HomeMy WebLinkAboutPermit Electrical 2009-11-12
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225 Fifth St "
Springfield, OR 9?477~
. Phone: 541-~26-3?53" .
" Email: ~~rmit~~n~~~@~i.~p.ril)gfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00249
Approval Code:.03588B 11/12/2009 10:43 am
E-mailedTo:jackie@bearmountainelectric.com
D New Constructio;;~.;
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[Xl Addition/alteration/replacement
1Xl1 or 2 family . . '1'. D::~ 'MUI~-~~ilv~{J:Zl~on;me~cial D Accessory
IMI1li&-,'1M!lfjoi31sri:EliNJ:ioRMAT10Nrf!i.ND!i!OCA;rioNm~~
I job Address: 1670 EST .'
I CitylStatefZIP: SPRI~GfIE,~9'n.9R 97~??{: ,,/:~r"~.:::.~:, \:'
Suitefbldg./aptn~.:
Project Name:
I ~~oss Stre~di.~~~tlri~"~-i~~':&i~; ,C~,~~~n.~i~Yi?::~~th to ~ ~o job site
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Tax map/parcel no.:
1703362118000
Panel change
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I Name: Ron Norton
I Phone: 541-521-4614
I Email:
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Elec lie. no.: 20-448C,:-- .r: -:i":." . '. CCB,lic. no.:
I Business ~ame: BEAR 'MdJN1i-AIN ELECTRIC LLC
I Contact: ..-. "i?'";.i'1.:- t-; ~ ," ~.
I Add,...; 85388.pMJ'.ne~ss 'RD - j',
I City/StatelZlP, Elr~illIJlliRMll SHALL EXPIRE IFTHIWORK
I Phon., 5'17'18~l,J I HUHILtLl UNUt'il.Hllii'.r.mwlli .0 Nil.
I ::;J:,l:{'~fJ:7ffi-Ef. IS..ilBANOeNCD FUr.
EmaII.Jackle@~~~le~~~~0~_ '
I Metro lie. no.: ;. i j ... City lie. no.:
I Supervising Eleetricl~~';s.lif' n~:,:-,- 4640S ...
I Supervising Electrician's Name: CHAD IRVIN PERKINS
136298
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Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2 '
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Upon review and approval by y~~r local Jur1&dJct!on, your pennlt will be e.malled or faxed
within one business day, ~h In!tructlons on how to schedule your Inspection,
NOTE: This Author1zatlon To Begin Work expires within 180 days Jf a pennit Is not obtained.
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The local building department may. detennlne. that: an Author1zation To Begin Work is null and
void If It does not me~t applicable land us~ laws andL~?C~~ ordinances_
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 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency ~ystems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived'sys
D "A", "E". or "1~2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
I Description
Total
I Services 200 amps or less
I Branch circ~its with service or
feeder each circuit
$81.00
$30,00
$111.00
$13.32
$5.55
$129.87
K2--
Ilil2../ aj,
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set fotlll
In OAR 952-001-0010 through OAR 952-001.
0090. You may'oblain copies of the rules br
calling the center. (Note: the telephone
number for the Oregon Utility NoUliGaIIon
. Center il1-iOQ-332.2344).
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" Inspections Phone: 541-726-3769
,. T_h~ Auth~ri,~a~L~~_:o Begin Work must be posted at the job site until replaced by a Permit
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CITY OF ~rKll'\iljl'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01646
ISSUED: 11/12/2009
APPLIED: 11/12/2009
EXPIRES: 0511212010
VALUE:
Status ' Issued
225 Fifth Street, Springfield, OR ' Li;'
541-726-3753 Phone," , . . ':'."(,.:',; ','
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541-726-3676 Fax. ,(,,;;,,':.: ':;'it
541-726-37691nspection Line
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SITE ADDRESS: "1670 E;'ST::::'."
ASSESSOR'S PARCEL NO.: 17033ii21iSOOO
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Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
PROJECT DESCRIPTION: Electrical panel & 5 circuit change in residence.
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New
Residential
Owner:
Address:
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, nVANiW-MARKO & tv A
, 1120,S,KYLINE DR"
"TIr;LAMOOK'OR ,97~41
I ~ONT~CTOR INFORMATION.
