HomeMy WebLinkAboutPermit Electrical 2009-11-4
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S.!:!UNGFIELD: t. '225 Fifth 5t . .
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00225
Approval Code: 055326 11/4/2009 11 :59 am
E-mailedTo:jackie@bearmountainelectric.com
I D New Construction~; ~
"~,~.IX] Addltion/alteratio~replacement
I~PAIEG(fIt:'(lQ~QNSJRti~fJ9f.j~T~~
1001 or 2 family d~:I)}~9.:': ::~irr;~F'Mu,ti~fa~H?> IJ Commercial D Accessory
1~";jOB!SITEilNfiORMATIONrANli)lIo.CATIONIilIi1rI'--
.."JObAddress: ~(o45fqAr.~,~~'::;;.ft:; ';~".'...
I City/Sta~/ZJP: 'SPRI~GFIELD, o.R '97{{/i?SX~ /{;:. "
I Suite/bldg./aplno.: ". ,.
I Pro~ect Name: .~~ .,.... ..
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Cross Streetldl..e~ti~~~'~iJ~tl~J~:'~~~t'ci~:ri\~i\:'tci:'~r~~:f~ G to' address
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Tax inap/parcel no.:
1703361212100
Service Change
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Name: Bob Phillips
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Phone: 541~746-1690
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Fax:
I Email:
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I Elec lic. no.: 20-448C CCB lic. no.: 136298
I Business Name: BEAR MOUNTAIN ELECTRIC LLC ,,-,
I Contact: r.- '-'--:-. '~''';;J' -
I Address: 85388 DIL0RD ACCE'SSRD '.
Clty/Stateq(~riljq'i"~I)R 97405 _ _ ,,.
Phone: 541~~4PERMlT!SHAll EXm~}~I\?r~
I Emall' jaok;fltb;r.vbQ~~lltlJfIID~H ..\ H.'~ I"t:'I:" rne -
I rOIVIIVILN' .tU Utili) Mr.':?'l:;):l, .,... -
Metro lie. n~ L. v City IIc. no.; _
.:rnt'r ' 86 DAY P[r.l~~" .'
I Supervisjn{~Ie'dric\an's Iic. no.:,._ ~':""A640S:;!t:,..... "; ,
I Supervising Electrician's Name:.... CHAD IRVIN PERKINS
Number of InspOctions Included In paid services:
ResidentiaIService:.~'._.\. ,4 ~'. ( _,
Reconnect Only: '7r ,r.1 '. ~:" ';'~' '~"1 ....
All Other Services: 2 l' . 't/:!':':';!~r ~:~
Upon revIew and approval by your local Jurisdiction, your permit will be e-malled or faxed
within one business day, with Instructions on howto achedule your Inapectlon.
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NOTE: This Authorization TO,Begln WOr!l: explrea within 180 days If a permit la not obtained.
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The local building department, may-:'deteriTllne"th'at~an Authorization To Begin Wor!l: 1111 null and
void If It does not meet applicable land use laws and local ordInances.
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Inspeclions Phone: 541~726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volls or
less to ground exceeds
14,000 Amps for all other
o Fire pumps.
o Emergency systems
o Addition of a new motor 100ld
of 10'0 HP or more
o Six or more residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 J<:VA or
larger seperately derived sys
o "A", "E", or "1-2" or"I-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
I Description
Total
I Services 200 amps or less J M $81,00 I $B1.00
1~1~~t.fl~JJp;~'rl1iifFtees':1.;r~':;if.",~~~~';;.,:;;y1f~~~:0?~,~
I Subtotal $81.00
I State surcharge (12% of permit $9.72
total)
I Technology fee (5% of permit total) $4.05
I TOTAL PERMIT FEE $94.77
tC1- r(Pl~
KR--~ L/ L/ { CYi
law requires you to
ATTENTION: Oregon the Oregon Utility
follow rules adopted b~e rules are set fortb
Notification cent~~16~~rough OAR 952-001-
In OAR 952~001- bt in copies olthe rules by
0090. You may 0 a Note: the tele~hO~8
calling the center. ( n Utility Notification
number for thelorle~gO_332~2344).
Center s ....
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Status . IsslIed, . '\'. '.
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225 Fifth Slreel; Spnngfield,OR,i'" .
541-726-3753 Phone.' .'.
541-726-3676 Fax'
541-726-37691nspeclion Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01616
ISSUED: 11/04/2009
APPLIED: . 11/04/2009
EXPIRES: 05/04/2010
VALUE:
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SITE ADDRESS: ..,. -;' ..2045 G ST i
ASSESSOR'S PARCEL NO.: 1703361212100
Springfield TYPE OF WORK: Eleclrical Work Only
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TYPE OF USE: New
Residential
PROJECT DESCRiPTION:". :~er"~e Change for residence.
