Notes:THIS PERMIT SHAll EXPIRE IF THE WORK ,99j:ry you may obtaln(NCotPI~~h~ telephone AUTHORl7Fn I 11\1 &.~11n9 the center. 0 e. . . . " nl=R T~J~ DEP'~qIT IS ~jOT J,~r'I'l:rt:1 [VI U,,, O:'sg:- 11+llit\~cat&on COMMENCED OR IS ABANDONED ~n..Q, ,. I' SenteF tS 1-8QQ-332.-2:)44). ANY 180 DAY PERIOD. '"'ValuatIOn DescrIptIOn Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00472 ISSUED: 04/04/2008 APPLIED: 04/04/2008 EXPIRES: 10/04/2008 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 Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $48.00 $2.00 4/4/08 4/4/08 4/4/08 4/4/08 4/4/08 3200800000000000216 3200800000000000216 3200800000000000216 3200800000000000216 3200800000000000216 Total Amount Paid $63.50 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 Insnections 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 Pa2e 2 of2 City of Springfield Electrical Authorization To Begin Work E-maded To: kelIy@builderselectnc.com Receipt # EC528238 4/4/20081:25:35 PM Check on status of permIt By Phone: (541)726-3753 or Emad: permltcenter@ci.springfield.or.us ELECTRICAL PERMIT FEES I Subtotal I $48 00 I Mmlmum fee used mstead of Subtotal $5000 I State Surcharge (12% of permit fee) $600 City Of Spnngfield fees · $7 50 I TOTAL PERMIT FEE I $63 50 ... ~3rq'6",jc : D~'.'.,.: ~R ftl~, 5% Local Technology Fee COM':=) ()'V ~ -n()47~. RCPT#: 32-uV r -c:;</? "OCESSEr>:~ ~ --Y - 0 y ~ """:::! _./ , This Authorization To Begin Work mus' ~ B ~ -' ~II reolaced by a Permit ) l) I,' o New constructIOn l)'~E O~\i\IVORKi" IKJ AdditIOn/alteration/replacement j liS, I ',I ' ' ' , . ) i,CAT'EGORY'OF"CONSTRUCTION ,. ;{ < if " ", l-~ '< iii ] or 2 family dwellmg 0 Multi-family 0 Commercial / Industnal I ; JOBSrrE INFORMATION AND LOCATION I Job no . 08-] 080-s I Job address 4423 CAMELLIA ST I City/State/ZIP SPRINGFIELD, OR 97478-6642 I SUlte/bldg./apt no [ Project name Herdon Cross street/directIOns to job site' I SubdivIsIOn / Tax map/parcel no / ' Connect hot tub I Lot no ]7023234044]7 'll'DESCRIPTION OF WORK' , " 'Ii I' I ,l', , , '" I I Name' mel mannmg I Phone. I Emall. "'SITE CONTACT /Fax. " 'I CONTRACTOR I CCB hc no 4296 EI hc no 20-12C I Busmess Name: BU]LDERS ELECTRIC INC I Contact Kelly O'Brien IAddress ] 95 MADISON ST I City/State/ZIP EUGENE OR 97402 I Phone (541 )4850922 I Emall kelly@bUllderselectnc com / Metro hc no' [Supervlsmg electrician's hc. no.. 5275S I Supervlsmg electrician's name RUSSELL R ROBBINS I Fax' (54 I )4854055 I City hc no 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 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 ",'j 1<:, FE~ SCHEDULE, ,... ".. , .. I Descrlphon I Qty I Ea I Total Residential SINGLE- OR multi-family dwelhng UOlt: Includes a!tached 'glrtIge; ,tm~~ ~~ ~> '"W'; i; '" ~~ ,'I ~ [ ] ,000 sq ft or less I Ea addl 500 sq ft or portIOn I Lumted Energy , I-Limited energy, reSidential (With above Sq ft) - Limited energy, multifamily reSidential (with above sq ft) - Limited energy, commercial (with above sq ft) I - Stand-alone limited energy, reSidential I - Stand-alone limited energy, multi-family I - Stand-alone limited energy, commerCial 1 ServIces OR feeders mstallatioD, alteration, AND/OR relocahoD 1200 amps or less I 20] amps to 400 amps [401 amps to 599 amps TEMPdR1\RY services OR feeders JDstallatlOD, alteratron, AND/OR relocation 1200 amps or less 120] amps to 400 amps [40 I amps to 599 amps I,BraDCh,ciI'FDitS - NEW;'alieratio~; OR exten,Slon, per panel A Fee for branch CIrCUIts With . service or feeder fee, each branch CirCUit B Fee for branch circuits $48 00 $48 00 Without service or feeder fee, first branch cirCUit, I each add I branch circuit I Miscellaneous, ' [ Service reconnect only I Each manufactured or modular dwell mg, service and/or feeder I Pump or IrrigatIOn Circle [ Sign or outlme Ilghtmg Signal clrcult(s) or limited- not offered onlme at thiS Junsdlctlon energy panel, alteration, or extensIOn 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00472 COM2008-00472 COM2008-00472 COM2008-00472 COM2008-00472 Payments: Type of Payment ONLINE CHGS cRecelOt I RECEIPT #: 3200800000000000216 Date: 04/04/2008 Descnption Add, Alter, Extend Ctrc Mtlllmum/ Adjustment Electncal + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthonzatlOn Received By Batch Number Number How Received NJM ONLINE BUILDERS Onlme Payment Total: Page I of 1 1:50:29PM Amount Due 4800 200 250 600 500 $63.50 Amount Paid $63 50 $63.50 4/4/2008