HomeMy WebLinkAboutPermit Electrical 2009-7-27
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City of Springfield
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Electrical Authorization To Begin Work
E~mailcd To: jackic@bearmountainclectric.com
Check on status of permit
.By Phone: 541-726-3753 or Email: permitcentcr@ci.springfield.or.us
"
,~- "_ " --,-,TYF'E OF WORK".. ~
,4"--:,
I D New Construction
o Addirionlailerntion/replacement
Ple:l.S~ ch..ck alllh~l apply:
D^servicemfe~de,bellinninl;lal
400 Amps where Ihe available fauh
currenlexc<.'eds 10,000 Ampsal
150 Voh~ or less fO ground
exceeds 14,000 Amps for all other
installations
"'C'ATEGORY"& CONSTRUcfION~
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DMulti-familY
DcommerCia'
DAccessory
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I Job Address: 932 4TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I SuileJbldg./apt.no.:
I Project Nume:
I Cross Street/directions 10 job site: Centennial to 5th to G to 4th (0 address
I Tllxmllp/pllrcelnu.:
"".. .. - ,-=....' '''''-'',-. ',-:'
,'JOB SITE INFORMATIONAND,LOCATION "
"""':;=,-'.>).
o Fire pumps
o Emergencysyslems
o Addition of anew mOlOr load of
100 HP or more
DSi~ormoreresidentialunitsinone
slructUle
o Heahhcarefacililies
69600"BEL-09-00052
7/27/2009 8:19 am
Appro\'al Code: 015398
PLAN REVIEW, '
DHL'lIIoouslocations
DAserviceorfeederraledul600umps
or more
DBuildings more than three stories
DMarinusandboalyurds
DFloalinllbuildings
DCommucial'use agricuhural
I; buildinl:5
Dlnstalla,ionofal50KVAorlarger
seperule1yderivedsys
D"A""E"or'1-2"or"I-J'
, ,
DRecrculionalVehic1eParks
DSupplyvollBlle for mOfe lhan 600
jl supplyvollSnominal
I~':," ~,> .,::..~~~':" .~',.-di:g;:""::..,,~ ~J)ESCRIP~rt"ON'.oFWo"RKL'~,"y:/~,_:~;;F1:f,:..~ "f~4 ,- J'.
Dcs~'ription
I!rulichcin:u}t_s ;.
" _~: FEESCHEo'ULE
I Qty,
Ell. I.. Tutlll
ATTENTION: Oregon'law requires youlto
follow rules adopted by the Oregon' Utility
Notification Center, Those rules are set forth
in OAR 952"001-001 0 through OAR 952-001-
0090. You may obtain copies ofthe rules',Qy
calling the center, (Note: the telephone
, ~ JjJmber for the Oregon Utility Notification
#fQ",- C~"''' 1.00.32-~ .(j\
'b\G' f\ '~~\V
~
branch circuit for Cadet heater
~-~-
,~, "~ SITECONTAcT
Branch circuits with service or feeder
ellchdrcuit
:\-tisce!il!'ile'ous : ~l .;r
Balance of permit fees
, _!'.,.oc
Elt'c~rklifl'ermiIFers;." ~
Name: RoryAlvare1.
Subtotal
Phone: 541-741-8844
FIIJ;: 54]-74]-8845
State surcharge (12% ofpcnl1it
total)
Technology fee (5% of perm it total)
Email:jllckie@bcarmountainelcctric.colll .
'i ~!
