HomeMy WebLinkAboutPermit Electrical 2008-4-17
City of Springfield
Electrical Authorization To Begin Work
E-matled To: bearmountameIectric@yahoo,com
Receipt # EC528907
4/1712008 ~PM
~t~
Check on status of permIt
By Phone: (541)726-3753 or EmaiI: permltcenter@ci.springfieId.or.us
\. . \ JqB SIJE\I~F~.RMAJlmtAN,[) LOCAJIOiC
I Job no : I Job address: 423 G ST ~t :?
IClty/State/ZIP SPRINGFIELD, OR 97477-3912
I SUlte/bldg /apt.no.: APT 3
I Project name:
Cross streeUdlrectlOns to Job site: Centennial to 5th to G
(1,,1
.FEE SCHEDULE
I' ' ,
I DeSCrIptIOn I Qty. I Ea I Total
''ResldentiarSINGLE-..OR multi-family dwelling unit; 'Includes
. att~ch~igaTllge'.41 '. .., " . I I ...,. . .
<1111, ,,, < < <
1 ,000 sq ft or less
Ea addl 500 sq ft or portion
"LlmitedJfiiergy I 'It: '
~ I W I'".] ~ I'
I-Limited energy, residential
(with above sq ft)
I-Limited energy, multlfaJTIlly
residential (with above sq ft)
I-Limited energy, commefCIal
(with above sq ft)
I - Stand-alone hmlted energy,
residential
I - Stand-alone hmlted energy,
mulll-famllv
I - Stand-alone hmlted energy,
commercial
I S.ervices 9~,'feeders i~~tail~tlOn, alt~ratlOn, AND/OR relocati?n
200 amps or less I $70 00 $70 00
,.
N
JY~E'I,oF*W()RK
[X] AdditIOn/alteratIOn/replacement
I
: ;1
D New construction
',1'"
CAJEGORY OF CONSTRUCrION
" PI'" , <,', I' < 'n I 11<< ~
IiJ Multi-family D Commercial / lndustnal
D I or 2 family dwelhng
I SubdivIsion- I Lot no..
Tax map/parcel no.: 1703352111000
D~~(pRIPJION,(Cf~ WORK
Service Change
136298
201 amps to 400 amps
140 I amps to 599 amps
TEl\tIPORARY services"OR feeders mstallation,. alteratIOn,
l I,ll' ;- \ "'it ", ~' I 'co I ,
1\~P/ORre'H~,atlOn . ...1.\1.1' "It .....,t,. . t .." .
1 200 amps or less
It.'. '". ..' '" 1201 amps to 400 amps
1401 amps to 599 amps
:)lranch CircUits ~ NEW, alteration, OR extension, per panel'
~ i '"i'Wi ) /" 1 , , i,'11 ,
A Fee for branch CirCUits With
.' , 11/ ., service or feeder fee, each
branch CircUit
B Fee for branch CirCUits
Without service or feeder fee,
first branch CircUit.
each addl branch circuit
MISCellaneousIV::;/' It
I '" ~, "' <'iHd7"" '1 <i <<I,
I Service reconnect only
I Each manufactured or modular
dwellmg, servIce and/or feeder
I Pump or IrngallOn Circle
I Sign or outlme Iighlmg
SIgnal clrcult(s) or hmlled- not offered onlme at this Junsdlctlon
energy panel, alteratIOn, or
extensIOn
,.4<1<1<
~"" << i
...,SITEIC'O'NJACJIH'>' ,.,.
~ 1<), 1 ,
I .
I Name: Rory
I Phone:
IEmall:
I . ; 'CO~!RACtOR
1 EI. he. no.: 20-448C I CCB he. no
I 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
I EmaJl. bearmountamelectnc@yahoo com
I Metro hc. no .
I Supervlsmg electncl3n's hc. no: 4640S
I Supervlsmg electncl3n's name. CHAD IRVIN PERKINS
1'11\
IFax:
!Fax: (541)7418845
I City hc. no.:
NOJE Jhls Authonzatlon Jo Begin Work expires Within 180
days If a permit IS not obtained
Jhe local bUilding department may determine that an
Authonzatlon Jo Begin Work IS null and VOid If It does not
meet apphcable land use laws and local ordinances
j'
I
I
I
I
* City Of Spnngfield
ElECJRICA~ PERMIT FEES
Sublotal I $70 00
State Surcharge (12% of perm II fee) $840
City OfSprmgfield fees * I $1050
TOTAL PERMIT FEE I $8890
10% Local Admm Fee, 5% Local Technology Fee
Upon review and approval by your local Junsdlctlon, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00538
ISSUED: 04/17/2008
APPLIED: 04/17/2008
EXPIRES: 10/17/2008
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 3
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 Tvpe
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:
ATTENTION: Oregon law requires you to
Storm Sewer A vailablefollow rules adopted by the Oregon Utility Downspoutsillrains:
Special Instruction: Notification Center. Those rules are set forth DlunYUIfb.
In OAR 952-001-0010 through OAR 952-001- fi'\lU lii\.6lE.
Notes: 0090.. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note: the telephone A~THORIZEn I Il\lnr:R T~I~ D~pnn'T 10 N..
IIUIIIIJ~I lur me ure(;'>r' '_':'~l!; l\!~~:~::..:t6-:1 r;OIVlMENCE- ,m'. Dr
Center is 1-8 )~(nft1&R).I)escription I\NY 180 DA~ ~E~~~~8ANDONED FOR
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00538
ISSUED: 04/17/2008
APPLIED: 04/17/2008
EXPIRES: 10/17/2008
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 ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$8.40
$3.50
$70.00
4/17/08
4/17/08
4/17/08
4/17/08
2200800000000000477
2200800000000000477
2200800000000000477
2200800000000000477
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.
L 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 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, Budding 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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00538
COM2008-00538
COM2008-00538
COM2008-00538
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000477
DescriptIOn
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/17/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
DDK
Page I of I
ONLINE BEAR Onlme
MOUNTAI
N
Payment Total:
2:54:04PM
Amount Due
7000
350
840
700
$88.90
Amount Paid
$88 90
$88.90
4/17/2008