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Home My WebLink AboutPermit Electrical 2009-11-12 .', City Of Spri~gflel~, " :. S"PR, INGFIE,L,D,..'" "",225'F'lfth St' ;,.,,,,,;,,,;::;.," , ''i~r C"-:~"!""'-'~"':';: /':,' .~_' ,,", "',~':;;:.~-::,~::, ;;: ~},1\.... ,]1,; ,;~.i~lSpring~eld. OR"974F " il.J'-*~:"'~' - -):'.~',Phone: 541-726-3753 t. ~:<;"'~..,tJJf! 1"'0';': ;.Email: permitcenter@ci.springfield.or.us ;" . '" ~~ "O~EGg~':~' _.I,}' tf~1il1Iii'i~,~~~1iY:P'E(OF..WORK~~ii;~~'~::r~~~1 c.q'IIt/V Residential Electrical Authorization To Begin Work 69600-BEL-09-00248 Approval Code: 005836 11/12/2009 10:14 am E-mailedTo:jackie@bearmountainelectric.com 1t:,,1!lF;'."~4t'!t;<!'--'''' -.e'SITerCONfA'C]~O'''-~' 12""-' _.~~.",~:str~~L_d. "._______. ,_rl__.,::,~~. I Name: RorvAlvarez ;;~,., ".(. il..,~..{I;..;~~~.m .~~ ' ,,'. ,. ;; -'. ,.'", ~..tc;'1 '1'" '.. '.~ ~;~~-; "::1 I~:t:~t~~':),~t~~t! F;~PIEAN;-RE\i"IEW.::r:t~~~~i;t~~2::;~:~1 Please check all that apply: D Hazardous locations o A service or feeder beginning D A service or feeder rated at at 400 Amps wh~re the 600 amps or more available fault current exceeds D Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds 0 Marinas and boat yards 14,000 Amps for all other 0 Floating buildings o Commercial-use agricultural buildings . o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" . o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal . l~i:J~~t::~~1i~tlrg~$C:~-EJjU~'E.ft+~:'~~~~~.i;Z,!~;tk;;~jl j Description J Qty. , Ea. I Total I 1$_~):vlc~-s;or~f~~~~'fP:'-:;J!<~:::~!;>T~t~~:f~:~;r~~_:; JI j Services 200 amps or less $81.00 I 1!;!~~~t(c~lLF~e'rfn!~:J7.e~~;':~~"~f?;~~,, f .'; -:~~{:~.' "~il I Subtotal $81,00 I I State surcharge (12% of permit $9.721 total) I Technology fee (5% of permit total) $4.05 I 1 TOTAL PERMIT FEE $94.77 1 o Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities o New Construction -,' .- (&] Addition/alteration/replacement ~t~lf'~l~~J:cA"~~(rQRYJ5.I::c.oJ!~J:[u1;tjq~'VJ''f:1!;r;~'1Ci:J [Zl10r2familydwelling 0 MUlti-famil~.(~JJ,COmo:'lercial 0 Acce~sory ~~~~oersITEfiNF,O~MATioN!AN[:i;i1oc-..:TioNl:~'f.'j:~l~~,,{J. '. .. Job Address: 2045 G S",:'" . , "'.- -. . City/State/ZIP: SPRINGF!ELO:pR,p477." "'~ "' $uite/bldg./apt.no,: " '. "." :'i~ .::i" >? Project Name: Cross StreetJdirectlons to job site: G st to site '\~~;,~~" '. , " :_,' ~.~. ;;i;"~~'s ;~;:~ '\.1;r:.~f~1:<;i?'\ .\ ,'~. ." '. .~" ,If : ';, .' ""_ . :1;, Tax map/parcel no.: ~:1703361212100 ~~"I"~.R.Ej~~I!~:t!Q,N\9~6R,~t~\:~'1;:~~"~::'\,,~2~ Add Feeder to Existing P~~mit ;' ".:~.;. .:.1:_: :~;~ .' . .~ Phone: 541-741-8844 , , Fax: 541-741-8845 Email: ,; .:.~ . :.7- I,~~".,c~v ,.... .!m!!__'-~'"'''.~''' ','~lk""'_'''''I'!li'l'.f'''''''' ";.'J~'1'!j~~<i.in_ i!lr.'.~.,_j~COI'it.~c.T,9B.~jti'.:t""Ii.;~\"."')\'j I Elec lie. no.: 20"448C I Business Name: BEAR MOUNTAIN ELECTRIC LLC I Contact: '1' .. CCB lie. no.: 136298 () .