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Home My WebLink AboutPermit Electrical 2008-4-17 ,':' ",:/JLdlllli'JOB SITE INFORMATlON,AND U:>CATiON I Job no. I Job address: ~23G ST ' ~t. \ I City/State/ZIP: SPR[NGFIELD, OR 97477-39[2 \ I SUlte/bldg.lapt.no.: APT [ I Project name: Cross street/directIOns to job site: Centenmal to 5th to G " " Receipt # ECS2890S 4/17/200812:38:33 PM \\\)~.~ ~~~~ I, ' FEE SCHEDULE , I DeSCriptIOn I Qty. I Ea Total Residential SINGLE- OR mu[tI-family dwelling umt. Includes ~tt~chedgaragef "i" '", , " " "j I' 11i1' ~<< , ,I';', ' 11,000 sq ft or less Ea addl 500 sq ft or portIon Limited' En'ergy"" " } , , ",,' - Llmlled energy, reSidentIal (wIth above Sq ft) - LImited energy, multIfamily resldenl1al (WIth above sq ft) I-LImIted energy, commercIal (With above sq ft) I - Stand-alone limIted energy, reSIdential I - Stand-alone limited energy, multl-famllv I - Stand-alone limIted energy, commercial Services 'OR feeders in'stallation, alteration, AND/OR'relocation \ ~ ,I 200 amps or less $70 00 $70 00 20 I amps to 400 amps 140 I amps 10 599 amps ,,:rEMP'ORARY services OR feederslllstallatlOn, alteratIon, , AND/OR relocatIon:"} I, '/ , ' ,>;, ,} \ , 1200 amps or less 120[ amps to 400 amps 1401 amps to 599 amps I Brancli'clrl:ults:~ N,EW"alteratlOn,' 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, each addl branch CirCUIt MuMellaiteous l' ':,~" pi"", I' ' , I Service reconnect only Each manufactured or modular dwellIng. servIce and/or feeder 1 Pump or lITIgation cIrcle 1 SIgn or outlIne lightIng Signal clrcUlt(s) or IImlted- not offered onlIne at this junsdlctlOn energy panel, alteratIOn, or exlenSlOn City of Springfield Electrical Authorization To Begin Work E-mailedTo:bearmountaineIectric@yahoo.com Check on status of permit By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us ~, ", 'I, "",1<<1 TYF'E 01; 'vYPRK " : ::;1 ' ,"', Ii] AdditIOn/alteratIOn/replacement 'f'" , D New constructIOn " I: 'JCATEGORY OF CONl!;)TRUCJION", , 1,< ,'II I, D I or 2 family dwellIng [X] Multi-famIly D CommercIal / [ndustnal I SubdiVISIOn I Lot no.: jTax map/parcel no' 1703352111000 I ", ' } DES~~IF'TION'OF wORK ServIce Change " " " , I >> 1\ I , , ,,', SITE C'ONTAcT' " , , , 1-, Illi' x, " 'id, '11 ,~ I" N I Name Rory IPhone: I Emall: I I EI he. no.' 20-448C I CCB IIc. no : I Busmess Name: BEAR MOUNTAIN ELECTR[C LLC I Contact: Chad PerkInS !Address: 85388 DILLARD ACCESS RD I City/State/ZIP. EUGENE OR 97405 I Phone' (541)7418844 I Emall' bearmountaInelectnc@yahoo com I Metro hc. no.: \ SupervISIng electrICIan's hc. no.: 4640S I SupervISIng electriCian's name: CHAD [RVIN PERK[NS IFax. , "+ < ~ ~, ~ <I< I 'v CONTRACTOR, >" 11",'" , , \<< >+'1 : ,I ~, 1<<' II" 136298 I Fax: (541)7418845 I City he. no.: 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 '" " "ELECTRICAL PERMIT FEES Subtotal $70 00 State Surcharge (12% of permit fee) $840 I CIty Of Spnngfield fees * $10 50 TOTAL PERMIT FEE $88 90 10% Local Admm Fee, 5% Local Technology Fee NOTE ThiS AuthOrization To Begin Work expires Within 180 days If a permit IS not obtained I I * CIty Of SprIngfield 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 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00537 ISSUED: 04/17/2008 A.PPLIED: 04/17/2008 EXPIRES: 10/17/2008 Y ALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 423 G ST APT 1 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 08/0612009 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' S t I t " I equires 'lOll to tree mprovemen s. T\ON' Oregon aw r Ij"I't\l ATTEN" b the Oregon "t\ I : Storm Sewer A vail'8i\~ rules adoPte~h V e rules am set IOll\1 DownspoutslDrains: Special Instructio~otification Center. 0 t~Sougn O/"R 9:,2 Ooi. N \n OAR 952-001-001. r pies otthe n'\',~ by OTrCE: Notes: 0090. You may obta\n(~~te' the tel:::,f':' )',18 THIS PERMIT SHAll EXPIRE IF THE WORK ca\ling the ~en~~'~Mn lltllli.v No\.".'......"(\\,Jn AIITHnRm:n IIt\1nJ:R T~I~ DI=O~IIIT I~ fI,nT number2~~~~;iS 1-80U[0y.:J2.:':': ~t'.J D "t" .COMMENCED OR IS ABANDONED FOR - a ua IOn escnp IOn IANY 180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Sidewalk Type: Description Type of Construction Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00537 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 Serv/Fdr 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 2200800000000000476 2200800000000000476 2200800000000000476 2200800000000000476 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 InsDections 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 wiJI 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 wiJI 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 wiJI remain on the site at all times during construction. Owner or Contractors Signature Date Paj!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00537 COM2008-00537 COM2008-00537 COM2008-00537 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 2200800000000000476 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: 04/17/2008 Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How ReceIVed Paid By ONLINE PERMIT CHGS ddk Page 1 of I ONLINE BEAR OnlIne MOUNTAI N Payment Total: 2:48:13PM Amount Due 7000 350 840 700 $88.90 Amount PaId $88 90 $88,90 411 7/2008