HomeMy WebLinkAboutPermit Electrical 2008-2-27
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00279
ISSUED: 02/27/2008
APPLIED: 02/27/2008
EXPIRES: 08/27/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1278 M ST
ASSESSOR'S PARCEL NO.: 1703264403900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service Change
Owner: SMITH VIRGINIA LEE
Address: 1278 M ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
Expiration Date
08/06/2009
Phone
541-741-8844
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 Sewer Available:
Special Instruction:
ATTENTION: Oregon law requiros you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
D1C'-IC[ )1 O^ne"""@"4 GS4"t:-_",\_lo."^I:lr1!:I")"r1i
1\t~1 tu . I 1\ .......- -"I ........ --"--J- -
THIS PERMIT SHALL EXPIRE IF THE=~t' D . t' 10090. You may obtain caples of the rules by
VVl3l1lftl IOn escnp IOn calling the center. (Note: the telephone
AUTHORIZED UNDER THIS PERMIT I number for the Oregon Utility Notification
Desct.i~'tMMENCEfvQPof~~~ED FcJllferISt.ql~t squBa.rdeAFootage Center ~a1niOO-332-2~~.Calculated
ANY 180 DAY PERIOD. or mu Ip ler or I mount
Notes:
Pa!:!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00279
ISSUED: 02/27/2008
APPLIED: 02/27/2008
EXPIRES: 08/27/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid Date Paid Receipt Number
$9.00 2/27/08 2200800000000000245
$10.80 2/27/08 2200800000000000245
$4.50 2/27/08 2200800000000000245
$20.00 2/27/08 2200800000000000245
$70.00 2/27/08 2200800000000000245
Total Amount Paid
$114.30
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.
I Reauired Insoections ,
Electric Service: Approval required prior to utility company energizing service.
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 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bearmountainelectnc@yahoo.com
Receipt # EC526219
2/26/20083:08:00 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.spnngfield.or.us
, ";;" ,lYPEOF'WORK
,", 'If, ,,~,
IKJ AdditIOn/alteratIOn/replacement
"<
D New constructIOn
1\111,
"
I CATEGORY,OF CC;>NSTRlJC:nON """':1111,\'
IKJ I or 2 family dwellmg
D Multi-family
o Commercial/IndustrIal
I 'I" 'I . I JO!3 SltEINF~~ATION ANDjII~OCATIO~';;;;II;' "
'Job no . I Job address 1278 M ST
I City/State/ZIP SPRINGFIELD, OR 97477-3208
I SUlte/bldg /apt no .
I Project name'
Cross street/directions to Job site CentennIal to 12th to M
I SubdiVISion. I Lot no .
I Tax map/parcel no' 1703264403900
I DESCRIPTION OF WORK I" ,
Service change
I,
1"1 h1' "
4" b"
"SITE C~'NTACTnjll
, 'I
,I'>:r<
'<':',<<",
I Name Rory
I Phone I Fax.
I Emall
I'II1 1 I ,CONTRAC!q~ ' ,
lEI. hc no. 20-448C I CCB hc. no.. 136298
I Busmess Name BEAR MOUNTAIN ELECTRIC LLC
I Contact Chad Perkms
IAddress. 85388 DILLARD ACCESS RD
I City/State/ZIP' EUGENE OR 97405
I Phone. (541 )7418844 I Fax (541 )7418845
I Emall. beannountamelectrIc@yahoo com
I Metro hc no. I City lic no
I Supervlsmg electrICIan's hc. no.. 4640S
I Supervlsmg electrICIan's name CHAD IRVIN PERKINS
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
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 apphcable land use laws and local ordInances
<11)11>,>",
I ' FEE SCHEDULE
DeSCrIptIOn I Qty I Ea I Total
lIResideniial SINGLE- OR mult.-'famlly dwelling'unil. Includes
Ilattach~d"g~"~r3g~<<e<I'II\ ~ '! 111'<ld',~ ~ ~:; ,<<,( ,( II, (I", < >>(
"- ""ll ( '* i ,1,1 ,'1 'I"
11,000 sq ft or less
[ Ea addl 500 sq ft or portion
IfI.!lpllted EneriYli(iii \ 1
'" <<111"" 1m.'
I-Limited energy, reSidential
(With above sa ft)
I-LimIted energy, multIfamIly
reSIdentIal (With above sa ft)
I-LimIted energy, commercial
(With above sa ft)
I - Stand-alone lImited energy,
reSidential
I - Stand-alone lImited energy,
multI-family
I - Stand-alone lImited energy,
commercial
I SerVices, OR ,fe~~ers:"installati,on, alteratIon, ANJ?lOR'lrelocation
1200 amps or less I $70 00 $7000
1201 amps to 400 amps
1401 amps to 599 amps
TEMPORARY services OR feeders installation, alteration,
AND/OR relocation,'., :: I . ,I',:" , "
~17 ~ I~' I '<< I I I' '" , I
1200 amps or less
1201 amps to 400 amps
[401 amps to 599 amps
I Brancb cirt:uiis - NEW, alte~atlOn, OR extenSIOn, per panel'
, A'" 11" , '11'~ql, I \" I
A Fee for branch CirCUits WIlh
service or feeder fee, each
branch CirCUIt
B Fee for branch CIrCUIts
without servIce or feeder fee,
first branch CirCUIt,
I each addl branch CIrCUit
I ~ I <ilp~r I
, Mi~~l!aneous' '
1 Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or lITIgatIOn Circle
I Sign or outlme IIghtmg
Signal CIrCUlt(S) or IImlted-
energy panel, alteratIon, or
extensIOn
, '~'<
, 'l"
1.1
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I
"".Ii I
I
I
I
I
$400
$20 00
5
'"1''",
. jII,
not offered onlme at thiS JunsdlctlOn
, " ' i:'.,~'ELECTRICAL PE~!t FEES I
Subtotal $90 00 I
State Surcharge (12% of permit fee) $1080 I
City OfSpnngfield fees' $1350 I
TOTAL PERMIT FEE $11430 I
10% Local Admm Fee, 5% Local Technology Fee
I
I
I
· City Of Spnngfield
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
COM2008-00279
COM2008-00279
COM2008-00279
COM2008-00279
COM2008-00279
Payments:
Type of Payment
ONLINE CHGS
cRecemt I
RECEIPT #:
2200800000000000245
DescriptIOn
Perm ServlFdr 200 amps or less
Add, Alter, Extend Orc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/27/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE BEAR Onlme
MOUNTAI
N
ELECTRIC
Payment Total:
8:49:S3AM
Amount Due
7000
20.00
450
1080
900
$114.30
Amount Paid
$11430
$114.30
2/27/2008