- ,/..;t~.._. I Address: 85388 OILLARO ACCESS RO I CIty/State/ZIP: EUGENE..?R 97405. I . "."'''''',,'h Phone: 5417418844 " . '. Fax: 5417418845 Emall: jackie@bearmountainelectric.com CHAD IRVIN'PERKINS ~ ~." ~~ f>v iJ' ~\r ~ -S Metro lie. no.: I Supervising Electrician's lie. no.: Supervising Electrician's Name: City lie. no.: 0 4640S~ .!t1' . Number of Inspections I~CIUd~ in pal~ servlce.a: Residential Service: ,..,:!!.4_~l...,_;~ ____:: ,1' Reconnect Only: 1 . All Other Services: 2 .:.:! ;' ~I ' I Tho local building department may determine that an' Authorization void If It doe. not meet appllcllble land use laws and local ordinances. :.c', . " -1:'";; !;'""'~t:. To Begin WorK is null and &1Il~OD9 r;jO/Oc; 0/& / ~ J1 /Y"L Upon reviow and approval by your local Jurisdiction, your permit will be eofT1ailed or faxed within one business day, with Instructions on how to schedule your Inspection. .:.) ,~...~ NOTE: this Authorization To l;I~gln Wo~~plr~.'oYI!hb:e J8Q.dayslf a permit Is not obtained. , ._ Inspections Phone: 541-726-3769 . This Authorization To Begin Work must be posted at the job site until replaced by a Permit c, ....:' ,;::_,';fh~ ~ 'l 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax, 541-726-37691n~pec;ti<(n_Line -:,1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01616 ISSUED: 11/04/2009 APPLIED: 11/04/2009 EXPIRES: 05/04/2010 VALUE: Status Iss u ed " . ...... . ,". , SITE ADDRESS,:.' ':C 2~45 G ST ASSESSOR'S PARCELNO.: . 1703361212100 Springfield TYPE OF WORK: Electrical Work Only , .;,: TYPE OF USE: New Residential PROJECT DESCRIPTION: Service Change for residence. Owner: PHILLIPS, ROBERT DEAN Address:' 2045G ST';::' ,-'': ,..'::....~' . SPRJJIlGFIELD OR 97477 Phone Number: 541-746-1690 :~'."UL! . 1 CONTRAnOR .INFORM,~TION' Contractor Type ' Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 ~xpiration Date 08/12/2011 Phone 541-741-8844 :.1"::._ :. ;: .:... # of Units: ; ': :, , ' -,,;,. Primary Occnpancy Gronp: Secondary Occupancy Gronp: Primary Constrnction Type ' Secondary Construction Type: # of Bedrooms: BUlLD~NG lNFORMA TlON I " # of Stories: Height of Strnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft Ist'Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupaut Load: "; -11' " I DE':'ELOPMENT INFORMA!I~N I REQUIRED PARKING . Frontyard Setback:,' Side I Set hack: . '. . Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot'Coverage: Total: Haudicapped: Compact: . ii Street Improvements:: . I PU~LIC IMPROVEMENTS I ,', Sidewalk Type: " Storm Sewer Available:,'. Downspouts/Drains: Special Instrncti~n: I ATTENTION: Oregon law requires you to NOTICE' follow rules adopted by the Oregon Utility Notes: THIS PERMIT SHALL E~PIRE IF THE WORK Notification Center. Those rules are set forth . ,,_,,~~'~~n ,,,,,,,r'" TUIt: DI=I'lMIT IS NOT In OAR 952-001-0010through OAR 952-001- :.....UIIIU"~'-...- ~..-_. -- a.~_ IUUlllttYUUU:I.HIl,;UpleSOTmerUlesoy , :::OMMEI\JC~9, OR IS A13ANDO~t~~I~~tion DescriDti6\illr g the center. (Note: the telephone :\Ny',180'iDAY PERIOD." ,., , 'I.'.. er for the Oregon Utility Notification , . .' , l' . $ Per Sq Ft SqnareFoJf&gller is 1-800-332-2344). DeSCrIptIOn ,,' Type ofConstrnctlOn . I' I' B'd A Value Date Calculated :r : I: .: or mu tIp ler or I mount , Pa2e 1 of 2 Status . .