HomeMy WebLinkAboutPermit Electrical 2008-4-4
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00475
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: 4982 MAIN ST
ASSESSOR'S PARCEL NO.: 1702333204201
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 5 Circuits
Owner: HANCOCK DAVID H & CAROLYN L
Address: 2663 NOVA ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
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:
# 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:
nla
I DEVELOPMENT INFORMATION I
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:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
DownspoutslDrains:
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-001 Ii thrnll~h nil 0 n~~ 'n1
090. You may obtain copies of the rules b
calling the center. (Note: the telephone Y
umber for the Oregon Utility NotifIcation
Square Footage Center IS ,1,.Rnli-332-234A.\ C I I d
B'd A t valUe- oote a cu ate
or I moun
Notes' NOTICE:
'THiS PERMIT SHALL EXPIRE IF THE WORK
f\U i I1UlilLtU ul'wcn I ni'; f-tnfv'll- I.~, till.7
COMMENCED OR IS ABANDONED FV8luation Descri
ANY 180 DAY PERIOD.
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00475
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
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$6.40
$7.68
$3,20
$48.00
$16.00
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
2200800000000000413
2200800000000000413
2200800000000000413
2200800000000000413
2200800000000000413
Total Amount Paid
$81.28
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.
Reauired 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 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 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:mahaffy@quixnet.net
Receipt # EC528234
4/4/2008 12:32:06 PM
Check on status of permIt
By Phone: (541)726-3753 or Email: permitcenter@ci.sprmgfield.or.us
f' :V
o New constructIOn
'i 'i'",JYPE"OF WORK
[X] AddItion/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
W I or 2 famIly dwelling
o Multi-famIly
o Commercial/ Industrial
1 JO~S,:r~ INFORMATIRf;I ~f;lD l.OCATION'
I Job no . I Job address: 4982 MAIN ST
I City/State/ZIP' SPRINGFIELD, OR 97478-6072
I SUltelbldg /apt.no .
I Project name
Cross street/directions to Job site.
~ '
1'1,
I SubdiVIsion. I Lot no .
I Tax map/parcel no. 170233320420 I
I DESCRIPTION OF WORK
5 cIrcuIts
SITE CONTACT
,:l "
1 Name EriC
Phone. (541) 913.5806
Emall.
I CONTRACTOR
lEI IIc no 20-469C 1 CCB hc. no 146745
I Busmess Name. MITCHS ELECTRIC INC
I Contact. 521-5690
IAddress 2788 MANOR DR
IClty/State/ZIP SPRINGFIELD OR 97477
IPhone (541)5215690 IFax. None
I Emall' mahaflY@qulxnet net
I Metro hc. no.. I City hc no'
1 Supervlsmg electrician's hc. no 4772S
I Supervlsmg electrician's name MITCHELL L PRATT
1 Fax
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one busmess day,
with mstructJons on how to schedule your mspectJon
NOTE. ThiS Authorization To Begin Work expires wlthm 180
days If a permit IS not obtamed
The local bUlldmg department may determme that an
Authorization To Begm Work IS null and vOid If It does not
meet applicable land use laws and local ordmances
I
I
'I
I
i' I
1
1
I
FEE SCHEDULE , '
DeSCription I Qty. I Ea. Total
:~e~id~~~i,a!,~INGLE-OR m,ultJ-famil.~ d~~I!~ng H~it, ~vslude~ '
attached garage,' ' .
11,000 sq ft or less
I Ea add I 500 sq ft or portIOn
I Llml~~d En'ergy.'iQ
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
- Stand-alone limited energy,
multi-famIly
- Stand-alone limIted energy,
commercIal
I Services OR feeders mstallation, alteratIOn, AND/OR relocation
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
TEMPORARY services OR feeders Installation, alteration,
'AND/OR relocation
1200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
Branch Circuits - NEW, alteratIon, OR extension, 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,
1 each addl branch CirCUIt 4 $4 00 $16 00
I Miscellaneous
I ServIce reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or IrngatlOn CIrcle
1 SIgn or outlme IIghtmg
Signal clrcUlt(s) or limIted. not offered onlme at thIS JUrisdIction
energy panel, alteratIOn, or
extensIOn
I ELECTRICAL PERMIT FEES
I Subtotal $64 00
I State Surcharge (12% ofperrnlt fee) $768 I
I City Of Springfield fees · $9 60 I
.._L__.......-"""""""'_".:m1J.p.~MJTEE.E ___~ $8128J
· CIty OfSprmgfi>l<!. 10% Loc.~d~Fee, 5% Local Tec Inology Fee
COM: 2CJI.J ~-- ,L.l~ ._-: I
.--==
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00475
COM2008-00475
COM2008-00475
COM2008-00475
COM2008-00475
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000413
Date: 04/04/2008
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ ] 2% State Surcharge
+ ]0% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
NJM
ONLINE MITCHS On]me
Payment Total:
Page] of]
2:28:I3PM
Amount Due
4800
]600
320
768
640
$81.28
Amount Paid
$8] 28
$81.28
4/4/2008