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Home My WebLink AboutPermit Electrical 2007-4-4 ~PR'NGF1EL".. ZON tJ-ptZ.._ ~_ INITIALS fJ 111\ ": ._ -~ ; DATE ~4--01 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . . ,. I!04J1' SOURC~ ELECTRICAL PERMIT APPLICATION . _ . . . . /~..'. City Job Number LOoAA.'Z..oO -, - 0 eL( 8 J Date '11.? 0 7 . f . . :;.-''''''-'~;!"r'''''''"l.,.....l'' ,,'""1 1C1.'t..&" ~""'.~~";;;,,"'~J.'_ ,,"'f:\'-'!;'2~~ 3. ~C01\.lP.'iEfE~.EEE7scHEblJLEBELoJ1(;1E~~{1r~~~~~~~ 1. ~~tEb1~P.l~~~~3Iq~~-- ~4~_~"~-"'-"'''''-'.~~~:'''i.n~",,"''-' ._.,-~,._~ttJ'<c,,~~"ilt1.~1e'~.J~~ '-118 b - . \ Each Manufact'd Home or Modular Dwelling Service or Feeder !rs'''I~~1ln-~~~~~~;'!lli'!iI~~S:'i\.';1I:~ B. ~!~I.~~~~Er4i~~~J.~~d~~!3-]k1~if~~..~5W4~l~J~~~~~ 200 Amps or less , $ 63.00 b"3 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps S125.00 601 Amps to 1000 Amps . $163.00 Phone t;/j I' ';-ZI- S~o Over 1000 AmpsIVolts . S375.00 NOTICE: Reconnect Only $ 50.00 THIS PERMIT<s'w;..,---- '"~-~< 'S'.''''.' ;!W\it~r"'~rc~~~m"'~~!<.81ff.~~'~ Supervisor License Number --.!:.I II/..') .'\;:TIICRIZED U;:::~~t~tivt~f~~~~"i>j.~,,,~.",,i'iI~ Expiration Date (0 -<> I---=- -, COMMENCED Olrmllat~l$, .RlfBAUQ'nlltlfGTcation MY lBD DAY PEi9llOp1~AQ;~ED FDR " i~l'A'mps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. Signature of Supervising Electrician D. ~l11E"tS!l~~~li~I~~I;ir~:f~. ~~~ ~:rrENT:Oi\l;U;e"New Alteration or Extension Per Panel . "//7 "1/' ",~'''",vvl'''yUlreSl"' V./ , . OW nHCS EldOf)ts@neprcuil) .' $ 43.00 / {,.. - . ',uuIIGarrOnCent<>r -rE~hb:i'~iitiJ.(1.ilef?cuitorwith = 1"1 (JD 4/.-'/ (. ~. 0 ~. "V~g rlll~'" ~ . ~ $ 300 -, ~'\Q' . ....... .J..J\~ In AR 95;(!'c291_001rserVice or Feede'"r'Permilu, .' Owners Name J::v'f ') \ \ ~IL9~~~_ J mrough OAB q<:;~ rlf' IJ -frh" ....Y obtain f\:";1'SlEi"''''l\.nir..~J:!!'''lt'l1if'il~;l'~l(lr.-;~~';.'''~"''''!l'''''!':~f'i' ""'":"~'9 Address 2 / r ... c:> V A call1'''-, I ~ ~ant 'E(,;\~~cellaneoUS1(Ser~lce/fe.eder not mcluded)'-Each Iustallation~ 1::>1::> .::. " nllm:';:'i;;/..~ O~:' 1.~:~~l'e!cPii~~0j"""'"'''=-''''=~''''''<'''''''''-"''''''''''''-'->''' City S? f';:) Phone -1'__', I I .."P\lmp dr:ittiga!i!i!':~illlO' ~ $ 50.00 -_...<Jr 9 .8rp..'3^.. --:"I""~J II SignY0utline"../lghting S 50.00 Limited EnergyiResidential $ 25.00 Limited Energy/Commercial $ 45.00 . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ;;"".".,>?<:,.r.~T.-"~O.'''F'-=AB' --<."0.... .VE'."'.~.'. ~+~~~1~~. ,d;; I ~ 4. ~~~~~L2~<4r,:;,{,;~'W,,-~~~~7~~1. e ..;) 8% State Surcharge 10% Administrative Fee 5% Technology Fee .IMAIN ST LEGAL DESCRlPTION: POZ333'Z. . JOB DESCRIPTION: ZtYC/ ~ D4'Z-C( cHM~ $' \~ vL. 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;oNTR1ct01FIN~rfTi}momy,t 2. t~1t~l!tf..~~'.itl~;If.d~.::oc~~~~1. Electrical Contractor .LbJ..iG.tI< ~(r -:rI-l.:.. Address ') x-Ia AlA? tnNt.Cr-,' OlfV~ ~j-. City i5J(;6<-<."'- Constr. Contr. Number /4(.74" , Expiration Date i-I~-.# OWNER INSTALLATION 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;~"\'I,V:,~:'~~~~*;i't_;:;I;:e".~.J..~9Ze~"'I<~,,",.~:j~~~~J;~~.~>q.,,"~-14?'J'1~ A. ~t1Yi~~~~",;~!a~.,~"~~,I,~i~!.~.~~~ll:I;g~~~~:;g~t~~~~~~2~-~~~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 $50.00 $ 50.00 $ 69.00 SIOO.OO .-tV ,qt> l~ 77'f' Shared Drive(T:YBuilding Fonn,IEI"'tncal Permit Application 8<>6.;:;- \ t,li\ ~~~ S-'i b";le> '3''- TOTAL . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00485 ISSUED: 04/03/2007 APPLIED: 04/03/2007 EXPIRES: 10/03/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4986 MAIN ST ASSESSOR'S PARCEL NO.: 1702333204201 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp service change Owner: DAVID HANCOCK Address: 2663 NOVA ST SPRINGFIELD OR 97477 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MITCHS ELECTRIC INC License 146745 Expiration Date 01118/2009 Phone 541-521-5690 VB BI!lIlWINC:INFORMA TlON I " .11 fHJS PERMIT SHALL EXPIRE IF THE 'C'OFW, AlIl~A~r~~~~~~'l~~ THIS PERMIT IfS~tWi:; Floor: Ctr.W~Fo~Hm:oR IS ABANDONED F08q Ft 2nd Floor: MH'atWIlYJl# PERIOD. Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I AilEi\r.-I()(''>!;U,', :U'Jlllch! ,':'.jLJlleS y . {olh9.r~>:!~YLDjsf:)pted by the Oregon - Noti{lt~tr~~! [-rS~!t:Rqil:hose rules are S€:'l ",,1 in OJ{;!lYJ~t!U~'l Rwq~; 0 through OAR 952-00 0090:.~oJ~YM{~v.sm~h copies 01 the rules t f:RlllnC1 lh:l csntet. (Not'!: the !elephone I PUBlJIG'IMrROVEMmiiil~~I'~3~~I~'r.i"t:lull ~....._... . - - - - ) Sidewalk Type: DownspoutslDrains: REQUIRED PARKING Total: Handicapped: Compact: 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 of2 . . