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Home My WebLink AboutPermit Electrical 2009-9-29 City uf Springfield :' Electrical Authurizatiun To. Begin Wurk E-mailedTo:jackie@bearmountainelectric.com Check on status of permit .-', B'y Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us DNew Construc~~n ". 0,-,;';.~ddi.tiOnlalteratiOnlrep]acement Plell5c check all o A service or feeder beginning at 400 Amps where the avaiJable faull current exceeds IO,ODOAmpsal 150'Yolts or less to ground exceeds 14,000 Amps for all other installations "I [~} ",2f"""YdW,il:~g, DM,It;.'mniIY, Dcommercial DAccessory Job Address: 1095 B ST DFirepumps o Emergency systems o Addition ofa new mOIQr load of 100 HP or more o Six or more residentiaJ units in one structure City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: 1 Project Name: I Cross Streetldirections-tojoli site: Between lOth and 11th $1 on B 51 ',l I Tax map/parcel no.: o Health care faciJities service change 200 amps or less ISlIbtotal I State surcharge(12% of penn it total) ITechnologyfee(5%ofpcrmitlotal) I TOTAL PERMIT HE Name: Buck Jones Phone: 54]-747-1694 Fax: Email: Qq-ILJ0l I Eleclic. no.: 20-448C I I Contact: I Add"''''S388D1LLi'\iifs~~~~P':n 11~lnFR THIS PERMIT IS NOT I CiO'ISlololZIP: EUG$-i~,~~,~:7t%('m nR Ie; ARANOONEO FOR I Phone: 541-741-8844 ; ;I~~-; o-n n ^V D,Ea~:I~~'~141~8845 I Rmail:jackic@bearm~u~t~~ele~~c~co~ I MetroJic,no.: I Supervising Electrician's lit. no.: 46405 I Supen'ising Elcctritian's Name: . Chad Perkins Number of inspections induded in paid services: Residential Service: 4 , Reconnect Only: . I AlIOther$ervices: 2 CCBlic.no.: 136298 Business Name: BEA~M~~~~i~ J;LECTRIC LLC ~-~," Ot:R~m <:1-11111 FXPIRE IF THE WORK 69600- B E L-09-00 156 9129/2009 8:56 am Approval Code: 055] 28 [JHa:>:ardouslocations DAs~rviceorfceder'aledat600 arnps or more o Buildings more thM lhree slories o Marinas llI1d boal yards DFloatingbuildings DCommelcial-~se agricultural buildings DlnSlallationofal50KVAo,larger sep~ralely derived SY5 O"A","E".or"I-2"O'''I-J'' DRecrcationalVehicleparks DSUpply voltage for more thlll1600 I, supp]y volts nominal $81.00 $9,72 $4.051 $94.77 ( ~ Ql39lCA ATTENTION: Oregon law requires you to 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 telephone number for the "Oregon Utility Notification Center is 1-800-332.2344). City lic. no.: o,~~ '0"" 'fj '\.. Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within one business day, wtth instructions on how to $chedul~ 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 at the job site until replaced by a Permit ~~ cf^- \\)~. \ ~(!-- ~ .j. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01447 ISSUED: 09/29/2009 APPLIED: 09/29/2009 EXPIRES: 03/29/2010 VALVE: 225 Fifth Street, Spriugfield, OR 541-726-3753 Phuue 541-726-3676 Fax 541-726-3769 Inspectiun Line SITE ADDRESS: 1095 B ST 1 ASSESSOR'S PARCEL NO.: 1703351419100 Springfield TYPE OF WORK: Electrical Wurk Only TYPE OF USE: Residential PROJECT DESCRIPTION: Service change in residence Owner: Address: JONES FAMILY TRUST LLC 6022 THURSTON RD ' SPRINGFIELD OR 97478 . Phune Number: 541-747-1694 .1 CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date . Phone 08/12/2011 541-741-8844 I . BUILDING INFORMATION I # uf Units: Primary Occupancy Gruup: Secundary Occupaucy Gruup: Primary Cunstructiun Type Secuudary Cunstructiun Type: # uf Bedruums: # uf Sturies: Height uf Structure Type uf Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lut Size: Sq Ft 1st Flour: Sq Ft 2ud Fluur: Sq Ft Basement: Sq Ft Garage/Carpurt Sq Ft Othcr: Occupant Luad: ula , DEVELOPMENT INFORMATION I REQUIRED PARKING Fruntyard Setback: ' Overlay Dist: Tutal: Side 1 Setback: # Street Trees Rqd: Haudicapped: Side 2 Setback: Paved Drive Rqd: ATTENTION: OregoICump,.