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HomeMy WebLinkAboutPermit Electrical 2010-4-1 SPRINGFIELD . ~,\l" '!iff"., fM1 ..-yz";,, .-:.;,..f.J c', ..,..h OREGON City Of Springfield 225 Fifth $t. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us i" '.Vi. . ',L'; :,', T""; ," L'" D New Construction IRI Add ition/alterati ontrep laceme nl ::'~; ,,;,,;' , , CATEG0'RY,QFiC:()IIISTRUCTjOllli,';" ,,,:,,,,,,:,, , , ,.-'".! IRI 1 or 2 family dwelling D Multi-family D Commercial D Accessory ','}"" 7 JOEl SITE;IIIIFORMIITIONANbLOGATION , . ....,..... ....,................. -.- , " ,. " 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 , ',,". "';Ii,,;, '",,,,J,;{,,,DESCRie!I:()N,QF:jiVQ-'RKTt,:,ll,,, .''';}0;, , ,',CO ,..--.....-.. "'-- Change pane! due to water damage ,"., 'i;-F"4d,5 ". -. .,;.,,';,,;.,',",' .' '''''' ,- """ i Name: Chad Perkins " .n, ~"'f: 'i'I'" Phone: 541-741-8844 Fax: 541-741-8845 .-..', 'C." Email: ~ ... ._, -" ,''''', i~ ~-- - ,9J'it ",,. ~r"}C0NfRAct0R1"'ff,;;)'" , "',/'1; r::,' :! ".,' 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 " 'i.(''',I. , " .._. ,. .'-. 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. -', -'j'" 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. GID-,,31<1 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 ,'. "'" i:" " Ii', <,. ".1 " 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 ~~~AZi~~~,Qi~te~~"ers ;;;..~':,,'~~"" ," :'"o,..,..j.... " '__ C " , Services 200 amps or less 1 $81,00 $81,00 ~19ctff~~IP~rrn,JtFee~_ ..~.,,' ~.: ?>J., " , '! Subtotal $81.00 State surcharge (12% of permit $9.72 total) Technology fee (5% of permit total) $405 TOTAL PERMIT FEE $94.77 ~ ~o ~"V (V ~~ 's' ~L-OI 0 -tJ03'l'1 Y'\fY\ --4-1-/0 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 _".". ..J..."', 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, :."(~r ~'i;:"" ~: \ : Notes: ~ it.::i. Pa2e 1 of 2 n. 1tItE!~~I:-o,"'III~IlI' l '; ., '", 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. ,. .. ' , .......,1+ "~~ ',,~; ,.. 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 ""f. .j... h ~ ~""' .i,"I, .,.11. 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 ,";~j .., 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 .! .}. . ~~. ; . .....>0. '.:<", '~'"' ...',....... i", I j'., ..'.., ,t~ cReccinl] Page I of I 4/1/2010