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HomeMy WebLinkAboutPermit Electrical 2007-3-12 r/ itt: ,..- ~ w, 1-\1:>",- _. . j , ..,. i~' ,,. ~~.~'i~ INITIALS /'.l1l^ rlr.~'bl . A!. DATE :3 - IJ- - 07 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(540726-3753 . FAX: (541)726-3689 ""'". SOURCE fYl "- ELECTRICAL PERMIT APPliCATION . . 0 . City J:~~~:b:~,. ~;::,,~ ~.~ ~_~;:: '3 "3 tr'''~''~;'~W''''''''7~:~''':' ~..~ :"""~"~",'1''"''''''''''''1 1. :!:RStPOI'f... o.~ l}Ys..!AI,.~r.IOfL;;:jj'j 3. ).C2!!f,LE[E);]';E:$~C.!!!JEE!:.f. ~E.Lo.~~;~~;~:3~~}>f,,:~:; L( cr BO wtA/,.,r sT 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 60IAmPstoI000AmI"~OU\0 $163.00 Over 1000' Amps.WOI~~n \)\i~~'J , $375.00 Reco!ll1ect'QclY3 O(eg e set \0' '. $ 50.00 ,vl"'V'~,-;"::.'O'l ,I. \eSz,.( '3l?-cv' \(:.\'~\ -0(- ~_V'''1\'Ge~~~~";I:~'~!''\-::,,,~~',~~ ,. .... ,~\ .....\ ,,\e,c::e- ...:remporah' Se!\V;lces or Feeinrs "'>-"'1': "':..t " ~~ ~? :-:.~' ...- ,'.: ' ." ;-1 ,. J (V' ce\'l",,\"--,,~~'G""""""\'\'f\6>-"""~"e" ~'~~-"-'--..""-"- \Ol~~' '3\10<;\ ~~_OO'\v\ "OieSO ~\eo'('lOfl. (\ "otl\IC ,,"-'1 .OlnstaUatiOn,CAIt""atlon'or ReI~~'fi'on " .;\ ",,;C- \J UV'- (~O"~':' ~O\ll'- fI VI" ,<ou (('20pe\WPs-or /5.,\s0\\\I\'1 n ~.b.). :j090''''I_,g \r2'o (\AmPSt6'400:.~i~.:r '3.\\ t J.^'" \'" ~ \1,\\\' ... '" .-<\\)el"40I,Ajrips to 600 Amps . $100.00 ~\}\\' G~\\\.o Over 600 Amps or 1000 Volts see "B" above. D ,'r' ",;t;:: h' C~: ~'!lt!';~;r}"""t~,::];,~Jt;,~'r{l2~:;::7Tt7,;-~.-:'~'-~"4.::~...:~':~\",;7\:i_~-:;:' . ,~Bt~aI1c~~5.~~:~,{:+"h~"";'~~',*~!"{_~ ,"',r :';;;';';">',,, ,":.;i~r ,:"''''',,,<:' ~. LEGAL DESCRlPTION: 17023331. . JOBDESCRlPTION: ~VI <Lt' tf.>"A-5.~ 0L(20 ( Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~~J. ,";,. :':f'''"t:-~,=r;j~'''j~,;''f;}~9'~, ..,". --,,',,-,"",""7"-' : 'CONTRACTOR'INSTALLATJON.ONLYo'; 2. t~;:~ ~_;;.:.;:.z:;;:-.:.:.'..,L'::;"'~J.:,".z.":ili..;cl'1..';;j,:!t'~"l;.i4i~~" "~LZi!;;..,;~1 Electrical Contractor III ,'j,.~H~ ':CP -nl0 Address ') SrlD rn~,' O~~ ~j-- Ave . Cily 5;~6-<<.';. Phone L;/j f ,zt- >"1-0 Supervisor License Number L, lil. :> Expiration Date IO~ol-.::>"'7 Constr. Contr. Number A:I!i" Expiration Date 1- Ils"~~... Signature of Supervising Electrician 4;~. Owners Name "J:::>ftv" ~ r\.A~ c... Ie... Address 'Zb(; 3. /JOII A ~, $:t> pb Cily Phone . OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 !i:".I'''q;~~ ".'''';~I ;\>~",.;" >tF~fi:'rp~'ir"m"";rr::9&;'?~;:1l~~\:T.;t;~~~if'i'~~l'i'~'-'~;P::' A. ,!Ne," Residential'" Single or:J\1iilti-Familv;'per;dwelling iini!:.'.':" ~~'.;;:..~ "...:...-.:.-.~..a""""~:;"",,,,"~;...:!u.....,...:o:<.....:~~.l:---- -''.,'~ .~.'~';",'f Service Included 1000 sq. ft. or less Eacb additional 500 sq. ft. or portion thereof Each Manufacf d Home or Modular Dwelling Service or Feeder I $106.00 lOb $ 19.00 $50.00 B. ~rse~~i~'~;tt~;:F~~~~s~_;'Inst~ii'~.ti&~,~~lt~Y~t~ri~, cit;'R~f6~~ti6ri:A1J t:.~'~l.io.i4.1&".r..;;.:::;t;.i:;c;.Y";::~~.::I.;..;!.,,::.li~....~:'A>>'~'1..:';;w.'J.i~...&.-'ii.li;;-;.~~~;.. ~;':".~;{k.~; t 50,00 $ 69.00 New Alteration or Extension Per Panel \I. One Circuit .. .' 1'1l" \NO\!"B.OO E'!.CQp\9~ltlonaICIfCU{~riih't. \r lI.\1 \5 "01 .. "t);/tJiH:'or .F.<<d...\:1e.k.r 1.1\'" ?'t.P. - $ 3.00 . o't.\\~\\V ~Qly\" "D'ru" 'W'iJ,t'-'7.f\'!t\'l'\\l-t~.~ \i:M'K~t\~~!".<'1(1';)":-,,,.=r-;'!O''',,,~, ,,",',' n' E.~~~~~.