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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