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Home My WebLink AboutPermit Electrical 2009-6-9 City of Springfield Electrical Authorization To Begin Work E-mailedTo:jackie@bearmountainelectric.com a It. Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci,springfield.or,ns 1:P--~~ -;_;::-i.-~~-~~~~~~,'n:~~.6F yv<?~_K:::1~~ ~~;- --_,i::r I 0 New construction [X] Addition/alteration/replacement ~T'/~CAi:.~GO~Y:iQ~ C9~'S.l:,~l)9j_i9~ft"~_ " I [K] I or 2 family dwelling 0 Multi-ramily 0 Commercial/Industrial ['" . ,'JbB:SITitiNFORM~TIC:~~, ANO'@CATI()N"":'.: ' I Job 110.: I Job udd.-ess: 6545 THURSTON RD I City/Slate/ZIP: SPRINGFIELD, OR 97478-4513 Suite/bldg./apt.no.: I Project name: Cross street/directions to job site: Main 51 to 58th to Thurston Rd to job site I Subdivision: !Tax map/parcel n~.: . '-J. 11..-01 no.: 1702341200904 , OE~CRi~TION35F-WO~~j "" 'V'.~~, '. [, 200A Service Change 'F' ~:... (~.:':. ~~: ~,}IJ_~~~'6~~fAC!?~':-. ..-- -~ . "...'.to I Nume: Buck Jones IPhone: (541)747-1694 jEmail: I Fa" 1"- " 'C9N-t~c;r9~';;:~ I Et lie. no.: 20-448C 1 CCO lie. no.: 1 Business Name: BEAR MOUNTAIN ELECTRIC LLC 1 Contact: Chad IAddress: 85388 DILLARD ACCESS RD 1 CiI}'/StaterLlP: EUGENE OR 97405 I Pho"" (541 )7418844 I Emllil: jackic@lieannountainelectric.com 1J\.letro lic. no.: Supen-'ising electrician's lie. no.: 4640S ISupen-'isin~ electrician's name: CHAD IRVIN PERKINS "';;~ ;~" . 136298 [Fa" (541 )7418845 I City lie. no.: Upon review and approval by your local jurisdiction, your permit will be eMmailed 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 Authorization To Begin Work is null and void if it does not -,'."... ""." ~ 1:0>- ~ ~ A.\..O~ ~~~ ~ I Description l;: Qty, Ell. Total I~R~es~~en.t!llfSI_NGLt~;'OR~-~J~!~n~r~.i~; (Jw~lli~g ulli~ 1~-C!Ud~ ,at!~tc~e,~l.ga':l~e_, " ''''~::: ';:~'::_ :.:{",^,,': -: "4 jl,000sq.n,orless[4] I.. I I ! Ea. addl 500 sq. n. or portion P;-i~itcd_En~fgY,," _. '-: I-LImIted energy, residential (with above Sq n) I-Limited energy, multifamily residential (with above SQ. n.) I . Limited energy, commercial (with above SQ. n.) I - Stand-alone limIted energy. residential I -Stand-alone limited energy, multi-fumily 1M Stand-alone limited energy, commercial I', S~~~.cesJllff~tders:!!t}tul!!~on,#ltet~~t_ion, i~~D/O_R: relocutit!" 1 [200 amps or I,ss [2] $81.00 $81.00 [ 1201 amps to 400 amps [2) [ 1401 amps to 599 amps [2] IJ. E,MP9.RA,,~YS~!5:~c'e~}!R,f~~is.)~sta.I.lation. alterlli!on, iANJW1R'~~~pllt!O.!!1; ,- ";''t?--;:--..J'~'7;.'''-.? - . 1200 amps or less [2J I' 1201 amps to 400 amps [21 I.: [401 amps to 599 amps [2] [ p~r~;?cb..,Circu,iIS"M N~4\~' lllte,rat,!o,~; o,~ ,ex.t~n~!on,. per p-lln'el "." I A. Fee for branch circuits with I service or fceder fee, each brunch circuit lB. Fee for bnmch circuits without service or feeder fee, first branch circuit [2} 1 each addl branch circuit 1~!l~i.~,,~lllIr(~U:s,__"-J;, .. 1 Service reconnect only [2] I Each manufactured or modular dwelling, service andlor feeder 121 [ Pump or irrigation circle [21 '1 Sign or outline lighting [2] I Signal circuit(s) or limited- energy panel, alteration, or extension 121 [. -">0-' Receipt # EC553359 6/9/20093:50:53 PM 1I"v\ L" ~ ,11 -".[ ""'.. ". [ I I - , -'I ...:. '. .. [ [ [ [ I '.i! FEESCHEpUlE';" "_on: ~ (- = -I I J I I ." ,,-1, I~OI otTered online at this jurisdiction I 1tf,':;t.,^ [ [ [ "~I I I I ,.,][ [ ",,\_[.' I 1 .I $81.00 I $9,72 I $4,05 I $94,771 : f j..