HomeMy WebLinkAboutPermit Electrical 2010-2-4
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Ernail: permilcenler@ci:springfield.or,us
CA-llf1t{
Residential Electrical Authorization To Begin Work
69600-BEL-10-00057
Approval Code: 015332 2/4/2010 1:47 pm
E-mailedTo:bearmountainchad@aol.com
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I 0 New Construction
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[K] Addition/alteralionfreplacement
fEJ 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
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Job Address: 1122 CUSTOM WAY
City/State/ZIP: SPRINGFIELD, OR 97477
Sulte/bldg.lapt.no. :
Project Name: Belforfcustom way
Cross Street/directions to job site:
Tax map/parcel no.:
1703263408200
Rewire of house after fire
Name: Chad Perkins
Phone: 541-741-8844
Fax: 541-741-8845
Email:
Elee lie. no.: 20-448C
136298
CCB lie. no.:
I Business Name: BEAR MOUNTAIN ELECTRIC lLC
l Contact:
r Address: 85388 DILLARD ACCESS RD
I City/State/ZIP: EUGENE, OR 97405
I Phone: 5417418844 Fax: 5417418845
Emall: jackie@bearmountainelectric.com
Metro lie. no.:
City lic. no.:
Supervising Electrician's lic. 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
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100HP or more
D Six or more residential units in
one structure
D Health care facilities
I Description
11,000 sq, ft, or less I
I Each added 500 sq. ft. or portion
IgI~Im~~Op'e~mfi1f;~,~s,,?,,:y-t~',~':~~~ ~ ,,-
I Subtotal
State surcharge (12% of permit
total)
Technology fee (5% of permit total)
I TOTAL PERMIT FEE
1-(:
~t~ rv~
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
o Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A" "E" or "l.2"'or "1.3"
D Recreational Vehicle Parks
D Supply voltage for mo~e than
600 supply volts nominal
Qty.
Ea.
Total
1$134.00
$25.00
$134.00 I
$25.00 l
, ,-: ::~"',J
$159.00
$19,08
$7.951
$186.03 I
~~
~
UpOIl review alld approval by your local jurisdictioll, your permit will be eofTlBiled or faxed (i ~ f'Vl ') JI'r-\ r'Y/i _ 0 I 4-' L I ~
withill olle busin~ss day, with instructions on how to schedule your illspection. Will Lk.J V ( ., T
NOTE; This Authorization To 8egin Work expires within 180 days if a permit is not obtained. 2 -L-f' .---/0
The local building department may determine that an Authorization To Begin Work IS null and n ~
void if it does not meet applicable land use laws and local ordinances.
Inspections Phone: 541.-726-3769
This Authorization To Begin Work .7~st be posted at the job site until replaced by a Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01474
ISSUED: 10/06/2009
APPLIED: 10/06/2009
EXPIRES: 06/15/2610
VALUE: $ 30,000.00
Status
Issued
SITE ADDRESS: 1122 CUSTOM WAY
ASSESSOR'S PARCEL NO.: 1703263408200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Temp power due to fire in residence, lire has burned out garage and all roof trusses.
all power to be replaced, aud plumbing/mechanical to be replaced
Owner: MAZET TYM ANN
Address: PO BOX 2391
EUGENE OR 97402
Phone Number: 541-954-4536
Contractor Type
General
Electrical
Plumbing
I CONTRAC 1 Vft ,,,FORMATION 'I
Contractor License
BELFOR USA GROUP INC 146973
BEAR MOUNTAIN ELECTRIC LLC 136298
EUGENE EXCAVATION & PLUMBING INC 138003
BUILDING INFORMATION I
Expiration Date
02/16/2011
08112/2011
07/06/2011
Phone
541-726-9905
541-741-8844
541-988-0868
3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled,Building:
1 Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
1,209
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
281
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 'Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS 1
Street Improvements: '
,ATTENTION: Oregon law requires you to ,~:, c,' F .
Storm ~ t\rnill'kl!e>pted by the Oregon Utility ''';"
Speci"Nmi'l1l:\!J~enter. Those rules are set forth, ; .
in OAR 952-001-0010 through OAR 952-001-
NoteS:0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800.332-2344).
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
!IUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Af~'/ i ~D O/W PERIOD,
Pa2e 1 of 3
Status
Issued
225 Fifth Street,.Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Constrnction
Estimate
Estimate
Fee Descrintion
+ 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
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixtu re
Plan Review Residential
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
Initial Review
ll/17/2009
Structural Review
ll/17/2009
Structural Review
11120/2009
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01474
ISSUED: 10/06/2009
APPLIED: 10/06/2009
EXPIRES: 06/15/2010
VALUE: $ 30,000.00
I ": ~!,uation De~crirrtion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
30,000.00
Value
Date Calculated
$30,000.00
$30,000.00
ll/12/2009
Total Value of Project
~
Amount Paid
$7.~6
$3.15
$63.00
$9.72
$4.05
$81.00
$5.04
$2.10
$42.00
':~;-::-
$60.22 ,:;,. "
$25.09
$79.00 .
$318.85
$95.00
$207.25
$9.00
$19.08
$7.95
$134.00
$25.00
$1,198.06
Date Paid
Receipt Number '
, ,
.-.
10/6/09
, 10/6/09
10/6/09
10/8/09
10/8/09
10/8/09
10/12/09
10/12/09
10/12/0~
11/20/09
11120/09
11/20/09
1I/20/09
11120/09
11120/09
11120/09
2/4/10
2/4/10
2/4/10
2/4/10
1200900000000001116
1200900000000001116
1200900000000001116
2200900000000001159
2200900000000001159
2200900000000001159
2200900000000001175
2200900000000001175
2200900000000001175
3200900000000000766
3200900000000000766
3200900000000000766
3200900000000000766
3200900000000000766
3200900000000000766
3200900000000000766
2201000000000000103
2201000000000000103
2201000000000000103
2201000000000000103
Plan Reviews I
11/17/2009
11118/2009
ll/20/2009 0,'
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APP SKG
WE CJC
Approved pending reciept of
engineer's stamped drawings and
Special Inspection form.
APP CJC
As noted on plans and review letter.
Page 2 of 3
':--,;
CITY OF SPRINljl'lELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01474
ISSUED: 10/06/2009
APPLIED: 10/06/2009
EXPIRES: 06/15/20] 0
VALUE: $ 30,000.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection,Line
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.
~.~pllir~d I~snections I
Electric Service: Approval required prior to:uJjlity cO'1'pany energizing service,
Ufer Electrical Ground:' Install gronnd rod ai 'f?oting and call for inspection in conjunction with footing and/or
foundation inspection.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to'cover and after all rough in inspections have heen approved.
Drywall: Prior to taping.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is troue and correct, and J further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the LawS'of th~.state of Oregon pertaining to tlte 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 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 plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01474
COM2009-01474
COM2009~01474
COM2009-0l474
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
2201000000000000103
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Page 1 of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/0412010
1 :S9:0SPM
Amount Due
134,00
25,00
1908
7.95
$186.03
Amount Paid
ONLINE bear Online
mountain
Payment Total:
$186.03
$186.03
2/4/20 I 0