Loading...
HomeMy WebLinkAboutPermit Electrical 2008-6-2 ~ d .J LP'~ /u l () /?- ~QV 6f'f CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00762 ISSUED: 05/30/2008 APPLIED: 05/30/2008 EXPIRES: 11/30/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5580 HIGH BANKS RD ASSESSOR'S PARCEL NO.: 1702280000302 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: GFCI outlet for bathroom. Owner: DELVECCHIO ROSEMARY E Address: 5588 HIGH BANKS RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745 Expiration Date 01118/2009 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 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: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Special IA~l!fl~rDN: Oregon law requires you t,o follow rules adopted by the Oregon Utility Notes: Notification Center, Those rules are s;~ f~~;h RK in OAR 952-001-0010 through O,~,~_9 ..I~'" ~,~ NOT'C~: C'UAIt EXPIRE \f TH~ ~O T 0090, You may OUli:t1l1 WtJi"'" u. :r,_ L, 1111. rfEMIT - ER 1H\S PtKl\tll1 \u HI). calling the cent(er. (NO\~;I~i~ye ~e~~e~1e tion Descri ti HORIZED UN~\S ABANDONED FOR nunL;::1 101 the Jregon . l' C~MENCED On I . ,. "J 1)0d.4) D " G\:111l5~IS1-O~j(.I'J""~-':;'v, '$PerSqFt Squa1 otlMreDWPER\O. DeSCriptIOn Type of ConstructIOn I' I' B' 'A' . r OVt 1"\ Value Date Calculated or mu tIp ler or I ftmoun Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00762 ISSUED: 05/30/2008 APPLIED: 05/30/2008 EXPIRES: 11/30/2008 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 $6.00 $7.20 $3.00 $48.00 $12.00 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 2200800000000000790 2200800000000000790 2200800000000000790 2200800000000000790 2200800000000000790 Total Amount Paid $76.20 I Plan Reviews, To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired Insoection.LI Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pae:e 2 of2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:mahaffy@qUlxnet.net Receipt # Ec531206 5/30/200811:10:13 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us f jFNqRiPn;p'fW1@+l$iW,lw->>>r~,y;., "- "t~ h ~ " .c,..;;,: '#FEEiSeHEDULlEJI1~511i~M"IIIG'" III I DeSCrIption I Qty. I Ea. I Total iiResideu'tiafstN.GLE- O'R.'mulit!fatrtll"ylo/dwellilrg,lUnit:,1Includes'll'",0 " ""ft_ ~ '''H~ '%~~d'MIW~!Wl&tJ0*W0&1*$$.4i&WC.,JW ~0' 0%"'''''''J",,~wJ~11I!J?lh1:'%41/>/t<19<4 :ll'at!acl!ed<<garag~ IPW '"i)L+Wj1#lmtwMI])11i1funPlNmAldJMI;h4"~1 ~(!hrAkt1SJnl!l!i'J,'<~'ll)l1<<lf ,lp"4 <<< >>>';)i>~V%t%M/N:~^%;I":<< I 11,000 sq ft or less I I Ea addl 500 sq ft or portion I I*iEintitedlllEnergy , ~-m ~X' 1""W;&M4'i(.~I~?j~ ,,&KthilM1W:&%Y1iiMm< ~I>>~=" 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 I - Stand-alone lImited energy, multl-faml]y I - Stand-alone lImited energy, commercial Iff~~i:VJ,II~oR'm'ilers:ins!ltll'~~!~"!''II~Urli~J~~;~D~ORfrelocati~", " I 200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps n:MPoR';ffiY:SW~lcts~GRffeede_rs IDstaiiftfiO&?!alttrlt1on"G.0Jtl.,gw $1tY,,\. '1'1 <- Ctw<~~ I' ' 'JJ"V,,'l'MW""m.t~k J<<'iix&>tf1frJ::M ,%1 '" I" ~'\j'~~~*'\-:r<<I'i1>, ,II~~/C?R'rdo,catiQPIII"pit:Ml4vl;j!lGI'!"