HomeMy WebLinkAboutPermit Electrical 2008-4-4
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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