-Ct:Jires you to Rearyard Sett}:i[kT\CE: % ufLut Cuverage: follow rules adopted by the Oregon Utility Sular Setback~:HIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth _u.___ _........ ............~~,,.. Ir"' ,,,"T :._ nllnnr::;f')f')()-1J){)1nthrrHlnhnAR!152-Q01- MCUO IIVln~~~N'~Lto O~uIS 'AS ~NDlrf.ciliLi6-I~PROVEMENTS 10090. You may obtain copies of the rules by . _ ",. . . calljng the center. (Note: the telephone Street Impruv~m~n~;;O DAY PERIOD, ' nUI~II!$JV~JH"YP~::egon Utility Notification Sturm Sewer Available.' D ~ontOt' I'D" 1 :HnO.332.2344), , ownspou S . rams: Special Instructiun: Nutes: I Y~I~ation DescriDtion I Description Type uf Cunstructiun $ Per Sq Ft ur multiplier Square Fuutage ur Bid Amuunt Value Date Calculated '" Page I uf2 . Status Issued. 225 Fifth Street, Sp'ringfield, OR 541-726-3753 Phul)e 541-726-3676 Fax , 541-726~37691nspectiun Line Fee Descriptiun + 12% State Surcharge + 5% Techuulugy Fee Perm ServlFdr 200 amps ur less Tutal Amuunt Paid Amuunt Paid $9.,72 $4.05 $81.00 $94.77 Tutal Value uf Pruject Fee.~ ~aid I Date Paid I Plan Reviews I 9/29/09 9/29/09 9/29/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01447 ISSUED: 09/29/2009 APPLIED: 09/29/2009 EXPIRES: 03/29/2010 VALUE: Receipt Number 2200900000000001107 2200900000000001107 2200900000000001107 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 Relluired Tnsneetions ~ Electric Service: Appruval required priur to. utility cumpany energizing service. By signature, I state and agree, than have carefully examined the cumpleted applicatiun and do. hereby certify that all infurmatiun hereun is true and currect, and I further certify that any and all wurk perfurmed shall be duue in accurdance with the Ordinances uf the City uf Springfield and the Laws uf the State uf Oregun pertaining to. the work described herein, and that NO OCCUPANCY will be made uf any structure withuut permissiun uf the Cummuuity Services D!visiun, Building Safety. I further certify that unly cuntracturs and empluyees who. are in cumpliance with ORS 701.005 will be used un this pruject. I further agree to. ensure that all required inspectiuns are requested at the pruper time, that each address is readable frum the street, that the permit card is lucated at the frunt uf the pruperty, aud the appruved set uf plans WIll remaiu un the site at all times during construction. ' Owner ur Cuntracturs Signature Paee 2 uf 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~ . Job/Journal Number'~ . COM2009-01447 COM2009-01447 COM2009-01447 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200900000000001107 . Description 'Perm SerVfFdr 200 amps or less + 5% Technolugy Fee + 12% State Sur,~harge Paid'By , ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/29/2009 9:59:50AM Amount Due 81.00 4.05 9,72 $94.77 Item Total: Check Number Authorization Received By Batch Number Number How:Received KR Page 1 uf J Amount Paid ONLINE BEAR Online MOUNTAI N $94.77 Payment Tutal: $94.77 9/29/2009