Contractor Type. Contractor C License
Electrieal ,i"j: . .. i~: BEAR MOUNTAIN ELECTRIC LLC 136298
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) .' i BUILD~NG,INFORMATIONI
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Expiration Date
08/1212011
Phone
541-741-8844
# of Units: I " . r~:~"Jl' )"">:;
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type: ,
# of Bedrooms: ' .. .."",. ..
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# of Stories:
Height of 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:
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n/a
, " I DEVELOPME~J INFORMATION I
" . ~" ~(}TiICE:' :" RE'~ ,"r; p,,",'
Tl t' ERMIT SHALL EXPI u1T~Nnl
Frontyard Setback!!3 P .. UNDER THIS PERlvl'I'; y Ihst:
Side 1 Setback: t\UTHORIZED OR IS ABANDONED t Trees Rqd:
Side 2 Setback: i~QMMENCED ,Paved Drive Rqd:
Rearyard SetbacA",'lY 180 DAY P~~,IOD. ' % of Lot Coverage:
Solar Setbacks::. . --:: :~"t:- '~~;~t~~"'..
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REQUIRED PARKING
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Street Improvements: r~
I PUBLIC IMPROVEMENTS I
Total:
ATTENTION: oreJi!A~g~res you to
follow rules adopt&PB\PWie Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
UU;:IV. fUU (lfay v;"ua;.. v...i""':....~ _~ the nd8olfJ1
calling the center. (Note: the telephone
I'SIm~f1IPt!l'l~. Oregon Utility NotllicaliOn
Centlr Is 1-800-332-2.344).
DownspoutslDrains:
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Storm Sewer Available:
Special Instruction:
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Notes:
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Description
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Tvpe of Construction
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I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Pa2e I of2
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Status Issue& ;'
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,. 225 Fifth Streeij'Sprlngfleld, OR;,
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541-726-3753 Phone" '.: 0';". :,,:e'er;, ':",.c':
541-726-3676 Fax -' ""~;::r;;'"
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541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01646
ISSUED: 11/12/2009
APPLIED: 11/12/2009
EXPIRES: 05/12/2010
VALUE:
Total Valne of Project
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Fees Paid I
Fee Description
+ 12% StateSnrcharge
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+ 5% Technology Fee --.;. .",
Add, Alter, Extend Circ Ea AdM' ,;t:
. " , "1''''''
Perm Serv/Fdr)OO .amps..or less,' \
. -7 '\ \' 1 '
. Amount Paid
Date Paid
Receipt Number
$13.32
',' $5.55
$30.00
$81.00
11/12/09
11112/09
11112/09
11/12/09
2200900000000001281
2200900000000001281
2200900000000001281
2200900000000001281
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TotaI.Amount Paid
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$129.87
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Plan Reviews I
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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~" ~ ~ ' i:"
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R.ef,~k~d I,n~'lecH~~s I
Rongh Electric: Prior to Cover
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Final Electric: "::hen aU electrical work is complete.
By signatnr,e, I state' and agree, that I have carefully examined the c~mpleted application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall b~ 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 reqnired 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. ., ..,.~ '
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Owner or Contractors Sig"'atui'e~' -..-
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Date
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225 Fifth Street
Springfield, Oregon 97477
54J. -726-3759 Phone
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,_:i"~:RECEIPT#:
Job/Journal Number;":j.:,:, Description
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COM2009-0I646 ;'1,\:;>~iPel;in SeryfFllr 200 amps or less
COM2009-0I646 .::. :Aad, Alter';'Il,~tend Cire Ea Add
COM2009-0I646 + 5% TechnoioiY F~e" '"
COM2009-0I646 . + 1.2% State Surcharge,
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Payments:
Type of Payment
ONLINE CHGS
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'ONLINE PERMIT CHGS,
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City of Springfield Official Receipt
Development Services Department
Public Works Dep.artment
2200900000000001281
Date: 11/12/2009
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
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ONLINE BEAR Online
MOUNT Al
N ELECT.
Payment Total:
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1I:01:26AM
Amount Due
81.00
30,00
5.55
13.32
$129.H7
Amount Paid
$129,87
$129.87
11112/2009