HomeMy WebLinkAboutPermit Electrical 2008-4-4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00477
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
SITE ADDRESS: 4984 MAIN ST
ASSESSOR'S PARCEL NO.: 1702333204201
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Five 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:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Notes:
Street Improvements: Sidewalk Type:
Storm Sewer Available: ATTn'lTI.QOM'@p-.cwtsYDwiffiQuires you.t.O
Special Instruction: follo\'~' rq;, ;:. ad0pted by the Oregon Utility
';]rr "'f' Notlfl:;e'd'~ll C'7nter. Those rules are set forth
I J'" .l.I .. in OAR D!.J2-001-001 0 through OAR 952-001-
~ ~l_ti .~~R~~T SHALL EXPIRE IF THE WORK 0090. You may obtain caples of , the rules by
. , ./ I I I U rllLtu UI~Uth I HI~ I-'tt- 1VI1 J It; NU r . -, ~IHflg the l,.'CiIl<ol. (11IUll;j, .l.ll<- L.,)~;t~g
Cm/JIViENCED OR IS ABANDON iJUDption Descriptiomlmber for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344).
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Type of Construction
Value
Date Calculated
Description
Pa!!:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00477
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
1200800000000000310
1200800000000000310
1200800000000000310
1200800000000000310
1200800000000000310
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.
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 herem, 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-mailedTo:mahaffy@quixnet.net
Receipt # EC528235
4/4/200812:41:35 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@cl.springfield.or.us
TYPE OF WORK
o New constructIOn
IKJ AddItion/alteration/replacement
, CATEGORY OF CONSTRUCTION
I III ] or 2 family dwellmg 0 Multi-family 0 Commercial / Industnal
/ JOB SITE INFORMATION AND LOCATION
Job no.. I Job address: 4984 MAIN ST
City/State/ZIP SPRINGFIELD, OR 97478-6072
SUlte/bldg /apt no.:
I Project name
Cross street/directions to Job site
I SubdivIsion: I Lot no
1 Tax map/parcel no ] 70233320420 1
I DESCRIPTION OF WORK
5 CirCUits
SITE CONTACT
I Name. Enc
1 Phone' (541)9]3-5806
I Em3l1:
I
I Fax:
CONTRACTOR
I CCB hc. no. ] 46745
I EI hc no' 20-469C
I Busmess Name. MITCHS ELECTRIC INC
I Contact. 52] -5690
IAddress 2788 MANOR DR
I City/State/ZIP. SPRINGFIELD OR 97477
1 Phone' (54])52]5690
I Emall. mahaflY@qUlxnet net
I Metro hc. no.
I Supervlsmg electriCian's hc no. 4772S
I Supervlsmg electriCian's name: MITCHELL L PRATI
I Fax' None
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 apphcable land use laws and local ordinances
ThiS AuthOrization To Begin Work must be ~
I I FEE SCHEDULE
I DeSCriptIOn Qty Ea Total
ReSidential SINGLE- OR multi-family dwelhng umt. Includes
attached garage
1,000 sq ft or less
I Ea addl 500 sq ft or portion
I Limited Energy
I-LImited energy, reSidential
(With above SQ ft)
I-Limited energy, multifamily
reSidential (With above SQ ft)
I-Limited energy, commercia]
(With above SQ ft)
- Stand-alone limited energy,
reSidential
- Stand-alone limited energy,
multi-family
I - Stand-alone limited energy, I
commercial ,
I Services OR feeders mstallatlon, alteratIOn, AND/OR relocation
1 200 amps or less
1 20 I amps to 400 amps
1401 amps to 599 amps
TEMPORARY services OR feeders mstallatlon, alteratIOn,
AND/OR relocation ' ,
1200 amps or less
1 20] amps to 400 amps
140] amps to 599 amps
I 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.
I each addl branch CirCUit 4 $4 00 $16 00
I 'Miscellaneous ~ '"
1 ServIce reconnect only
I Each manufactured or modular
dwell mg, service and/or feeder
I Pump or lITIgation Circle
1 Sign or outlme Iightmg
SIgnal clrcUlt(s) or limited- not offered onlme at thiS Junsdlctlon
energy panel, alteratIOn, or
i extensIOn
" , '., ELECTRICAL PERMIT FEES I
Subtotal $64 00 I
State Surcharge (12% of permit fee) $768 I
City Of Sprmgfield fees * $9 60 I
TOTAL PERMIT FEE $81 28 I
] 0% Local Admm Fee, 5% Local Technology Fee
I
I
I
I
* City Of Sprmgfield
COM:~(Jl) r - 0CX-n7
RCPT#. /~)tfP ~ - 3/u
DATE PROCESSED: .</ ~'-! ;-Q r
, I
I
ad by-.9 Permit
.B
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00477
COM2008-00477
COM2008-00477
COM2008-00477
COM2008-00477
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
1200800000000000310
Date: 04/04/2008
DescnptlOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE
mltchs Online
Payment Total:
Page I of I
2:48:02PM
Amount Due
4800
1600
320
768
640
$81.28
Amount Paid
$81 28
$81.28
4/4/2008