HomeMy WebLinkAboutPermit Electrical 2008-4-7
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00480
ISSUED: 04/07/2008
APPLIED: 04/07/2008
EXPIRES: 10/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 423 G ST APT 2
ASSESSOR'S PARCEL NO.: 1703352111000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service change
Owner: HANNAH ROBERT & LYNETTE
Address: 433 G 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 I
# 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 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: DownspoutslDrains:
Special IAltt'J"f!~+,~N: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes: Notification Center, Those rules are set forth
. In OAR 952-001-0010 through OAR 952-001. NOT~CE:
0090. You may ootalO copies Ollflt:,L'''..... II' 'T Iii PERMIT SHALL EXPIRE IF THE WORK
calling the center, (Note: t,he tel~'tv> ltation Descri tiQn, ORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notl -
Center is 1-800-33~-2344). $ Per Sq Ft SquM-Q~o~f..~pED OR IS ABANDONED FOR
Description Type of Construction or multiplier or BM~Xri\&liDAY PERloM~lue Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00480
ISSUED: 04/07/2008
APPLIED: 04/07/2008
EXPIRES: 10/07/2008
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
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$8.40
$3.50
$70.00
4/7/08
4/7/08
4/7/08
4/7/08
2200800000000000415
2200800000000000415
2200800000000000415
2200800000000000415
Total Amount Paid
$88,90
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 Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
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 m 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 of 2
City of ~pringfield
Electrical Authorization To Begin Work
E-mailedTo:jackie@bearmountainelectric.com
Receipt # EC528271
4/7/20088:14:32 AM
Check on status of permit
By Phone: (541)726-3753 or EmaIl: perm.tcenter@ci.springfield.or.us
D New construclton
TYPE OF, WORK
IKJ Addllton/alteratlOn/replacement
'. n;.,,\, , ' . . \ ,. FEESCHEbuLE'
I DeScriptIOn I Qty. I Ea. I Total
'R~sidential SINGLE- OR multi-family dwelling unit: Includes'
) attached' g~~~ge.)' . "
.
CATEGORY OF CONSTRUCTION' , '
D I or 2 family dwellmg
[XJ Mullt-faImly
D Commercial / Industnal
JOB SITE INFORMATION AND LOCATION "
I Job no.: I Job address' 423 G ST
I City/State/ZIP: SPRINGFIELD, OR 97477-3912
1 SUlte/bldg.!apt no' APT 2
1 Project name:
Cross street/directions to Job site: MLK Blvd to 5th to G St to Job site
I SubdivIsIOn:
ITax map/parcel no.:
I
I Lot no .
1703352111000
DESCRIPTION'OF WORK
Service Change
. SITE CONTACT
1 Name. Rory
1 Phone:
IEmall:
1
lEI. hc. no.: 20-448C I CCB hc. no..
1 Busmess Name' BEAR MOUNTAIN ELECTRIC LLC
I Contact Chad Perkms
IAddress: 85388 DILLARD ACCESS RD
I City/State/ZIP. EUGENE OR 97405
1 Phone: (541)7418844
1 Emall: bearmountamelectnc@yahoo com
I Metro hc. no..
I Supervlsmg electrician's hc. no.' 4640S
I Supervlsmg electrician's name: CHAD IRVIN PERKINS
IFax:
{ ~I ,i',
,I /'
. . CONTRACTOR
l' ',r"
;1/
136298
I Fax. (541)7418845
I City hc. no.:
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed wlthm 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 bUlldmg 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.
1,000 sq ft or less
I Ea addl 500 sq ft or portIOn
I, Llml~ed Energy'
I-Limited energy, reSidential
(with above SQ ft)
I-Limited energy, multifamily
reSidential (with above SQ ft)
I-Limited energy, commercial
(With above SQ ft)
I - Stand-alone limIted energy,
residentIal
I - Stand-alone limited energy,
multl,famlly
I - Stand-alone limited energy,
commerCial
Services OR feeders mstallatlOn, alteratIOn, AND/OR relocatIOn
200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
TEMPORARY services OR feeders mstallatlOn, alteration,
AND/OR relocation'
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
, Branch' cirCUits' - NEW, alteratIon, OR extension, per panel
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 addl branch CIrCUIt
1''Mlsfellaneous
I Service reconnect only
I Each manufactured or modular
dwelhng, service and/or feeder
I Pump or'IITIgatlon CIrcle
I SIgn or outlme IIghtmg
Signal clrcUlt(s) or IImlted-
energy panel, alteratIOn, or
extensIOn
,
I
I
I
I
;, City Of Spnngfield
$70 00
$70 00
not offered online at thiS Junsdlctlon
. ELECTRICAL PERMIT FEES
Subtotal $70 00
State Surcharge (12% of permit fee) $840
City Of Spnngfield fees · $10 50
TOTAL PERMIT FEE $8890
10% Local Admm Fee, 5% Local Technology Fee
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fiftl! Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00480
COM2008-00480
COM2008-00480
COM2008-00480
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000415
DescriptIOn
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/07/2008
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE Bear Online
Mountain
Electnc
Payment Total:
8:37:51AM
Amount Due
7000
350
840
700
$88.90
Amount Paid
$88 90
$88.90
4/7/2008