_1:"=
"CONTI<ACTOR',-
TOTAL PERMIT FEE
Elec lie. no: 20-448C
CeRlk.no.: 136298
Business Name: BEAR MOUNTAIN ELECTR]C LLC
Cq- IDlil
Contact: tJ C'-I!"'-
Address: 8538ffD]t:U..Jt&kcESS RD
C;hlS'''dzIP\ru~f.ii,ri~~bl i)iiili.i. CArinc iF T~Dhl\
Ph:""'41'74l:!ltllliu1trLl::U ul~uEi\XJ:l,~~i'8~ivill ij i~0J
Em.;':j"k;,@\';W~IA\l!J;;liIMI;,6!J1t1 I" f\Of\I~UUI~I:U run
Metro lie. no.: t\1'II T IOU WRY rcn,l.&Ir lic. no.:
Supen'i.sing Electrician's lie. no.:
Supen'ising Electricilln's Name:
46405
Chad Perkins
Number ofinspeetions incloded in paid services:
Residential Service: 4
ReconnccIOn]y: 1
All Other Services: 2
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 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 meet applicable land use laws
and local ordinances
This Authorization To Begin Work must be posted al the job site until replaced by a Permit
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]1
$6,001
$6.00
...iT
,I
$52,00 I'
.1
$58,00 I
$6,961,
12,90 1
$67.1161,
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1I,00,L
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-, \2.1\09
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
,
PERMIT NO: COM2009-01067
ISSUED: 07/27/2009
APPLIED: 07/2312009
EXPIRES: (}1I27/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 932 4TH ST
ASSESSOR'S PARCEL NO,: 1703352106100
Spririgfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
PROJECT DESCRIPTION: Breaker for Heater and Load calculation for the heater circuit
Residential
Owner:
Address:
PLUMMER THEODORA P
932 N 4TH ST
SPRINGFIELD OR 97477
I CONTRACTORINFORMATION I
Contractor Type
Electrical
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
Expiration Date
08/06/2009
Phone
541-741-8844
BUILDING INFORMATION'
# of Units:
Primary Occupancy 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 Siz~:
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'
, REQUIRED PARKING
Front yard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd;
Side 2 Setback: Paved Drive Rqd:
Rearyard S~tlGqtfCE: % of Lot Coverage:
Solar Setba'l'His PERMIT SHAI' I=YDIDJ: II: TUl:: "'''nil ,~:!TENT!ON: ?re,gon,law reguires you to
AUTHORIZED UNDER THIS ,..tl'Jl\l)JJlJil!~:riimiROvEMENT~,;i"ifi~ai;;;~C;~t:r:~Th6~~';~I~~ ~~~'~etf~;ih
St tI COMMWCED OR IS ABANDONtU fOR " ,,' OAf\,9~2-0~f:01Q through OAR 952-001-
ree mprJ'lN"f'fSu'DAY PERIOD. ,0090., %ll')W<lY o~nl'ih copies of the rules by
Storm Sewer Available:' call1lQilllcnspuiJlsi1Dr\lfus:?: the telephone
Special Instruction: number for the Oregon Utility Notification
Center is 1-800"332-2344).
"Total:
, Handicapped:
Compact:
Notes:
I Valuation DescriDtionJ
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
Amount Paid
$6,96
$2.90
$55,00
$3:00
$67.86
Total Value of Project
Fees Paid ,I
Plan Reviews I
Date Paid
7/27/09
7/27/09
7/27/09
7/27/09
CITY OF SPRINGFIELD
Building/C.ombination Permit
PERMIT NO: COM2009-01067
ISSUED: 07/27/2009
APPLIED: 07/23/2009
EXPIRES: 01/2712010
VALUE:
Receipt Numher
1200900000000000841
1200900000000000841
1200900000000000841
1200900000000000841
To Request an inspection call the 24 hour recording at 726-3769. All inspections n,quested 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 Reollired Insne~tions 1
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 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.
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 construction.
Owner or Contractors Signature
Paee 2 of 2
Date
c'
225 Fifth Street
Spr(ngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1 067
COM2009-0 1 067
COM2009-0106i
COM2009-0 I 067
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
if-
1200900000000000841
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department'
Date: 07/27/2009
Item Total:
t::heck Number Authorization
Batch Number Number How Received
,
Received By
KR
Page 1 of 1
ONLINE BEAR Online
MOUNTAI
N
Payment Total:
9:00:] 4AM
Amount Due
55,00
3,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
7/27/2009