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HomeMy WebLinkAboutPermit Electrical 2009-2-19 (2) Status Issued CITY OF SPRINGFIELD Building/Combination Fermit PERMIT NO: COM2009-00237 ISSUED: 02/19/2009 APPLIED: 02/19/2009 EXPIRES: 09/20/2009 VALUE: 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 Residential PROJECT DESCRIPTION: Service Change 03/20/2009 Two circuits - Per David B. Owner: BERN LINDA Address: 1372 E ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMAT1.0N I Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/06/2009 Phone 541-741-8844 BUILDING INFORMATION I # of Units: Primary Occnpancy 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 REQUIRED PARKING Front yard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Sctback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: ol'o."/ ...fA 1 PUBLIC "M~ROVEMENTS I . " ~ou to Street Improvements: I.JJ"...~ LL.IJ \ \~~~"'1'a.lllrty"e'J\IIitY ~ :J '11 " . N' oregoO . ,hP, OregO[\ . ,,, t\1 Storm Sewer Availahle: ;,()y 1\11\:.1'11\0. dop\ed tDoWrisIlo'!!~tDfaiIls\ Special Instruction: \-.-\. b\ \o\\OW lules a otel. 1\10se rU1oOl\I'\ 952-00 - \'~ L.\ Noti\iCatioO C~1_00Wt\1loUg~ o\\\1e rules bY Notes: V-" io 01\1'\ 952-0 obtaiO cople t\1e telep\1one 0090. 'Io~:;:a~p,oter. (N~\e';ili\~ NotilicatlOO NOT/CE' ! :m"~~r 10\ 'Ie U\"BOO_332-2311")' THIS PERMIT SHALL EX Val~ation mscHptioD\ (is - - PIRE II' ilL '''-.In[, . AUTHORiZED UN.QER THIS PERMW'Itfr OOlft Square Footage DescnDtl?8fv1fV1E~l(;i!!0'5Ii~gs~'~~f.raONE19'PDPltiplier or Bid Amount Valne Date Calculated ANY 180 DAY PERIOD. Page I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l."P~,<l'I,~<U Fee Description + 12% State Surcharge + 5~" Technology Fee Perm ServIFdr 200 amps or less + 12% State Surcharge + 5%Technology Fee Add, Altcr, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Reversal- + 12% State Snrchar Reversal - + 5% Technology Fee Reversal - Add, Alter, Extend 'Reversal - Perm Serv/Fdr 200 a + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $9.72 $4.05 $81.00 $8.04 $3.35 $12.00 $55.00 $-8.04 $-3.35 $-12.00 $-55.00 $1.44 $0.60 $12.00 2/19/09 2/19/09 2/19/09 3/20/09 3/20/09 3/20/09 3/20/09 3/20/09 3/20/09 3/20/09 3/20/09 3/24/09 3/24/09 3/24/09 Total Amount Paid $108.81 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00237 ISSUED: 02/19/2009 APPLIED: 02/19/2009 EXPIRES: 09120/2009 VALUE: Receipt Number 2200900000000000182 2200900000000000]82 2200900000000000182 3200900000000000175 3200900000000000175 3200900000000000175 3200900000000000175 3200900000000000176 3200900000000000176 3200900000000000176 3200900000000000176 2200900000000000290 2200900000000000290 2200900000000000290 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I, Rptlllirprlln~,nP:('ti(HW Electi'ic Service: Approval required prior to utility company energizing 'service. Rough Electric: Prior to Cover Electric Service: Approval required prio~ to utility company energizing service. Final Electric: When all electrical work is complete. Paee 2 on _$IJ':Rt!l!g.~ll:tI:,~j- it I. Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 1 nspection Line CITY OF SPRINGFIELD Building/Combination Fermit PERMIT NO: COM2009-00237 ISSUED: 02/19/2009 APPLIED: 02/19/2009 EXPIRES: 0912012009 VALUE: By signature, I state and agree, that 1 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to eusure 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 I Pa2e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000290 Date: 03/2412009 1:19:11PM Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 12.00 0.60 1.44 $14.04 Job/Journal Number COM2009-00237 COM2009-00237 COM2009-00237 Description Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Check Amount Paid BEAR MOUNTAIN ELECTRIC njm 12886 By Mail Payment Total: $14.04 $]4.U4 cReceintl Page I of I 3/24/2009