HomeMy WebLinkAboutPermit Building 2008-3-19
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00353
ISSUED: 03/19/2008
APPLIED: 03/14/2008
EXPIRES: 09/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4856 DAISY ST
ASSESSOR'S PARCEL NO.: 1702324404000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage
Owner: WINDER TIM
Address: 4856 DAISY ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
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'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
P..TTPmo.:WJJsIJ~!J~t1l!WS(.equires you to
f. 'i. \V Pll$,s adopted by the Oregon Utility
r. :JL"c:Jtlon Center. Those rules are setforth
ill (.lN1 H52-001-001 0 through OAR 952-001-
Old J. YOLl may obtain copies ofthe rules bv
"L ""'\-1('1<;; L;t::fIlI;H. \llIore: me telepnone
NOTICE: ~rtion DescriPtionrtmber tor the Oregon Utility Notification
THIS PERMIT SHALL EXPIRE IF THE Center IS 1-800-332-2344).
A HJjpRIZEQ.JJ.Ngf~ -tUS PERMIT IS :NQSq Ft Square Footage
Desc CJMMENCED'l{R IS A3!.AWfit6~ED F(9~multlplier or Bid Amount Value Date Calculated
!~NY 180 DAY PERIOD.
Storm Sewer Available:
Special Instruction:
Notes:
Pae:e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD /
Building/Combination Permit
PERMIT NO: COM2008-00353
ISSUED: 03/19/2008
APPLIED: 03/14/2008
EXPIRES: 09/19/2008
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
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.80
$9.36
$3.90
$8.00
$70.00
3/19/08
3/19/08
3/19/08
3/19/08
3/19/08
Receipt Number
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000256
Total Amount Paid
$99.06
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
Pal!e 2 of 2
City ,of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bearmountainelectric@yahoo.com
Receipt # EC527371
3/19/20082:32:33 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permttcenter@cLspringfield.or.us
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
/"Branch'tll'c'uli:S' ~'NEW;alteratwn, OR' extens;~'ri; per panel
" ~ ,"<e1\A~' I '''~~r'''1;j4<';1li'''' ,,""J,JJ!~ " \ '1<1 I "-
I A Fee for branch CirCUIts wIth
, ,I serVIce or feeder fee, each
", branch CircUit
I B Fee for branch CirCUIts
I without service or feeder fee,
first branch circUit,
1 each addl branch CircUit
r i\'hsc!IIIUl'e~us
I ServIce reconnect only
I Each manufactured or modular
dwelling, servIce and/or feeder
1 Pump or lITIgatIOn circle
1 Sign or outline lighting
Signal CIrCUlt(S) or IImlted-
energy panel, alteration, or
extension
1
I
I
I
I
· CIty Of Spnngfield
COM: '2IJ[Jt - [f)37)
RCPT #, 11JJD<6'/2-Slj;
DATE PROCESSED: 3 b ~ Ln g
PROCESSED BY' ~v,
ThiS AuthOrization To Begin Work must be posted at the J ;)0 site until replaced bv a Permit
~. ' .
'''I'""!:YPE ,OF WORK
~ Ii ' '" '1h'
D New constructIOn [2U AdditIOn/alteration/replacement
I,CATEGORY OF CONSTRUCTION
, \-" Ilr II'" I ~ j 'I}
IX] I or 2 family dwelling D MultI-family D Commercial/Industrial
'1'I,UOB,SITE INFORMATioN'ANDILOCA TION "I
, <'11,1 A Iii IJ II ,,< " ",;"(" I
I Job no.: I Job address' 4856 DAISY ST
[CIty/State/ZIP: SPRINGFIELD, OR 97478-6755
[ SUlte/bldg.lapt.no,:
I Project name:
Cross street/dIrectIOns to job site: Main St, to 49th to DaiSY to JobsIte
I SubdivIsion,
I Tax map/parcel no,:
[
I Lot no,:
1702324404000
", DESCRIPTION OFWORK
, \
fire damage
" ;"",'
SIT~gON~A~T ,
[Name Rory
I Phone:
[Emall:
I
lEI, IIc no.: 20-448C I CCB hc, no,:
I Busmess Name, BEAR MOUNTAIN ELECTRIC LLC
I Contact. Chad PerkinS
[Address: 85388 DILLARD ACCESS RD
I CIty/State/ZIP. EUGENE OR 97405
1 Phone: (54 I )7418844
I Emal!. bearmountalnelectnc@yahoo com
Metro hc no..
