HomeMy WebLinkAboutPermit Electrical 2008-8-4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01156
ISSUED' 08/04/2008
APPLIED. 08/04/2008
EXPIRES: 02/04/2009
VALUE.
225 F,fth Street, Spnugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 504 S 49TH PL
ASSESSOR'S PARCEL NO 1702324406308
Spnngfield TYPE OF WORK Eleetncal Work Only
TYPE OF USE
New
ReSIdentIal
PROJECT DESCRIPTION RepdJr hne from meter to panel
Owner SMITH SCOTT ALLEN & ANNETTE D
Address 728 POND LN
EUGENE OR 97401
I CONTRACTOR INFORMA TION I
Contractor Type
Electncal
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
ExpIratIOn Date
08/06/2009
Phone
541-741-8844
BUILDING INFORMATION I
# of Umts
Pnmdry Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIon Type
# of Bedrooms
# 01 Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Pdth
Spnnkled BuddIng
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Oecupdnt Load
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
SIde 1 Setback
SIde 2 Setbdck
Rearyard Setback
Soldr Setbacks
NTION Oregon 1ltf~\oaqUlres you to
ATTE I s adopted ~a~,dtc@:pp'!,d'n Utility
follow ru e C t T' ompact are set forth
Notification en er "0_ - 1
OAR 952-001-001 0 through OAR 952-00 -
~090 You may obtaln(.~o~le:,,~I'~I:~~~~:y
callmg lilt: vt:;.l~vl - -
I PUBLIC IMPROVEMENTS I number for the Oregon Utility Notification
("~t", IS 1-800-332-2344)
SldewalK'~'Yl'e
OVerldY Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Street Improvements
Storm Sewer AVdllable
Special InstructIOn
NOTICE: K
THIS PERMIT SHAll EXPIRE IF THE WORT
AUTHORIZED UNDER THIS PERMIT IS NO
COMMENCED OR IS ABANDONED FOR
ANY IOU UI'\I f~~:m:
I ValuatIOn DescrmtlOn I
DownspoutsffirdlnS
Notes
DeSCrIptIOn
Tvpe 01 ConstructIOn
$ Per Sq Ft
or multiplier
Square Footage
or B,d Amouut
Value
~~''''.
V--~
Page I of2
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Status
Issued
CITY VI' ~rKll~GFlELD .
Building/Combination Permit
PERMIT NO. COM2008-01156
ISSUED: 08/04/2008
APPLIED. 08/04/2008
EXPIRES' 02/04/2009
VALUE.
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Totdl Value of ProJect
Fees Paid I
Fee DescriptIOn
+ 10% AdmInIstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 dmps or less
Amount Pa,d
Date PaId
ReceIpt Number
$700
$840
$350
$70 00
8/4/08
8/4/08
8/4/08
8/4/08
2200800000000001191
2200800000000001191
2200800000000001191
2200800000000001191
Total Amount PaId
$88 90
I Plan RevIews I
To Request an mspectJon call the 24 hour recordmg at 726-3769. AllmspectlOns requested before 7:00
a m wIll be made the same workmg day, inspectIOns requested after 7:00 a.m. wIll be made the followmg
work day.
