HomeMy WebLinkAboutPermit Electrical 2009-5-27
6 City of Springfield
'10\
G\I
(J
Electrical Authorization To Begin Work
E-mailedTo:ja~kie@bearmountainelcctric.com
Receipt # EC5524 tt
5/i7/2009 10:57:46 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New constmction
[KJ Addition/alteration/replacement
[ill or 2 family dwelling
o Commercial/Industrial
,
o MlIlli~ramiJy
I Job no.: I Job llddress: 1.429 L ST
[City/State/ZIP: SPRINGFIELD, OR 97477-3269
I Suite/bldg.lapt.no;:
Iprojcet nl'lme:
Cross street/directions to job site: Mohawk to Centennial to Market to L SIlo address
I Subdivision:
[Tax map/parcel no.: 1703253306600
!Lot no.:
Installation of bath fan and GFCI protected outlet
IN:lme:'Rory
II'hont':
Irmail:
IF",:
II':I. ,lie. 110,: 20-448C .1 CCB lie. no,: 136298
I Business Name: BEAR MOUNTAIN ELECTRIC LLC .
1 Contact: C~~d
IAddfcss: 85388 DILLARD ACCESS RD
1 City/Stale/ZIP: E-UqFl:1E OR 97405
1 PhO"" (54fJ~ltHg\,lt.l:; _ _, L [v~M'I:(lPJTt'1~.wORK
IEm'il: j",k~l4\fuJ?~.MtDlhH,,\Jigb~;l T\\I~~~;nlMIT IS NOT
I Metro 1;0, oNJTHOHILtlJ Up~(J~ ' nr~l~i'il~~n FOR
ISupen'ising@€Hljt~lR~:.N/citn~), 414_~ Au \\: -
ISuPt'rvisin2Fti4t{ic'~1~VJn~Y CN-fd~~rN 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 , ~' ) ..!A.
days if a permit is not obtained, , ~y }..) ,
The local building department may determine that an "I'\. ~
Authorization'To Begin Work is null and void if it does not (". V . 0"
meet applicable land use laws a~d local.ordinances. t) ~~'
~~~~. ~
~'\90\
Description I Qt}'. Ea. I Total
iResidcntiiti'SING lrf:LSOR'11Iulii:rtlhiily,(J";cnirlg'u0rtit.~lncludes' ~ ~. ..
(,~j~,~f.~!d.g~rjg~:1i~~~:]:~if~:;";~l~t~~m) .d:' 4.;'!_:::::;:.t""~~~'X:' ~
1,000 sq_ fl. or less 141
Ea. addl 500 sq, fL or portion
- Limited energy, residential
(with above Sq. fL).
- Limited energy, multifamily
residential (with above Sq, f1.)
I ~ Limited energy, commercia'l not offered online at this jurisdiction
(with above sq, ft.)
I - Stand-alone limited energy,
residential
I - Stand~alone limited energy,
multi-familv
-Stand-alone limited energy,
commen.:ial
1200 amps or less 12J I'
1201 amps to 400 amps [2J
401 amps to 599 [Imps [2]
)200 'mpsor less [2] _ _ ,_ ,J,u ,pnlli'*S YOU tol
2.oJT,nfPt~ 4b<l1":;'p'(,[ij;'^~~' hJ;\heOre on Utll\lY I
toilamps\~1599~~Pi'(tT-1I1nke rules re se.:l.?~~:1 I
rBranFh';8m-'i"tS",ZNI<;;\W,'IlI\emtIQntQRre"iciJ~i()fi,WJfpli'n~-I'-:-',:~ (.~;2
;"",.: ~_~. n' f'H...'.t--, :,',;r;:',,_\ u,,;v-~...:~:... ~..,"~~ <<,"."".._' ":.-"\-=-,,,,, "'~ ~,'".. IF',...,
WFeefo'rtirailChck~ttJ.uWitl\n~OPleS UI~II-c. ,,,, -- - I
€eWCem'f&U\,m,>eaCl Mote: the elephonr '
bmp<hlt1r<9;tthe cenler, ( , '~t'\it'J !ntikattC n
B. F'ee(!-{Yltg~I~,!}fitRriJSUreyu 1,1 . ,.{- ~4) $55,00
wilhl!lll \~rv'" or,rf!'.~el!f'1-80 )-332-2.; .
first branch cl1'C~1 !12T .