I Fax
CONTRAcTOR"1 ',d:;, 'i"
"~, 'Vi "I
136298
I Fax' (541)7418845
I City hc. no,:
SupervlslOg electncmn'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
"I! A I'
"
, , ,,:i:H:~:"FEE SCHEDULE"
" 'i,',(
I DeScriptIOn I Qty. I Ea I Total
Residenhld:~nNGLE- OR multi-fanlilydwelling umt. InclJ'des ,,'"
attacli@'i1'g/drl1'gdJl~,,1H' Ii" ~ " 1'1<,/'(,,/< 1;\ 'i ' 'JI Ti '
< 1,,:' <Pilh,/\, '1"",1
11,000 sq ft or less
I Ea addl 500 sq ft or portIOn
I ~Imi!ed 'Ellngy H '
I-Limited energy, reSidential
(With above sq ft)
I-Limited energy, multifamily
resldentml (With above Sq ft)
I-Limited energy, commerCial
(With above sq ft)
I - Stand-alone limIted energy,
reSidential
I - Stand-alone limited energy,
multi-famIly
I - Stand-alone limited energy,
commercial
[ ServIces O~.r~~df~~ ,in~!~I!.at!~n, alteratIOn, AND/OR relocation
1200 amps or less I $70 00 $70 00
1201 amps to 400 amps
/401 amps to 599 amps
"T!j;M.fO~~i,~,~~~,~S~f?~ feed~r:S'lIistallation, alter~,tW!l'
AND/OR relocation ",,,.' ''1",< " ' ",' "," ' '
2
$400
$800
11,;1
not offered onl me at thiS Junsdlctlon
I
Subtotal $78 00 I
State Surcharge (12% of penmt fee) $9 36
City Of Spnngfield fees · $1 I 70
TOTAL PERMIT FEE $9906
10% Local Admm Fee, 5% Local Technologv Fee
ELECTRICAL PERMIT FEES
225 Eifth Street
..Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
1200800000000000256
DescriptIOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/19/2008
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
MOUNT AI
N
ELECTRIC
Payment Total:
2:59:35PM
Amount Due
7000
800
390
936
780
$99.06
Amount Paid
$99 06
$99.06
3/19/2008
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00353
ISSUED: 03/19/2008
APPLIED: 03/14/2008
EXPIRES: 10/15/2008
VALUE: $ 40,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4856 DAISY ST
ASSESSOR'S PARCEL NO.: 1702324404000
Springfield TYPE OF WORK: Fire Damage
Residential
PROJECT DESCRIPTION: Fire Damage
TYPE OF USE: Repair
Owner: WINDER TIM
Address: 4856 DAISY ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor License
BELFOR USA GROUP INC 146973
BEAR MOUNTAIN ELECTRIC LLC 136298
EUGENE EXCA VA TION & PLUMBING INC 138003
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of-Structure
Secondary Occupancy Group: U Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction TA.~~ tlmON: Oregon la't'H.i~tYOU to
# of Bedrooms: fdl~ow r~les adopted by~ :Utility
Notification Center. Thos~J IwtemfttJm1h
In OAR 952-001-0010 throuQ AR 952-00'.
0090. You may 0 ~A TION
calling the cen
number for the Oregon Utility Notification
Center is 1-800~aa~4)ist:
# Street Trees Rqd:
,Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
02116/2009
08/06/2009
04/27/2009
Phone
541-726-9905
541-741-8844
541-988-0868
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00353
ISSUED: 03/19/2008
APPLIED: 03/14/2008
EXPIRES: 10/15/2008
VALUE: $ 40,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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
t;mesdU~= (2:f1 ~j~/o g/
Owner or Contractors Signature Date
Pa!!e 3 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Dryer Vent
Exhaust Hoods
Minimum/Adjustment Mechanical
Miscellaneous Plumbing
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00353
ISSUED: 03/19/2008
APPLIED: 03/14/2008
EXPIRES: 10/15/2008
VALUE: $ 40,000.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
40,000.00
04/15/2008
Value
Date Calculated
Total Value of Project
$40,000.00
$40,000.00
~
Amount Paid
Date Paid
Receipt Number
$7.80
$9.36
$3.90
$8.00
$70.00
$20.00
$44.39
$53.27
$22.20
$343.94
$7.00
$10.00
$33.00
$50.00
3/19/08
3/19/08
3/19/08
3/19/08
3/19/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
$682.86
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Pal!:e 2 of 3
225 Fifth Street
Springfielcl, Oregon 97477
541-7.26-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000366
Date: 04/16/2008
Description
BUlldmg PermIt
MIscellaneous Plumbmg
Exhaust Hoods
Dryer Vent
MInImum/AdJustment MechanIcal
-MechanIcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrattve Fee
Paid By
BELFOR
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
19080
In Person
Payment Total:
Page I of I
3:01 :49PM
Amount Due
343 94
5000
10 00
700
3300
2000
2220
5327
4439
$583.80
Amount Paid
$583 80
$583.80
4/16/2008