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Home My WebLink AboutPermit Electrical 2009-9-2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:jackie@bearmountainelectric.com Check on ~tatus of permit By Phone: 541-726-3753 or Email: permilcenter@ci.springficld.oLus I 0 New Con5tructi~t1 o Addition/alteration/replacement I G I " 2 fwn;]y dwelling o Multi-family DCommerciaJ o Acccssory I Job Address: 3530 GAME FARM RD I Cif}'/StateJZIP: SPRINGFIELD, OR 97477 .1 SuiteJbldg.!apf.no.; 56 I ProjectNllme: I Cross Street/directions to job sile: ~eltline Hwy to Game Farm Rd I Taxmap/parcelno.: add to existing ~nnit COM2009-01217 2 circuits Name: Jackie Heideman Phone: 541-741c8844 Fa);: 541-741.8845 Emllil: jackie@bearmounlainelcctric.com Eleelic. no.: 20-448C CCR Ik. no,: ]36298 Business Name: BEAR MOUNTAIN ELECTRIC LLC Contact: Address: 85388 DILLARD ACCESS RD City/State/ZIP: EUGENE, OR 97405 Phone: 541-741-8844 Fax: 541-741-8845 Email:.jackie@bearmountainelectric.com Mctro lie. no.: City lie. no.: Supervising Electrician's lie. no.: Supervising Electrician's Name: 4640S Chad Perkins Number of inspections included in paid services: ResidentialServiCe: 4 Reconnect Only: I All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed wWlin 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. Th910cal building department may determine that an Authorization To Begin Work Is null and void If it does not m9et applicable land use laws and local ordinances 69600-BEL-09-00119 912/2009 3:06 pm Approval Code: 005138 \').{\ (Jq/ Please chcckaJl that apply: DHazardousJocations DA o.eNiceo, f\:\:de' T'At\:d at600 amp, or more D~uildingsmorethanthreestories DMarinas and boat yards DFloatinllbuildings DCommercial-useagricuhuraJ buildinlls DlnslaJ'ationofaI50KVAorlarger. seperatelydenvedsys D:.'A". "E". or "1-2" or "1-3" o Recreational VehiCle Parks DSuppl)'vohageformorethan600 suppl)' volts nominal $58.00 $6.96 $2.90 I ",.861 SJ~~ C\.~~ ~ \)2' This Authorization To Begin Work must bepqsted at,the job site until replaced by a Permit WrYlUJ09 -- ()/d/Z . j)/YI &?!tJ2/d? o Aseiviceorfeederbeg;nningat400 Amps where the availnble fault currerttexceeds.IO.OOOAmpsat 150 Volts or less to ground exceeds 14.000 Amps for all olher installations 1 I I I I o Fire pumps o Emergency systems o Addiljo~ of a new molor I~ad of 100 HPor more OSixormoreresidentialuriilsinone SlructlJTe o Health care facilities I Description IBraneheir~uitsWith service or feeder ear;;hcireult 1!\1,isci!l~ne(}us;: of penn it fees I Subtotal I State surcbarge(12% of permit total) ITectmclcgy fce (5% ofp>;:rmit total} I TOTAL PERMIT FEE ~ ~~~ ~ r:o(y Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]2]7 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/02/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 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: Address: TRUST OF MARGARET LEGACY 3530 GAME FARM RD SPACE 056 SPRINGFIELD OR 97477 I CONTRACTOR.'NF~RMATION 1 . Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/1212011 Phone 541-741-8844 BUILDING 1NFORMA nON, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height o(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 Garage/Carport Sq Ft Other: Occupant Load: II/a I DEVELOPMENT INFORMATION 1 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: , # Street Trees Rqd: Paved Drivc Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ATTEN IIUI~: ur"\-Jull '"'' 'C",' ". follow rules adopted by troe (,,' I PUBL1€ IMPROVEMENTS 1 Street Inipri>v'emeJits:';enter. Those i'JI' ~ In OAR []!12-001-001 0 thrc'JQh , . Storm SeV'080'-v~lJa~'~.:.y obtain COPI&b 0, :, ,",: . - Special Inst~uction:he center (Note: tr"e t(.Ie' " . LCl.tllll~ ~ . . . , number for the Oregon UtilitY NOl".-:~,,,..,, Notes: Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: NanCE: THI~ pi=R~nrT ~H~LL I'YOIRI' II' TUI' IMnOIt Description Type of CO.Dstruction I . .At! I till'lIZED UNDER THIS PERMIT IS NOT Valuation DescnDt!o~'~NCED OR IS ABANDONED FOR $ Per SqFt s^q~I,y,,~ i1G'oi1^gi PERIOD. " I. I' B'd' A Value Date Calculated or mu tip lef or 1 mount \ Paee 1 of2 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 Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Girc Ea Add Minimum/Adjustment Electrical Amouut Paid $19.44 $8.10 $162.00 $6.96 $2.90 $12.00 $46.00 ' Total Amount Paid $257.40 Total Value of Project Fees Paid 1 Plan Reviews I Date Paid 8/20/09 8/20/09 8/20/09 9/3/09 9/3/09 9/3/09 9/3/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-012] 7 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/02120]0 VALUE: Receipt Number 1200900000000000954 1200900000000000954 1200900000000000954 3200900000000000628 3200900000000000628 3200900000000000628 3200900000000000628 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 Insoections I Electric Service: Approval required prior to utility company energizin<g service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 he 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 of2 Date ~j;~~;-,. -,. "..-- -. .,"'. ~.'-~<.; ,--'''".,... - City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. ' COM2009-01217 COM2009-0 J 2 I 7 COM2009-01217 COM2009-0 12 I 7 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 3200900000000000628 6:57:06AM Date: 09/03/2009 Description : Add, Alter, Extend Circ Ea Add Minimum/Adjustment Electrical ,+ 5% Technology Fee + 12% State Surcharge Amount Due 12.00 46,00 2.90 6.96 $67.86 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE bear Online mountain Payment Total: $67,86 Amount Paid $67,86 Page I of I 9/312009