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Home My WebLink AboutPermit Electrical 2010-3-2 SPRINGFIELD ~l ~'-. .,~.,( ,;);?:; :.: . 1'......_ ~'-"r.. OReGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us . TYPE OF. WORK . ., :.:', . :"'- D New Construction IKl Addition/alteration/replacement " , - CATEGORY OF CONSTRUCTION [Z] 1 or 2 family dwelling D Multi-family o Commercial D Accessory , JOB SITE. INFOR'MA TION AND LOCATION Job Address: 249 S 43RD 5T City/StatefZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: Horizon Cross Street/directions to job site: Tax map/parcel no.: 1702323103600 ~-< '. ,;., DESCRIPTION OF WORK -"::':;.... ,'" . Add smoke detectors & repair kitchen after fire , , . , " . SITE CONTACT ; .,,,- Name: Chad Perkins I:_~~\ .. ( .' .'t Phone: 541-741-8844 Fax: 541-741-8845 ,. Emal1: " '.k .' '.CONTRACTOR , Elee lie. no.: 20-448C ceB lie. no.: 136298 Business Name: BEAR MOUNTAIN ELECTRIC LlC Contact: Address: 85388 DILLARD ACCESS RD City/StatefZIP: EUGENE, OR 97405 Phone: 5417418844 Fax: 5417418845 Emall: jackie@bearmountainelectric,com Metro /ie. no.: City lie. no.: Supervising Electrician's lie. no.: 4640$ Supervising Electrician's Name: CHAD IRVIN PERKINS Number of inspections included in paid services: Residential Service: 4 .~ ~<.;, .1.... ".I" Reconnect Only: 1 'k",. , . .-.- All Other Services: 2 .' Upon review and approval by your local jurisdiction, your pennl! will bo o-malled or faxed within ono business day, with instructions on how to schedule your Inspection. NOTE: Thi& Authorization To Begin Work oKplres within 1110 days If a permit is not obtained. The local building department may detormlne that an Authorization To Bogin Work ill null and void If it does not meet applicable land use laws and local ordinances. (Uu- OILI Residential Electrical Authorization To Begin Work 69600-BEL-10-00091 Approval Code: 015456 3/2/2010 7:14 am E.mailed To: bearmountainchad@aol.com '. PLAN REViEW - : Please check all that apply: D Hazardous locations D A service or feeder beginning D A service or feeder rated at at 400 Amps where 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 D Marinas and boal yards 14,000 Amps for all other o Floating buildings D Fire pumps D Commercial-use agricultural buildings . D Emergency systems D Installation of a 150 KVA or D Addition of a new motor load larger seperately derived sys of 100 HP or more o "A", "E", or "1-2" or "1-3" D Six or more residential units in D Recreational Vehicle Parks one structure D Health care facilities D Supply voltage for more than 600 supply volts nominal FEE SCHEDULE. ." .. Description Qly. Ea. Total Branch circuits . :, , ., . ", ," "c,. '..'.. '.., Branch circuits without service or 1 $55.00 $55,00 feeder Miscellaneous . .. . Balance of permit fees $3.00 Electrical Permit Fees '-' Subtotal $58.00 State surcharge (12% of permit $6,96 total) Technology fee (5% of permit tolal) $2,90 TOTAL PERMIT FEE $67.86 .~ ~~, ~~ ~ ~.J~ ~v> Com ;;)v 10 - 00/;2../ G)h?'O /7~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00121 ISSUED: 0112812010 APPLIED: 0112812010 EXPIRES: 09/0212010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 249 S 43RD ST ASSESSOR'S PARCEL NO.: 1702323103600 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair PROJECT DESCRIPTION: Reconnect service dne to lire. Rewire kitchen 03/02/2010 - Add smoke detectors Residential Owner: CRISTENSEN JON E Address: 249 S 43RD ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor BEAR MOUNT AIN ELECTRIC LLC License 136298 Expiration Date 08112/20 II Phone 541-741-8844 I BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: 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 I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: NOTICE: I PUBLIC IMPRO~~-S~\ oregeo; b~ th; Oregon Utility t ~ dopt . r ,~lIre set forth . Notification CentelS,iI"F.\)5lk 1l't\ UAR 952..Q01- In OAR 952-001-~~J=,lp"lIllfl.lleS by 0090. You may (Note: the telephone calling ':: ::~~~gon Utility NotillcaUon . number r \8 1 "^n ........2-2344). Center -ou..-- Street Improvements: Storm Sewer Available: Special Instruction: , , Description IIIV I AUTHORIZED UNDER THIS . C?,MMENCED OR IS ABANDn~IED FMl' /;' "TiC!! r:!fC"." ,..,....,.,lnt.-. $'PerSq'Ff . vpe 0 onstruc IOn I' ,. or mu tip lef Square Footage or Bid Amount Value Date Calculated Paee I of2 I' r , ; ;1\ ., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00I21 ISSUED: 01/28/2010 APPLIED: 01/28/2010 EXPIRES: 09/02/2010 VALUE: Status Issued 225 Fifth SII.eet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid , Fee Description + 12% State Surcharge + 5% Technology Fee Service Recon neet + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Numher $7.56 $3.15 $63.00 $6.96 $2.90 $55.00 $3.00. 1/28/1 0 1/28/10 1/28/1 0 3/2/10 3/2/10 3/2/10 3/2110 3201000000000000030 3201000000000000030 3201000000000000030 3201000000000000069 3201000000000000069 3201000000000000069 3201000000000000069 .~ ;,. Total Amount Paid $141.57 I Plan Reviews ~ 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 Relluired InsDect~ Electric Service: Approval required prior to utility company energizing service. Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furthei- certifY that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hCl"ein, 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 a.t 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 .Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~~.j:QF~ .... ~.:.' ~. '.. ; "",__ '_".n'.~%*"-~'" .~...~ ..,',' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000069 Date: 03/02/2010 7:57:55AM Job/Journal Number COM2010-00J21 COM2010-00121 COM2010-00121 COM2010-00121 Payments: Type of Payment ONLINE CHGS cRcceintl Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 3.00 6.96 2.90 $67.86 Description Add, Alter, Extend Circ . '."", . Minimum/Adjustment Electrical + 12% State Surcharge ' l.. + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Paid njm $67.86 ONLINE bear Online mountain Payment Total: $67.86 . L~.. ~.,. ..~ ~' " Page I of I 3/2/20 I 0