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