~ -ELECTRICA..:P,ERMIT FEES I I I City Of Springfield fees ., I TOTALi'ERMIT FEE . City Of Springfield fees: 5% Technology Fee (Default number of inspections allowed] Corn :) 07J;: - ao~2-7 c; ,/() - 09 /J./"Y'- Subtotal I State Surcharge (12% of penn it fee) This Authorization To Begin Work must be posted at the job site until replaced by a Permit. /AX}/' rS r- I)r, ~'ffl' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: GOM2009-00829 ISSUED: 06/1012009 APPLIED: 06/1012009 EXPIRES: 12/10/2009 VALUE: Status Issued, 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6545 THURSTON RD ASSESSOR'S PARCEL NO.: 1702341200904 Springlield TYPE OF WORK: Elec'!rical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 200 amp service change Owner: Address: JONES FAMILY TRUST 6022 THURSTON RD SPRINGFIELD OR 97478 Phone Nnmber: 541--747-]694 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEAR MOUNTA]N ELECTRIC LLC License 136298 Expiration Date 08/06/2009 Phone 54].741-8844 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: 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 Si~e: Sq Ft l,st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: r Occup~nt Load: nla I DEVELOPMENT INFORMATION I , Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: #'Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: " REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: SpeciallnstructjllPiENTION: Oregon law requires you to foU~w rules adopted by the Oregon Ulility Notes: Notification Center, Those rules are set forth in OAR 952-001-0010 thrnllnh (lAl', Q~0_nn1 NOTICE: I, -vf'rr.r TUt: \MnRK UU8U" You may obtain cOPieslui lilt: IUles ov I THIS PERIVIII :JM/-Il,L '-" "'~ (, MIT IS NOT callmg the center. (Note: tI "Valuation Descriotion AUTHORIZED UNDER THIS PER R number for the Oregon Utility I~otltlcation rnMMENCED OR 19 ABANDONED FO Cent8r IS 1-800.339-~$,P.er Sq Ft Squa,'e Foota~e' """lnD Description Type of ConstructIOn - ., "'It' I' B'dA ^~l\{ 180 DAY lV,,"lIllJ' Date Calculated or mu Ip lef or I moun Downspouts/Drains: !'. , Paee I of 2 Sta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% Siate Surcharge + 5% Technology Fee Penn Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $9.72 $4.05 $81.00 $94.77 Total Value of Project Fees P,'iIidl Date Paid I Plan Reviews I 6/10/09 6/10/09 6/10/09 CITY'OF SPRINGFIELD Building/Combination Permit ;; PERMIT NO: COM2009-00829 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: Receipt Number " 3200900000000000437 3200900000000000437 3200900000000000437 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 Rem.ired' I1sr)ections I 11I11I_lITr11 r I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I 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 Springfield and the Laws of the State of Oregon pertaining to the w~rk descrihed 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. 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 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 constructi~n. Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~~.' City of Springfield Official Receipt Development Services Department " Public Works Department Job/Journal Number COM2009-00829 COM2009-00829 COM2009.00829 Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: 3200900000000000437 Date: 06/10/2009 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge raid By ONLINE PERMIT CHGS . Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE BEAR MTN Online Payment Total: Pa,ge I of I 8:13:08AM Amount Due 81.00 4,05 9,72 $94.77 Amount Paid $94,77 $94.77 6/10/2009