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Home My WebLink AboutPermit Electrical 2006-08-24sFltt$taFl*1*4 FS Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 [nspection Line PERMIT NO: COM2006-01090ISSUED: 0812412006 APPLIEDT 0812312006 EXPIRES: 03/l112007 VALUE: SITE ADDRESS: 285 S 37TH ST ASSESSOR'S PARCEL NO.: 1702314207800 PROJECT DESCRIPTION: Electrical reconnect and added circuits Springfield TYPE OF WORK: ElectricalWork Only TYPE OF USE: Alteration Residential Phone Number: 541 895-8788Owner: Add ress: Contractor Type Electrical MC DOUGAL BROS 600 DALE KUNI RD CRESWELL OR 97426 Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08t06t2007 Phone 541-953-6747 CONTRACTOR INFORMATI( ATION # of Units: Primary Occupancy Group: Secondary Occupancy G roup: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Treqs Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special lnstruction: Notes: $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains: Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Pase I of 2 Value Date Calculated E Valuation Description I CITY Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-01090ISSUED: 0812412006APPLIED: 08/2312006 EXPIRES: 03/l112007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Service Reconnect + l0o/" Administrative Fee + 57o Technology Fee + 87o State Surcharge Minimu m/Adj ustment Electrical Total Amount Paid Amount Paid Total Value of Project Date Paid 8t24t06 8t24t06 8t24t06 8t24t06 8t24t06 9nU06 9ny06 9ny06 9ny06 Receipt Number 3200600000000000443 3200600000000000443 3200600000000000443 3200600000000000443 3200600000000000443 2200600000000001258 2200600000000001 258 220060000000000 l 258 2200600000000001 258 $11.00 ss.50 $8.80 $60.00 $50.00 $ 1.30 $0.65 $1.04 $ r 3.00 $151.29 To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working dayo inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. Rough Electric; Prior to Cover Final Electric: When all electrical work is complete. Reouired Insnect By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hereino and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase 2 of 2 Date r ees raro I ,r,w* 225FIFTHSTREET r SPRINGFIELD,OR 9l4Tt o PH:(flllT76l3?S3 rFAXI (*lyt/-iffig ':',--,-',j:--i-F--"'':,,,);:1.1;. j":'f, -..i-if *=j'i:14-lTJi7- City Job Numb€r b - O/D9.)Date a t.3.r,372 5r, LEGAL DESCRIPTION A.xu*'R@f3!=*--xstear','rrltlri-F'sr,rifu :per.dwg$ingcni(. JOB DESCRIPTION liervie Ineludd 1000 sq- ft. or less Eschadddffil 50Osq- ft or portim therreof Each t'lmufast'd Home or Mo&lar Dwelling Seryice or Feedcr 2... .-.:- B.S-CIJr tErirrifai'id*.=,gxsf$f**tnH,:,$.itei,:atioi-ll,+r Rdtrclc:rfir?:::a:: -'a.':-.. l::: -:r 'r"' .. : ... , ::;r:1 :ll:r'l Elecfical Contracior tLt Permits are non-treasfenble end oxpinc if wort is not shrted rrithin l&) deys of issuence or if work is Suspended for 181) days. $r06-00 s 19.00 s50.00 eL 200 Amps or les 2OI Arystorl(XlArye 401Arysto6fl)Anes 601Arysto l0fi)Amps Over lfiXladVdts RmcctOnly C. $ 63.00 $ 75-00 $r25.00 $163.00 $375-00 $ 50.00 City Address Supervisor License Number Expiration Date Constr. Cont Number l-./ Phone /-o?n*enrdon, 200Arys or 201 Amps to 401 Ampeb Altentlon orRelocetkn a4?O 01 IGE: 400 PER 600 0RfZED Ov€r6mArysor D.-*.:-ai-i f*, e:ar:'+ia_Atlv New Altereton or Extenslon per penel Oo€Circuit Each Additiuel Cir&ft or with Service orFeederPermit t\r\\1 Expiration Date g-{-oz Signature gf Electrician 1,80 0 43.00$ Zcs s 3.oo $ 50.00 $ 50.00 $ 2s.oo $4s.