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Home My WebLink AboutPermit Electrical 2009-8-25 \) ~City of Springfield ~.f!Ci ~.Q.p .:"'IILD_._._:__..!.-,-,:::~~. ~. ~. ,. ". . ~ .:; -",-~._.i ", \I1U:~1"-~ I ~~--==-,-"..;.....-..-..;.-'!!?' .....-;;{: Electrical Authorization To Begin Work E-mailedTo:ja~kie@bearmountainelectric.com Check on status of permit I~:''': -'" :;:J'i~,.~~~;-~TYPE'OF.;WORK ~,.., .' By Phone: 541-726-3753 or Email: pennitccnter@ci.springfield.or.us I 0 New Construction o ~dditionlaJterlllion!replacement 1~\;;"Y"f;.~~~~~5:CATE<jORY bF.CON'STRUCTloiC',t, ':e,,;' ",\-'" I [~} 0<2 '.n;lydw,lIln, OM"]ti"",,;]y .Oco=,,"", 0 A"","", :y~~~"~cjBYSrTE:iN10RM'lTI6N!AN[ylOCATIONf37:i_~~", Job Address: 1487 A ST CityfSfate/ZII': SPRINGFIELD, OR 97477 Suite/bldgJapt.no.: ProjectNllmc: CrO$J Street/directions 10 job sile: Main St north on 14th east on A T"m.pIP""'oo'\C')Jt~\., 'l. ~ cn:;ou ~1;?r;';i:::;T~~::.~~~~FH~~;or=~{CRIPTI()N:OF.;ifl6-~k1~~:?[;-:;:'!::LE".; Service Change Name: SU7.anne Yager Phone: 541-746-0577 Fax: Email: ':, '" .CONTRACTOR? -..':; ":tr:~ -~" Elee lie. no,: 20-448C CCOlic.no,: 136298 Business Name: BEAR MOUNTAIN ELECTRIC LtC Contael: I Address: 85388 D1LnA~C~.R~ RD .\olii"-.-.I-_"'Fo""" City/Slate/ZIP: EUG,E~.~Ib92't9inIT r4 III L rvnl.r"!r- Ir- "T"I I.... .. ''''J"' , ___.Hd, -."'....n~j.l.u.};_11 IIIL VVVlli{ Phone: 541-741-884tIITUnD17Cn Llt\,,,,al'; 4I.T.,4,i~"~........ ....... ,... ".~_ - ----- ...'u....... r II"J I LI lIYll I IV I\lUl Email: jackic@beannouujainelcctrtfrcqm n n I _I I 1/11\111- 1_'_ =_ ...~ .~S .l\~,^,~;:3:~:::~ ;-3;-; l\1etrolic.no.: Ar.IV 10('\ nfl\l rr-f"ff..N:...no.: Supervising Electrichin-"'uc: n';;.?' ...., 4640S..... II v U. Supervising Electrician', Name: Chad Perkins Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All OthcrServices: 2 Upon review and approval by your local JurisdlctJon, 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 I _':''''1 I I I I I ,i-." I 69600-BEL-09-00093 8/2512009 II :50 am Apprm'al Code: 045498 Please check all thalapply:. '"'."'''' - .,.,;', . _z PLAN REVIEW' '. o A service or feeder bCl:inning al 400 Amps where the available fauh currentcxceeds 10,000 Amps al 150 Vohs or less IOllround excellds 14.000Amps for all other installatiollS "7;;.~:1 o Fire pumps o EmergencySYSlems o Addition ofanewmolOl load of 100 HPor more o Six or more residentinl units in one structure o Healthcarefaciliries '[]llazardousJocations CJAserviceorfeederraledal600 amps 01 more C]lJuildingsmorethanthreCSloncS DMarinas and boat yards DFloatingbuiJdings DCommercial-useagricullural buildings [IJlnSlallationofn 150 KVA 01 lurger seperulelyderivedsys O"A"."EO,Or"l-rOr""3" {I)Rccreutional VehideParks [JSupply vol1a!ie for more thM 600 supplyvoltsnominaJ ID.eSCriPtion ISefvi~c~ 'Or. fe~d~ :-;; FEE SCHEDULE, Q",. Ea. J TotDI I Services 200 amps or less 18raillch'~~r5uits'Ji= '7_'\.. ';-t:i~ Branch circuits with service or feedcr eacbcircuit .:I~~Hicjd ~er~h.Fees ",~::i'; Subtotal State surchllIge (12% of penn it total) Technology Ice(5%ofpcrmit tolal) .:~'"t TOTAL PERMIT FE!-: "~."f_ I ~-, >l:-, ": <()\rcfS \ D~ ATTENTION: Oregon law requires youto 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 tele~hone number for the Oregon Utility Notification Center is 1-800.332-2344). &:~.rf' n-!l, u '-R<r'" ~uJ This Authorization To Begin Work must be posted at the job site until replaced by a Permit L 9 -' \ (f)D \-"lr _.~~ ~ 6~rv Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-0I250 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/25/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1487 A ST ASSESSOR'S PARCEL NO.: 1703363202300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Serive change in residence Owner: YAGER SUZANNE C Address: 1487 A ST SPRINGFIELD OR 97477 Phone Number: 541-746-0577 , CONTRACTOR INFORMATION l Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/12/20 II Phone 541-741-8844 BUILDING INFORMA nON 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: Euergy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING ATTENTION: Oregon loTOfmuires youto d t d b\ 'h~ r,honrm Utility follow rules a op e HandIcapped: t f th Notification Center. ThO"(Oo\\Jlfa"d'ft ~;2-g~1- in OAR 952-001-0010 through UA 0090. You may obtain copies of the rules by __,,,__ tho ~ontpr INote: the telephone I PUBLIC IMPROVEMENTS 'lumber for the Oregon Utlllty NOl\llt;a"u" iii OTl f'E' ' Center IS 1.800-332-2344). Street Improvements: . MIT SHAll EXPIRE IF THE WORK Sidewalk Type: Storm Sewer ~~il~1~ZED UNDER THIS PERMIT IS NOT Downspouts/Dnlins:. . Special Instru~t1~i~~~CED OR IS ABANDONED FOR Notes: ANY 180 DAY PERIOD. I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: I Valuation Description' . Description Type of Constrnction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valu'e Date Calculated Pa2e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01250 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/25/2010 VALUE: 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Liue Total Value of Project Fees Paid' Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Exteud Circ Ea. Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $11.88 $4.95 $18.00 $81.00 8/25/09 8/25109 8/25/09 8/25/09 1200900000000000981 1200900000000000981 1200900000000000981 1200900000000000981 Total Amount Paid $115.83 I Plan Reviews I 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. 1R"'7L 'red Insnedions" 1I1..I.._llf Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 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 Spriugfield and the Laws of the Statc 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 Date Page 2 of 2 2~ll Fifth Street 'J Springfield, Oregon 97477 54,1-726-3759 Phone Job/Journal Number C0l'y12009-0l250 COM2009-0 1250 COM2009-01250 COM2009-0 1250 Payments: Type of Payment RECEIPT #: ~._r~}u~~-F.JlELt?,....... -~ . - ...A!;: - . ~ - '''...',; ..uu'.;"'~ . U.' City of Springfield. Official Receipt Development Services Department Public Works Department 1200900000000000981 Date: 08/25/2009 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge ONLINE CHGS ONLINE PERMIT CHGS Paid By cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received KR. ONLINE BEAR Online MOUNTAI N ELECTRIC Payment Total: Page 1 of I 1I:55:IOAM Amount Due 81.00 18.00 4.95 11.88 $115.83 Amount Paid $115.83 $115.83 8/25/2009