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Home My WebLink AboutPermit Electrical 2009-8-25 " c 8~N,C~"I.LO"", ZON ~___ ~,:::,._" INITIALS - ;)':;:;; DATE .~. ~ ,,- SOURCE Z25 FWI'II STREET. SPRI;\,GFIELll, OR 97477 . I)H:(S4I)726-37:,3 . FAX: (541)726-3689 ELECTRICAL PERMIT AP/'LTCA nON Cit)' Job Number C.OW\~O,- OlQ6S Date g--Z'S'-o, ",. !," ,',,,,,." .. .4_ ,_,_,,' ,.,. " ....," _, I. ;li:iCAtiOl\tOI'"INSfAJ;iMT10IVi: <: ,','~ /0 "i t( -', ~ .e.~ "~L'''' 3, ':'CdMRUTE FkE"SCiiEDrJj;E)jELOlV;:::"-:;'i.:;i:~'i.'",,'J:'':, "'~<. .. . .'..-.. .- - . - - - ,', , ,"<-' .~.... --',~. LEt7LOE3.R~nS2..- \ 05300 "I"" ,"r:~.' '-"c~""':_~,"~~"""""~"-'-J"'" ~"'.:'''''':-._''~::-r.:''~'-'~ ""::;1 A. "~N'~~Jt,~~iden{inI :fSih'g~e:()I'~~l.~.h!:'F~~ji{y ,p~l~dy.11)!nf u1ijL~:..7';3 Sen'ice Included Permits are non-transferable and expire if work is not started within 180 d3)'S ofissuanre or if work is Suspended for 180 days. 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 5117,00 JOB DESCRIPTION: Act cl ec;; CII''-'^~ft 5 21.00 S55,OO . ..... ..._,~, ...,....- __.- ,,~ ..' ..,-:",,,- . ~7"'" .... '!' ..-~_~.._,;,...-,;::: ~~'-','~"";"':-:'.""'" ..~. ~""f:d.t,~'~'~-~~"t"'';':A:_-,-.~ 2. ,:-,c;P!\fr.~.qg!.{1!{~:t.A!j!4J;I.2/V7'QNP~(... 8. -.~S~~~c~~~f~e~~et~=.:..:.rr~jt.:'(J~~JI~~;'!\Uf"~!_i-;)~i;:OJ~~eJ~c~~i: Electrical Contractor EffjR. !lJ{fJi1JljjIAJ EtE'c 200 Amps or less S 70,00 fJ D7'\ 201 Amps to 400 Amps ,S 83,00 Addressff.(:;~XX /)/UJ/IYJ aE.55 /\LJU OO~~~*'1'e~!l'.\~.9f'-nwro SI38,OO Allt:N1IU\'. re.... _ ",,:1+\1 r, ,~ r- /'10/ICf?(7 , Iladoptec..6Q)j~,mpSJ031900 Amps> SI80,OO City.c(A:ot:- //.If:. Phone ~ 9_,q~'i:-en\er. WYereIOOOlAmps/.V(jlfrrth S413,OO ~,vOAFt952-001-001 O~!"cQnnsct(Onl)\ 952-001- S 55,00 \~ _ obtain copies of the rules by 410 LJO'~'3'i;~~~h~:n\6\';' (~lih'rli'w!St\)fl~i Feeder"': .-d: }'(~r,C "'-- ': '?:':'O::~::; - er lor the Oregon Utility N~tlllcatlon 'O/./ numb 1-- '11",,,,>t.,,, ' R I ' II 0 ~enter is 1-I."Dsta anon-,' ~ReratJon or e ocatlon 200 Amps or less I. j6;<q g 201 Amps to 400 Amps r ~ f?' 40 I Amps to 600 Amps o Over 600 Amps or 1000 Volts see '''B'' above, ~:Sint3iM O. ~:~;~~;':::u~~':~~~~:~o::;:~~~:~~:~Tv~~~~~~Jr~ Each Additional Circuit or with ? ''c- - / -0 Service or Feeder Permit r --~ st::PO Supervisor License Numher Expiration Date S 55,00 S 76,00 SIIO,OO Constr. Contr. Number I,sO Owners Name e l'lpH~t71I :rALGaSEi"J' /D s ({ '? I--a .pL City .;:; ?F'h .'-;-,' /: .....'~~.~..,..J..";,.: 1": ,..-.~,~.-. '.J:::...,~.,-,"~ :~l- -:.~.:..~:-i'i--.:.;-.. ~1i;<:;;'. ,~4J:. .I~;-:--:.::' E. .~,lLlifella!!c~us.{s,:e~".lcC(rcc~J~'.i,I~.~!.:~.p~I'!i~e<lt.-.~~~J~~~l!a~~)~', Address Pump or irrigation $ 55.00 NOTICE: Sign/Outline Lighting S 55,00 OW:-IER I:-ISTALLATlO:-l THIS PERMIT SHI\[>!!t~f'm!jYWef'14~lWORK S 28,00 The installation is being made on property 1 j\tlTI'ffi'iIlIZED UN!li:'Hterrl1&~Rfl\llv>4(N'JOT S 50,00 is not intended For sale. lease or rent. COMMENCEt1i{lWI'S' M,eJ\'~i9}!It:.~m~e,c!i~~ ~e~,~s S50.00:" Surcharges _ ANY 180 DAY4pEl\ifOOrQTAJ;OF;1,B,QVE"': ::r"'~,':) I.> 0 .18- Phone Owners Signature: 8% State Surcharge 10%"'l'.-:..,:.,:........:. _ :-'ee 5~f> Technolo,gy Fee 7::'<> J 75 so Inspection Request: 726-3769 TOTAL {..l.-f!:. e-If I~Z18 ~//I .\.