HomeMy WebLinkAboutPermit Electrical 2010-3-17
SPRINGFIElD
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City Of Springfield
225 Fifth $1
Springfield. OR 97477
Phone: 541.726-3753
Ernail: permitcenter@ci.springfield.or.us
!"- '. - (' TYPE'OF WORK - .- ~ . . '"
'-
o New Construction lR] Addition/alteration/replacement
i ' , CA TE'GORY'OF CONSTRUCfiO!'l . ' ,"
001 or 2 family dwelling D Multi-family o Commercial o Accessory
I JOB SITE.lNFORMATION AND LOCATION....' ,--c- ,
Job Address: 2609 5TH ST
City/State/ZIP: SPRINGFIELD. OR 97477
Suite/bldg.Japt.no.:
Project Name: Climate Control
Cross Streetfdlrections to job site:
Tax map/parcel no.: 1703233409900
~ -:-, . D~SCRIPTION.OF.WORK',~- ,""" . , '.
, .' .- .-
Hook up ductless heat system
,
SITE CONTACT .,
Name: Chad Perkins
Phone: 541.741-8844 Fax: 541-741-8845
Ernail:
, CONTRACTOR , ,
Elec lie. no.: 20-44BC cee lie. no.: 136298
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Business Name: BEAR MOUNTAiN ELECTRIC LLC
Contact: .-
Address: 85388 DILLARD ACCESS RD ..
CltyfStatelZIP: ~'I'fIt,p~"7405 _...
Phon.5417418~~1IS PERMIT SHAtlr~MnT
"TJiltOrfl' n,m" , i'mR
Emall: Jackle@bearmo alb'efri!:tcMI_' - __ ..
Metro lie. no.: 'IVIIVI ~~" un '" ~,:- 1;0. nO.I
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Supervising Electrician's lie. no.: 46408
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 ami approval by your local jurisdiction, your pennlt will be e.malled or faxed
within one buslnessday,wlth Instructions on how to schedule yourlnspec tlon.
NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained.
The local building department may detennlne that an Authorization To Begin Work Is null and
void If II does nol meel applicablo land use laws and local ordinanc es.
.-.f-'
(,]/0- 317
Residential Electrical Authorization To Begin Work
69600-BEL-10-00118
Approval Code: 099284 3/17/2010 10:07 am
E.mailed To: bearmountainchad@aol.com
. ", PLAN REViEW . , "
Pleaso chock all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
o Fire pumps o Commercial-use agricultural
buildings
o Emergency systems o Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A","E",or"I-2"or"I-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage lor more than
600 supply volts nominal
I ;'~ ',; , FEE SCtlEDULE ~". ~
Description I Qty, Ea. I Total
~ranch circuits' ", ..
.
Branch circuits without service or 1 $55.00 $55.00
feeder
Miscellaneou's . ,
Balance of permit fees $3,00
EIE~.ctricarPermlt Fees , ,
Subtotal $58.00
State surcharge (12% of permit $6.96
total\
Technology fee (5% of permit total) $2.90
TOTAL PERMIT FEE $67.86
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ATTENTION: Oregon law requlrco ~ I;::)
9oD0tiI MIilO adopted by the Orsgon UIIIli!1
Notification Center. Those R1100 ore ~~
In OAR 952.oo1.Q010through OAR ~
0090. You may obtain copies of tho Moo ~
calling the center. (Note: the tGl;phc2lO
IlUnIb&r for the Oregon UUlny No~g:;)
Ce~~-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin Work m"ust be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00317
ISSUED: 03/12/2010
APPLIED: 03/12/2010
EXPIRES: 09/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2609 5TH ST
ASSESSOR'S PARCEL NO.: 1703233409900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: WIDMER AMY LYNNE
Address: 2609 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor License
BEAR MOUNTAIN ELECTRIC LLC 136298
MARTIN CASTLEMAN LLC 169547
BUILDING INFORMATION ~
Expiration Date
08/1212011
04/0712010
Phone
541-741-8844
541-736-3438
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
RangeType:' ,
Energy Pat'h:
Sprinklc,i"Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Frontyard Setback: .,.Overlay Dist: Total:
Side I Sctback: eo ~Imfrees Rqd: Handicapped:
Side 2 SetbacNOT'Cr;;o MAll EXPIRE W'fH rQrive Rqd: Compact:
Rearyard Sctlf~1S PERMIT S ER THIS PERM ~! Coverage: ATTENTlON: Oregon law requlr911 you to
Solar Setbacks,UT~O~\ZEO UNO ABANDONED fO . foll,ow rules adopted by the Oregon UtIlity
:'~"1'80 DAY PERIOD. I PUBLIC IMPROVEMENTSI. OAR 952-D01-00'1 0 through OAR 952-001.
, " !ro90. Y,.s\u m\\y -9!?taln copies of the rules by
Street Improvements: ' " caIliR!rlWEi'l!eflfElt~: (Note: the telephone
Storm Sewer Available: numlmr~~plliltO~!Jtllity Notification
Special Instruction: Center is 1-800-332-2344).
I DEVELOPMENT INFORMATION ~
Notes:
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Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
I Valuation Description ~
Description
$ Per Sq.ft
or multil!lier
,.
".
Square Footage
or Bid Amount
Type of Coustruction
Total Value of Project
Fees Paid i
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Sureharge
+ 5% Technology Fee
Add, Alter, Extend Cire
Amount Paid
Date Paid
$9.48
$3.95
$79.00
$6.96
$2.90
$58.00
3/12/10
3/12/10
3/12/10
3/17/10
3/17/10
3/17/10
Total Amount Paid
$160.29
I Plan Reviews ~
...-1'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00317
ISSUED: 03/12/2010
APPLIED: 03/12/2010
EXPIRES: 09/17/2010
VALUE:
Value
Date Calculated
Receipt Number
1201000000000000228
1201000000000000228
1201000000000000228
2201000000000000249
2201000000000000249
2201000000000000249
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.
L Reouired Insoections I
Rough Mechanical: Prior to Coyer
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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: " Page 2 of 3
i . I ~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00317
ISSUED: 03/12/2010
APPLIED: 03/12/2010
EXPIRES: 09/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
By signature, 1 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 any and all work performed shllll be done in lIccordllnce witb
the Ordinllnces of the City of Springfield lInd the Laws of the Stllte of Oregon pertllining to the work described herein, lInd
thlll NO OCCUPANCY will be mil de of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contrllctors lInd employees who lire in complillnce with ORS 701.005 will be used on this project.
I further lIgree to ensure thllt 1111 required inspections lire requested lit the proper time, that ellch lIddress is relldllble from lhe
slreel, Ihllllhe permil clIrd is locllled 1I1lhe fronl of Ihe properly, lInd Ihe lIpproved sel of plans will remllin on Ihe site 1111111
times during construction.
. '.::. ~t
Owner or Conlrllclors Signa lure
Dale
J.t
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000249
Date: 03/17/2010
II :26:34AM
Job/Journal Number
COM20 10-00317
COM2010-00317
COM20 I 0-003 17
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Cire
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
",
Received By
KR
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Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
58.00
6.96
2.90
$67.86
Amount Paid
ONLINE BEAR Online
MOUNTAl
N ELECT.
$67.86
Payment Total:
$67.86
3117/2010