I Reomred Insoeehons I
Electnc ServIce Approval reqUIred pnor to ullhty company energIZIng servIce
By slgndture, I state and agree, that I have carefully examIned the completed apphcatlOn and do hereby certIfy that dll
mformatlOn hereon IS true and correct, and I further cerllfy that any and dll work performed shall be done m accorddnce wIth
the O. dmdnces of the CIty of Spnngfield and the Laws of the State of Oregon pertdmmg to the work descnbed herem, and
that NO OCCUPANCY WIll be mdde of any structure wIthout permISsIOn of the Community ServIces DIVIsIOn, BuddIng Safety
I further certIfy that ollly contrdctors and employees who are In eomphanee wIth ORS 701005 wdl be used 011 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 perm't card IS locdted at the front of the property, aud the approved set of plans wdl remdm on the sIte at all
times durmg constructIOn
Owner or Contrdctors Signature
Date
Pa2e 2 of2
CIty of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-malled To J3ckle@bearmountalnelectnc com
Receipt # EC535414
8/412008 9 32 52 AM
~
By Phone
Check on status of permit
(541)726-3753 or Emall permllcenter@cl sprIngfield or us
TYPE OF WORK
[X] 1 or 2 falmly dwdlmg
D Multz famlly
o CommerCia] / Industrial
FEE SCHEDULE
I DescnptlOn l Qty . a
I Rl.Sldcntml SINGl E. OR multl-Camll)" d\o\e1hng Ulllt Includes
att"'lhcd garage -
I OOOsq ft orless
Ea addl 500 sq ft or portion
Limited .lDCrgy
- Llmlled energy, resldenllJ]
(\\lth above Sq ft)
- Limited energy, mullifarml)
resldenua] h\lth above SQ ft)
- Limited energy, commt.xcl..il
(v.,lth above SQ n)
- Stand alone limited energy
residential
Stand alone limited energy
multI family
~ Stand~alone limIted energy
commercial
Servlcc!l OR feeder~ Installatton, alterahon, AND/OR"'reIocdtlon
Total
I D New construLtlOn
[X] ^ddltlOnJaltcr<ltlon/repl<lu~ment
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
IJobno IJ(Jbllddre~s 504 S49fHPL
IOf)/Stdte/ZIP SPRINGfiELD OR 974786723
I SUlte/bldg lapt no
I Project n'tme
1702324406308
DESCRIPTION OF WORK
200 amps or less
20 I amps to 400 amps
40 I amps to 599 amps
Tl '1JlORA.RY 'It'r\ICes OR fetde~ InstllUatlon,alterafton,
AND/OR relocation
$7000
I
I
I
I
I
I
$70001
I
I
I
I
I
I
I
I
I
I
I
I
I
Cross street/directIOns to Job !lIte
MalO 5t to 5 49th
I Subdlvl!lIon
I Tax map/p ueel no
I Lot no
Repair I ilK from mder 10 panel
136298
200 amps or less
201 amps to 400 amps
40 I lllnps to 599 amps
Branch elrculb - NEW, alterntlon, OR t'xtenMon, pH panel
A Fee for branch CIrCUits ....Ith
servlCt. or feeder It.e e<lch
branch CirCUit
B I ce for branch CirCUits
wilhout service or feeder fee
first br,mch ClrCll1t.
each addl branch CIrCUIt
SITE CONTACT
INdme
IPhone
Ilmllll
Rmy
IF",
I
lEI hc no 20-448C I CCO he no
I Buslne.... N'tme BI-AR MOUNTAIN E! LCfRIC II C
I Contact Chad Perkms
IAddres'i 85388 DILLARDACCbSS RD
IClt)/SllllefllP rUGENEOR 97405
I Phone (541 )741 8844
i lm 111 JltCkle@b('<lrmoumamdcctnccom
l!\tetro hc no
ISuper\I'img ellctncmn's hc no 4640S
ISuper\llllDg eltetnellln's n,lmt CHAD IRVIN PERkiNS
CONTRACTOR
MlscellnnfOUs
I FlU (541 )7418845
S(.rvlce reconnet! only
cach manulacturcd or modular
dwell 109, servIce and/or FeLder
I Pump or IrngdtlOn CIrcle
I SIgn or outhne IIghtmg
I SIgnal clrcult(s) or lImited
ent.rgy panel alteratIOn or
extensIon
I
I
i
i
I T01AI Pl.RMIT FEI<
~ ~'i tJ~'5't I d[;' I M" Adm~n"eo
not offered onlme at thiS Junsdlctlon
I City he 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
ELECTRICAL PERMIT FEES
Subtotal
State Surcharge (12% of permIt fee)
Cny OfSpnnglleld fees.
$7000
$840
$1050
$8890
5' '0 Local rtdmology
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit 15 not obtamed
The local bUilding department may detennlne that an
AuthOrization To Begm Work IS null and VOid If It does not
meet applicable land use laws and local ordmances
COM:
RCPT#" ::!?fJ,Je') -/10 I
DATE PROCESsED _ ltij lI/jr !J}/ .
PROCESSED
ThiS AuthOrization To Begin Work must e: :M'erl "I Ihf'llob site
. I
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
G.._~
'~
-..: -- :
Job/Journdl Number
COM2008-01156
COM2008-0 1156
COM2008-01156
COM2008-0 1156
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #
2200800000000001191
DescriptIOn
Penn Serv/rdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
CIty of Sprmgfield OffieIaI ReceIpt
Development Servl~cs Department
Pubhc Works Department
Date' 08/04/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
nJffi
Page I of I
ONLINE bear Online
mountam
Paymenl Tolal
10 40 OOAM
Amount Due
7000
350
840
700
$88 90
Amount Paid
$88 90
$88 90
8/4/2008