+~i6,l,;,,,~,,: 111"'" '7' :Ii':ltW'il'~&t'f{:{WllltGt:tn 1200 amps or less 1201 amps to 400 amps I 40 I amps to 599 amps lll.Biaffi:blcircUltSI'il\'~W," aIterati~~~\tOR~xtension, per paJ1eI4ill't: 'tltt,: ' " \~ -D) Bl'1~*,;w6WiMMS)?h,(, "Ii,~,""h &,,,-& W1 v- "Il' ,I,m lA' ,,<<~"~ A Fee for branch ClfCUlts With service or feeder fee, each branch CirCUit B Fee for branch CirCUits $48 00 $4800 Without service or feeder fee, first branch CirCUit, I each add] branch CirCUit 3 $4 00 $12 00 D New construction [X] AdditIOn/alteratIOn/replacement " ',i'%~I~U'liim"%x",w:_:_:,:,:,'::':':::';::_::'::':.:_.II~~",'~:r.,. II- ~ ^ W CATEGQ~~;Q~~Q~W~PI0N'''M'''I !iJ I or 2 family dwellmg D Multi-family D CommercIal /Industnal IIIN:tfJ;:ul~lIrn'oBlsITE INFORMATION AND~i!OCAJ,ioN II III " ~J '1' "+"!'''~IM8)<'t,hl~~~4i'II;x~ ,,,,(&! y-" t ,0N0fumlhIM,It~I'1!:$R~" IJOb no.: IJOb address: 5580 HIGH BANKS RD I Clty/State/ZIP: SPRINGFIELD, OR 97478-6855 I Smte/bldg /apt.no.: I Project name. Cross street/dIrectIOns to Job site. I SubdIVISIOn: I Lot no.: I Tax map/parcel no.: 1702280000302 I IN'i~+~'<-'~IJ~>'k0" >"r,~ ><<""II'"~~~{"II~Ii!WI!'""'i<~I'I((bl~t1> 1,,,,.,;'- "'", ,I' " /II '16!t'llllilWll+rWh~+4'{:{:I'II~~~S~I~TION:OE+V'lQB~I~;:8.H'::I':tllllllllll GFCI outlet for bathroom I, I Name: Enc mahaffy I Phone: I EmaIl' I' lEI. hc. no: 20-469C I CCB hc. no.: 146745 I BUSIness Name: MITCHS ELECTRIC INC I Contact. 521-5690 IAddress: 2788 MANOR DR I Clty/State/ZIP' SPRINGFIELD OR 97477- I 314 I Phone: (541)5215690 I Fax. None EmaIl: mahaffy@qUlxnet net Metro he. no.' I City hc. no.: I SupervIsIng electrICian's hc. no.: 4772S I SupervIsIng electrICian's name: MITCHELL L PRATT IFax: I Service reconnect only I Each manufactured or modular dwellIng, service and/or feeder I Pump or lITIgatIOn Circle I Sign or out]me IIghtmg Signal clrcult(s) or IImlted- not offered onlme at thiS JunsdlctlOn energy panel, a]teratlon, or extensIOn 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. , II i'l"EL'IECTf~.jCAi:PE'RMiTFEES''IIIII''I16j6#::l'jlVl;:IIJ1:1'11 II NOTE' This Authorization To Begin Work expires within 180 days If a permit IS not obtained i I I * City Of Spnngfield Subtotal $60 00 State Surcharge (12% of permit fee) $7 20 City Of Sprmgfield fees * $9 00 TOTAL PERMIT FEE $7620 10% Local Admm Fee, 5% Local Technology Fee 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 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00762 COM2008-00762 COM2008-00762 COM2008-00762 COM2008-00762 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 2200800000000000790 Description Add, Alter, Extend Orc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmmlstratlVe Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 05/30/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ddkl Page 1 of 1 ONLINE MITCHS Online ELECTRIC Payment Total: 11:47:03AM Amount Due 4800 1200 300 720 600 $76.20 Amount Paid $7620 $76.20 5/30/2008