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Home My WebLink AboutPermit Electrical 2010-1-28 Residential Electrical Authorization To Begif.JJo~~lj 69600-BEL-10-00039 Approval Code: 006828 1/28/2010 12:44 pm E.mailed To: bearmountainchad@aol.com ~:~;;,~:';";;p@.NH~EVIEW,,/i,;; .i;:~',k~ll SP:I~ ,G,,",:"IE~~ .~....~""'. ~>:'. t~ . ^.,~;;:-~; OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541.726.3753 Email: permilcenter@d.springfield.or.us Ir~A':r-r7'."~" . ~"~"~J - ~T'-Y-P-E',O~'WORK ,,=,~".=.:r::""!I;.~.,... ~-'-'-e" ,,-" f',;r~,-:;"'-:.~ 1'-'L;~#.:...;:J3i: .,.-.-:;....,,{.~....:..;--:::?7~ ,"r;, - ~'~:-:".!""sr':.:.<,<;}::j~,\.i:t:';ts=l.,","\;;.~,J.~ I 0 New Construction I~ [RJ If;' I Job Address: 249 S 43RD ST I CitylStatelZ1P: SPRINGFIELD, OR 97478 IX] Addition/alteration/replacement ...~., .....". -,,','. ~'.-:r::.,.......--.. -_v'_M#OC' _H"",~,_,__"",=_'_, ......"'.'""'1 ..t,CATEG9RY~OF,CONSJRUCTION0~ ,.~;c,. ,""'>,0.0:51 b''\ 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory i,':;.fjOB SITE'INF6RMATibN;ANDfI!:0~C.6.TlaN'~:"F'i, I Suite/bldg.lapt.no.: I Project Name: Horizon I Cross Str..Udirections to Job sit., I Tax map/parcel no.: 1702323103600 I~~~_~' ~~~s:-,.~ ..'~~.:~~_~'5'E$'G)ifRtT6'N'.OEiW~H~.(~~~~::~llxr;,l'.~~~';~!~.~~~ Reconect service due to fire rewire k.itchen L ~-~::P;f . '-. fSJfE,:Gq"NTAC:ii~i<:ti-" ~~~:i~~~::~_ I Name: Chad Perk.ins I Phone: 541-741-8844 Fax: 541-741-8845 I Email: I: . '. ~~'_.: ';1 :el~r:r::~ ~\3~-:~:CqNt~GiOR\r.'~;~~::;-~~i:~~~~~~~~ ~~7}, ~r;j I Elec lie. no.: 20-448C CCB lie. no.: 136298 I Business Name: BEAR MOUNTAIN ELECTRIC LLC I Contact I Address: 85388 DILLARD ACCESS RD City/State/ZIP: EUGENE. OR 97405 Phone:.5417418844 Fax: 5417418845 Email: jack.ie@bearmountainelectric.com Metro Iic. no.: City IIc. no.: Supervising Electrician's lie. no.: 4640S Supervising ElectricIan's Name: CHAD IRVIN PERKINS Number of inspections included In paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurisdiction, your permit will be e-malled or taxed within one business day, with instruciions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtainod. The local building department may determine that an Authorization To Bogin. Work Is null and void if it dOBS not meet applicable land use laws and local ordinances. Please check all that apply: D 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 systems o Addition of a new motor load of 100 HP or more . D Six or more residential units in one structure D Health care facilities D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D 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 Vehicfe Park.s D Supply VOltage for more than 600 supply volts nomina! ~~i~;3:~?f~~~i~~..~~yIfI;Els~GH~E_QULE~"~~t~',~~.i:v'\~i7x~ ~~ ';:iml I Description Qty. IMisc~))al1~'~iJs'~~:~:f[j-;;:J;",~'"'~l: I Service reconnect only J 1~1_~ctrlcal;?etrri!tFe_~~};~:,~ /f~4:":)~!":;;t/i4.. D,f I Subtotal I State surcharge (12% of permit total) . I Technology fee (5% of permit total) I TOTAL PERMIT FEE ~ ~tt>~.'\o ~~ ~2.010 \ -dO~\O Ea. I. Total :~,."',J"..;_ - ",:; I ""'I '_-':;.C; 163,00 I $63.00 ,{, $63,00 $7,56/ 13,15 I $73.71 I ~\)~ \..tC\..\t) ~~~ v.,\ 0)\d\ \'l'{Y'\ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced hy a Permit Status Issued U I l:' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00121 ISSUED: 01128/2010 APPLIED: 01/28/2010 EXPIRES: 07/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 249 S 43RD ST ASSESSOR'S PARCEL NO.: 1702323103600 Springlield TYPE OF WORK: Fire Damage TYPE OF USE: Repa.ir PROJECT DESCRIPTION: Reconnect service due to fire. Rewire kitchen Residential Owner: CR1STENSEN JON E Address: 249 S 43RD ST SPRINGFIELD OR 97478 1 CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date . 08/12/2011 Phone 541-741-8844 ,BUILDING INFORMATION I # of Units: Primary Occupancy Gronp: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: n/a .1 DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street hnPl'W!'!!'~~!~N: Oregon law requires you to Sidewalk Type: Storm Se"fP~~~liiYB~:adopted by the Oregon Utility Downspouts/Drains: S ecial h[slfl.\\f~\i~iiQn Center. Those rules are set forth P In (JAR ~:;2-001-00101hrough OAR 952-001- N t 0090. You may obtain copies of the rules by NOTICE' o es: calling the center. (Note: the telephone . . LL EXPIRE IF THE WORK -1:If;l~gr fQ" th.... nr^3^.... Ilt;lit), Nntifi~~ti"'" T~I~ PF~M1T SHA - --'l'T I~ t.1l"\T Center is 1-s00-332-234'tJ. -., flU .,ORIZED UNUtK I Mlv n.r., \ ' . I Valuation Descriotion"IIMENCED OR IS ABANOONED FO .' . $ Per sq"~t 's "F ; qn nAY PERIOD. Description Type of ConstructIOn It' I' quare ootage V I e Date Calculated .. ,...._~".or.mu Ip ler or Bid Amount a u Paee 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00121 ISSUED: 01/28/2010 APPLIED: 01/28/2010 EXPIRES: 07/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fpes P~i~ , ".'. .', Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid' Date Paid Receipt Number $7.56 $3.15 $63.00 1/28/1 0 1/28/10 1/28/10 3201000000000000030 3201000000000000030 3201000000000000030 Total Amount Paid $73.71 I 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. ' ',,- I Reouirerllnsnections I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefullyeiamined the completed application and do hereby certify thnt all informntion hereon is troe and correct. and 1 further certify that any and nil work performed shnll be done in accordance with the Ordinances of the City of Springfield .nd the Laws of the Stnte of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be mnde of any structure withont permission of the Community Services Division, Building Snfety. I further certify that only contractors nnd employees who a1'e in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readnble from the street, that the permit card is locnted at the front of the property, and the approved set of plans will remain on the site nt all times during construction. Owner or Contractors Signature Date .~/; " Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 1 0-00 121 COM2010-00121 COM2010-00121 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS :,P~:~~~j;4"" '"... IB:' ,.'" " < .. ,',... " ".................. ',. ..," -"".' City of Springfield Official Receipt Development Services Department Publie Works Department 3201000000000000030 Date: 01128/2010 Item Total: Check Number Authorization Received By Batch Number Number I-Iow Received njm bear mtn Online Payment Total: ONLINE .,. ,. Page I of I 1 :37:38PM Amount Due 63,00 7.56 3.15, $73.71 Amount Paid $73.71 $73.7] 1/28/20 I 0