\. ~~ \>~ Shar~J Dri\'cCl':IIHuilJing Fum1S/Ekctrical Permil l\ppli..:alion 7.07.dnc ~ O<>--j ~~ AJ~ -\-0 (>E{~'~ f')CI ',) Tirl lJ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01063 ISSUED: 07/23/2009 APPLIED: 07/23/2009 EXPIRES: 02/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 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: Address: WHITE KRiSTIN 1034 3RD PL ATTENTION: Oregon law re ' SPRINGFIELD OR 9747j,W rules adopted by the 6~;es YOuu to Notllfcation Cente Th gon t'lity JACOBSEN ELIZABETHR 952-001-0;'10 those rules are set forth 1034 3RD PL 0090, You ma ,rough OAR 952-001- SPRINGFIELD OR 97-41t7mg the c~~btam(NcoP'es of the rules by . er. ntP' tho f-.....I__.. .....'.......Cl IVI me ureqon Utilih, f\1.....+i;~:..._-~'.'.... CC'I'GONTRACT.0IHNEORMJ\TlON I Owner: , Address: Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/12/2011 Phone 541-741-8844 BUILDING INFORMATION 1 # 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 Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NOTIC~I.DEVELOPMENT INFORMATION I THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED U[\.<2;[~r."jj!~1;lJsf.ERMIT IS NOT COMMENCED Ol~ ~Srl',e~A.';Cj~R9.V FOR ANY 180 DAY pE:Fa,tJ~prive Rqd: % of 'Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e I of 3 Status Issued 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Descriotion $ Per Sq Ft or multiplier Square Footage or Bid Amount Tyne of Construction Total Value of Project Fpp<. P~irl J Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $7.56 $3.15 $63.00 $9.72 $4.05 $81.00 $18.00 $7.50 $150.00 7123/09 7123/09 7123/09 7/27/09 7/27109 7/27/09 8/27/09 8/27/09 8127/09 Total Amount Paid $343.98 I Plan Reviews 1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01063 ISSUED: 07/23/2009 APPLIED: 07/23/2009 EXPIRES: 02/27/2010 VALUE: Value Date Calculated Receipt Number 1200900000000000828 1200900000000000828 1200900000000000828 2200900000000000848 2200900000000000848 2200900000000000848 1200900000000000993 1200900000000000993 1200900000000000993 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 1?~'7ui~nsnections I Electric Service: Approval required priur to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all eJectrical work is complete. Pa2e 2 of 3 CITY OF SPRINGFIELD Status Issued i: Building/Combination Permit PERMIT NO: COM2009-01063 ISSUED: 07/23/2009 APPLIED: 07/23/2009 EXPIRES: 02/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541"726-3753 Phone 54 I -726-3676 Fax 541-726"3769 Inspection Line 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 he made of any structure without permission of the Community Servi~es Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wili 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. I Owner or Contractors Signature Date Page 3 of 3 22;; Fifth. Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 I 063 COM2009-0 I 063 COM2009-0 I 063 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000993 Description Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By JACKIE HEIDEMAN Received By DJB Check Number Batch Number Page I of I City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/27/2009 8:34:34AM Item Total: Authorization Number Amount Due 150,00 7,50 18,00 $175.50 , How:Received Amount Paid 035398 In Person Payment Total: $175,50 $175.50 'I: 8/27/2009