@ f.XOwners Address Name City Phono 67f-3"89 7 OWNERINSTALI,ATION The insAllation is being rna& m propaty I o*a ufiich is not intended for sale, Iease or reut. Owners Signature: ffiI1...t,i:.t: r,r11r; lg Inspection Requesfi T261769 E 3?ri:**ig;lne+::st{.Serri*.i',',1 r,;. :i+i iseiarir,d) -S.;t,_-l jnsi;:ji*lii:,;; hury or irrigation Sign/Ortline Lighting Limied Ecrg/Resideotiat Limited Energ/Corrrr crciat Mininum Etectric Peruit laspcction Fee is $45.00 + Surcharges SA'ffryf,+t SFAE+I.E,:], Ee/6 State $ncharge t0% Administrative Fee€A$tr're oo o,go,.Ot)'Eire- 4. Shared Driveg:Isuilding FormVElecrical permit -ffEse Application I-06.doc ELtLilttt- -tHE 225 F:fth St_reet Springfield, Oregon 97477 541-726-3759 Phone Cih, of Springfield Official Receipt Dr---iopment Services Department Public Works Department RECEIPT#: 3200600000000000443 Date:08/24/2006 1o:55:24AM Job/Journal Number coM2006-01090 coM2006-01090 coM2006-01090 coM2006-01090 coM2006-01090 Description Service Reconnect Add, Alter, Extend Circ Ea Add + 570 TechnologY Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 50.00 60.00 5.50 8.80 1 1.00 Item Total:$l Payments: Type of PaYment um Received BY Batch Number Number How Received Amount Paid Paid By CreditCard BEAR MOUNTAIN ELECTRIC dlm 055317 In Person PaYment Total: $ 13s.30 $l cReceintl Page 1 of 1 s12412006 a---- *slils*trFr*t"1ts *-><-9-tt-L6od N rvt @S{\/1Aup- --{ 225 FIFTH STREET o SpRINGEIELD, On gt4Tt o pBr;(5//1).tlGt7st o FAX: (541)726,363!) CityJobNumbe, LOr*.,20(56- Oto ?o Date 1. :i.,/3{;19y{}Jtri ZtrY :*F:fJS=Atr-Eli?f$Es Ba+t^ LEGAL DESCRIPTION103tL.(Z OTKoo loB €(-*.>laoAty' 3pvC ) Electrical Contractor Address Phone Supervisor License Number Expiration Date /-o? 4 3. A.sew."$iqi _9 Caf ..s;ryters].F?xtti.Enr.rii* *t5 d1E€iiing ii$it. Srervice Inriuded 10(X) sq- ft- or less Eehadditiml 5fi)sq. ft- or portion therreof Esch Manufect'd Home or Mo&Iar Dwelting Service or Feedcr 3s0.00 Permits are non-tmnsferable end expire if work isnot shrted wifrtn lE) deys of issuaLce or if work isSuspended for 180 days. $106.00 s 19.00 ,.-....:l.l,1a _-J tLc 200 Amps or less zOt Arysto/00OAmps /CI| Am6to6fr)Amps 601 Arops to 1000 Amps Ovq l000Amps/Vols RecomcctOnly E% Sbte $ncharge l07o Adrrinistrative Fec TOTAL ,t, { City Addr€s 6o'o City ,u€l Phoue eZf- 87tr& OWNER INSTALLATION The installationis being made on propaty I own whic,brs not ltltended for sale, Iease or rent. Owners Signature: s163.00 sJ/).w $ 50.00 C. 'l':':iLi;ti::r.-:i .'ie-i-..!tt! i:i. i'ir,ai l.- Inste[rtbn, Alterrdon or Rdocrtion 200Arya orloss $ 50.00 201 Amps rozt00Amps $ 69.00401Arycb600Ary6 $100.00 Ovs 600 Anps or lO(D Volts see -r'-*r. New Altenfion or Extensfun per prnel O!€ Ciiguir S 43.00 Each Addirbnal Circuir or with Service or Feeder Permit -- $ 3.00 JE.lfiscetlaneoii$'(Scini€e,feed(..i rof !$riudcili -S$cb insf*iia**u hryorirrigatioa Signlouttine Lighting Umibd Eo€rg/Rcsideotial Limited energr/Courcrcial Mipimun Elcctric Pcrmit Inspection Fe is $45.fi1 + Surcharges l3-.Li $ 63.00 $75.m i $125.00 $ s0.00 $ 50.00 $ 2s.@ $ 4s.00 Cons8. Contr. Nunber Expiratiou Date g--o 7 Sigrrahrre Owners Name gf Superyislng Electician 'Ao A Ero 5 4. $L,'Sfl#?:cj. SF;iE.S'"?5-/o T** tuc (+$e4 ??Inspecdon Requcsfi T261376I Stued Drive$:)tsuilding formVElcctrical permit Applicarion l-06.doc | /"q' t?o 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C"-'of Springfield Official Receipt >-7sl6pm.nt Services Department Public Works Department RECEIPT #: 2200600000000001258 Date: 0911112006 9:58:33AM Job/Journal Number coM2006-01090 coM2006-01090 coM2006-01090 coM2006-01090 Description + 5olo Technology Fee + 8% State Surcharge + 10Yo Administrative Fee M in imum/Adjustment Electrical Amount Due 0.65 1.04 1.30 r 3.00 Item Total:$t s.99 Payments: Type of Payment Paid By u Received By Batch Number Number How Received Amount Paid Check BEAR MOUNTAIN ELECTRIC njm 10254 In Person Payment Total: s 15.99 -siffi' cReceinl I Page I of I 911U2006 sFBlrrfiFlsl.i}