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00485 ISSUED: 04(03(2007 APPLIED: 04(03/2007 EXPIRES: 10(03(2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Snrcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $3.15 $5.04 $63.00 413107 413107 413107 413107 1200700000000000356 1200700000000000356 1200700000000000356 1200700000000000356 Total Amount Paid $77.49 I Plan Reviews I 1:0 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. IR..~ Electric Service: Approval reqnired prior to utility company energizing service. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 fnrther 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 strncture without permission of the Community Services Division, Building Safety. 1 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 Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00485 COM2007-00485 COM2007-00485 COM2007-00485 Payments: Type of Pay~ent CreditCard cReceint 1 .iL~ Cwf Springfield Official Receipt ~opment Services Department Public Works Department RECEIPT #: Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ERIC MAHAFFY 1200700000000000356 Date: 04/03/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb R74311 In Person Payment Total: Page I of I 1 :29:47PM Amount Due 63.00 3.15 5.04 6.30 $77.49 Amount Paid $77 .49 $77.49 4/3/2007 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4986 MAIN ST ASSESSOR'S PARCEL NO.: 1702333204201 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00485 ISSUED: 04/03f2007 APPLIED: 04/03(2007 EXPIRES: 10(03(2007 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: 200amp service change and 3 circuits Owuer: Address: DAVID HANCOCK 2663 NOVA ST SPRINGFIELD OR 97477 Contractor Type Electrical Phoue Number: 541- NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK - ---;~......... '!t"\T AU t HUHILtU UI'1ucn 1111,.) I L.1\1f1l I IV ~I:' , I CONTRACTOR IN FORMA\Ii!(i)N-J I ED OR IS ABANDONED FOR MIl( 1 Rn DAYEPERIOD. D "L:lcelrse xp1ratlOn ate 146745 01/18/2009 Contractor MITCHS ELECTRIC INC Phone 541-521-5690 # of Uuits: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type Secondary Coustruction Type: # of Bedrooms: Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: DescriPtion Type of Construction BUILDING INFORMATION I R-3 # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: _ " ". " . Water Type: ul ,-". _ ,.. 'Sq Ft Basement:'On I . ,.,. . ....( ~. ....\J "~'H \./I'""'~I ."., Range Type: 10110'" rules c:.dOpl Sq Ft Garage/Caroort.t IVI 'V'oi ::'rt ~r:"'" "I has d1{: ~tJ Ene.rgy Path:. Notification center.s~ ~t~!~.':r,:()~R 952-00 SprlOkled BU'ld.!,g'OAR 95:2!~J1-000ccupant:l',oad: I In . . . _ __~;"e ntlhe ru as I DEVELOPMENT INFORMiiioN.:'."'cV "vn~~-r"'~loie: tOE! telepho~e 1 \;0. l'V . \ - -"'- -+K........ . vu.... " ',~" ')r~"vn ~.EQPIRED"P-AJ<KING . rll;ml1ariQrl.p~.\", - U ", ,...'v'......,3:~4). Overlay D.st: . Ceoier IS .\ -80('-"Total: . # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: VB I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsmrains: I Valuation Descrintion I. $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00485 ISSUED: 04/03(2007 APPLIED: 04(03/2007 EXPIRES: 10/03(2007 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l.F""s P",id I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $6.30 $3.15 $5.04 $63.00 $0.90 $0.45 $0,72 $9,00 4/3/07 4/3/07 4/3/07 4/3/07 4/9/07 4/9/07 4/9/07 4/9/07 Receipt Number 1200700000000000356 1200700000000000356 1200700000000000356 1200700000000000356 2200700000000000503 2200700000000000503 2200700000000000503 2200700000000000503 Total Amount Paid $88.56 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections rl)quested 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. Electric Service: Approval required prior to utility company energizing service, By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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. 1 . 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 Fift~ Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00485 COM2007-00485 COM2007-00485 COM2007-00485 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: . ~~~~ Wit. CAof Springfield Official Receipt ~opment Services Department Public Works Department 2200700000000000503 Date: 04/09/2007 Description Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MITCHS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk T34247 Phone . Payment Total: Page I of 1 1O:46:S2AM Amount Due 9.00 0.45 0.72 0.90 $11.07 Amount Paid SIL07 $11.07 4/9/2007