HomeMy WebLinkAboutPermit Electrical 2009-2-19
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CITY OF SP1Ul~lJFIELD
Building/Combination Permit
PERMIT NO: COM2009-00237
ISSUED: 0211912009
APPLIED: 0211912009
EXPIRES: 08/1912009
VALUE:
Status
Issued
225 Fifth' Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 Inspection Line
SITE ADDRESS: 1372 E ST
ASSESSOR'S PARCEL NO,: 1703362301703
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Res,idential
PROJECT DESCRIPTION: Service Change
Owner: BERN LINDA
Address: 1372 E ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
BEAR MOUNTAIN ELECTRIC LLC 136298
BUILDING INFORMATION I
Expiration Date
08/06/2009
Phone
541-741-8844
# 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:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION: Oregc'lll'll\w requires you to
follow rules adoptetl~l\i!PJlfl!gon Utility
Notification Center, flm~s are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
, . 'II \- "'L_..._I__I.._~....
\,oCUllll=t \Ilv ""....11...... \ .-.-. ...- .- -,- -
number for the Oregon Utility Notification
Sidew&1iinry~b~ 1-800-332-2344).
Frontyard Setb'l~1>; Overlay Dist:
Side I.Setback: NuTICE: # Street Trees Rqd:
Side 2 Setback: THIS PERMIT SHAll EXPIRE IF ~'\lVeRll" Rqd:
Rearyard SetbaAttTHORIZED UNDER THIS PERM{r9S'1Jb'r"verage:
Solar Setbacks:COMMENCED OR IS ABANDONED FOR
J.\I~ Y lllU UAY PERIOD. I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
I Valuation Description I
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Total Amount Paid
Amount Paid
$9,72
$4,05
$81.00
$94,77
Total Value of Project
Fees Paid I
Date Paid'
2/19/09
2/19/09
2)19)09
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00237
ISSUED: 02/19/2009
APPLIED: 0211912009
EXPIRES: 0811912009
VALUE:
Receipt N umher
2200900000000000182
2200900000000000182
2200900000000000182
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 Reuuired Insnections I
Electric Service: Approval required prior to utility company energizing service,
By signature, ~ state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trneand correct, and I fnrther 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 strncture without permission of the Community Services Division, Building Safety,
I fnrther certify that only contractors and employees who ,are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensnre that all reqnired 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
Page 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00237
COM2009-00237
COM2009-00237
Payments:
Type of Payment
ONLINE CHGS
cRecei~t ]
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000182
Date: 02/19/2009
Description .
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
ONLINE Bear Online
Mountain
, Electric
Payment Total:
Page 1 of 1
8:23:44AM
Amount Due
81.00
4.05
9,72
$94,77
Amount Paid
$94,77
$94.77
211912009
City. of Springfield
Electrical Authorization To Begin Work
E-:mai~ed To: jackie@bearmountainelectric.com
Receipt # EC547001
2)1912009 8:05:53 AM
Check on sta~us of permit
By Phone: (541)726-3753 or Em.i!: permitcenter@ci,springfield,or,us
I 0 New construction
[X] Addition/alteration/replacement
I [X] I or i family dwelling
o Multi-family
D Commercial/Industrial
IJob no.: address: 1372 EST
ICity/StatelZlP: SPRINGFIELD, OR 97477-4866
"I Suitelbldg.lapt.no.:
I Project name:
Cross street/directions to job site: Main 5t Springfield to 14th to west on E St
I Subdivision:
I Tax map/parcel no.: 1703362301703
I Lot no,:
Service Change
INaine: Rory
I Phone: I Fax:
IEmo;l: I
I~B-\lIOT-tl"""~"''''''"-'-'--'''~'''''''''','''f'''J_,~-~1
. ~~...... ;v~l?i',' '~';;t;;j~€:.i53d'lhCONr~gIgB_qa~;r~~,,",.';:E:~
I El.lic, no,: 20.448QHIS PERMlfSRlqdcltiM"U\1:1ii;J?~E '
IBns'nessNamc: B~'f1<t~IDL\,~';\~:'I:L/;HI::l t'l:tlIVI~ot ,
IContact: ChodP"k00MMENCED OR IS AllANUUNI:U run
IAddress: 85388D1l,ll,N\bof,g<QJOPilS PERIOD.
I City/StateJZIP: EUGENE OR 97405
j Phone: (54] )7418844 IFax: (541)7418845
I Email: jackie@bearmountainelectric.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 46405
I Supervising electrician's name: CHAD. IRVIN PERKINS
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days If a permit is not obtained.
The local building department may determine that an ~
AuthorizationTo Begin Work is null and void if it does not n ~\.
_ ~",,~ "M _"_'M "., '."""'. . . ~'
Description _ l Qty. I. Ea. I Total
l~ir~d,~i~a~JN, 'G,",~~~O~,rni"ui~,',i~f',~,~,!JY~llWClIlii1fuili~1!DCIU!!~
~~[~g~!:~~I~~~~~,- ,
I ],000 sq. ft. or less [4] -
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sa. tU
I-Limited energy, multifamily
residential {with above Sq. fU .
I-Limited energy, commercia-l not offered online at this jurisdiction
(with above sa. (1:.)
- Stand-alone limited energy,
residential
~ Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial _
amps or less [2]
1201 amps to 400 amps [2]
I 40] amps to 599 amps [2]
$81.00
$81001
I
I
I 200 amps or less [2]
I 20] amps 10 400 amps [2]
1401 amps to 599 amps [2] I
ITBran~Ch'?C'iYTuHs~'I'fEW,<ialterati;jH.~6IFmemio'n~^er;a~cT~l.lit>\tli:':~, '
'AF"";,-;~;;-cl;;;;;J&.IJ;;;~' ,. ,.,.,' ... .,,;;:~~
I serviccfOllt&\ltrlfl:l:\l!aiJadopt ld by th Oregon Jtlllty ,
brai1c~t.ircttilr-9ti("l,n rantar Thn~A n IA~ ArA ~l!t fortL
I R Fe, tor11~~~,]!fi!"J!\tl1'l1_00' O'throug 1 OAR 95 2.001-
wlthoWseMCPorfeedi!r''ft:e, .
first bQb\ffiGlircMotIJmav obi tin caple; of the n les by
I coch oddOlill/i;~@iB!ilm center (Note:' he telep*one I
li~t;;!~iina.rilI:;rer"tor!,tne!li.J(egofl!J.!!IVll~1;J!fl!t;,l:lllt.lll1!>?'"I
\0_'~~E2'5e:~.:.i"',<:I~:...>?0';'i?""~C'1r$"3~.rf::;::~'~:~~
I Service reconnect ~ijl t~1 I;) I.V ~ '.l-..,"". I
Each manufactured or modular I
dwelling, service and/or feeder
121
I
I
I
Pump or irrigation circle [2]
Sign or outline lighting [2]
Signal circuit(s) or liniited-
energy panel, alteration, or
extension gl
I_I 1'Ii=u~:S,TI\@~~E.E.R~~!~@~,!!:
I State Surcharge (12% of permit fee) $9.72 I
I City Of Springfield fees * $4,05 I
I TOTAL PERMIT FEE $94.77 I
* City Of Springfield fees: 5% Technology Fee
[Default number of inspections allowed}
C,9-2..3/ ~
'2.2.CO~ - tB2-
2-!IC) 109
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.