HomeMy WebLinkAboutPermit Electrical 2007-7-12
Status
Issued
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01029
ISSUED: 07/12/2007
APPLIED: 07/12/2007
EXPIRES: 01112/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1461 F ST
ASSESSOR'S PARCEL NO.: 1703362300600
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service and one circuit.
Owner: VEYSEY DINDA A
Address: 1461 F ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
MITCHS ELECTRIC INC
License
146745
Expiration Date
01/18/2009
Phone
541-521-5690
BUILDING INFORMATION'
# 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.
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:
Downspouts/Drains:
Storm Sl~t;regon law requires you to
Specia~'~~f.. ~dopted by the Oregon Utility
N tiflcation Center. Those rules are set forth
Notes:InOOAR 952-001-001 0 through OAR 952-001-
y..,.. _~I., copies of the rules by
89~. '. nt . (Note' tne leler'rllll''''
calling the ce e.. '. .
number for the Oregon Utility Notl1 ~nation Descri
Center Is 1-800-332-2344).
$ Per Sq Ft
or multiplier
Type of Construction
NonCE:
THIS PERMIT SHAll EXPIRE IF THE WORK
,D. T't1On~i.:E~ ur,~~p. TIIID r~nMIT I€ Nf)T
tionC MMENCED OR IS ABANDONED FOR
Y 180 DAY PERIOD.
Square Footage
or Bid Amount
Description
Value
Date Calculated
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01029
ISSUED: 07/1212007
APPLIED: 07/12/2007
EXPIRES: 01112/2008
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
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.40
$3.70
$5.92
$4.00
$70.00
7/12/07
7/12/07
7/12/07
7/12/07
7/12/07
1200700000000000907
1200700000000000907
1200700000000000907
1200700000000000907
1200700000000000907
Total Amount Paid
$91.02
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 Insoections I
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 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
Page 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:mahaffy@quixnet.net
Receipt # EC513887
7/12/2007 11 :48:31 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
"'~ "TYPE OF.WORK'.<.
W Addition/alteration/replacement
o New construction
[K] 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
IJOb no.: IJOb address: 1461 F ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4160
I Suite/bldg.lapt.no.:
[ Project name:
Cross street/directions to job site:
I Subdivision: I Lot no.:
I Tax map/parcel no.: 1703362300600
I ,DESCRIPTION OF WORK
service 1 curcite
, ... SITE'CoillTAcT
I Name: eric
I Phone: (541) 913-5806
I Email:
I
I EI. lie. no.: 20-469C
I Business Name: MITCHS ELECTRIC INC
I Contact: 541-913-5806
I Address:
I City/State/ZIP: SPRINGFIELD OR 97477
[Phone: (541)5215690
I Email: mahaffY@quixnetnet
I Metro lie. no.:
I Supervising electrician's lie. no.: 4772S
I Supervising electrician's name: MITCHELL L PRATT
---.~_._----------- ..~._----- --
I Fax: 913-5806
CONTRACTOR'
I CCB lie. no.: 146745
I Fax: None
I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed 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 applicable land use laws and local ordinances.
"\,,,,' " '1:,,'.. " .. .. , ,.. I
Ea. Total I
I Description
FEE SCHEI:!,",LE:'
Qty.
1,000 sq, ft. or less
Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifamily
residential (with above sg, ft.) . .
Services ORfeeders installation, aiteration, AND/OR relocation
'-"0,:i,",~!d;'h),iY'i':':" -;' ._:-,._,:,0, ,Com.':..",-"-,-,..>."':-.!',"",,;-,""::::!_::,,,!!: ,i',,-'" _":,',' '"
200 amps or less $70.00 $70.00
[201 amps to 400 amps
1401 amps to 599 amps
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
Branch ch",:~its 1~;,NfW!i!"ter!'tion, OR ext~nsio~, perl!,nel ,
A. Fee for branch circuits with $4.00 $4.00
above service or feeder fee,
each branch circuit
B. Fee for branch circuits
without service or feeder fee,
first branch circuit:
I each add I branch circuit
[ Service reconnect only
I Each manufactured or modular
dwell ing. service and/or feeder
I Pump or irrigation circle
[ Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
ELECTRicAl. PERMIT FEES
I
I
I
I
· City Of Springfield
Subtotal $74.00
State Surcharge (8% of penn it fee) $5.92
City Of Springfield fees · $11.1 0
TOTAL PERMIT FEE I $91.02
10% Local Admin Fee: 5% Local Technology Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Sp.ringfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01029
COM2007-01029
COM2007-01029
COM2007-01029
COM2007-0 1 029
Payments:
Type of Payment
ONLINE CHGS
cReceint1
RECEIPT #:
1200700000000000907
Date: 07/12/2007
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
ONLINE
Online
Payment Total:
Page 1 of 1
1:19:45PM
Amount Due
70.00
4.00
3.70
5.92
7.40
$91.02
Amount Paid
$91.02
$91.02
7/12/2007