each addl branch circuit
$55.001
I
Servicn~connect only [2J
Each manufactured or modular
dwelling, service and/or feeder
121 '
J Pump or irrigation circle [2J
Sign or outline lighting [2]
Signal circuit(s) or limited-
enl"rgy panel, alteration, or
extensioll.f2t
1(~~~Ji~tf"Eh~~i~lg~~'~~g~,!fF,-~g~~!J~~t:"; t~~,~I~":"if,:PJI
I "Subtotal I $55,00 I
I Minimum fee used instead of Subtotal $58,00 I
I State Surcharge (12% ofpcnnitJee) I $6,96 I
I Ci()-~OfSp-ringfield fees ~ I $2.90 I
TOTAL prRMIT FEr $67,86
* City Of Springtield fees: 5% Techri9Iogy'Fel"
[Defaufl number ufin..,peclions a{{owed}
c:ct -1 L/ I KlL 512,11 og
"
This Authorization To Begin Work must be posted at the job site until repla<;ed by a Permit.
_~f!AINGF1ISLD;
+,t
~ 1
CITY. OF SPRINGFIELD
, ,
Building/Combination Permit
, I
Status
Issued
PERMIT NO: COM2009-00741
ISSUED: OS/27/2009
APPLIED: OS/27/2009
EXPIRES: 11/27/2009
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
SITE ADDRESS: 1429 L ST
ASSESSOR'S PARCEL NO.: 1703253306600
Springfield TYPE OF WORK: Elect:rical Work Only
TYPE OF USE: New.
PROJECT DESCRIPTION: Installation of hath fan and GFCI protected ontlet
Residential
Owner: SNEAD JAMES H
Address: 1429 L ST
SPRINGFIELD OR 97477
I, CONTRACTOR INFORMATION , '
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 Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height Of, sfr1;lT,,';lION: Oregon law rsqlF'ffltfl'lb&il:
Type of HJ.i\oW rules adopted by thESq>I\t~blI ~\\i\'f:
Water Ty~le:tification Cenler, Those nS~!fitrBa"s'i\hl\?hVJ
Range Typ,"epAR 952-001-001 0 throug~,:Vlt:Rr?-~~Y<!nrport
Energy pwR.?O" You may oblam cOPle~ )W'6li~~~f by
. cp'ljno the center, INote: ' '~~ff ~n"
Sprinkled BniIilme:f th 0 nla Ut'l :~u oad:
numb8T or e reqon Illy N Ilca Ion
I DEVELOPMENT INFOttMl:.riON' jUU-;;;;"-";;44j.: ,
. , REQUIRED PARKING
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
,Handicapped:
'Compact:
NOTICE: I PUBLIC IMPROVEMENTS I
Street Improvements lIS P'R
n ~ MIT SHALL EXPIRE
Storm Sewer Avail/lWfHOR/ZED UN IF THE WORK
Special InstructioJCOMMENCED 0 DER THIS PERMIT IS NOT
ANY 1 BD DAY PER IS ABANDONED FOR
Notes: R/OD.
Sidewalk Type:
DownspoutslDrains:
I V aluation Descr~Dtion I
Description
Tvpe of Construction
$ Per Sq Ft
or mul,tiplier
Square Footage
or Bid Amount
Value'
Date Calculated
Page 1 of2
_S'~I.f!I~FIIilIf!i't ,
. ,
1:.', 'f;
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00741
ISSUED: OS/27/2009
APPLIED: OS/27/2009
EXPIRES: 11/27/2009
, VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pai,d ,
Fee Description
+ 12% State Surcbarge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
Receipt Number
$6,96
$2,90
$58,00
5/2 7/09
5/27/09
5/2 7/09
3200900000000000399
3200900000000000399
3200900000000000399
Total Amount Paid '
$67,86
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested hefore 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 Reouired Insnections .
,', ., .
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete,
By signature, I state and agree, that I have carefully examined tbe completed application and do hereby certify tbat all
jnform3tion hereon is true a,oct correct, and I further certify that any and all work perf~)fmed shall be done in accordance with
tbe Ordinances of tbe City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, 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.
] 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
Date
Pa2e 2 01'2
225 Fifth Street
Sl1ringfield, Oregon 97477
541-726-3759 Phone
..
Job/Journal Number
COM2009-00741
COM2009-00741
COM2009-0074 i
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #: . 3200900000000000399
Date: OS/2712009
II :09:49AM
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:'
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58,00
2,90
6,96
$67,86
Amount Paid
KR
ONLINE BEAR MTN Online
ELECTRIC
Payment Total:
$67,86
$67,86
Page 1 of I
5/27/2009