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Home My WebLink AboutPermit Electrical 2009-7-27 City of Springfield 8P.RlNGP'I:BLO! ~~'-:':^C_"..,,"M'^__"'"'fT$'~_ 69600-BEL-09-00053 7/27/2009 11 :04om Approval Code: 05594B Electrical Authorization To Begin Work E-mailedTo:jackie@bearmountainelcctric.com Check on status ~f permit B)' Phone: 541 ~726-3753 or f:muil: permitcenter@ci.springfield.or.us _J.'~ ""I I I>~,. I'D NcwConstruction .. ii,': tL~ ~2:-,.-;;"C-;"7';"1r.:-qpl?AN:FrEVrE-Vli;'<i;t,'?-l::'''~;'';::> ~ ::~-:~ Pleas~check"lIlhalapply D--;:';:;:us]oc~tjon> D A service or feeder b.ginning at DA s~rvice or feeder raled al 600 amps 400 Amps where the availabl~ fault or more currenl ~xc~ed, 10,000 Ampsal 150 VOllS or less to ground exceeds 14,000 Amp, for aJl olher installations o Addition/alteration/replacement ,h).,,"...,_ 'I' I [~} ""',m;]ydw""", OM"";."m;]y OComm",;,] 0 ^o"'''''' id':~720ifJ6B'SITE;INFORMAOONAN~oCATToN~p$~~~,~~~~:r: DBuildi~gsmore(nanlnreestories DMarinasandboatyards DFloatingbuildings DCommerciaJ-useagricultural buildings Dlnstallationofa150KVAOrlarger scperatelyderivedsys D"A","E",or"]-2'or"I-J" DRecreationa'Vehi~'e?afks DSupply voltage for n;ore than 600 supply volts nominal o Fire pumps D'Emergencysystem's o Addition of anew mOL or load or 100 HPor more o Sixor moreresidenlial units in one structure DHealthcarefacilities Job Address: ]034 3RD PL City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: I Project Name: I Cross StreetJdirectionslo job site: Centennial to 51h to G to 3rd pla~e to address I Tumall/Ilarceln_o,: .'....- I Description Qfy, Total Ea, service change 15ervices 200 amps or less IElect~ic!l)N!:'!I,i1_ Fe~5j",E~4::L~~E; ISubtota] I State surcharge (12% of penn it total) )TechnoJogy fee (5% ofpennil total) /TOTAL PERMIT FEE .~. $81.00 $81.00 $81.00 $9.72 I 'Name: Rory Alvarez Phone: 54]-74]-&844 $4,05 Fax; 541-74]-&&45 S94.77 K2- ilz,lCCl C9 - It::;t.o 3 :".~''t, f" Elee lie, no,: 20",448C CCD lie, no.; ]36298 Business Name: BEAR MOUNTA]N ELECTR]C LLC NUT/CE: Contact: """"'1':' F< Address;85388DILLA,.~p'~C~~rm?i1T ~l-I^' L rvnl.......... I _ ".: '-"~ '-- _n' "u_ ,F I nt VVUKK City/Stafe/ZIP:EUGEl'tE,.q~l31,4.ogFn f H\rncD TI]I"'" "'-"":--~ _,_ Phone: 54J-74]~8844~OMMFMr.J:n ()~;~~.,54J.-t4J~8.s~i ~L.~~VII' f;:' l\JU I "ft.\. _ ro, .,. ,~ ',....rtIVUUIIJCU tUM [mail: jackie@beannquIlt~ne!e.s.'{if_~OJ~ V 0 r= 0'0 ['~. Metro lie. no.: City lie. no.: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is HOO-332-2344). 46405 Supt'rvising Electrieilln's lie, no,: Supervising Electricilln's Name: Chad Perkins Number of inspections included in paid services; Residentia]$ervice: Reconnect Only: AJlOtherServices: 'Jj~ (b'O'(V , \\1J~ ~\t 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. ~ ~ ' .~ ra\9' 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 i~ null and void If it does not meet applicable land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced'by a Permil I -~~al~t!S!iI!!l!",", ~ ~r . Status Issued CITY OF SrKl1'lGFIELD Building/Combination Permit PERMIT NO: COM2009-01063 ISSUED: 07/23/2009 APPLIED: 07/23/2009 EXPIRES: 01/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726~3676 Fax 541-726~376.9lnspection Line SITE ADDRESS: 1034 3RD PL ASSESSOR'S PARCEL NO,: 1703352105300 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Reconnect power due to fire in residence Owner: WHITE KRISTIN Address: 1034 3RD PL SPRINGFIELD OR 97477 Owner: JACOBSEN ELIZABETH Address: 1034 3RD PL 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 NOTICE: # of Units: THIS PEBMIT S # of Stories: Primary Occup.ancy Group: HALL EXPIRE IF THE Rei'g'lll:of Structure "1)'H',RI/Lnl'~I,)ERTHISP .. -~, Secondary Occupancy'Grollp: ERMIT 13'y.P!39f Heat: , '" J~r."K""~" nR IS Pnmary ConstructIOn-Type, ABANDONED FoWater Type: Secondary i;::!itsi\-U2tiori,lffp'::e,'lIOD. Range Type: # of Bedrooms: Energy Path: Sprinkled Building; I BUILDING INF,ORMATlON I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ATTEN~{'bN: Or~CSI!p.1!!1,I11e1!:1'~4!es y?~~? Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: ' Solar Setbacks: """'"'' ....,";;:) auul-.Ilc;iU....'1 .".... '-'I.....~...... ~u'''l I, DEVELOPMENT INFORMATlON"'l Center. Those rules are set forth . " in OAR 952-001-001 0 th'roR]JQ,llI,IREDJ'~RiKING Overlay Dist: 0090. You may obtain coq\llM!f the rules by calling the center, (NotpH' l"d~' telephdone # Street Trees Rqd: l an Icanp'e t' number for the Oregon """V mJ'l,Il"d, Ion Paved Drive Rqd: Center is 1-800-SS~l11gi!,c-!j. % of Lot Coverage: I PUBLIC IM~ROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsillrains: Notes: Page I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01063 ISSUED: 07/23/2009 APPLIED: 07/23/2009 EXPIRES: 0112712010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ees Paid, I Fee Descripti!l" + 12% Stat~ Surcharge + 5% Technolngy Fee Service Reconnect + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 $9,72 $4,05 $81.00 7/23/09 7/23/09 7/23/09 7/27/09 7/27/09 7/27/09 1200900000000000828 1200900000000000828 1200900000000000828 2200900000000000848 2200900000000000848 2200900000000000848 Total Amount Paid $168.48 Plan Reviews .1 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. Re,ouir~~ Tns'teeti?".s I Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinanc,es of the City of Springfield and the Laws of the State of Oregon pertaining to the w,~rk described herein, and that NO OCCUPANCY will be 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 ensure that all required inspections are requested at the proper time, that each ~ddress 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 Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-72fi-3759 Phone .~~~;ii fttrr" City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000848 Date: 07/27/2009 ] :33:07PM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 4,05 9,72 $94.77 Job/Journal Number COM2009-0 I 063 COM2009-0 1063 COM2009-0 1063 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE BEAR Online MOUNTAI N $94,77 Payment Total: $94.77 cR~ceintl Page I of I 7127/2009