Owner:
Address:
PHILLIPS ROBERT DEAN
2045 G ST. ,:.
SPRINGFIELD OR'97477
Phone Number: 541-746-1690
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Contractor Type :',;Contractor
Eleclrical BEAR MOUNTAIN ELECTRIC LLC
I CONTRACTOR INFORMA !ION I
License
136298
Expiration Date
08/1212011
Phone
541-741-8844
" L B.uILDI~G INFORMATION I
# of Unils: : ".:
Primary Occupancy. Group:
Secondary Occupancy Group:
Primary Constr.tiction Type
Secondary Construction Type:
# of Bedrooms:
,
# of Slories:
Heighl of Slruclure
Type of Heat:
Waler Type:
Range Type:
Energy Palh:
Sprinkled Building:
Lot Size:
Sq FI Is1 Floor:
Sq Ft 2nd Floor:
Sq FI Basement:
Sq Ft GaragelCarporl
Sq FI Olher:
Occupanl Load:
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Frontyard Selback: '
Side 1 Setback:,;, .
Side 2 Setback'::\ '.. .". ..
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Rearyard Setback: ;:.,., % of Lol Coverage:
Solar Selbackf,:,OTICE: ." · .. ,....1 WORK
,. "ILL [VDIl::!;: Ir ",,-
1'HIS PtKIVl1I bll" t.. .~.-!r~ ,:.~~- '~I,
IZED UNDER T\:I\S'~""IJ t'ROVEMENTS I
AUTHOR , ii ABANll-u'...:.t, .. '
Streel Improvelpent~:IEN CED OR'I,,' :
C;U\VhV . c '
Storm Sewer Ar,fll~b)OO DAY PERIOD.
Special.Inslruclion: .
,
Overlay Dis!:
# Slreet Trees Rqd:
Paved Drive Rqd:
.~
'10"" ,..,
. \lileS , \)\\\\"
Ole~O~~:~'~'
r'i\OW, O\l\€li>~e l\l\ 9"~ 9 \lies '0'1
"~~~l\l\e" a.:(\Wl~~l~'b'\ \~e I ';(\o(\e
~::ce\~~~();;~~~~ t\~ ~~~\~\\O~
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\(\ ,,~. ,0 ,.." ce Neg? ~ n::,?;"
fl c~\\"''' \01 wJ\~ \.Qv-
.-<\'Oel "WI
t\\}'" Ca..
Sidewalk Type:
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I DEVELOP~ENT INFORMATION I
,
Downspouts/Drains:
.'
:r
Noles:
Description
.::g b~ .
~. Type of Construciion
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. ,I V alua~ion DescriDtion I
$ Per Sq FI
or multiplier
Square Footage
or Bid Amounl
Value
Dale Calculaled
Pal!e I of2
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225 Fifth Slreet, Springfield,OR..,)L..
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541-726-37691nspedilln Line '.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01616
ISSUED: 1I/04/2009
APPLIED: 11/04/2009
EXPIRES: 05/0412010
VALUE:
Status
Issued .
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Tolal Valne of Projecl'
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Fee Description'~:,: ,
+ 12% Slale Su'rcharge
+ 5% Technology Fee .:.
Perm Serv/Fdr 200 amps or less
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'.""": :''-'.;' 'Amounl Paid
F.\"es Pai'" J
$9,72
$4.05
$81.00
11/4/09
11/4/09
1lI4/09
Receipl Number
2200900000000001258
2200900000000001258
2200900000000001258
Dale Paid
,
. Tolal Amounl Paid
$94.77
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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. .
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Eleclric Se.:vic~: Approval required prior to utility company energiziug service,
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Rellllirf'" Tnsnections ,
By signature,} state and agree, thai,} have carefully examined the compleled applicalion and do hereby cerlify Ihal all
information hereon is Irue and correcl, and} furlher cerlify Ihal any and all work performed shall be done in accordance wilh
the Ordinances of,the City of Springfield and the Laws of the State of Oregon perlaining to the work described herein, and
Ihal NO OCCUPANCY will be made of any slruclure withoul permission oflhe Community Services Division, Building Safety.
I further certify that only contraclors and employees who are in compliance witb ORS 701.005 will be used on Ihis projecl,
I furlher agree to ensure thai all required inspections are requesled al Ihe proper time, Ihat each address is readahle from the
streel, Ihal Ihe permit c~rd is localed at Ihe fronl of Ihe property, and the approved sel of plans will remain on the site al all
times during constructiQD. .
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Owner or Conlractors Signature
u
Dale
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225 Fifth Street".':
Sr.ringfield, pr~gon97~77
541-726-3759 phone" 'J;,
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:'. 2200900000000001258
Date: 11/04/2009
1:49:59PM
Job/Journal Number Description, ',~""..\..'. ....
COM2009-01616L. .:,Perin Sery/FdrZOOamps or less
COM2009-01616 ':';'+'~%Technology Fee
COM2009-01616 ,~,,'.''; 12% State Surcharge
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Payments:.
. Type of Payment
.......
Item Tolal:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
4.05
9.72
$94,77
ONLINE CHGS
Pa,id By
ONLINE PERMIT CHGS
Amount Paid
KR ONLINE BEAR Online
MOUNTAI
N ELECT
$94.77
Paymenl Tolal:
$94,77
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11/4/2009