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Home My WebLink AboutPermit Electrical 2009-10-9 ;t.__, ..,;-~_ :.x,~-_",,+~ .; "1.--,",-_ . '"'., _ -'4.0 "'-"'" -, ~ "<,7:,~el"EY~OIi:'SPRI, : 'I ~ED: ORE - ;-", :.>';.j '9 r.,>:....'\:'" . ..!....'.;: ;,L -:_"':-~> __;.,' . "-'-~ ~ .,...-~. , ~," ._.~~ """!.,_>:. >C ;. -, : "~:,~,,'N",~,,_ ~& .~, &'" .<.,~~,,",~. \1NJP' ZON ll\'ITIALS DATE SOURCE n3J.-'FrH STREET . SPRI~GHELI). OR 97-477 . PH:(s.tI)726-37SJ . FAX: (541)726-3689 ELECTRICAL PERM,[r~PPUCATl()N Cit) Job Number ~~-\A..\~ . ; .-;,.~.,~-::.,~~."...:-- .~.~.:-" .'.,........~i..I'i..,,"'""...._~ :"'.0-:"_ '~.,,-.'... -", .11..... . I. ':!LOeA'l'lON'OE/INS7'AliEA3'lONF';;'...,';. '\V['fl--'~'\';r*nm' ,,~~_. LEGAL DESCRIP~ION~ ~ \ -"1 r~ tr~, D~1J.1::O JOB DESCRIPTION: ~\cP l~ I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ",~......<'~);~.-U.""i.fr<it'~"''''''.-':<''I...'t'-''-~~'''l"k/.'1-. "-"'-',.i,,-/,,.,t'-..c; , 2. ~:}?'Q.?jTM!f[flf?:!J!i{f,r,.~J;JJ!lY4Qffl}~f,. Electrical Contractor?EIIR. f}J())/IJl}//A) EtE'c Addressff':;q8g lJ/LLJlR/J IkzES5 /?J) Cit)'EUGEIl/[; Phone 2.!.I.Lf'ftitj 1/oLJ() ') /[) /10 IJh~q% Expiration Dat~iL r/ (j g' ";t)b ;,;:, ~;,o,;. ( ,.- Owners Name \~ ~~.P:b Address W1. "). (\ II ~ City ~\\)~ Phone C\~4.4 '::>":>l,o OWNER INSTALLATION Supervisor License Number Expiration Date Constr. Contr. Number The installation is being made on property I own which is not ill1ended for sale, lease or rent. Owners Signature: ,..~_. ~.'~' n.,,~ ~~ ~.\.'\. ,~"\ Date 3. ~ ~eONJ~fIiJtif1fP~'~~CHi{iil!itEiij~jfqi1{~~?1r~f!:};;~:thY A. '~~briJ;J~~~~f~~fii;f;~~gfe~1:M],It}~~~i~;ft.~'[if~~~ff{6mt~i;~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. Ot portion thereof S117.00 S 21.00 Each Manufact'd Home or Modular DwellingService or F ceder S55,OO .,....,.::9':!:',.,......;4~':::.)::- ('~:-~\P'_ ~,~.;:.1',,'J,....,-?-~;~':-:'~...~.. '!."'.'+-''''I.':'.,p~~~~...."",:,,~''''. B. ~:~~~r;YJ~~t~xlli~~.~~;~J~~~I~.~t~f!!iJ~Att~~!?)J~~~9~tlB-ftlQ.~:f1i~~::i:: ~ 200Am'PS~r1~~S" '.. ' .' "'~~~ 'S\.cV 201 Ampsto 400 Amps S :6:~0 401 Amps to 600 Amps S138.00 601 Amps to 1000 Amps S180.00 Over 1000 AmpslVolts S413.00 Reconnect Onl)' S 55.00 .y.;'<"'_.....<t.:~~,..r;:-'''"'~.~,.~..<''1 ._,.-;~"-,f;..''?i':;:, j~H~/'" ".f*'f.i;.ftj~~ d~~~~- ,. c. +l~mpqrary.i'S_er,v:u:e.sior.:l\l;~qcrs',,;;.1~: ..;.~.t:""'~"""''"'~'''''; ;L;:.;.!;.. ,...",,;;..: . ." ,'V.. .... "..' - ." .. .' . ~ " <. --. ," '-'I .. .-. .>.. -\~' ~.. .. "...-:- Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55,00 S 76.00 S 110.00 'Over 600 Amps or 1000 Volts,see ""S,. above. t"""~::-.:...""1:''''.-;r-~"'.:~.:::::,~~~l,g:zt.~ ~4;"~.;:L\.1i:,7i'-:;;;:;,:': ~A<t-'~'U..~7~'$ D. 'lBranch;G....cultS\'1,-~ .k._ ....,;. ~:,~~~,~~;.;;:~"'.~._..1~~.:s)~~;~;>.....:...;;o;~...}:'?;:~; ~ .>rl,.r..,,""........,.,.';.~..... ,.~_.... ... .....\....... "\..,.",, ...-r'''"~'!''''''.';' ~_.....~.._.l<. "".0' '--.~ ,",........~~_ ~ew Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit S 48.00 S 4.00 ~""':~""r?~~~~.~~~,~;,,~."'~.~~~:~~.:i}{-t.'Wj..,4,""'''_~~~'0i{';^-', ';,""':' _.~ 4i;:'~~,t.~, \~:*.,_r"" E. ~ ~~~!S~~~.'W~~uliltS,..e!:.\~}~~t~c..c<}.~I:~,~#~~~~e.~)~~~~-i.~:,~ n~~!!.~~UP~~~ Pump or irrigation $ 55.00 Sign/Outline Lighting S 55.00 Limited EnergylResidential $ 28.00 Limited Enerb')'/Commercial S 50.00 Minimum Electric Permit In~pection Fee is $50.00 + Surcharges 4. '~~~tiJ~~lqp~iiQ~i~~5[;;~V~;~~~:~"~~ Rl_a:J It-lWo State Surcharge ~ Lf.j IL. 10% Administrative Fee t/1 50,'0 Technoloh,)' Fee ~ .