HomeMy WebLinkAboutPermit Electrical 2008-6-2
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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