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Home My WebLink AboutPermit Electrical 2009-8-20 .. '(;ity of Springfield Electrical Authorization To Begin Work E-mailedTo:jackie@bearmountainelectric.com Check on st9tuS of permit By Phone: 541-726-3753 or Emall: permitcentcr@ci.springfield:or.us 10 NewCons\ruction o Addition/alteration/replacement G I or 2 family dw~lIillg o Multi<family o Commercial o ACCCS50lY Job Address: 3530 GAME FARM RD City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: 56 Project NlIme: I Cross Streetldiredions to job site: Beltline Rtl to Game Farm to left on Game raml 10 Patrician Mobile Home , - , I Taxmap/parceloo.: Se~iceChange Name: Rmy Alvarez Phone:'S4l-953-7348 Fax: 54]-741-8845 Email: jackie@bearmountainelectric.com I Elee lie. no.: 20-448C I Business Name: BEAR MOUNTAIN ELECTRIC LLC I I I I Phon'r<1!;7~!,-,!~I,II'~n no Ie: lIo8Kml'!!<l'ltff8J1'i,R I.Email:Ii~.fi1@~of!~.el~qV.ln I Metro lie. no.: I Supenrising Electrician's lie. DO.: I Supeniising Electrician's Name: CCBlic.no.: 136298 Coo,,{t,[ nTl r.1=' Add"'1~1~8@\!'M~fl1'C(l~'Mq I='XPIRI= 11= THI= INnRK CUy/S9~j~Ir.;rn<i1'1"!i'lfjRjn191I=R THI<:; PI=RMIT IS ~lnT Cifylic. no.: 46405 Chad Perkins Number of inspections included in paid services: Resid!::ntial Service: 4 Reconnect Only: I All Other Services: 2 Upon review and approval by your, local jurisdiction, your permit will be a-mailed or faxed within one business daYI,within~tructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days ifa pennit is not obtained. The local building department may determine that an A.uthorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances 69600-BEL-09-00083 8/20/2009 11: 11 am Appro~aICode: 00558B Please checkaJI lhalapply: DAserviceorfeederbeginningal 400 Amps where the availablefauh currenlexceeds 10,000 Amps at J50Vohsorlesstoground exceeds 14,000 Amps for alJolher installations DFirepumps o Emergency systems DAdditi6nofanewmOlorloadof 100 HP or more o Six or more residential units in one structure o Heallhcare faciJities DHazardouslocations DA service or feeder rated at 600 amps orrnOle DBuildingSmor;thanthreestories ~Marinasandboatyards [JFl03tingbuildings DCommercial-useagricultural buildings Dlnst~lalion ofa 150 KVA or larger , sepcratelydenvedsys qJ"A". "E",or"f'l"or"l-l' [JRecreationalVehicleParks DSupplyvollage for more than 600 supply volts nominal Description Services 200 amps or less Subtotal Slate surcharge (12% of penn it total) Tl;:chnoJogy fee (5% of permit total) TOTAL PERMIT FEE c.q -1d.\'1 $162.00 $19,44 $8,10 $189,54 ~ eldolD'1 ATTENTION: Oregon law requires you to foUow rules adopted by the Oregon Utility Notification Center, Those rules are set forth In OAR 952-001-00~ 0 through OAR 952-001- 0090" You may obtain copies of the rules by calling the center. (Note: the telephone number for the O\egon Utility Notification Center is 1-800-332-2344), v ~ \.rf^- ~:v c{;>.o/' ~~ This Authorization To Begin Work must be posted at the job site until replaced,by a Permit .~ ~~~ A'>' CO'\. ~I!: CITY OF SPRINlJ,HELD Building/Combination Permit ~ . Status Issued " PERMIT NO: COM2009-01217 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/20/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3530 GAME FARM RD SPACE 56 ASSESSOR'S PARCEL NO,: 1703154003100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service Change Owner: TRUST OF MARGARET LEGACY Address: 3530 GAME FARM RD SPACE 056 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/1212011 Phone 541-741-8844 , BUILDING INFORMATION I # 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 Size: Sq Ft 1St Floor: Sq Ft 2nd Floor: Sq Ft ~asement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING ATTENTION: Oregon l1l'otlil:luires you to follow rules adopted b'H'.rriURap'jieil: Ulilily Notification Center, Th9~fit'pacr:re set forth in OAR 952"001-0010 Ihrougli OAR 952-001- 0090, You may obtain copies of the rules by callino the center. INote: the teleohone I PUBLIC IMPROVEMENTS I,umber for the, Oregon Utility Notification , Center IS 1-800-332-2344), Sidewalk Type: NOTlr.F' , Frontvaril Setllack: Overlay DlSt: ,1;\1" P~D Side) ~fl~~~~MIT SHALL EXPIRE IF THE WOR'JI Street TreesRqd: Side'2!Setback:_ED UNDER THIS PERMIT IS /\Paved Drive Rqd: Reary':lrdfS{tlj;!:c.!<3 OR IS ABANDON NOTolo of Lot Coverage: Sola~r~~tlj'!,95sdAY PER/OD_ ED FOR Street Improvements: Storm Sewer Availahle: Special Instruction: Downspoutsmrains: Notes: I Valuation Descriotion r Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 CITY OF ~rKll~\JHELD' Status Issued Building/C~mbination Permit PERMIT NO: COM2009-01217 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/20/2010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project ~e.es Pa.!,~ I Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less' Amonnt Paid , Date Paid $19.44 $8,10 $162,00 8/20/09 8/20/09 8/20/09 Receipt Number 1200900000000000954 1200,900000000000954 1200900000000000954 Total Amount Paid $189.54 I Plan Reviews , 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 Reouired Insoedioos 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 herehy 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 descrihed herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Servites Division, Building Safety, Ifurther 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 wili remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 nf 2 . 225 Fifth Street Springfield, Oregon 97477 54i:-726-3759 Phone Job/Journal Number COM2009-01217 COM2009-01217 COM2009-01217 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: 1200900000000000954 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/20/2009 Item Total: Check Number Authorization Received By . Batch Number Number How Received KR Page I of I ONLINE BEAR Online MOUNTAI N ELECTRIC Payment Total: l:ll:39PM Amount Due 162,00 8,10 19.44 $1 ~9,54 Amount Paid $189,54 $1~9.54 8/20/2009