~()S Q,A ""11 TOTAL Shared Drin:fl':llHuilding FlIrms/Eh:cuical P~rmit Applil:lllion ]"{\7,doc ~~ V-~ CITY OF SPRINGFIELD Building/Combination Permit Status . Issued PERMIT NO: COM2009-01474 ISSUED: ]0/06/2009 APPLIED: ]0/06/2009 EXPIRES: 04/07/20]0 VALUE: 225, Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1122 CUSTOM WAY ASSESSOR'S PARCEL NO.: 1703263408200 Spriugfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Temp power due to fire in residence, firehas hurued out garge artd all roof trusses. all power to be replaced, aud plumbiug/mechanical to be replaced Owner: Address: MAZET TYM ANN PO BOX 2391 EUGENE OR 97402 Phone Number: 541-954-4536 '.CONTRACTOR INFORMATION 1 Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/12/2011 Phone 541-741-8844 I, BUILDING INFORMATION ~ # 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 Buildiug: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: u/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Froutyard Setback: Side I Setback: Side 2 Setback: Rearyard Set hack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: , Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descrintion ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated, ;r/)/~Q/ I Fe:b 7i6J1-- Pa2e I on Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]474 ISSUED: 10/06/2009 APPLIED: 10/06/2009 EXPIRES: 04/07/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Pai,~ I Fee Description + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 $9,72 $4,05 $81.00 10/6/09 10/6109 10/6/09 10/8/09 10/8/09 10/8/09 1200900000000001116 1200900000000001116 1200900000000001116 2200900000000001159 2200900000000001159 2200900000000001159 Total Amount Paid $168.48 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 ,Re?"ir~rl, !rs}ectio~~ I Electric Service: Approval required prior to utility company energizing service, By signature, I state and agree, that I have carefully examiued the completed application aud do ,hereby certify that all information hereon is true and correct, and I further certify that any aud all work performed shall be done in accordance with the Ordinances of the City of Spriugfield 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 Commuuity Services Division, Building Safety. I further certify that only coutractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 pia us will remain on the site at all times during construction. - Owner or Contractors Signature Date Paee 2 of2 .. .. ",~.~"'It;'.q~.,.!!,-,>."".,,,,,, ".."...'=. wt'----.... ',...... k , ..; , "', ;: "..,~,. ~. -.'"' - ~.._;;..__..~~ '.' .'0' 225 Fifth Stre.et .'.. " Springf,ield, Oregon 9'7477 5'11'-726-3759 Phone, ".."- " . :' .RECEIPT#: 220090000000000]]59 Job/journal N!lmber~;>' Qescription COM2009-01474 , ''1'' ' rPe~ Servil'dI'.200 amps or less COM2009-01474+'S% Technology Fee. COM2009-01474 :+ 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department' Date: 10/08/2009 Item Total: Payments: Type of Payment . ">ga,idIj~:l.::" ., CreditCard:JACKIE HlEDEMAN Check Number Authorization Received By Batch Number Number How Received cjc 00582b In Person Payment Total: . ,'1. . ,., .,' ... , \. i' , cReceintl Page 1 of I 1:09:58PM Amount Due 81.00 4.05 9.72 $94,77 ArilOunt Paid $94.77 $94,77 , 10/8/2009