HomeMy WebLinkAboutPermit Electrical 2010-4-1
SPRINGFIELD .
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City Of Springfield
225 Fifth $t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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D New Construction IRI Add ition/alterati ontrep laceme nl
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IRI 1 or 2 family dwelling D Multi-family D Commercial D Accessory
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Job Address: 1263 MAIN ST
CityIState/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.: 68
Project Name: HACSA
Cross Street/directions to job site;
Tax map/parcel no.: 1703354108700 ,
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Change pane! due to water damage
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Name: Chad Perkins "
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Phone: 541-741-8844 Fax: 541-741-8845 .-..',
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Email: ~ ... ._, -"
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Elee lie. no : 20-448C CCB lie. no.: 136298
Business Name: BEAR MOUNTAIN ELECTRIC LLC
Contact:
Address: 85388 DILLARD ACCESS RD
CityfStatefZIP: EUGENE, OR 97405
Phone: 5417418844 Fax: 5417418845
Email: jackie@bearmountainelectric.com
Metro lie. no.: City lie, 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 "
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Upon review and approval by your local jurisdiction, your permit will be "a-mailed or faxed
within one business day, with instructions on how to schedule your inspection. -',
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NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if It does nol meet applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00133
Approval Code: 005946 4/1/2010 10,12 am
E,mailed To: bearmountainchad@aol.com
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Please check all that apply: D 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 at150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
D Fire pumps o Commercial-use agricultural
buildings
0 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 "1-2" or "1-3"
o Six or more residential units in ' ,
o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
I{ :!;,i, - .,CC .iw ~"'FEE'~GHEDULE ",", ,,,,,l>' ,.'; ">'
Description I Qty, Ea, I Total
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Services 200 amps or less 1 $81,00 $81,00
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Subtotal $81.00
State surcharge (12% of permit $9.72
total)
Technology fee (5% of permit total) $405
TOTAL PERMIT FEE $94.77
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00399
ISSUED: 04/01/2010
APPLIED: 04/01/2010
EXPIRES: 10/01/2010
VALUE:
Status
Issued
SITE ADDRESS: 1263 MAIN ST SPACE 68
ASSESSOR'S PARCEL NO,: 1703354108700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Change panel due to water damage
Owner: SOUTH V ALLEY ENTERPRISES INC
Address: PO BOX 2567
EUGENE OR 97402
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
BEAR MOUNTAIN ELECTRIC LLC 136298
BUILDING INFORMATION I
Expiration Date
08/12/20II
Phone
541-741-8844
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Wof Sto'ries:
. H'eight 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 ~
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 ~
Street Improvements:
Sidewalk Type:
Downspouts/Drains:
Storm Sewer Available:
Special Instruction:
ATTENTION: Oregon law requi:e5 yet) to
f~~~~~~~~~~~~~r~e~h~~~~~I;~ ba~~~~:~:;~~i~
- bt 'n copies of the rules by
Valuation Descri tiGll9 ' You may 0 al (Note'the telephone
"OnCE' wo ling the center, , ",
, . ' ALL EXPIRE IF THE .->-a 'or the Oregon Utility Notllication
.co lIQ ,"i:QMIT s~' :r IS "'"'lfer Sq Ft SqUaltlU1"""'~ 2 2344)
De. scnptlOh' U ~,qtl(;:o5s\'1!RM~, IIfU It' I' B'd A enter is 1-80/iltllil - . Date Calculated
\UTHORIZED lutn tfI FOR or mu Ip ler or I mou
~OMMENCED OR IS ABANDONED .
l\NY 180 DAY PERIOD,
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Notes:
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Pa2e 1 of 2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
" Total Value of Project
I Fees Paid-l
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
$9,72
$4.05
$81.00
Total Amount Paid
$94.77
I Plan Reviews ~
Date Paid
4/1/10
4/1/10
4/1/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00399
ISSUED: 04/01/2010
APPLIED: 04/01/2010
EXPIRES: 10/01/2010
VALUE:
Receipt Number
3201000000000000115
3201000000000000115
3201000000000000115
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, insp'ections requested after 7:00 a.m. will be made the following
work day. ,. .. ' ,
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L-Re(iiJired Insnections ~
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby eertify that all
information hereon is true and correct, and I further 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 tbe 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
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Paee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
it~'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000115
Date: 04/01/2010
IO:32:S8AM
Job/Journal Number
COM20 I 0-00399
COM20 I 0-00399
COM20 1 0-00399
Description
Penn Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
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Amount Due
81.00
9.72
4.05
$94.77
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
, . Check Number Authorization
Received By Batch Number Number How Received
nJm ONLINE bear In Person
mountain
Payment Total:
Amount Paid
$94.77
$94.77
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4/1/2010