HomeMy WebLinkAboutPermit Electrical 2008-3-4
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00306
ISSUED: . 03/04/2008
APPLIED: 03/04/2008
EXPIRES: 03/04/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5308 MAIN ST
ASSESSOR'S PARCEL NO.: 1702333105900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Temp Service for fire damage.
Owner: SITU FAMILY TRUST
Address: 467 SILVER AVE
SAN FRANCISCO CA 94112
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
Expiration Date
08/06/2009
Phone
541-741-8844
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: .
Height of Structur~
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lstFloor:
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,J.ifstEtjc"(i:Q:nflJ: Oregon law requires you to
follow rules adopted by the Oregon Utility
NotesNotification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- NOTICE:
~u~u'. YOU may omam copies aT me r #J: ::)' THI RMIT SHALL EXPIRE IF THE WORK
n~~~~r ~~~ ~:en~~~~~~~~i~~ ~~~t 'l\fISluation Descr" fZED UNDER THIS PERMIT IS NOT
Center is 1-800-332-2344). $ Per Sq Ft QJ Jl(WI~Mhm OR IS ABANDONED FOR
Description Type of Construction or multiplier ~~ Mid a.QuQ~ PERIO D. Value 'bate Calculated
Paee 1 of 2
'Status
Issued
CITY OF SPRINGFIELD-
Building/Combination Permit
. PERMIT NO: COM2008-00306
ISSUED: 03/04/2008
APPLIED: 03/04/2008
EXPIRES: 03/04/2008
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
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$5.50
$6.60
$2.75
$55.00
3/4/08
3/4/08
3/4/08
3/4/08
2200800000000000281
2200800000000000281
2200800000000000281
2200800000000000281
Total Amount Paid
$69,85
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 sa~e working day, inspections requested after 7:00 a.m. will be made the following
work day.
LReouired lnsoections I
Temporary Electric: Approval required prior to Utility Company energizing pole,
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
Paee 2 of 2
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City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bearmountainelectric@yahoo.com
Receipt # EC526536
3/4/2008 8:48:45 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
[Xl I or 2 family dwelling
o Multi-family
o Commercial/ Industrial
11,000 sq. ft or less
I Ea. addl 500 sq. ft. or portion
I Job no.: I Job address: 5308 MAIN ST
I City/State/ZIP: SPRINGFIELD, OR 97478-6274
I Suite/bldg.lapt.no.:
I Project name:
Cross street/directions to job site: Main St to address
I Subdivision:
.lTax map/parcel no.: 1702333105900
ILolno.:.
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential (with abOve sq. ft.)
'1 - Limited energy, commercial
(with above sq. ft.)
I - Stand-alone limited energy,
residential
I - Stand-alo. ne limited energy,
multi-family
I - Stand-alone limited energy,
commercial
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
Temp service for fire damage
1200 amps' or less
1201 amps to 400 amps
1401 amps to 599 amps
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$55001
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$55.00/
I
I
I Name: Rory
I Phone:
I Email:
IFax:
EI. lic. no.: 20-448C I CCB Iic. no.:
I Business Name: BEAR MOUNTAIN ELECTRIC LLC
I Contact: Chad Perkins
[Address: 85388 DILLARD ACCESS RD
I City/State/ZIP: EUGENE OR 97405
I Phone: (541)7418844 IFax: (541)7418845
I Email: bearmountainelectric@yahoo.com
I Metro lic. no.: I City Iic. no..:
I Supervising electrician's Iic. no.: 4640S
1 Supervising electrician's nam~: CHAD IRVIN PERKINS
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I I Service reconnect only
I I Each manufactured or modular
I dwelling, service and/or feeder
I Pump or irrigation circle
I .1 Sign or outline lighting
I. Signal circuit(s) or Iimited-
I energy. panel, alteration, or
extensIOn.
A Fee for branch circuits with
service or feeder fee, each
branch circuit
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
1 each add I branch circuit
not offered online at this jurisdiction
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
iwith instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires withii1180
days if a permit is not obtained. .
I
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* City Of Springfield
Subtotal I $55.00
State Surcharge (12% of permit fee) $6.60 I
City Of Springfield fees *' $8.25 I
TOTAL PERMIT FEE I $69.85 I
10% Local Admin 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
COM2008-00306
COM2008-00306
COM2008-00306
COM2008-00306
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
2200800000000000281
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/04/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
Page I of I
ONLINE BEAR Online
MOUNTAI
N
ELECTRIC
Payment Total:
9:02:25AM
Amount Due
55.00
2.75
6.60
5.50
$69.85
Amount Paid
$69.85
$69.85
3/4/2008