~ ,1 :~~;;.,.. ',. . .,~ '":,:; Issued', ".. ~ -~"'. 225 Fifth Street, Sprhigfield, OR 541-726-3753 Phone' : 541-726-3676 FilL:;; ".-;-, .' . ""~',' ~; . ,"'" .,....,. " 541-726-3769 Ins"pection'Line:,,'" ,,;' :c '- "....' :'"j:., "'.'r" ~Dy;H:V ....~.. '" \ ; .' . '. 'l~".;j..ir ....;; Fee DeSCriptIOn ;'" r:'~ ~ . . -'I.:"' + 12% State Surcharge' + 5% Technology'Fee Perm Serv/Fdr 200 amps or less + 12% State Surcharge ," ..,~, + 5% TechnologyF!,e...!. .' .', ~,' Perm Serv/Fdr,200 amps or less f ~ i~ :' "l', ~ . , . TotaIAmount Paid .1r; il.'! ~ ::. '-, .1; '1...1: Amount Paid $9.72 $4.05 $81.00 $9.72 $4.05 $81.00 $189.54 ..' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-0I6I6 ISSUED: 1lI04/2009 APPLIED: 1lI04/2009 EXPIRES: 05/04/2010 VALUE: Total Value of Project Fefs Paid I Date Paid Receipt Number 11/4/09 11/4/09 11/4/09 11/12/09 11/12109 11112/09 2200900000000001258 2200900000000001258 2200900000000001258 2200900000000001283 2200900000000001283 2200900000000001283 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. If, I' ! Rem/ired I nsnections I , , Electric SerVice: Approval required prior to utility company energizing service. .' ... -". ~ . c', ,;!'" . . 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 uny and all work performed shall be done in accordance with the Ordinances 'Or tlie City of Springfield and the Laws or the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be mad!, of any structure without permission or the Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are in compliancc with ORS 701.005 will he used on this project. I further agree to ensure that all required inspections "are requested at the proper time, thut each address is readable from the street, that the permit card is located at the front of the property. and the "pprovcd set of pl"ns will rem "ill 011 the site at all tiines during construction, " " c .'. : " , ., , Owner or Contractors Signature , t t " . " , .. Date Paee 2 of2 :'i:'~,-' . "-,;;,. 225 Fifth Street', , Springfield,OregoDj?7477. ',' 541-726-3759 PtiO'rit..,:",. '.;:;i:' . .-. 'k .:1',\'1 RECEIPT.#: a.,~" ,1~"''''ELiiij._'' ',"'''. ..: ,!~,; ~. '., '.' ....~ ,'- -~, ;2200900000000001283 Job/Journal Number./;.,~ ',:,B.~s~fiptio-~:,";";:~;';:;i~;r:::, ,.;:. ' .. COM2009-0 I 616 .:;: :""/Peiiii Ser'v/FdT'200"amps or less COM2009-01616 ,y <'':-'+' 5% Technology Fee COM2009-016I6>': ',+ 12% State Surcharge . .', :~:t.(,:~::,..:~,::). ':.,j'" .:.\ ~:. Payments: Type of Payment .',~ ,. Paid By ONLINE PERMI~ CHGS " ONLINE CHGS . .:-'"- \r~;]:f2~:: .. ~ . . .,<::;;'~) }.'. ..:~,-:;...~~!.;: . ',' , . . .:,.,>: :'~}lh}~:'}':~~~,'L ..:jj\' ~~. .'... . - . .::~. r , '; ....'- . ,) ....~~-,- it.-.V . ,I;! ,t .. ~ .. I. .. -''''.'''. .' " , . '" ... ~-' 1.: ~." - , -; :; I ~~ . It , . ~l " cRcccinll City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/12/2009 12:57:48PM Amount Due 81.00 4.05 9,72 $94.77 Item Total: Check Number Authorization Received By Batch Number Number How RCl'eived NJM ;, " ,J Page I of I Amount Paid ONLINE BEAR Online MOUNTAI N $94.77 Payment Total: $94.77 11/12/2009