~~~.'I.e~,~ot !iisl!!!I~i1).',;.EichIhst:illl~J~~ ~~I'-!I~ im~!Ilin?'t.\\\ . $ 50.00 Si~~';\lke Lighting $50.00 Limited EnergylResidential $ 25.00 Limiled Energy/Commercial $ 45.00 . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. r.~tQr~Qfi~9Yft1~~S.~\7:i:~~~~r~f lOb 892> 1..0fo .<:70 /30 ~ 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)lBuilding Fonns/Electrical Permit Application 8-06.doc . . CITY OF ~n~ll'\iuNJ<,LD Building/Combination Permit PERMIT NO: COM2007-00333 ISSUED: 03/09/2007 APPLIED: 03/07/2007 EXPIRES: 09/09/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4980 MAIN ST ASSESSOR'S PARCEL NO.: 1702333204201 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Rewire house Owner: DA VID HANCOCK Address: 2663 NOVA ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor License Expiration Date Phone MITcHS ELECTRIC INc 146745 01118/2009 541-521-5690 I BUILDING INFORMA nON I \6S ,!OU,\~" ..,.-.N (2o.ul on U\\'" :\ # of Stories:.;. "''''....., \ k\,!<si2~f-g (6 Sa\ \0\ ~ Height of Structure:., '''''~'AOn\ed 'o':'S.q, "tl'J'siiF~IOO~:"-2-()O\ \ ..... 2>" I" ......."""~ ~ ,..,!"\ ,,'; Type of Heat:"' \ ..1 r,,~eS '''1' \\':sg.l?t.Zlid' 100nuleS \10" 'v cefl'''' 'b.'(,,<4}-...:. Ht1I:l' Water Type: \0.. '3\10\"1 _()()'\()t-:S,,!.~\~.!'s'e~~iUb'('lofle Range Type: \o\\\I~B 9r::/2.-00'" D\'3iflSqlf~q~!lllgeka';ealjO~ Energy Path: C\ O~ OU liI'3'/ 0 ~01 .1$/fFt {?\\~,~\o\\' Spriukled Buil~i},f:i' ~ "\,,wn/A'lflO\.~CCUP!l~t.,~.td~. ...\\\;,\"", :..hP _,.. -'J.'.~?' ~~ . ...... . \,0-' I DEVELOPMEl" mruI<.MA:rION"I.&(\S R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: \\" W' -,,-It. 'NO :\ ~01\Ct:, "i c:.1-\1>.\..\.. t."'I'.I~;t:R,,^I\ 15~O I PUBLIC IMPROVEMENTS I \\'\15 I'tl\I'I'~() \l~()t.~ \~'~~QO~t.() \"Ul\ 1\11-\0\\ \\ IS t>:ul' t>:'!Siderta'l\(JlYile<;) 0" rl'\,,^t<It. ' 'I'r\\1 u. 1~'\W!l.nli6ralils: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 . . \...11 i' OF SPRURd'Il!,LD Building/Combination Permit PERMIT NO: COM2007-00333 ISSUED: 03/09/2007 APPLIED: 03/07/2007 EXPIRES: 09/09/2007 VALUE: '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769Inspection Line Total Value of Project Fees ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Amount Paid Date Paid Receipt Number $10.60 $5.30 $8.48 $106.00 3/9/07 3/9/07 3/9/07 3/9/07 1200700000000000256 1200700000000000256 1200700000000000256 1200700000000000256 Total Amount Paid $130.38 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. L.ReolJirerl J~ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 trne 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 ofany structure withont 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 Paee 2 of2 225 Fifth StJ;eet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00333 COM2007-00333 COM2007-00333 COM2007-00333 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Residence Wiring 1000 Sq FI + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ERIC MAHAFFEY . Mir~.~~Pl.~.'.,i ........ ".' I \. ; - ,.'- '. ' .., '" . ! '. . ....-.. ,-""--.,"f- .,.... <A of Springfield Official Receipt _Iopment Services Department Public Works Department 1200700000000000256 Date: 03/09/2007 Item Total: L'heck Number Authorization Received ,By Batch Number Number How Received djb R94323 In Person Payment Total: Page I of I 11 :39:39AM Amount Due 106.00 5.30 8.48 10.60 $130.38 Amount Paid $130.38 $130.38 3/9/2007